{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T03:09:18Z","timestamp":1788059358434,"version":"build-2784847793"},"reference-count":48,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2019,5,18]],"date-time":"2019-05-18T00:00:00Z","timestamp":1558137600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"FASD National Strategic Projects Fund, Public Health Agency of Canada","award":["1617-HQ-000070"],"award-info":[{"award-number":["1617-HQ-000070"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Since the 1990s, a number of multi-service prevention programs working with women who have substance use, mental health, or trauma and\/or related social determinants of health issues have emerged in Canada. These programs use harm reduction approaches and provide outreach and \u201cone-stop\u201d health and social services on-site or through a network of services. While some of these programs have been evaluated, others have not, or their evaluations have not been published. This article presents interim qualitative findings of the Co-Creating Evidence project, a multi-year (2017\u20132020) national evaluation of holistic programs serving women at high risk of having an infant with prenatal alcohol exposure. The evaluation utilizes a mixed-methods design involving semi-structured interviews, questionnaires, focus groups, and client intake\/outcome \u201csnapshot\u201d data. Findings demonstrated that the programs are reaching vulnerable pregnant\/parenting women who face a host of complex circumstances including substance use, violence, child welfare involvement, and inadequate housing; moreover, it is typically the intersection of these issues that prompts women to engage with programs. Aligning with these results, key themes in what clients liked best about their program were: staff and their non-judgmental approach; peer support and sense of community; and having multiple services in one location, including help with mandated child protection.<\/jats:p>","DOI":"10.3390\/ijerph16101767","type":"journal-article","created":{"date-parts":[[2019,5,20]],"date-time":"2019-05-20T11:05:07Z","timestamp":1558350307000},"page":"1767","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["National Evaluation of Canadian Multi-Service FASD Prevention Programs: Interim Findings from the Co-Creating Evidence Study"],"prefix":"10.3390","volume":"16","author":[{"given":"Deborah","family":"Rutman","sequence":"first","affiliation":[{"name":"Principal, Nota Bene Consulting Group, Victoria, BC V8R1P8, Canada"},{"name":"School of Social Work, University of Victoria, Victoria, BC V8W2Y2, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Hubberstey","sequence":"additional","affiliation":[{"name":"Principal, Nota Bene Consulting Group, Victoria, BC V8R1P8, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2019,5,18]]},"reference":[{"key":"ref_1","unstructured":"Boyd, S., and Marcellus, L. 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Transforming Addiction: Gender, Trauma, Transdisciplinarity, Routledge.","DOI":"10.4324\/9781315738086"}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/10\/1767\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T12:53:25Z","timestamp":1760187205000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/16\/10\/1767"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,18]]},"references-count":48,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2019,5]]}},"alternative-id":["ijerph16101767"],"URL":"https:\/\/doi.org\/10.3390\/ijerph16101767","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,5,18]]}}}