Substance Use in Pregnancy Among Vulnerable Women Seeking Addiction and Parenting Support

Latuskie, Kiri A.; Leibson, Tom; Andrews, Naomi C. Z.; Motz, Mary; Pepler, Debra; Itô, Shinya

doi:10.1007/s11469-018-0005-7

Cited by 11 publications

(10 citation statements)

References 27 publications

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“…Principal, Nota Bene Consulting Group, 1434 Vining St, V8R 1P8 Victoria, BC, Canada. 2 Centre of Excellence for Women's Health, V6H 3N1 Vancouver, BC, Canada.…”

Section: Abbreviationsmentioning

confidence: 99%

“…Women's substance use is often intertwined with an array of issues, including physical, emotional, or sexual abuse, intimate partner violence, mental health concerns, child welfare involvement, physical health problems, and challenges related to social determinants of health such as low social support, deep poverty, precarious living conditions and homelessness [1][2][3][4][5][6]. Research contextualizing women's substance use has identified pathways, including women's experiences of trauma, partner violence, the child welfare system, racism, the impacts of colonization, mental health concerns and their mother's use of alcohol during pregnancy [7].…”

Section: Introductionmentioning

confidence: 99%

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Multi-service prevention programs for pregnant and parenting women with substance use and multiple vulnerabilities: Program structure and clients’ perspectives on wraparound programming

Rutman¹,

Hubberstey²,

Poole

et al. 2020

BMC Pregnancy Childbirth

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Background: In Canada, several community-based, multi-service programs aimed at reaching vulnerable pregnant or parenting women with substance use and complex issues have emerged. These programs offer basic needs and social supports along with perinatal, primary, and mental health care, as well as substance use services. Evaluations of these 'one-stop' programs have demonstrated positive outcomes; nevertheless, few published studies have focused on how these programs are structured, on their cross-sectoral partnerships, and on clients' perceptions of their services. Methods: The Co-Creating Evidence (CCE) project was a three-year evaluation of eight multi-service programs located in six Canadian jurisdictions. The study used a mixed-methods design involving semi-structured interviews, questionnaires, output data, and de-identified client data. This article focuses on qualitative interviews undertaken with 125 clients during the first round of site visits, supplemented by interview data with program staff and service partners. Results: Each of the programs in the CCE study employs a multi-service model that both reflects a wrap-around approach to care and is intentionally geared to removing barriers to accessing services. The programs are either operated by a health authority (n = 4) or by a community-based agency (n = 4). The programs' focus on the social determinants of health, and their provision of primary, prenatal, perinatal and mental health care services is essential; similarly, on-site substance use and trauma/violence related services is pivotal. Further, programs' support in relation to women's child welfare issues promotes collaboration, common understanding of expectations, and helps to prevent child/infant removals. Conclusions: The programs involved in the Co-Creating Evidence study have impressively blended social and primary care and prenatal care. Their success in respectfully and flexibly responding to women's diverse needs, interests and readiness, within a community-based, wraparound service delivery model paves the way for others offering pre-and postnatal programming.

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“…Principal, Nota Bene Consulting Group, 1434 Vining St, V8R 1P8 Victoria, BC, Canada. 2 Centre of Excellence for Women's Health, V6H 3N1 Vancouver, BC, Canada.…”

Section: Abbreviationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Multi-service prevention programs for pregnant and parenting women with substance use and multiple vulnerabilities: Program structure and clients’ perspectives on wraparound programming

Rutman¹,

Hubberstey²,

Poole

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…Indeed, surveys have found that upward of 11% of women report consuming alcohol and between 1% and 5% reported using street drugs during pregnancy; both rates are considered to be underestimates given the inherent risks and stigma that go hand in hand with revealing prenatal consumption of alcohol and other substances. As well, a large percentage of the women who use substances prenatally are polysubstance users [3], with one report stating that the rate of (prenatal) poly substance “is as high as 50% in some studies” [4].…”

Section: Introductionmentioning

confidence: 99%

Multi-Service Programs for Pregnant and Parenting Women with Substance Use Concerns: Women’s Perspectives on Why They Seek Help and Their Significant Changes

Hubberstey¹,

Rutman²,

Schmidt

et al. 2019

IJERPH

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Within Canada, several specialized multi-service prevention programs work with highly vulnerable pregnant and early parenting women with substance use issues. Experiences of trauma, mental health, poverty, and other factors associated with the social determinants of health complete the picture. Program evaluations have demonstrated their value, but less has been said as to women’s reasons for choosing to seek help from these programs, what they were hoping to gain, or what difference they believe has occurred as a result. The Co-creating Evidence project is a multi-year (2017–2020) national evaluation of holistic programs serving women at high risk of having an infant with prenatal alcohol or substance exposure. The evaluation uses a mixed methods design involving quarterly program output and “snapshot” client data, as well as in-person, semi-structured interviews and questionnaires with clients, program staff, and program partners. This article presents findings from interviews with women regarding why they sought help, how they used the services, and what they perceived to be the most significant change in their lives as a result. Obtaining help with substance use was the top theme for what women hoped to get from their participation in their program; however, women’s reasons were often intertwined. Additional motivations included wanting information, support or assistance with: child welfare; pregnancy; housing; getting connected to health care or prenatal care; and opportunities for peer support. With respect to the most significant life change, themes included: reduced substance use; improved housing; stronger mother–child connection; and improved wellness and social connections. Findings demonstrated that vulnerable, marginalized pregnant and parenting women who are using substances will seek help when health and social care services are configured in such a way as to take into consideration and address their unique roles, responsibilities, and realities.

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Section: Introductionmentioning

confidence: 99%

“…It is worth noting that many women who use substances during pregnancy are polysubstance users [15]. Moreover, research has shown that they tend to be selective about which substances to cease or reduce using and which to continue to use [15]. Consequently, the community-based prevention programs that have been leaders in the field in Canada focus on problematic substance use more broadly, within the context of a social determinants of health context and women’s lived experiences [12].…”

Section: Introductionmentioning

confidence: 99%

National Evaluation of Canadian Multi-Service FASD Prevention Programs: Interim Findings from the Co-Creating Evidence Study

Rutman

Hubberstey²

2019

IJERPH

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Since the 1990s, a number of multi-service prevention programs working with women who have substance use, mental health, or trauma and/or related social determinants of health issues have emerged in Canada. These programs use harm reduction approaches and provide outreach and “one-stop” health and social services on-site or through a network of services. While some of these programs have been evaluated, others have not, or their evaluations have not been published. This article presents interim qualitative findings of the Co-Creating Evidence project, a multi-year (2017–2020) national evaluation of holistic programs serving women at high risk of having an infant with prenatal alcohol exposure. The evaluation utilizes a mixed-methods design involving semi-structured interviews, questionnaires, focus groups, and client intake/outcome “snapshot” data. Findings demonstrated that the programs are reaching vulnerable pregnant/parenting women who face a host of complex circumstances including substance use, violence, child welfare involvement, and inadequate housing; moreover, it is typically the intersection of these issues that prompts women to engage with programs. Aligning with these results, key themes in what clients liked best about their program were: staff and their non-judgmental approach; peer support and sense of community; and having multiple services in one location, including help with mandated child protection.

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Substance Use in Pregnancy Among Vulnerable Women Seeking Addiction and Parenting Support

Cited by 11 publications

References 27 publications

Multi-service prevention programs for pregnant and parenting women with substance use and multiple vulnerabilities: Program structure and clients’ perspectives on wraparound programming

Multi-service prevention programs for pregnant and parenting women with substance use and multiple vulnerabilities: Program structure and clients’ perspectives on wraparound programming

Multi-Service Programs for Pregnant and Parenting Women with Substance Use Concerns: Women’s Perspectives on Why They Seek Help and Their Significant Changes

National Evaluation of Canadian Multi-Service FASD Prevention Programs: Interim Findings from the Co-Creating Evidence Study

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