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International Journal of Mental Health and Addiction

Published in:

01-02-2022 | Original Article

A Process Evaluation of a Substance Use Program for Pregnant Women: Lessons Learned from the Field

Authors: Jessica L. Chou, Bertranna A. Muruthi, Maliha Ibrahim, Emily Janes, Lara B. Pennington, Rosalie Seiler, Katherine Pierce, Debra Zand, Dara Herbert

Published in: International Journal of Mental Health and Addiction | Issue 1/2022

Abstract

The present study used a process evaluation to explore a women-specific program that addresses the complex treatment needs of pregnant and postpartum women (PPW) with substance use disorders (SUDs). Data was collected from program participants (N = 29), the primary treatment center, key partners (N = 7), and representatives from community stakeholders (N = 11). Successes and challenges of implementing a program for PPW with SUDs were determined. Results indicated successes among initial planning stages, client satisfaction, and stakeholder collaboration, while challenges to service delivery and larger system collaboration are discussed.

Attkisson, C. C., & Zwick, R. (1982). The client satisfaction questionnaire: psychometric properties and correlations with service utilization and psychotherapy outcome. Evaluation and Program Planning, 593, 233–237.CrossRef

Aubry, T. D., Hunsley, J., Josephson, G., & Vito, D. (2000). Quid pro quo: fee for services delivered in a psychology training clinic. Journal of Clinical Psychology, 56(1), 23–31. https://doi.org/10.1002/(SICI)1097-4679(20001)56:1<23::AID-JCLP3>3.0.CO;2-8.CrossRefPubMed

Bavolek, S. J. (2002). Nurturing parenting program. Park City: Family Development Resources.

Bodin, D., Beetar, J. T., Yeates, K. O., Boyer, K., Colvin, A. N., & Mangeot, S. (2007). A survey of parent satisfaction with pediatric neuropsychological evaluations. The Clinical Neuropsychologist, 21(6), 884–898. https://doi.org/10.1080/13854040600888784.CrossRefPubMed

Boothroyd, R. I., Flint, A. Y., Lapiz, A. M., Lyons, S., Lofts Jarboe, K., & Aldridge, W. A. (2017). Active involved community partnerships: Co-creatingimplementation infrastructure for getting to and sustaining social impact. Translational Behavioral Medicine, 7, 467–477. https://doi.org/10.1007/s13142-017-0503-3.

Brady, T. M., & Ashley, S. O. (Eds.). (2005). Women in substance abuse treatment: results from the alcohol and drug services study (ADSS). Rockville: Substance Abuse and Mental Health Services Administration Office of Applied Studies.

Cain, C., & Haque, S. (2008). Organizational workflow and its impact on work quality. In Evidence Based Handbook for Nurses https://www.ncbi.nlm.nih.gov/books/NBK2638/.

Campbell, C. I., Alexander, J. A., & Lemak, C. H. (2009). Organizational determinants of outpatient substance abuse treatment duration in women. Journal of Substance Abuse Treatment, 37(1), 64–72. https://doi.org/10.1016/j.jsat.2008.09.012.CrossRefPubMed

Center for Substance Abuse Treatment. (2004). Substance abuse treatment and family therapy: approaches to therapy. Treatment Improvement Protocol (TIP) Series 39. Rockville: Substance Abuse and Mental Health Services Administration.

Center for Substance Abuse Treatment. (2010). Drug testing in child welfare: practice and policy considerations. HHS Pub. No. (SMA) 10-4556. Rockville: Substance Abuse and Mental Health Services Administration.

Center for Behavioral Health Statistics and Quality. (2017). 2016 National Survey on Drug Use and Health: Detailed Tables. substance abuse and mentalhealth services administration, Rockville, MD.

Cohen, J. A., & Mannarino, A. P. (2008). Trauma-focused cognitive behavioural therapy for children and parents. Child and Adolescent Mental Health, 13(4), 158–162.CrossRef

Dvorchak, P. A., Grams, G., Tate, L., & Jason, L. A. (1995). Pregnant and postpartum women in recovery: barriers to treatment and the role of Oxford House in the continuation of care. Alcoholism Treatment Quarterly, 13(3), 97–107. https://doi.org/10.1300/J020v13n03_08.CrossRef

Fallot, R. D., & Harris, M. (2002). The trauma recovery and empowerment model (TREM): conceptual and practical issues in a group intervention for women. Community Mental Health Journal, 38(6), 475–485.CrossRef

Geller, S. (1999). Al’s pals: kids making healthy choices. Richmond: Wingspan LLC.

Goodman, D., Whalen, B., & Hodder, L. (2019). It’s time to support, rather than punish pregnant women with substance use disorders. JAMA Netw Open 2(11). https://doi.org/10.1001/jamanetworkopen.2019.14135.

Greenfield, S. F., & Grella, C. E. (2009). What is “women-focused” treatment for substance use disorders? Psychiatric Services, 60, 880–882. https://doi.org/10.1176/ps.2009.60.7.880.

Greenfield, L., Burgdorf, K., Chen, X., Porowski, A., Roberts, T., & Herrell, J. (2004). Effectiveness of long-term residential substance abuse treatment for women: findings from three national studies. The American Journal of Drug and Alcohol Abuse, 30(3), 537–550. https://doi.org/10.1081/ADA-200032290.CrossRefPubMed

Guerney, L. F. (1976). Filial therapy program. Treating relationships, 67–91.

Guttmacher Institute. (2019). Substance abuse during pregnancy. State Policies in Brief. New York: GI Available at: http://www.guttmacher.org/statecenter/spibs/spib_SADP.pdf. Retrieved March 26, 2019.

Henderson, J., Sword, W., Niccols, A., & Dobbins, M. (2014). Implementing stakeholder-informed research in the substance abuse treatment sector: strategies used by Connections, a Canadian knowledge translation and exchange project. Substance Abuse Treatment, Prevention, and Policy, 9(1). https://doi.org/10.1186/1747-597X-9-21.

Hser, Y., Evans, E., & Huang, Y. (2005). Treatment outcomes among women and men methamphetamine abusers in California. Journal of Substance Abuse Treatment, 28(1), 77–85. https://doi.org/10.1016/j.jsat.2004.10.009.CrossRefPubMed

Kaltenbach, K., & Finnegan, L. (1998). Prevention and treatment issues for pregnant cocaine-dependent women and their infants. Annals of the New York Academy of Sciences, 846(1), 329–334. https://doi.org/10.1111/j.1749-6632.1998.tb09749.x.CrossRefPubMed

Kruk, E., & Sandberg, K. (2013). A home for body and soul: substance using women in recovery. Harm Reduction Journal, 10(39), 39–55. https://doi.org/10.1186/1477-7517-10-39.CrossRefPubMedPubMedCentral

Landreth, G. L. (1993). Child-centered play therapy. Elementary School Guidance and Counseling, 28(1), 17–29.

Lindsay, A. R., Warren, C. S., Velasquez, S. C., & Lu, M. (2012). A gender-specific approach to improving substance abuse treatment for women: the healthy steps to freedom program. Journal of Substance Abuse Treatment, 43(1), 61–69. https://doi.org/10.1016/j.jsat.2011.10.1027.CrossRefPubMed

Marcellus, L., MacKinnon, K., Benoit, C., Phillips, R., & Stengel, C. (2015). Reenvisioning success for programs supporting pregnant women with problematic substance use. Qualitative Health Research, 25, 500–512. https://doi.org/10.1177/1049732314551058.

Marsh, J. C., Cao, D., & D’Aunno, T. (2004). Gender differences in the impact of comprehensive services in substance abuse treatment. Journal of Substance Abuse Treatment, 27(4), 289–300. https://doi.org/10.1016/j.jsat.2004.08.004.CrossRefPubMed

Messina, N., Wish, E., & Nemes, S. (2000). Predictors of treatment outcomes in men and women admitted to a therapeutic community. The American Journal of Drug and Alcohol Abuse, 26(2), 207–227.CrossRef

Myers, U. S., Browne, K. C., & Norman, S. B. (2015). Treatment engagement: Female survivors of intimate partner violence in treatment for PTSD and alcohol use disorder. Journal of Dual Diagnosis, 11(3-4), 238–247. https://doi.org/10.1080/15504263.2015.1113762.

Moore, G. F., Audrey, S., Barker, M., Bond, L., Bonell, C., Harderman, W., Moore, L., O’Cathain, A., Tinati, T., Wight, D., & Baird, J. (2015). Process evaluation of complex interventions: Medical Research Council guide. The BMJ, 350(1258). https://doi.org/10.1136/bmj.h1258.

Najavits, L. (2002). Seeking safety: a treatment manual for PTSD and substance abuse. New York: Guildford Press.

National Center on Substance Abuse and Child Welfare (NCSACW). (2016). National Vital Statistics Report, Retrieved July 2020 from: https://ncsacw.samhsa.gov/images/statistics/5-NCSACW-Percent-Prenatal-Substance-Exposure_update_2018.pdf.

Oakley, A., Strange, V., Bonell, C., Allen, E., & Stephenson, J. (2006). Process evaluation in randomized controlled trials of complex interventions. The BMJ, 332(7538), 413–416. https://doi.org/10.1136/bmj.332.7538.413.CrossRefPubMedPubMedCentral

Padgett, D. K. (2011). Qualitative and mixed methods in public health. Thousand Oaks: Sage Publications.

Patrick, S. W., & Schiff, D. M. (2017). A public health response to opioid use in pregnancy. Pediatrics, 139, e20164070.CrossRef

Quittan, G. A. (2004). An evaluation of the impact of the celebrating families program and family drug treatment court (FDTC) on parents receiving family reunification services. San Jose: San Jose State University.

Smith, B. D., & Marsh, J. C. (2002). Client-service matching in substance abuse treatment for women with children. Journal of Substance Abuse Treatment, 22(3), 161–168. https://doi.org/10.1016/S0740-5472(02)00229-5.CrossRefPubMed

Substance Abuse and Mental Health Services Administration (US); Office of the Surgeon General (US). (2016). Facing addiction in America: the Surgeon General’s report on alcohol, drugs, and health. Washington (DC): US Department of Health and Human Services.

Substance Abuse and Mental Health Services Administration. (2009). Substance abuse treatment: addressing the specific needs of women. Treatment Improvement Protocol (TIP) Series 51. HHS Publication No. (SMA) 09–4426. Rockville: Substance Abuse and Mental Health Services Administration.

Tuchman, E. (2010). Women and addiction: the importance of gender issues in substance abuse research. Journal of Addictive Diseases, 29(2), 127–138. https://doi.org/10.1080/10550881003684582.CrossRefPubMed

Valenti, M., Campetti, R., Schoenborn, N., Quinlan, K., & Dash, K. (2017). Building evaluation capacity of local substance about prevention programs seving LGBQ populations. Evaluation and Program Planning, 63, 101–108. https://doi.org/10.1016/j.evalprogplan.2017.04.003.CrossRefPubMed

Valentine, P. (2010). Peer-based recovery support services within a recovery community organization: the CCAR experience. In Addiction recovery management (pp. 259–279). Totowa: Humana Press.CrossRef

Walitzer, K. S., & Dearing, R. L. (2006). Gender differences in alcohol and substance use relapse. Clinical Psychology Review, 26(2), 128–148. https://doi.org/10.1016/j.cpr.2005.11.003.CrossRefPubMed

Werner, D., Young, N.K., Dennis, K, & Amatetti, S. (2007). Family-centered treatment for women with substance use disorders – history, key elements and challenges. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration.

Title: A Process Evaluation of a Substance Use Program for Pregnant Women: Lessons Learned from the Field
Authors: Jessica L. Chou
Bertranna A. Muruthi
Maliha Ibrahim
Emily Janes
Lara B. Pennington
Rosalie Seiler
Katherine Pierce
Debra Zand
Dara Herbert
Publication date: 01-02-2022
Publisher: Springer US
Published in: International Journal of Mental Health and Addiction / Issue 1/2022
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI: https://doi.org/10.1007/s11469-020-00374-1

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Springer Medicine

A Process Evaluation of a Substance Use Program for Pregnant Women: Lessons Learned from the Field

Abstract

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Springer Medicine

Abstract

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