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A treatment for substance abusing pregnant women

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Abstract

We describe the adaptation of a manualized behavioral treatment for substance using pregnant women that includes components of motivational interviewing and cognitive therapy. In a pilot study conducted in 2006–2007, five non-behavioral health clinicians were trained to provide the treatment to 14 women. Therapy was administered concurrent with routine prenatal care at inner-city maternal health clinics in New Haven and Bridgeport, Connecticut, small urban cities in the USA. Substance use was monitored by self report, and urine and breath tests. Treatment fidelity was assessed using the Yale Adherence and Competence System. Behavioral treatment delivery in this setting is feasible and is being evaluated in a randomized, controlled, clinical trial.

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Acknowledgments

This manual development was supported by Grant R01 DA 019135 from the National Institute on Drug Abuse to Drs. KAY, BJR and MVP.

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Authors and Affiliations

  1. Perinatal Research Program, Department of Psychiatry, Yale University School of Medicine, 142 Temple Street, Suite 301, New Haven, CT, 06510, USA

    Kimberly Ann Yonkers & Heather B. Howell

  2. Private Practice, New Haven, CT, USA

    Amy E. Allen

  3. Department of Psychiatry, VA CT Healthcare, Yale University School of Medicine, 950 Campbell Avenue, West Haven, CT, 06516, USA

    Samuel A. Ball & Bruce J. Rounsaville

  4. Department of Psychiatry, Connecticut Mental Health Center, Yale University School of Medicine, 34 Park Street,, New Haven, CT, 06510, USA

    Michael V. Pantalon

Authors
  1. Kimberly Ann Yonkers
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  2. Heather B. Howell
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  3. Amy E. Allen
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  4. Samuel A. Ball
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  5. Michael V. Pantalon
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  6. Bruce J. Rounsaville
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Corresponding author

Correspondence to Kimberly Ann Yonkers.

Glossary

MI

Motivational Interviewing

CBT

Cognitive Behavioral therapy

STI

Sexually Transmitted Infections

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Yonkers, K.A., Howell, H.B., Allen, A.E. et al. A treatment for substance abusing pregnant women. Arch Womens Ment Health 12, 221–227 (2009). https://doi.org/10.1007/s00737-009-0069-2

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  • DOI: https://doi.org/10.1007/s00737-009-0069-2

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