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

Sword, Wendy; Niccols, Alison; Fan, Aimei
January 2004
BMC Public Health;2004, Vol. 4, p10
Academic Journal
Background: Substance use in pregnancy is a major public health problem. It can have profound effects on pregnancy outcomes, and childhood health and development. Additionally, women who use substances have their own health-related issues. Although intervention is important, these women often have difficulty using traditional systems of care. The New Choices program is a centralized, multi-sector approach to service delivery that has attempted to overcome barriers to care by offering one-stop shopping in a supportive environment. As part of an evaluation of this program designed for women who are pregnant and/or parenting young children, interviews were conducted with participants to gain insight into their experiences in New Choices and perceptions of any changes attributed to program involvement. Methods: A qualitative, exploratory design was used to guide data collection and analysis. Four women participated in a focus group interview and seven women agreed to individual interviews over the course of the program evaluation (N = 11). A semi-structured interview guide was used to explore women's experiences in New Choices and their perceptions of the program and its impact. The interview data were analyzed using NVivo software and an inductive approach to data analysis. Results: The emergent themes captured women's motivations for attending New Choices, benefits of participation, and overall quality of the program. Children were the primary motivating factor for program enrollment. Perceived benefits included decreased substance use, improved maternal health, enhanced opportunity for employment, increased access to other resources, enhanced parenting skills, and improved child behaviour and development. Women highly valued the comprehensive and centralized approach to service delivery that provided a range of informal and formal supports. Conclusions: Interview findings endorse the appropriateness and potential efficacy of a collaborative, centralized approach to service provision for women with substance use issues. Although the findings provide insight into an alternative model of service delivery for women with addictions, future research is needed to evaluate the effectiveness of the intervention. Research also is needed to determine which program components or constellation of components contribute to desired outcomes, and to learn more about processes that underlie changes in behaviour.


Related Articles

  • Pregnancy-Associated Deaths due to AIDS in the United States. Koonin, Lisa M.; Ellerbrock, Tedd V.; Atrash, Hani K.; Rogers, Martha F.; Smith, Jack C.; Hogue, Carol J.R.; Harris, Machelle A.; Chavkin, Wendy; Parker, Artist L.; Halpin, George J. // JAMA: Journal of the American Medical Association;3/3/89, Vol. 261 Issue 9, p1306 

    Describes the frequency and characteristics of pregnancy-associated deaths due to AIDS in the United States. Study subjects and methods; Association of intravenous drug abuse with majority of AIDS cases among women; Seroprevalence rate among pregnant women; Effects of pregnancy on HIV infection.

  • Missouri says `Yes' to drug-free births. Stuart, Elaine // State Government News;May95, Vol. 38 Issue 5, p25 

    Discusses steps undertaken by Missouri towards dealing with the problem on addicted pregnant women. Factors for the hesitation of women to seek prenatal and medical care; Creation of the Comprehensive Substance Treatment and Rehabilitation Program (CSTAR); Features of CSTAR; Extent of program's...

  • Mandatory treatment for drug use during pregnancy. Chavkin, Wendy; Cole, Helene M.; Chavkin, W // JAMA: Journal of the American Medical Association;9/18/91, Vol. 266 Issue 11, p1556 

    Examines the proposed mandatory treatment for drug use during pregnancy in the U.S. General groupings or models comprising the U.S. experience with mandatory treatment of chemical dependency; Relevance of the models to pregnancy; Opposition to mandatory treatment.

  • Drugs, Alcohol, Pregnancy, and the Neonate. Chasnoff, Ira J. // JAMA: Journal of the American Medical Association;9/18/91, Vol. 266 Issue 11, p1567 

    Editorial. Comments on the neonatal costs of maternal cocaine use in the U.S. Percentage of infants that had been exposed to some illicit substance at some time during gestation; Results of previous studies of costs related to intrauterine drug exposure; Reason for the need to integrate...

  • Diazepam.  // Reactions Weekly;Jul2015, Vol. 1561 Issue 1, p73 

    An abstract of the article "The effects of benzodiazepines in pregnancy," by M. Leppee and colleagues is presented.

  • Fetal Alcohol Syndrome Prevention Research. Hankin, Janet R. // Alcohol Research & Health;2002, Vol. 26 Issue 1, p58 

    Reviews the spectrum of fetal alcohol syndrome (FAS) prevention efforts, and summarizes research on FAS prevention activities. Consequences of drinking during pregnancy; Prevention strategies under FAS; Selective efforts and their impact.

  • Prospective Study of Human Immunodeficiency Virus Infection and Pregnancy Outcomes in Intravenous Drug Users. Selwyn, Peter A.; Schoenbaum, Ellie E.; Davenny, Katherine; Robertson, Verna J.; Feingold, Anat R.; Shulman, Joanna F.; Mayers, Marguerite M.; Klein, Robert S.; Friedland, Gerald H.; Rogers, Martha F. // JAMA: Journal of the American Medical Association;3/3/89, Vol. 261 Issue 9, p1289 

    Studies effects of human immunodeficiency virus (HIV) infection on pregnancy outcomes of female intravenous drug users in a methadone program in New York City. Pregnancy rates in women with prior known HIV serological status; Characteristics of mothers and complications of pregnancy; HIV...

  • Children who face development risks due to maternal addiction during pregnancy require extra medical and psychosocial resources. Rangmar, Jenny; Lilja, Maria; K√∂hler, Marie; Reuter, Antonia // Acta Paediatrica;Jan2019, Vol. 108 Issue 1, p101 

    Aim: This study examined medical and psychosocial risk factors in children born to women with addiction problems during pregnancy and the children's needs for extra medical and psychosocial resources.Methods: Swedish midwives routinely screen pregnant women for drugs...

  • Maternal opiate use: Pregnancy outcome in patients managed... Jha, R.R.; Carrick, P. // Journal of Obstetrics & Gynaecology;Jul97, Vol. 17 Issue 4, p331 

    Provides information about management of pregnancies associated with maternal opiate intake between January 1992 and May 1996. Most effective treatment for pregnant opiate using women; Basis of modern management of opiate users; Treatment regime for pregnant opiate users employed by Drug and...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics