PT  - JOURNAL ARTICLE
AU  - Ordean, Alice
AU  - Kahan, Meldon
TI  - Comprehensive treatment program for pregnant substance users in a family medicine clinic
DP  - 2011 Nov 01
TA  - Canadian Family Physician
PG  - e430--e435
VI  - 57
IP  - 11
4099  - http://www.cfp.ca/content/57/11/e430.short
4100  - http://www.cfp.ca/content/57/11/e430.full
SO  - Can Fam Physician2011 Nov 01; 57
AB  - Problem being addressed Substance use during pregnancy is a substantial public health problem and a risk factor for poor neonatal outcomes. Prenatal care is often provided in high-risk pregnancy units, separate from addiction treatment. Objective of program To provide comprehensive prenatal care and addiction treatment in a family medicine setting. Description of program The Toronto Centre for Substance Use in Pregnancy (T-CUP) is a family medicine–based program in a large urban city in Ontario. The T-CUP program comprises an interdisciplinary team using a one-stop access model to provide comprehensive services for pregnant women with a history of alcohol or drug abuse, including prenatal and postnatal medical care, addiction counseling, and assistance with complex psychosocial needs. Evaluation A retrospective chart review was performed, including charts for 121 women who received care at T-CUP from August 2000 to January 2006. Women demonstrated a high compliance rate with prenatal care attendance. Most women reported reduction in a variety of drug use categories. Significant differences were found especially among women who presented earlier in their pregnancies (P < .05). As a result, neonatal outcomes were satisfactory and approximately 75% of newborns were discharged home in the care of their mothers. Conclusion Pregnant substance-using women have positive maternal and infant health outcomes when they receive comprehensive care in a family medicine setting.