Treating the partners of opioid-dependent pregnant patients: feasibility and efficacy.
Am J Drug Alcohol Abuse
; 37(3): 170-8, 2011 May.
Article
em En
| MEDLINE
| ID: mdl-21410418
ABSTRACT
BACKGROUND:
Drug-dependent pregnant women with intimate partners who are also drug-dependent have been found to have compromised treatment outcomes. Thus, developing a treatment to reduce a male partner's drug use is the first step in a line of research with a distal goal of improving pregnant patient's treatment outcomes.OBJECTIVE:
This study examined a novel intervention for engaging the male partner in drug treatment.METHODS:
Men targeted for intervention were non-treatment-seeking opioid users. Motivational enhancement therapy (MET), an effective non-confrontational intervention approach for evoking behavioral change, was employed to encourage treatment participation. This six-session intervention was followed by a drug-abstinent contingency-based voucher incentive program. Moreover, to help maintain drug abstinence, male partners had rapid facilitation into either opioid detoxification with aftercare or methadone maintenance. Interwoven into treatment were both couple's counseling and a men's group educational program designed to strengthen the support provided by the men to their partners during pregnancy and post-delivery. Men (n = 45) received either the novel intervention package called HOPE (Helping Other Partners Excel) or a control condition (n = 17) that received weekly support and referrals for treatment.RESULTS:
Men in the HOPE condition, compared with the usual care condition, showed increased treatment retention, transient decreases in heroin use, increased involvement in recreational activities, less reliance on public assistance, and increased social support for their pregnant partners. CONCLUSION AND CLINICALSIGNIFICANCE:
Results suggest that treatment of male partners is feasible and efficacious in the short term but modifications to the intervention are needed to sustain results.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Entrevista Psicológica
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Metadona
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Motivação
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Transtornos Relacionados ao Uso de Opioides
Tipo de estudo:
Clinical_trials
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Observational_studies
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Qualitative_research
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
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Pregnancy
Idioma:
En
Revista:
Am J Drug Alcohol Abuse
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Estados Unidos