Evaluation of a Multisystems Model for Treating Perinatal Cocaine Addiction

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• 作者：Egelko ; Susan ; Galanter ; Marc ; Dermatis ; Helen ; DeMaio ; Christine
• 关键词：perinatal cocaine addiction ; drug abuse treatment ; multisystems model ; family therapy ; gender-specific
• 刊名：Journal of Substance Abuse Treatment
• 出版年：1998
• 出版时间：May 6, 1998
• 年：1998
• 卷：15
• 期：3
• 页码：251-259
• 全文大小：60.5 K

文摘

Two stages of a gender-specific treatment program for perinatal cocaine-addicted women were introduced into a coed peer-led day treatment program and evaluated for outcomes. Stage I (N = 21) targeted gender-specific needs, but did not expressly promote family reintegration. Stage II (N = 27) augmented the gender-specific program with a multisystems model for family reintegration. As a control for historical effects, nonperinatal clients whose treatment remained the same during the periods corresponding to the two stages, were evaluated for outcomes (N = 66 for Stage I, N = 75 for Stage II). As hypothesized, urine toxicology and retention data were significantly improved for perinatal clients treated in Stage II, as compared with those treated in Stage I; no such improvements were noted for nonperinatal clients. The data support a conclusion that introducing a multisystems framework into a gender-specific program selectively improves clinical outcomes for inner-city perinatal cocaine-addicted women.