Document Detail

A unique drug treatment program for pregnant and postpartum substance-using women in New York City: results of a pilot project, 1990-1995.
MedLine Citation:
PMID:  10548443     Owner:  NLM     Status:  MEDLINE    
In the 1980s, there was virtually no drug treatment for pregnant women in New York City, especially women who used crack cocaine. The purpose of the Parent and Child Enrichment (PACE) demonstration project was to assess the effectiveness of the one-stop shopping model of drug treatment for this population. Among PACE clients, 88% were primarily users of crack cocaine. The mean total length of stay was 100.0 days (median 55.5 days). Client retention 42 days after intake was 54.3%. This paper describes the essential components of this program model. "Long-stay" and "short-stay" clients were compared using urine toxicology tests and activity logs. In addition, the birth outcomes of clients were compared to two similar populations. A strong positive correlation was found between total length of stay and low rate of positive urine drug tests (UDTs). Infants of PACE long-stay clients had greater mean birth weight, less low birth weight, and less intrauterine growth retardation than the infants of the comparison groups. Fetal exposure to cocaine was decreased dramatically among women who were enrolled for 42 or more days during their pregnancy. This model of drug treatment for pregnant and postpartum women seems to improve mothers' lives, fetal drug exposure, and birth outcome significantly.
C McMurtrie; K D Rosenberg; B D Kerker; J Kan; E H Graham
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of drug and alcohol abuse     Volume:  25     ISSN:  0095-2990     ISO Abbreviation:  Am J Drug Alcohol Abuse     Publication Date:  1999 Nov 
Date Detail:
Created Date:  1999-11-23     Completed Date:  1999-11-23     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7502510     Medline TA:  Am J Drug Alcohol Abuse     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  701-13     Citation Subset:  IM    
Bureau of Maternity Services and Family Planning, New York City Department of Health, NY 10007, USA.
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MeSH Terms
Child Welfare
Child, Preschool
Cocaine / adverse effects
Cocaine-Related Disorders / complications,  psychology,  rehabilitation
Domestic Violence / prevention & control
New York City
Pilot Projects
Postpartum Period
Pregnancy Complications*
Pregnancy Outcome
Preventive Health Services*
Recurrence / prevention & control
Street Drugs / adverse effects
Substance-Related Disorders / complications,  psychology,  rehabilitation*
Women's Health
Grant Support
Reg. No./Substance:
0/Street Drugs; 50-36-2/Cocaine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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