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Participant perception of an integrated program for substance abuse in pregnancy
Lisa Lefebvre1, Deana Midmer2, Jennifer Anne Boyd3
1Departments 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..
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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