Lavergne Chantal, Turcotte Geneviève, Morissette Pauline
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Can J Public Health. 2016 Mar 14;106(7 Suppl 2):eS38-44. doi: 10.17269/cjph.106.4831.
The initiative relies on collaboration between child protection and hospital-based social workers to help substance-abusing expectant mothers maximize their chances of caring for their newborn. The article describes the positive outcomes of this initiative for the women, based on the experiences and perception of the participants and social workers involved.
A case study was conducted with twenty-one participants using three data sources: 1) a semi-structured interview with the mothers at two points in time; 2) a semi-structured interview with social workers; and 3) the tools of the initiative. The data were analyzed based on content condensation and data presentation.
A majority of participants experienced changes in their various spheres of life: personal (positive changes in substance-abuse habits), parental (improved self-confidence as a parent, reduced stress due to the fear of losing custody of their newborn), and social/relational (improved relationships with social support network and support services).
The results confirm the relevance and potential for change of a short intervention model during the perinatal period based on inter-professional collaboration with substance-abusing expectant mothers. Further research is needed to validate the hypothesis on the effectiveness of this initiative.
Supplementary material is available for this article at 10.17269/CJPH.106.4831 and is accessible for authorized users.
该倡议依赖于儿童保护部门与医院社会工作者之间的合作,以帮助滥用药物的准妈妈最大限度地提高照顾其新生儿的机会。本文基于参与该倡议的参与者和社会工作者的经验与看法,描述了该倡议给这些女性带来的积极成果。
对21名参与者进行了一项案例研究,使用了三个数据源:1)在两个时间点对母亲进行半结构化访谈;2)对社会工作者进行半结构化访谈;3)该倡议所使用的工具。基于内容浓缩和数据呈现对数据进行了分析。
大多数参与者在生活的各个方面都有了变化:个人方面(滥用药物习惯有积极改变)、为人父母方面(为人父母的自信心增强,因担心失去新生儿监护权而产生的压力减轻)以及社会/人际关系方面(与社会支持网络和支持服务的关系得到改善)。
结果证实了围产期基于与滥用药物的准妈妈开展跨专业合作的短期干预模式的相关性和变革潜力。需要进一步研究来验证该倡议有效性的假设。
本文的补充材料可在10.17269/CJPH.106.4831获取,授权用户可访问。