{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T20:53:43Z","timestamp":1787864023352,"version":"build-2784847793"},"reference-count":48,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T00:00:00Z","timestamp":1659484800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100005267","name":"Center for Substance Abuse Treatment","doi-asserted-by":"publisher","award":["5H79TI080348"],"award-info":[{"award-number":["5H79TI080348"]}],"id":[{"id":"10.13039\/100005267","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Nursing Scholarship"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Substance use among pregnant and postpartum women (PPW) is a serious public health concern. The COVID\u201019 pandemic has exacerbated substance use among the general population including pregnant women, and disrupted operations for substance use treatment centers. Little is known about the outcomes of substance use treatment for PPW before and during the COVID\u201019 pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Data from a longitudinal program evaluation were analyzed to examine outcomes among 136 PPW participating in a residential SUD treatment program, and to explore differences in treatment outcomes for women who enrolled in services before versus during the COVID\u201019 pandemic. Analyses were used to test the significance of change from treatment intake to 6\u2010month post\u2010intake on assessments of substance use, mental health symptoms, and functioning collected to evaluate the Healthy Families Program (HFP), a comprehensive program for PPW located within a gender\u2010specific SUD treatment facility in the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Results indicated that from treatment intake to follow\u2010up assessment, clients self\u2010reported statistically significant improvements in family functioning and daily functioning as well as reduced days of substance use. Notably, the rate of treatment intakes declined during the COVID\u201019 pandemic. In separate analyses by subgroup, mental health indicators showed improvements only for clients engaged in treatment before the COVID\u201019 pandemic and not for clients served during the COVID\u201019 pandemic, but substance use decreased significantly for both pre\u2010pandemic and pandemic enrollees.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Specialized treatment considerations and implications for PPW are discussed, including a need for added emphasis on co\u2010occurring mental health symptoms and family system stress during a pandemic, and the role of nurses in identifying and addressing these concerns. Additionally, potential relapse prevention efforts during COVID\u201019 for PPW with substance use disorders are examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical Relevance<\/jats:title>\n                    <jats:p>The present research continues to highlight the importance of specialized treatment programming for PPW with SUDs as well as the potential need for additional recovery support mechanisms to be utilized during the COVID\u201019 pandemic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jnu.12803","type":"journal-article","created":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T08:14:44Z","timestamp":1659514484000},"page":"730-738","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Residential substance use treatment outcomes for pregnant and postpartum women: Distinct patterns for women enrolled before versus during the\n                    <scp>COVID<\/scp>\n                    \u201019 pandemic"],"prefix":"10.1111","volume":"55","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7319-3208","authenticated-orcid":false,"given":"Jessica L.","family":"Chou","sequence":"first","affiliation":[{"name":"Department of Counseling and Family Therapy Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey G.","family":"Noel","sequence":"additional","affiliation":[{"name":"University of Missouri Saint Louis Missouri Institute of Mental Health  Saint Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Williams","sequence":"additional","affiliation":[{"name":"University of Missouri Saint Louis Missouri Institute of Mental Health  Saint Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Spruell","sequence":"additional","affiliation":[{"name":"Queen of Peace Center  Saint Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevana","family":"Nixon","sequence":"additional","affiliation":[{"name":"Department of Counseling and Family Therapy Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edward","family":"Riedel","sequence":"additional","affiliation":[{"name":"University of Missouri Saint Louis Missouri Institute of Mental Health  Saint Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asif","family":"Zaarur","sequence":"additional","affiliation":[{"name":"Department of Counseling and Family Therapy Drexel University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,3]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chiabu.2018.06.011"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1081\/ADA-120018838"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-021-03665-0"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2020.1823550"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0005\u20107967(96)00033\u20102"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-56958-7_8"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/01488376.2014.980962"},{"key":"e_1_2_7_9_1","volume-title":"The US opioid crisis: Addressing maternal and infant health","author":"CDC, Division of Reproductive Health, National Center for Chronic Disease Prevention and Health Promotion","year":"2018"},{"key":"e_1_2_7_10_1","unstructured":"CDC COVID Data Tracker. 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