Effects of case management on retention in prenatal substance abuse treatment
Effects of case management on retention in prenatal substance abuse treatment
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DOI：
10.3109/00952999609001670
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发表时间：
1996-01-01
影响因子：
2.7
通讯作者：
Ager, JW
中科院分区：
文献类型：
--
作者：
Laken, MP;Ager, JW
妊娠期间参与药物滥用治疗与改善妊娠结局相关。病例管理被提议作为减少接受和继续治疗障碍的一种方式。对保留孕妇药物治疗的病例管理方案进行了评价。225名孕妇接受了个案管理服务，包括家访、电话咨询、交通和转诊。所有妇女都联系了药物滥用治疗中心，大多数（56%）在怀孕期间接受治疗。社会人口因素，个人和家庭的物质使用和药物治疗史，保护服务的参与，身体和性虐待的历史，以及对有形资源的需求进行了评估。在药物滥用治疗中心审查了访视次数和尿液毒理学报告的图表，并在医院审查了妊娠结局。资料采用LISREL路径分析。五个因素有显着的路径相关产前出席药物滥用治疗中心：保护服务参与的历史，曾经使用的药物数量，目前接受美沙酮，案件管理的强度，并接受运输到药物治疗预约。我们的结论是，个案管理，包括提供交通，有助于显着保留在怀孕期间的药物滥用治疗。
Participation in substance abuse treatment during pregnancy is associated with improved pregnancy outcomes. Case management has been proposed as one way to reduce barriers to receiving and continuing treatment. An evaluation was conducted on a case management program to retain pregnant women in drug treatment. Two hundred twenty-five pregnant women received case management services consisting of home visits, telephone counseling, transportation, and referral. All women contacted a substance abuse treatment center and most (56%) obtained treatment during pregnancy. Sociodemographic factors, personal and family history of substance use and drug treatment, protective services involvement, history of physical and sexual abuse, and need for tangible resources were assessed. Charts were reviewed at the substance abuse treatment center for number of visits and urine toxicology reports, and at the hospital for pregnancy outcome. Data were analyzed by LISREL path analysis. Five factors had significant path correlations to prenatal attendance at the substance abuse treatment center: history of protective services involvement, number of drugs ever used, currently receiving methadone, intensity of case management, and receiving transportation to drug treatment appointments. We conclude that case management, including providing transportation, contributes significantly to retention in substance abuse treatment during pregnancy.