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NCJ Number: 159723 Add to Shopping cart Find in a Library
Title: Building and Sustaining Systems of Care for Substance- Using Pregnant Women and Their Infants: Lessons Learned
Author(s): M P Laken; E Hutchins
Corporate Author: National Ctr for Education in Maternal and Child Health (NCEMCH)
United States of America
Date Published: 1995
Page Count: 68
Sponsoring Agency: National Ctr for Education in Maternal and Child Health (NCEMCH)
Arlington, VA 22201
National Maternal and Child Health Clearinghouse
McLean, VA 22102
US Dept of Health and Human Services
Washington, DC 20057
Contract Number: ISBN 1-57285-021-3
Sale Source: National Maternal and Child Health Clearinghouse
8201 Greensboro Drive
Suite 600
McLean, VA 22102
United States of America
Type: Report (Technical Assistance)
Language: English
Country: United States of America
Annotation: Based on the experience of 12 of 147 federally funded, community-based demonstration projects targeting drug-using pregnant and postpartum women and their infants (PPWI), this monograph highlights lessons learned regarding three topics: case management, building systems of care, and sustainability.
Abstract: The analysis revealed that most programs used case management as a crucial strategy for meeting and coordinating information, services, and resources required to meet the complex needs of drug-using women and their families. Grantees noted that while case management offers flexibility and a personalized approach, it requires structure, expertise, and management. Case management had pejorative connotations for some women. All 12 projects began with available services such as prenatal care or drug treatment and used momentum from perceived crises to build systems and coalitions. Coalitions were crucial to establishing relationships, brining in local participants, changing attitudes, and reducing isolation. Many projects used grant funds to develop systems of care by sharing funds, staff, or space or by cosponsoring events with other related programs. Projects that survived beyond their grant periods used seven sustainability strategies, including building sustainability into their projects form the beginning, providing a unique service or training, and obtaining small grants from local foundations and other sources while awaiting more stable and substantial support. Chart, list of focus group participants, and 39 references
Main Term(s): Pregnant drug abusers
Index Term(s): Child welfare; Children at risk; Children of drug abusers; Family support
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