"New Choices" for women with addictions: perceptions of program participants

Sword, Wendy; Niccols, Alison; Fan, Aimei

doi:10.1186/1471-2458-4-10

Cited by 31 publications

(62 citation statements)

References 47 publications

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“…The New Choices program is an example of a comprehensive outpatient integrated program in a large urban centre in Canada that offers a "one-stop shop" for women with substance use issues who are pregnant or parenting young children (Niccols & Sword, 2005;Sword, Niccols, & Fan, 2004). New Choices was launched in 1998 by staff from several agencies in Hamilton (i.e., a hospital-based women's detoxification center, a community-based addiction service, an infant development program, a children's mental health agency, a home for adolescent mothers, a family resource center, a child care center, the public health department, and child protection services) with donations of services-in-kind and some government funding.…”

Section: New Choicesmentioning

confidence: 99%

Treatment Issues for Aboriginal Mothers with Substance Use Problems and Their Children

Niccols

Dell

Clarke

2009

Int J Ment Health Addiction

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In many cultures, approximately one third of people with drug dependence are women of childbearing age. Substance use among pregnant and parenting women is a major public health concern. Aboriginal people have some of the highest rates of substance abuse in Canada, increasing concern for detrimental health impacts, including those for women and their children. For many women, substance abuse offers a means of coping with trauma, such as childhood abuse, partner violence, and, for Aboriginal women, the intergenerational effects of colonization. In this paper, we review treatment issues for Aboriginal mothers with substance use problems and their children. We discuss gender-specific issues in substance abuse, the need for women-specific treatment, the impact of substance abuse on children and parenting, the additional risks for Aboriginal women and children, and the need for integrated programs (those that integrate pregnancy-, parenting-, and child-related services with women-specific addiction treatment). We describe New Choices as an example of an integrated program, review research on existing treatment for Aboriginal mothers with substance use issues, and describe Sheway as a promising integrated program for Aboriginal women with substance abuse issues and their young children. There are few treatment programs specifically for Aboriginal mothers with substance use issues and their children and very little research on their effectiveness. Based on our review of existing evidence, we offer recommendations for future research and practice.

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Section: New Choicesmentioning

confidence: 99%

Treatment Issues for Aboriginal Mothers with Substance Use Problems and Their Children

Niccols

Dell

Clarke

2009

Int J Ment Health Addiction

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“…As part of a preliminary evaluation of New Choices, interviews were conducted with programme participants to gain an in-depth account of their experiences in the programme and perceptions of any changes that could be attributed to programme involvement (Sword, Niccols, & Fan 2004). The interviews' emergent themes captured women's motivations for attending New Choices, benefits of participation and overall quality of the programme.…”

mentioning

confidence: 99%

“New Choices” for substance‐using mothers and their children: Preliminary evaluation

Niccols

Sword

2005

Journal of Substance Use

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Setting, participants, intervention and measurement: New Choices is a centralized ''one-stop shop'' in Hamilton, Ontario, Canada, that provides multiple services in a supportive environment for substance-using women and their young children. Measures of substance use, social support, mental health, nutrition, parenting and child development were administered to 13 women (21-36 years old) and their 13 children (0-5 years old) when they entered the programme, and at 3 and 6 months thereafter. Findings: Results revealed a significant improvement in maternal empathy at 3 months and children's social competence at 6 months, and a decrease in maternal support of children's power and independence that was significant at 3 months but not at 6 months. Improvements in other outcomes were not statistically significant, but effect sizes were promising. Results showed more improvements after 6 than 3 months, suggesting that length of programme involvement may be an important factor in outcome. Conclusions: The findings from this small pilot study suggest that a ''one-stop'' intervention for substance-using mothers and their children might have a positive impact on many outcomes. This evaluation involved a small cohort sample, no comparison group and parent-report measures only, so it should be viewed as exploratory and interpretation of findings made cautiously.

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“…It is also possible that the provision of gender-sensitive services may attract more women to a treatment program. Indeed, research has found that women cite lack of child care as a barrier to entering treatment (Grant, 1997) and that SUD programs' provision of child care is an important facilitator in women's treatment process (Howell & Chasnoff, 1999;Sword et al, 2004).…”

Section: Discussionmentioning

confidence: 99%

The Relationship Between Client Characteristics and Wraparound Services in Substance Use Disorder Treatment Centers

Paino

Aletraris

Roman

2016

J. Stud. Alcohol Drugs

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ABSTRACT. Objective: The National Institute on Drug Abuse (NIDA) recommends a comprehensive treatment program for individuals with substance use disorder (SUD) in order to treat needs they often have in addition to their SUD. Specifi cally, NIDA suggests providing services related to the following issues: medical care, mental health care, HIV/ AIDS, child care, educational, vocational, family counseling, housing, transportation, fi nancial, and legal. By providing a comprehensive model that combines core and wraparound services, treatment centers can deliver a higher quality of treatment. In this article, we assessed the relationship between client characteristics and the availability of wraparound services in SUD treatment centers. Method: We combined two nationally representative samples of treatment centers and used a negative binomial regression and a series of logistic regressions to analyze the relationship between client characteristics and wraparound services. Results: On average, centers offered fewer than half of the wraparound services endorsed by NIDA. Our results indicated that client characteristics were signifi cantly related to the provision of wraparound services. Most notably, the proportion of adolescent clients was positively related to educational services, the proportion of female clients was positively related to child care, but the proportion of clients referred from the criminal justice system was negatively associated with the provision of multiple wraparound services. Conclusions: Our fi ndings have important implications for SUD clients and suggest that, although centers are somewhat responsive to their clients' ancillary needs, most centers do not offer the majority of wraparound services. (J. Stud. Alcohol Drugs, 77, 160-169, 2016)

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"New Choices" for women with addictions: perceptions of program participants

Cited by 31 publications

References 47 publications

Treatment Issues for Aboriginal Mothers with Substance Use Problems and Their Children

Treatment Issues for Aboriginal Mothers with Substance Use Problems and Their Children

“New Choices” for substance‐using mothers and their children: Preliminary evaluation

The Relationship Between Client Characteristics and Wraparound Services in Substance Use Disorder Treatment Centers

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