Comprehensive Treatment for Pregnant and Parenting Women with Substance Use Disorders and Their Children: The UNC Horizons Story

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Citation

Jones, Hendrée E.; Andringa, Kim; Carroll, Senga; Johnson, Elisabeth; Horton, Evette; O'Grady, Kevin E.; Stanford, Deborah; Renz, Connie; & Thorp, John M., Jr. (Online ahead of print). Comprehensive Treatment for Pregnant and Parenting Women with Substance Use Disorders and Their Children: The UNC Horizons Story. Maternal and Child Health Journal.

Abstract

OBJECTIVES: To describe how the UNC Horizons program, a comprehensive women-centered program for pregnant and parenting women with substance use disorders, and its patient population have changed over time and summarize basic neonatal outcomes for infants born to women in treatment at Horizons.
METHODS: Yearly Annual Reports from fiscal years of 1994 to 2017 were abstracted. Patient characteristics and infant outcomes compared to normative North Carolina data were examined.
RESULTS: Highlights of findings include: The percentage of women for whom opioids were the primary substance of use increased from 0% in 1995-1996 to 62% in 2016-17, while cocaine decreased from 66 to 12%. Intravenous substance use history increased from 7% in 1994-1995 to 41% in 2016-2017. The number of women reporting a history of incarceration rose from 10-20% in the early years to 40%-50% beginning in 2007-2008. The proportion of women reporting a desire to hurt themselves rose from 20% in 2004-2005 to 40% in 2016-2017. Self-reported suicide attempt history remained consistent at 32% across years. While reporting of childhood physical abuse remained at 38% across years, reporting of sexual abuse and domestic violence trended upward. Horizons did not differ from North Carolina in the likelihood of patients giving birth prematurely [

URL

http://dx.doi.org/10.1007/s10995-023-03870-7

Reference Type

Journal Article

Year Published

Online ahead of print

Journal Title

Maternal and Child Health Journal

Author(s)

Jones, Hendrée E.
Andringa, Kim
Carroll, Senga
Johnson, Elisabeth
Horton, Evette
O'Grady, Kevin E.
Stanford, Deborah
Renz, Connie
Thorp, John M., Jr.

Article Type

Regular

Continent/Country

United States

State

North Carolina

Race/Ethnicity

White
Black
Hispanic

Sex/Gender

Women

ORCiD

Thorp - 0000-0002-9307-6690