• J Obstet Gynecol Neonatal Nurs · Jan 2010

    Participant perception of an integrated program for substance abuse in pregnancy.

    • Lisa Lefebvre, Deana Midmer, Jennifer Anne Boyd, Alice Ordean, Lisa Graves, Meldon Kahan, and Lydia Pantea.
    • Departments of Family and Community Medicine, University of Toronto, Ontario, Canada. lisa_lefebvre@camh.net
    • J Obstet Gynecol Neonatal Nurs. 2010 Jan 1; 39 (1): 46-52.

    ObjectiveTo assess participant perception of an integrated model of care for substance abuse in pregnancy.DesignFocus groups were employed for this qualitative study.SettingTwo Family Medicine Units, 1 in Toronto and 1 in Montreal, where integrated care for licit and illicit substance abuse in pregnancy is provided by a team of doctors, nurses, nurse practitioners, and social workers.ParticipantsWomen who had received addiction and prenatal care at 1 of the 2 sites.MethodsWomen were asked to discuss their experiences of care in focus groups.ResultsFive central themes emerged: judgment, physician-patient communication, team communication, support groups, and self-responsibility.ConclusionWomen felt more comfortable with provider teams that shared a consistent nonjudgmental attitude.

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