Addiction and Pregnancy

Pioneering evidence is presented in this book to support the effectiveness of peer counseling for substance abuse treatment of pregnant women and their families. The introduction by Barry R. Sherman describes his personal experience as a behavioral scientist doing work in a culture other than his own. A comprehensive overview of the crack epidemic and its impact on women is followed by an up-to-date account of acupuncture in addiction treatment. The authors use the theory and principles of social learning to justify the peer counselor model known as SISTERS. Chapters include discussions of conducting culturally competent research, development and validation of the Abstinence Self-Efficacy Scale (ASES) and the Traumatic Life Events (TLE) Inventory, as well as the social support systems of drug-dependent women. Both quantitative and qualitative methods are used to evaluate program impact. A urine toxicology index of sobriety as well as empirical measures of psychosocial functioning and client satisfaction demonstrate sufficient success and cost-effectiveness of the program to warrant serious support by health care providers and insurance companies.

BARRY R. SHERMAN is Assistant Professor in the Department of Health Policy, Management and Behavior, State University of New York at Albany, School of Public Health and Director of Research and Program Evaluation, New York State Department of Health, Bureau of Child and Adolescent Health. LAURA M. SANDERS is currently an evaluation consultant in Phoenix, Arizona./e She was the evaluation consultant for the SISTERS demonstration project funded by the Center for Substance Abuse Prevention. CHAU TRINH is a doctoral candidate at Columbia University's School of Public Health.

Introduction by Barry R. Sherman
The Crack Epidemic: Drug Addiction in Women by Chau Trinh
Acupuncture in Addiction Treatment by Michael O. Smith, Vincent Brewington and Patricia Culliton
SISTERS: A Social Learning Model of Intervention by Barry R. Sherman
The Milieu of Clients and Providers: A Case Study by Barry R. Sherman and Jeannette Yearde
Implementing Culturally Competent Evaluation by Lisa D. Lieberman, Laura M. Sanders and Barry R. Sherman
Measuring the Self-efficacy of Pregnant and Postpartum Women in Recovery by Barry R. Sherman
Identification and Treatment of Traumatic Life Experiences by Barry R. Sherman and Laura M. Sanders
The Role of Social Support in the Lives of Pregnant Women in Recovery by Chau Trinh
Quantitative and Qualitative Perspectives on Client Satisfaction by Laura M. Sanders, Chau Trinh and Barry R. Sherman
How Did the SISTERS Program Work and What Was Its Impact? by Barry R. Sherman, Laura M. Sanders, and Steven M. Banks
Epilogue by Barry R. Sherman
References
Index