{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:19:50Z","timestamp":1791217190724,"version":"4.1.0"},"reference-count":73,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Women's Health Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Pregnant people in rural communities experience constrained social services and economic supports, increased social complexities, and limited access to maternal health care. Within this environment, crisis pregnancy centers (CPCs) have proliferated to serve rural perinatal populations in the United States. CPCs provide wraparound services to pregnant and postpartum people and their families, but little is known about the services provided for pregnant people with social complexities that increase maternal morbidity risk. We examine CPC leaders\u2019 perceived function in providing care to perinatal clients living in low-resource rural communities experiencing intimate partner violence (IPV), substance use, and mental health conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We interviewed 17 leaders of CPCs serving communities with health professional shortage areas in a state with a large rural population. We ask about their perceived role, assessment, and care for clients who may be experiencing substance use, mental health concerns or conditions, or IPV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We find that CPC leaders in this sample did not describe the capacity to appropriately address some of the primary drivers of maternal morbidity. CPC leaders\u2019 descriptions of delivery of medical, mental, and social care screenings, and that their policies and procedures are inconsistent with evidence-based medical care delivery, despite some CPC\u2019s use of medical technology. CPC leaders describe a lack of standardized, validated health and social risk screening, reliance on relationship-based risk identification, non-systematic referral processes, unclear anticipatory guidance for medical conditions, and sometimes employ stigmatizing language.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In this study, CPC efforts were found to be inconsistent and unsupported by current clinical care guidelines endorsed by medical professional societies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26884844261435553","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T09:59:31Z","timestamp":1777543171000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Assessing Crisis Pregnancy Centers\u2019 Capacity for Supporting Perinatal Clients with Social Complexity in Rural Maternal Health Care Shortage Areas"],"prefix":"10.1177","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7085-4536","authenticated-orcid":false,"given":"Jennifer","family":"Whittaker","sequence":"first","affiliation":[{"name":"PolicyLab, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diya","family":"Nag","sequence":"additional","affiliation":[{"name":"PolicyLab, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecka","family":"Rosenquist","sequence":"additional","affiliation":[{"name":"PolicyLab, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith","family":"Matone","sequence":"additional","affiliation":[{"name":"PolicyLab, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."},{"name":"Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania, USA."},{"name":"Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-0464"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2019.00805"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.23010"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12758"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2017.0338"},{"key":"e_1_3_2_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/birt.12792"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.70062"},{"key":"e_1_3_2_9_1","volume-title":"StatPearls [Internet]","author":"Huecker MR","year":"2024","unstructured":"8.Huecker MR, , King KC, , Jordan GA, et al. Domestic Violence. In: StatPearls [Internet]. StatPearls Publishing: Treasure Island (FL); 2024. Available from: http:\/\/www.ncbi.nlm.nih.gov\/books\/NBK499891\/ [Last accessed: Dec 3, 2024]."},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2019.8072"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12843"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.14212"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524838014557289"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0886260513517299"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13722-020-00206-6"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12329"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12488"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732318765720"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogn.2024.04.006"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2021.00615"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2015.12.003"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-016-0295-z"},{"key":"e_1_3_2_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMC.0000000000000937"},{"key":"e_1_3_2_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12775"},{"key":"e_1_3_2_25_1","doi-asserted-by":"publisher","DOI":"10.1080\/10522158.2012.719182"},{"key":"e_1_3_2_26_1","doi-asserted-by":"publisher","DOI":"10.1017\/cts.2020.42"},{"key":"e_1_3_2_27_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.p2038"},{"key":"e_1_3_2_28_1","unstructured":"27.Interrante J Fritz AH Handley SC et al. Rural\/Urban Differences in Health Health Care Use and Barriers to Care for Postpartum and Birthing People. APPAM; 2024. Available from: https:\/\/appam.confex.com\/appam\/2024\/meetingapp.cgi\/Paper\/54004 [Last accessed: December6 2024]."},{"key":"e_1_3_2_29_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2025.308055"},{"key":"e_1_3_2_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2019.08.008"},{"key":"e_1_3_2_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/00221465231171555"},{"issue":"1","key":"e_1_3_2_32_1","first-page":"269","article-title":"Why crisis pregnancy centers are legal but unethical","volume":"20","author":"Bryant AG","year":"2018","unstructured":"31.Bryant AG, , Swartz JJ. Why crisis pregnancy centers are legal but unethical. 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