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Related Concept Videos

Community Based Intervention01:30

Community Based Intervention

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Integrating a Brief Behavioral Intervention Into Case Management for Mothers With Perinatal Substance Use Disorder:

Amritha Bhat1, Mary C Curran2, Mary Jane Lohr3

  • 1Department of Psychiatry and Behavioral Sciences, University of Washington, 1959 NE Pacific Street, Box 356560, Seattle, WA, 98195, United States, 1 2065433117.

JMIR Formative Research
|December 30, 2025
PubMed
Summary

Integrating Promoting Healthy Families (PHF) into perinatal substance use disorder (SUD) case management is feasible and shows early mental health improvements for mothers. Further trials are needed to confirm effectiveness in high-risk perinatal populations.

Keywords:
case managementfeasibilitymental healthperinatalsubstance use

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Area of Science:

  • Perinatal mental health
  • Substance use disorder treatment
  • Behavioral interventions

Background:

  • Perinatal substance use disorders (SUD) often co-occur with depression, anxiety, and PTSD, negatively impacting maternal and child health.
  • Integrated mental health support is scarce for pregnant and parenting individuals with SUD, especially those facing instability.
  • Promoting Healthy Families (PHF) is a brief intervention for case managers serving high-risk perinatal SUD populations.

Purpose of the Study:

  • To assess the feasibility of integrating PHF into intensive case management for perinatal SUD clients.
  • To evaluate preliminary maternal depression, anxiety, and PTSD symptom outcomes.

Main Methods:

  • A nonrandomized pilot study compared PCAP alone (control) to PHF within PCAP (intervention).
  • Case managers completed feasibility surveys; clients completed mental health assessments (PHQ-9, GAD-7, PCL-6) at baseline and follow-up.
  • Data collection occurred during the COVID-19 pandemic, potentially affecting services.

Main Results:

  • Case managers found PHF feasible, with most clients benefiting.
  • While not statistically significant, symptom changes moved in the predicted direction.
  • High symptom improvement rates were observed in the PHF+PCAP group (e.g., 85% decrease in depression scores).

Conclusions:

  • PHF is feasible within perinatal SUD case management, showing initial mental health benefits.
  • Further research, including randomized controlled trials, is needed to confirm effectiveness and optimize delivery.
  • Brief behavioral interventions may enhance integrated mental health care for high-risk perinatal populations.