Levels and predictors of participation in integrated treatment programs for pregnant and parenting women with problematic substance use

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dc.contributor.authorLe, Thao Lan
dc.contributor.authorKenaszchuk, Chris
dc.contributor.authorMilligan, Karen
dc.contributor.authorUrbanoski, Karen
dc.date.accessioned2020-12-02T20:07:40Z
dc.date.available2020-12-02T20:07:40Z
dc.date.copyright2019en_US
dc.date.issued2019
dc.description.abstractBackground Women who are seeking services for problematic substance use are often also balancing responsibilities of motherhood. Integrated treatment programs were developed to address the diverse needs of women, by offering a holistic and comprehensive mix of services that are trauma- and violence-informed, and focus on maternal and child health promotion and the development of healthy relationships. Methods Using system-level administrative data from a suite of outpatient integrated programs in Ontario, Canada, we described the clients and rates and predictors of treatment participation over a 7-year period (2008–2014; N = 5162). Results All participants were either pregnant or parenting children under 6 years old at admission to treatment. Retention (length of time between the first and last visit) averaged 124.9 days (SD = 185.6), with episodes consisting of 14.6 visits (SD = 28.6). The vast majority of women attended more than one visit (87.2%), typically returning within 2 weeks (mean 12.3 days, SD = 11.1). In addition to being pregnant or new mothers experiencing problematic substance use, most were unemployed, on social assistance, and single. Conclusions Programs appeared to be able to successfully engage most women in treatment once they accessed the programs. Although rates of treatment participation did vary across subgroups defined by sociodemographic and admission characteristics, effect sizes tended to be small on average, providing little evidence in general of sociodemographic inequities in participation. Further work is needed to study the influence of program-level factors on participation, and how these link to maternal and child outcomes.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThis work was supported by the Canadian Institutes of Health Research and the Ontario Ministry of Health and Long-Term Care (PHE 135920), awarded to K.U. and K.M. Salary support for K.U. is provided by a Canada Research Chair in Substance Use, Addiction, and Health Services Research from the Canadian Institutes of Health Research. The funding bodies had no role in the design of the study, data collection, analysis, and interpretation, or manuscript writing.en_US
dc.identifier.citationLe, T. L., Kenaszchuk, C., Milligan, K., & Urbanoski, K. (2019). Levels and predictors of participation in integrated treatment programs for pregnant and parenting women with problematic substance use. BMC Public Health, 19(1). https://doi.org/10.1186/s12889-019-6455-4en_US
dc.identifier.urihttps://doi.org/10.1186/s12889-019-6455-4
dc.identifier.urihttp://hdl.handle.net/1828/12425
dc.language.isoenen_US
dc.publisherBMC Public Healthen_US
dc.subjectTreatment participation
dc.subjectTreatment retention
dc.subjectIntegrated programs
dc.subjectCanadian Institute for Substance Use Research (CISUR)
dc.subject.departmentSchool of Public Health and Social Policy
dc.titleLevels and predictors of participation in integrated treatment programs for pregnant and parenting women with problematic substance useen_US
dc.typeArticleen_US

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