TY - JOUR KW - Adolescent KW - Adult KW - Alcoholism/epidemiology/psychology/therapy KW - Choice Behavior KW - Combined Modality Therapy KW - Counseling/methods KW - Feasibility Studies KW - Female KW - Fetal Alcohol Spectrum Disorders/prevention & control/therapy KW - Florida KW - Humans KW - Pregnancy KW - Pregnancy Complications/prevention & control KW - Pregnancy, High-Risk KW - Pregnant Women/psychology KW - prisons KW - Substance-Related Disorders/epidemiology/psychology/therapy KW - Texas KW - Therapeutic Community KW - Virginia KW - Young Adult AU - M. M. Velasquez AU - K. von Sternberg AU - D. E. Parrish A1 - AB - CHOICES is an integrated behavioral intervention for prevention of prenatal alcohol exposure in women at high risk for alcohol-exposed pregnancies. The intervention uses motivational interviewing and cognitive-behavioral strategies, and targets adoption of effective contraception and reduction of alcohol use. The CHOICES intervention includes four manual-guided counseling sessions delivered by behavioral health counselors and one contraceptive session with a family planning clinician. CHOICES's efficacy has been established through a series of randomized controlled trials in settings including primary care, university hospital-based obstetrical/gynecology practices, urban jails, substance abuse treatment settings, and a media-recruited sample in three large cities. This article describes the CHOICES line of research including the epidemiology, feasibility, and efficacy studies. It also details the CHOICES intervention and the components of each session. In addition, the authors describe current studies testing modifications of the CHOICES intervention, the dissemination efforts to date, and implications for social work practice. BT - Social work in public health C5 - Healthcare Disparities; Opioids & Substance Use CP - 3-4 CY - United States DO - 10.1080/19371918.2013.759011 IS - 3-4 JF - Social work in public health N2 - CHOICES is an integrated behavioral intervention for prevention of prenatal alcohol exposure in women at high risk for alcohol-exposed pregnancies. The intervention uses motivational interviewing and cognitive-behavioral strategies, and targets adoption of effective contraception and reduction of alcohol use. The CHOICES intervention includes four manual-guided counseling sessions delivered by behavioral health counselors and one contraceptive session with a family planning clinician. CHOICES's efficacy has been established through a series of randomized controlled trials in settings including primary care, university hospital-based obstetrical/gynecology practices, urban jails, substance abuse treatment settings, and a media-recruited sample in three large cities. This article describes the CHOICES line of research including the epidemiology, feasibility, and efficacy studies. It also details the CHOICES intervention and the components of each session. In addition, the authors describe current studies testing modifications of the CHOICES intervention, the dissemination efforts to date, and implications for social work practice. PP - United States PY - 2013 SN - 1937-190X; 1937-190X SP - 224 EP - 233 EP - T1 - CHOICES: an integrated behavioral intervention to prevent alcohol-exposed pregnancies among high-risk women in community settings T2 - Social work in public health TI - CHOICES: an integrated behavioral intervention to prevent alcohol-exposed pregnancies among high-risk women in community settings U1 - Healthcare Disparities; Opioids & Substance Use U2 - 23731416 U3 - 10.1080/19371918.2013.759011 VL - 28 VO - 1937-190X; 1937-190X Y1 - 2013 ER -