Participant Perception of an Integrated Program for Substance Abuse in Pregnancy

Authors

  • Lisa Lefebvre,

    1. MD, CM, CCFP, Dip. ABAM, is a lecturer in the Departments of Family and Community Medicine and Psychiatry Faculty of Medicine, University of Toronto and coordinator of undergraduate and postgraduate education at the Addiction Medicine Program Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
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  • Deana Midmer,

    1. BScN, MEd, EdD, is an associate professor in the Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada.
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  • Jennifer Anne Boyd,

    1. BScN, MD, is an anesthesia resident in the Postgraduate Medical Education Office, University of Toronto, Toronto, Ontario, Canada.
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  • Alice Ordean,

    1. MD, CCFP, MHSc, is an assistant professor in the Department of Family and Community Medicine, University of Toronto and medical director of the Toronto Centre for Substance Use in Pregnancy, Toronto, Ontario, Canada.
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  • Lisa Graves,

    1. MD, CCFP, is an assistant professor in the Department of Family Medicine, McGiIl University Jewish General Hospital, Montreal, Quebec, Canada.
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  • Meldon Kahan,

    1. MD, FRCPC, is an assistant professor in the Department of Family and Community Medicine and University of Toronto Medical Director, St. Joseph's Health Centre, Toronto, Ontario, Canada.
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  • Lydia Pantea

    1. BHK Honours, is a research assistant at the Toronto Centre for Substance Use in Pregnancy, St. Joseph's Health Centre, Toronto, Ontario, Canada.
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Correspondence
Lisa Lefebvre, MD, CM, CCFP, Dip. ABAM, Addiction Medicine Clinic, Centre for Addiction and Mental Health, 33 Russell Street, Toronto, Ontario M5S 2S1, Canada.
lisa_lefebvre@camh.net

ABSTRACT

Objective: To assess participant perception of an integrated model of care for substance abuse in pregnancy.

Design: Focus groups were employed for this qualitative study.

Setting: Two 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.

Participants: Women who had received addiction and prenatal care at 1 of the 2 sites.

Methods: Women were asked to discuss their experiences of care in focus groups.

Results: Five central themes emerged: judgment, physician–patient communication, team communication, support groups, and self-responsibility.

Conclusion: Women felt more comfortable with provider teams that shared a consistent nonjudgmental attitude.

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