Effect of waiting time on substance abuse treatment completion in pregnant women

Albrecht, Jennifer S.; Lindsay, Brianna; Terplan, Mishka

doi:10.1016/j.jsat.2011.01.015

Cited by 22 publications

(17 citation statements)

References 23 publications

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“…This trend is worrying because research related to drug use during pregnancy suggests punitive policies lead women to avoid and delay entering prenatal care and substance abuse treatment (Jessup et al, 2003;Roberts and Pies, 2011) and are disproportionally applied to Black women (Paltrow & Flavin, 2013;Roberts et al, 2014). If punitive policies related to alcohol use during pregnancy function similarly to punitive policies related to drug use during pregnancy in leading to delays in entering treatment, the increase in punitive policies related to alcohol use during pregnancy may be particularly concerning, as research suggests that women needing treatment for alcohol use disorders face more barriers than men in accessing treatment (Alvanzo et al, 2014;Verissimo and Grella, 2017) and that delays in accessing treatment remains an impediment to successful treatment completion among pregnant women (Albrecht et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Forty Years of State Alcohol and Pregnancy Policies in the USA: Best Practices for Public Health or Efforts to Restrict Women’s Reproductive Rights?

Roberts

Thomas

Treffers

et al. 2017

Alcohol and Alcoholism

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Aims: Alcohol consumption during pregnancy remains a public health problem despite >40 years of attention. Little is known about how state policies have evolved and whether policies represent public health goals or efforts to restrict women's reproductive rights. Methods: Our data set includes US state policies from 1970 through 2013 obtained through original legal research and from the National Institute for Alcohol Abuse and Alcoholism's (NIAAA)'s Alcohol Policy Information System. Policies were classified as punitive to women or supportive of them. The association between numbers of punitive policies and supportive policies in 2013 with a measure of state restrictions on reproductive rights and Alcohol Policy Effectiveness Scores (APS) was estimated using a Pearson's correlation. Results: The number of states with alcohol and pregnancy policies has increased from 1 in 1974 to 43 in 2013. Through the 1980s, state policy environments were either punitive or supportive. In the 1990s, mixed punitive and supportive policy environments began to be the norm, with punitive policies added to supportive ones. No association was found between the number of supportive policies in 2013 and a measure of reproductive rights policies or the APS, nor was there an association between the number of punitive policies and the APS. The number of punitive policies was positively associated, however, with restrictions on reproductive rights. Conclusion: Punitive alcohol and pregnancy policies are associated with efforts to restrict women's reproductive rights rather than effective efforts to curb public health harms due to alcohol use in the general population. Future research should explore the effects of alcohol and pregnancy policies. Short Summary: The number of states with alcohol and pregnancy policies has increased since 1970 (1 in 1974 and 43 in 2013). Alcohol and pregnancy policies are becoming increasingly punitive. These punitive policies are associated with efforts to restrict women's reproductive rights rather than policies that effectively curb alcohol-related public health harms.

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Section: Discussionmentioning

confidence: 99%

Forty Years of State Alcohol and Pregnancy Policies in the USA: Best Practices for Public Health or Efforts to Restrict Women’s Reproductive Rights?

Roberts

Thomas

Treffers

et al. 2017

Alcohol and Alcoholism

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“…First, although alcohol use generally declines after women recognize that they are pregnant (Ethen et al, 2009), alcohol use during pregnancy is much more common than drug use (Substance Abuse and Mental Health Services Administration, 2011) and the effects of (especially heavier) alcohol use are well documented (O’Leary & Bower, 2012; Patra et al, 2011; Warren et al, 2011). Second, policies, such as priority substance abuse treatment for pregnant women could increase the proportion of pregnant who complete treatment (Albrecht, Lindsay, & Terplan, 2011). Third, policies such as requirements for reporting maternal alcohol use during pregnancy to Child Protective Services (CPS) could drive women from prenatal care, as has been found for drug use during pregnancy (Murphy & Rosenbaum, 1999; Roberts & Pies, 2010).…”

mentioning

confidence: 99%

State Responses to Alcohol Use and Pregnancy: Findings From the Alcohol Policy Information System

Drabble

Thomas

O'Connor³

et al. 2014

Journal of Social Work Practice in the Addictions

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This article describes U.S. state policies related to alcohol use during pregnancy, using data from the National Institute on Alcohol Abuse and Alcoholism (NIAAA) Alcohol Policy Information System (APIS). Specifically, this study examines trends in policies enacted by states over time and types of policies enacted across states in the U.S., with a focus on whether laws were supportive or punitive toward women. Findings revealed substantial variability in characteristics of policies (19 primarily supportive, 12 primarily punitive, 12 with a mixed approach, and 8 with no policies). Findings underscore the need to examine possible consequences of policies, especially of punitive policies and “mixed” approaches.

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“…Patients are 33% less likely to arrive for intake appointments scheduled only 24 hours after an initial phone call requesting one. 23 Therefore, these appointments must happen immediately to ensure patients make it into treatment. Albrecht, Lindsay and Treplan (2011) suggest that the length of time between placing a call to a treatment facility and the scheduled pre-intake interview is a significant predictor of pre-intake dropout.…”

Section: Why Patience Is Not Enoughmentioning

confidence: 99%

“…Albrecht, Lindsay and Treplan (2011) suggest that the length of time between placing a call to a treatment facility and the scheduled pre-intake interview is a significant predictor of pre-intake dropout. 23 Initial appointments must be made as soon as patients seek them. When feature article patients are ready for change they need to be validated and assisted immediately.…”

Section: Why Patience Is Not Enoughmentioning

confidence: 99%

Why can’t patients last the wait?

Guitar¹

2017

UWOMJ

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One million people in North America are currently waiting for publicly funded substance use treatment. Unfortunately, long waiting times have been listed as the number one reason for not seeking treatment for substance use problems. While it is possible that successful abstinence during the waiting period convinces patients that they do not need treatment at all, more emphasis must be placed on interventions that can bridge the gap between initial contact by patients for substance use treatment and treatment intake. Recommendations in this review include: (1) decreasing the length of time between a patient's initial contact for treatment and the pre-intake interview, (2) initiating regular phone contact with patients, and (3) decreasing resentful demoralization in patients who are ready for change but who are forced to wait for treatment.

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Effect of waiting time on substance abuse treatment completion in pregnant women

Cited by 22 publications

References 23 publications

Forty Years of State Alcohol and Pregnancy Policies in the USA: Best Practices for Public Health or Efforts to Restrict Women’s Reproductive Rights?

Forty Years of State Alcohol and Pregnancy Policies in the USA: Best Practices for Public Health or Efforts to Restrict Women’s Reproductive Rights?

State Responses to Alcohol Use and Pregnancy: Findings From the Alcohol Policy Information System

Why can’t patients last the wait?

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