Lisa Lefebvre1, Deana Midmer2, Jennifer Anne Boyd3, Alice Ordean4, Lisa Graves5, Meldon Kahan6, Lydia Pantea7. 1. Departments of Family and Community Medicine and Psychiatry Faculty of Medicine, University of Toronto and coordinator of undergraduate and postgraduate education at the Addiction Medicine Program Centre for Addiction and Mental Health, Toronto, Ontario, Canada.. Electronic address: lisa_lefebvre@camh.net. 2. Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada. 3. Postgraduate Medical Education Office, University of Toronto, Toronto, Ontario, Canada. 4. Department of Family and Community Medicine, University of Toronto and medical director of the Toronto Centre for Substance Use in Pregnancy, Toronto, Ontario, Canada. 5. Department of Family Medicine, McGiIl University Jewish General Hospital, Montreal, Quebec, Canada. 6. Department of Family and Community Medicine and University of Toronto Medical Director, St. Joseph's Health Centre, Toronto, Ontario, Canada. 7. Toronto Centre for Substance Use in Pregnancy, St. Joseph's Health Centre, Toronto, Ontario, Canada.
Abstract
OBJECTIVE: To assess participant perception of an integrated model of care for substance abuse in pregnancy. DESIGN: Focus groups were employed for this qualitative study. SETTING: Two Family Medicine Units, 1 in Toronto and 1 in Montreal, where integrated care for licit and illicit substance abuse in pregnancy is provided by a team of doctors, nurses, nurse practitioners, and social workers. PARTICIPANTS: Women who had received addiction and prenatal care at 1 of the 2 sites. METHODS: Women were asked to discuss their experiences of care in focus groups. RESULTS: Five central themes emerged: judgment, physician-patient communication, team communication, support groups, and self-responsibility. CONCLUSION: Women felt more comfortable with provider teams that shared a consistent nonjudgmental attitude.
OBJECTIVE: To assess participant perception of an integrated model of care for substance abuse in pregnancy. DESIGN: Focus groups were employed for this qualitative study. SETTING: Two Family Medicine Units, 1 in Toronto and 1 in Montreal, where integrated care for licit and illicit substance abuse in pregnancy is provided by a team of doctors, nurses, nurse practitioners, and social workers. PARTICIPANTS: Women who had received addiction and prenatal care at 1 of the 2 sites. METHODS:Women were asked to discuss their experiences of care in focus groups. RESULTS: Five central themes emerged: judgment, physician-patient communication, team communication, support groups, and self-responsibility. CONCLUSION:Women felt more comfortable with provider teams that shared a consistent nonjudgmental attitude.
Authors: Kirsten Marchand; Scott Beaumont; Jordan Westfall; Scott MacDonald; Scott Harrison; David C Marsh; Martin T Schechter; Eugenia Oviedo-Joekes Journal: Subst Abuse Treat Prev Policy Date: 2019-09-11
Authors: Constance Guille; Annie N Simpson; Edie Douglas; Lisa Boyars; Kathryn Cristaldi; James McElligott; Donna Johnson; Kathleen Brady Journal: JAMA Netw Open Date: 2020-01-03