RT Journal Article
SR Electronic
T1 Comprehensive treatment program for pregnant substance users in a family medicine clinic
JF Canadian Family Physician
JO Can Fam Physician
FD The College of Family Physicians of Canada
SP e430
OP e435
VO 57
IS 11
A1 Ordean, Alice
A1 Kahan, Meldon
YR 2011
UL http://www.cfp.ca/content/57/11/e430.abstract
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.