A treatment for substance abusing pregnant women

TitleA treatment for substance abusing pregnant women
Publication TypeJournal Article
Year of Publication2009
AuthorsYonkers, KA, Howell, HB, Allen, AE, Ball, SA, Pantalon, MV, Rounsaville, BJ
JournalArchives of Women's Mental Health
Date PublishedAug
Publication Languageeng
ISBN Number1435-1102 (Electronic)
Accession Number19350369
Keywords*Motivation, Academic Medical Centers, Adult, Cognitive Therapy/*methods, Connecticut/epidemiology, Female, Humans, Pilot Projects, Pregnancy, Pregnant Women/*psychology, Prenatal Care/methods, Questionnaires, Randomized Controlled Trials as Topic, Substance-Related Disorders/epidemiology/*therapy, Urban Population, Young Adult

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.

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