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Published in: Archives of Women's Mental Health 4/2009

01-08-2009 | Original Contribution

A treatment for substance abusing pregnant women

Authors: Kimberly Ann Yonkers, Heather B. Howell, Amy E. Allen, Samuel A. Ball, Michael V. Pantalon, Bruce J. Rounsaville

Published in: Archives of Women's Mental Health | Issue 4/2009

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Abstract

We describe the adaptation of a manualized behavioral treatment for substance using pregnant women that includes components of motivational interviewing and cognitive therapy. In a pilot study conducted in 2006–2007, five non-behavioral health clinicians were trained to provide the treatment to 14 women. Therapy was administered concurrent with routine prenatal care at inner-city maternal health clinics in New Haven and Bridgeport, Connecticut, small urban cities in the USA. Substance use was monitored by self report, and urine and breath tests. Treatment fidelity was assessed using the Yale Adherence and Competence System. Behavioral treatment delivery in this setting is feasible and is being evaluated in a randomized, controlled, clinical trial.
Glossary
MI
Motivational Interviewing
CBT
Cognitive Behavioral therapy
STI
Sexually Transmitted Infections
Literature
go back to reference Armstrong M, Gonzales V, Lieberman L, Carpenter D, Pantoja P, & Escobar G (2003) Perinatal substance abuse intervention in obstetric clinics decreases adverse neonatal outcomes. J Perinatol (23), 3–9. Armstrong M, Gonzales V, Lieberman L, Carpenter D, Pantoja P, & Escobar G (2003) Perinatal substance abuse intervention in obstetric clinics decreases adverse neonatal outcomes. J Perinatol (23), 3–9.
go back to reference Carroll KM, Kadden RM, Donovan DM, Zweben A, Rounsaville BJ (1994) Implementing treatment and protecting the validity of the independent variable in treatment matching studies. J Stud Alcohol, Suppl 12:149–155 Carroll KM, Kadden RM, Donovan DM, Zweben A, Rounsaville BJ (1994) Implementing treatment and protecting the validity of the independent variable in treatment matching studies. J Stud Alcohol, Suppl 12:149–155
go back to reference Carroll KM, Nich C, Sifry RL, Nuro KF, Frankforter TL, Ball SA et al (2000) A general system for evaluating therapist adherence and competence in psychotherapy research in the addictions. Drug Alcohol Depend 57:225–238PubMedCrossRef Carroll KM, Nich C, Sifry RL, Nuro KF, Frankforter TL, Ball SA et al (2000) A general system for evaluating therapist adherence and competence in psychotherapy research in the addictions. Drug Alcohol Depend 57:225–238PubMedCrossRef
go back to reference Carroll K, Ball S, Martino S (2004) Cognitive, behavioral, and motivational therapies. In: Galanter M, Kleber H (eds) The American psychiatric publishing textbook of substance abuse treatment, 3rd edn. American Psychiatric Publishing, Washington, DC, pp 365–376 Carroll K, Ball S, Martino S (2004) Cognitive, behavioral, and motivational therapies. In: Galanter M, Kleber H (eds) The American psychiatric publishing textbook of substance abuse treatment, 3rd edn. American Psychiatric Publishing, Washington, DC, pp 365–376
go back to reference Chang G, Wilkins-Haug L, Berman S, Goetz MA (1999) Brief intervention for alcohol use in pregnancy: a randomized trial. Addiction 94(10):1499–1508PubMedCrossRef Chang G, Wilkins-Haug L, Berman S, Goetz MA (1999) Brief intervention for alcohol use in pregnancy: a randomized trial. Addiction 94(10):1499–1508PubMedCrossRef
go back to reference Chang G, McNamara T, Orav J, Koby D, Lavigne A, Ludman B et al (2005) Brief intervention for prenatal alcohol use: a randomized trial. Obstet Gynecol 105(5):991–998PubMed Chang G, McNamara T, Orav J, Koby D, Lavigne A, Ludman B et al (2005) Brief intervention for prenatal alcohol use: a randomized trial. Obstet Gynecol 105(5):991–998PubMed
go back to reference D’Onofrio G, Pantalon M, Degutis L, Fiellin D, O’Connor P (2005) Development and implementation of an emergency practitioner-performed brief intervention for hazardous and harmful drinkers in the emergency department. Acad Emerg Med 12(3):249–256PubMed D’Onofrio G, Pantalon M, Degutis L, Fiellin D, O’Connor P (2005) Development and implementation of an emergency practitioner-performed brief intervention for hazardous and harmful drinkers in the emergency department. Acad Emerg Med 12(3):249–256PubMed
go back to reference Ebrahim SH, Gfroerer J (2003) Pregnancy-related substance use in the United States during 1996–1998. Obstet Gynecol 101(2):374–379PubMedCrossRef Ebrahim SH, Gfroerer J (2003) Pregnancy-related substance use in the United States during 1996–1998. Obstet Gynecol 101(2):374–379PubMedCrossRef
go back to reference Ebrahim SH, Luman ET, Floyd RL, Murphy CC, Bennett EM, Boyle CA (1998) Alcohol consumption by pregnant women in the United States during 1988–1995. Obstet Gynecol 92(2):187–192PubMedCrossRef Ebrahim SH, Luman ET, Floyd RL, Murphy CC, Bennett EM, Boyle CA (1998) Alcohol consumption by pregnant women in the United States during 1988–1995. Obstet Gynecol 92(2):187–192PubMedCrossRef
go back to reference Edlund MJ, Unutzer J, Wells KB (2004) Clinician screening and treatment of alcohol, drug, and mental problems in primary care: results from healthcare for communities. Med Care 42(12):1158–1166PubMedCrossRef Edlund MJ, Unutzer J, Wells KB (2004) Clinician screening and treatment of alcohol, drug, and mental problems in primary care: results from healthcare for communities. Med Care 42(12):1158–1166PubMedCrossRef
go back to reference El-Mohandes A, Herman AA, Nabil El-Khorazaty M, Katta PS, White D, Grylack L (2003) Prenatal care reduces the impact of illicit drug use on perinatal outcomes. J Perinatol 23(5):354PubMedCrossRef El-Mohandes A, Herman AA, Nabil El-Khorazaty M, Katta PS, White D, Grylack L (2003) Prenatal care reduces the impact of illicit drug use on perinatal outcomes. J Perinatol 23(5):354PubMedCrossRef
go back to reference Fleming MF, Lund MR, Wilton G, Landry M, Scheets D (2008) The healthy moms study: the efficacy of brief alcohol intervention in postpartum women. Alcohol Clin Exp Res 32(9):1600–1606PubMedCrossRef Fleming MF, Lund MR, Wilton G, Landry M, Scheets D (2008) The healthy moms study: the efficacy of brief alcohol intervention in postpartum women. Alcohol Clin Exp Res 32(9):1600–1606PubMedCrossRef
go back to reference Handmaker NS, Miller WR, Manicke M (1999) Findings of a pilot study of motivational interviewing with pregnant drinkers. J Stud Alcohol 60(2):285PubMed Handmaker NS, Miller WR, Manicke M (1999) Findings of a pilot study of motivational interviewing with pregnant drinkers. J Stud Alcohol 60(2):285PubMed
go back to reference Jones HE, Haug NA, Stitzer ML, Svikis DS (2000) Improving treatment outcomes for pregnant drug-dependent women using low-magnitude voucher incentives. Addict Behav 25(2):263–267PubMedCrossRef Jones HE, Haug NA, Stitzer ML, Svikis DS (2000) Improving treatment outcomes for pregnant drug-dependent women using low-magnitude voucher incentives. Addict Behav 25(2):263–267PubMedCrossRef
go back to reference Jones HE, Haug N, Silverman K, Stitzer M, Svikis D (2001) The effectiveness of incentives in enhancing treatment attendance and drug abstinence in methadone-maintained pregnant women. Drug Alcohol Depend 61:297–306PubMedCrossRef Jones HE, Haug N, Silverman K, Stitzer M, Svikis D (2001) The effectiveness of incentives in enhancing treatment attendance and drug abstinence in methadone-maintained pregnant women. Drug Alcohol Depend 61:297–306PubMedCrossRef
go back to reference Kadden R, Carrol K, Donovan D, Cooney N, Monti P, Abram D et al (1992) Cognitive-behavioral coping skills therapy manual: A clinical research guide for therapits treating individuals with alscohol abuse and dependence. In: Mattson ME (ed) NIAAA project MATCH monograph series (Vol.3, DHHS Publication No. ADM 92–1895). Washington. U.S. Government Printing Office, DC Kadden R, Carrol K, Donovan D, Cooney N, Monti P, Abram D et al (1992) Cognitive-behavioral coping skills therapy manual: A clinical research guide for therapits treating individuals with alscohol abuse and dependence. In: Mattson ME (ed) NIAAA project MATCH monograph series (Vol.3, DHHS Publication No. ADM 92–1895). Washington. U.S. Government Printing Office, DC
go back to reference McLellan AT, Luborsky L, Woody GE, O’Brien CP (1980) An improved diagnostic evaluation instrument for susbtance abuse patients: the addiction severity index. J Nerv Mental Disorders 168(1):26–33CrossRef McLellan AT, Luborsky L, Woody GE, O’Brien CP (1980) An improved diagnostic evaluation instrument for susbtance abuse patients: the addiction severity index. J Nerv Mental Disorders 168(1):26–33CrossRef
go back to reference Miller W, & Rolnick (1991) Motivational interviewing: Preparing people to change addictive behavior. Guilford Press Miller W, & Rolnick (1991) Motivational interviewing: Preparing people to change addictive behavior. Guilford Press
go back to reference Monti PM, Kadden RM, Rohsenow DJ, Cooney NL, Abrams DB (2002) Treating alcohol dependence: A coping skills training guide, 2nd edn. The Guilford Press, New York, NY Monti PM, Kadden RM, Rohsenow DJ, Cooney NL, Abrams DB (2002) Treating alcohol dependence: A coping skills training guide, 2nd edn. The Guilford Press, New York, NY
go back to reference Morgenstern J, Keller DS, Morgan TJ, McCrady BS, Carroll KM (2001) Manual-guided cognitive-behavioral therapy training: a promising method for disseminating empirically supported substance abuse treatments to the practice community. Psychol Addict Behav 15(2):83–88PubMedCrossRef Morgenstern J, Keller DS, Morgan TJ, McCrady BS, Carroll KM (2001) Manual-guided cognitive-behavioral therapy training: a promising method for disseminating empirically supported substance abuse treatments to the practice community. Psychol Addict Behav 15(2):83–88PubMedCrossRef
go back to reference Newschaffer CJ et al (1998) Improved birth outcomes associated with enhanced Medicaid prenatal care in drug-using women infected with the human immunodeficiency virus. Obstet Gynecol 91(6):885–889PubMedCrossRef Newschaffer CJ et al (1998) Improved birth outcomes associated with enhanced Medicaid prenatal care in drug-using women infected with the human immunodeficiency virus. Obstet Gynecol 91(6):885–889PubMedCrossRef
go back to reference O’Connor MJ, Whaley SE (2007) Brief intervention for alcohol use by pregnant women. Am J Public Health 97(2):252–258PubMedCrossRef O’Connor MJ, Whaley SE (2007) Brief intervention for alcohol use by pregnant women. Am J Public Health 97(2):252–258PubMedCrossRef
go back to reference Parsons J, Rosof E, Punzalan J, Di Maria L (2005) Integration of motivational interviewing and cognitive behavioral therapy to improve HIV medication adherence and reduce substance use among HIV-positive men and women: results of a pilot project. AIDS Patient Care and STDs 19(1):31–39PubMedCrossRef Parsons J, Rosof E, Punzalan J, Di Maria L (2005) Integration of motivational interviewing and cognitive behavioral therapy to improve HIV medication adherence and reduce substance use among HIV-positive men and women: results of a pilot project. AIDS Patient Care and STDs 19(1):31–39PubMedCrossRef
go back to reference Rush AJ, Gullion CM, Basco MR, Jarrett RB, Trivedi MH (1996) The Inventory of Depressive Symptomatology (IDS) psychometric properties. Psychol Med 26:477–486PubMedCrossRef Rush AJ, Gullion CM, Basco MR, Jarrett RB, Trivedi MH (1996) The Inventory of Depressive Symptomatology (IDS) psychometric properties. Psychol Med 26:477–486PubMedCrossRef
go back to reference Russell M (1996) Detecting risk drinking during pregnancy: a comparison of four screening questionnaires. Am J Public Health 86(10):1435–1439PubMedCrossRef Russell M (1996) Detecting risk drinking during pregnancy: a comparison of four screening questionnaires. Am J Public Health 86(10):1435–1439PubMedCrossRef
go back to reference SAMHSA, S. A. a. M. H. S. A (2007) Results from the 2007 national survey on drug use and health: National findings. Office of Applied Studies, Rockville, MD, pp 1–290 SAMHSA, S. A. a. M. H. S. A (2007) Results from the 2007 national survey on drug use and health: National findings. Office of Applied Studies, Rockville, MD, pp 1–290
go back to reference Sheehan D, Lecrubier Y, Janavs J, Knapp E, Weiller E (1996) Mini International Neuropsychiatric Interview (MINI). University of South Florida, Tampa Sheehan D, Lecrubier Y, Janavs J, Knapp E, Weiller E (1996) Mini International Neuropsychiatric Interview (MINI). University of South Florida, Tampa
go back to reference Silverman K, Svikis D, Robles E, Stitzer ML, Bigelow GE (2001) A reinforcement-based therapeutic workplace for the treatment of drug abuse: six-month abstinence outcomes. Exp Clin Psychopharmacol 9(1):14–23PubMedCrossRef Silverman K, Svikis D, Robles E, Stitzer ML, Bigelow GE (2001) A reinforcement-based therapeutic workplace for the treatment of drug abuse: six-month abstinence outcomes. Exp Clin Psychopharmacol 9(1):14–23PubMedCrossRef
go back to reference Svikis DS, Lee JH, Haug NA, Stitzer ML (1997) Attendance incentives for outpatient treatment: effects in methadone and nonmethadone-maintained pregnant drug dependent women. Drug Alcohol Depend 48:33–41PubMedCrossRef Svikis DS, Lee JH, Haug NA, Stitzer ML (1997) Attendance incentives for outpatient treatment: effects in methadone and nonmethadone-maintained pregnant drug dependent women. Drug Alcohol Depend 48:33–41PubMedCrossRef
go back to reference Sweeney PJ, Schwartz RM, Mattis NG, Vohr B (2000) The effect of integrating substance abuse treatment with prenatal care on birth outcome. J Perinatol 20(4):219–224PubMedCrossRef Sweeney PJ, Schwartz RM, Mattis NG, Vohr B (2000) The effect of integrating substance abuse treatment with prenatal care on birth outcome. J Perinatol 20(4):219–224PubMedCrossRef
Metadata
Title
A treatment for substance abusing pregnant women
Authors
Kimberly Ann Yonkers
Heather B. Howell
Amy E. Allen
Samuel A. Ball
Michael V. Pantalon
Bruce J. Rounsaville
Publication date
01-08-2009
Publisher
Springer Vienna
Published in
Archives of Women's Mental Health / Issue 4/2009
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI
https://doi.org/10.1007/s00737-009-0069-2

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