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Olivia Silber Ashley, DrPH1, Lev S. Sverdlov, MD, PhD2, Sameena Salvucci, PhD2, Alisa Male, MA2, and Thomas M. Brady, PhD3. (1) Center for Interdisciplinary Substance Abuse Research, RTI International, P.O. Box 12194, Research Triangle Park, NC 27709-2194, (919) 541-6427, osilber@rti.org, (2) Synectics for Management Decisions, Inc., 1901 North Moore Street, Suite 900, Arlington, VA 22209, (3) Office of Applied Studies, Substance Abuse and Mental Health Services Administration, Parklawn Building, 5600 Fishers Lane, Suite 16-105, Rockville, MD 20857
Substance-abusing pregnant women face many barriers to receiving and successfully completing substance abuse treatment. Research has identified the benefits of gender-specific substance abuse treatment programming for women, including offering prenatal care services. Compared with women receiving standard substance abuse treatment, women offered prenatal care services have more prenatal visits and better birth outcomes. However, little is known about the relationship between offering prenatal care services and retention among women in substance abuse treatment. This paper examines the availability of prenatal care services among substance abuse treatment facilities and association with completion of planned treatment among women, using data from nationally representative samples of substance abuse treatment facilities (n=2,395) and adult female clients discharged from those facilities (n=1,239) from the Alcohol and Drug Services Study (ADSS). Because receiving treatment at a facility offering prenatal care services was associated with the probability of receiving other specialized services for women, multivariate analysis controlled for the availability of child care, transportation, and combined substance abuse and mental health treatment services. Almost 12 percent of facilities offered prenatal care services; this estimate ranged from 6 percent of outpatient non-methadone facilities to 33 percent of hospital inpatient facilities. Multiple logistic regression indicated that treatment at substance abuse facilities offering prenatal care services was strongly associated with a greater likelihood of treatment completion among women (OR=3.65; 95% CI=1.51, 8.84; p=0.005), after controlling for a number of client and facility characteristics. These findings suggest that offering prenatal care services may improve retention among women.
Learning Objectives:
Keywords: Substance Abuse Treatment, Prenatal Care
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.