title: [Not Available].
abstract: OBJECTIVE
  The Main dans la main initiative relies on collaboration between child protection and hospital-based social workers to help substance-abusing expectant mothers maximize their chances of caring for their newborn. The article describes the positive outcomes of this initiative for the women, based on the experiences and perception of the participants and social workers involved.
  
  
  METHODS
  A case study was conducted with 21 participants using three data sources: 1) a semi-structured interview with the mothers at two points in time; 2) a semi-structured interview with social workers; and 3) the tools of the initiative. The data were analyzed based on content condensation and data presentation.
  
  
  RESULTS
  A majority of participants experienced changes in their various spheres of life: personal (positive changes in substance-abuse habits), parental (improved self-confidence as a parent, reduced stress due to the fear of losing custody of their newborn), and social/relational (improved relationships with social support network and support services).
  
  
  CONCLUSIONS
  The results confirm the relevance and potential for change of a short intervention model during the perinatal period based on inter-professional collaboration with substance-abusing expectant mothers. Further research is needed to validate the hypothesis on the effectiveness of this initiative.
authors.affiliation: . chantal.lavergne@cjm-iu.qc.ca.
authors.forename: Chantal
authors.initials: C
authors.lastname: Lavergne
authors.forename: Geneviève
authors.initials: G
authors.lastname: Turcotte
authors.forename: Pauline
authors.initials: P
authors.lastname: Morissette
mesh_terms: D000068216:Child Protective Services / Q000458:organization & administration*; D003299:Cooperative Behavior; D005260:Female; D006801:Humans; D019982:Organizational Case Studies; D011247:Pregnancy; D037841:Pregnant People / Q000523:psychology*; D015397:Program Evaluation; D036301:Qualitative Research; D012948:Social Work Department, Hospital / Q000458:organization & administration*; D019966:Substance-Related Disorders / Q000517:prevention & control* / Q000523:psychology