University of Alberta, Glenrose Rehabilitation Hospital, Edmonton, AB, Canada.
Community Ment Health J. 2012 Feb;48(1):12-21. doi: 10.1007/s10597-010-9342-0. Epub 2010 Aug 8.
The goal of this study was to determine whether the First Steps program (modeled after the Parent-Child Assistance Program) resulted in improved outcomes among women at-risk for giving birth to a child with FASD. We conducted a retrospective analysis of data on 70 participants in the First Steps program. Clients were high risk and faced many life challenges, including: being on welfare, substance abuse, physical and sexual abuse as children, mental health issues, criminal activity, and unplanned pregnancies. We found a significant increase in birth control use and decrease in welfare rates from pre- to post-program. At program exit, many participants were abstinent from alcohol and/or drugs and the majority did not experience a subsequent pregnancy. Clients also showed significant increases in goals and decreases in needs from pre-to post-program. The First Steps program demonstrated promising outcomes for women at-risk for giving birth to a child with FASD.
本研究旨在确定“第一步计划”（仿效亲子援助计划）是否能够改善有生育胎儿酒精谱系障碍风险的女性的结果。我们对 70 名参与“第一步计划”的参与者的数据进行了回顾性分析。客户风险高，面临许多生活挑战，包括：享受福利、药物滥用、儿童时期的身体和性虐待、心理健康问题、犯罪活动和意外怀孕。我们发现，从项目开始前到项目开始后，节育措施的使用显著增加，享受福利的比例下降。在项目结束时，许多参与者已经戒酒和/或戒毒，大多数人没有再次怀孕。客户的目标也显著增加，需求显著减少。“第一步计划”为有生育胎儿酒精谱系障碍风险的女性带来了有希望的结果。
