TY - JOUR
KW - Adolescent
KW - Adult
KW - Cocaine-Related Disorders/therapy
KW - Educational Status
KW - Female
KW - Gestational Age
KW - Humans
KW - Middle Aged
KW - Opioid-Related Disorders/therapy
KW - Outcome Assessment, Health Care/statistics & numerical data
KW - Patient Acceptance of Health Care/statistics & numerical data
KW - Pregnancy
KW - Pregnancy Complications/therapy
KW - Substance-Related Disorders/therapy
KW - Young Adult
AU - M. Tuten
AU - H. Fitzsimons
AU - M. Hochheimer
AU - H. E. Jones
AU - M. S. Chisolm
A1 - 
AB - OBJECTIVES: This study examined the impact of early patient response on treatment utilization and substance use among pregnant participants enrolled in substance use disorder (SUD) treatment. METHODS: Treatment responders (TRs) and treatment nonresponders (TNRs) were compared on pretreatment and treatment measures. Regression models predicted treatment utilization and substance use. RESULTS: TR participants attended more treatment and had lower rates of substance use relative to TNR participants. Regression models for treatment utilization and substance use were significant. Maternal estimated gestational age (EGA) and baseline cocaine use were negatively associated with treatment attendance. Medication-assisted treatment, early treatment response, and baseline SUD treatment were positively associated with treatment attendance. Maternal EGA was negatively associated with counseling attendance; early treatment response was positively associated with counseling attendance. Predictors of any substance use at 1 month were maternal education, EGA, early treatment nonresponse, and baseline cocaine use. The single predictor of any substance use at 2 months was early treatment nonresponse. Predictors of opioid use at 1 month were maternal education, EGA, early treatment nonresponse, and baseline SUD treatment. Predictors of opioid use at 2 months were early treatment nonresponse, and baseline cocaine and marijuana use. Predictors of cocaine use at 1 month were early treatment nonresponse, baseline cocaine use, and baseline SUD treatment. Predictors of cocaine use at 2 months were early treatment nonresponse and baseline cocaine use. CONCLUSIONS: Early treatment response predicts more favorable maternal treatment utilization and substance use outcomes. Treatment providers should implement interventions to maximize patient early response to treatment.
AD - University of Maryland School of Social Work, Baltimore, MD (MT, MH); Johns Hopkins University School of Medicine, Department of Psychiatry and Behavioral Sciences, Baltimore, MD (MT, HF, HEJ, MSC); University of North Carolina, Chapel Hill, School of Medicine, Department of Obstetrics and Gynecology, Chapel Hill, NC (HEJ).
BT - Journal of addiction medicine
C5 - Opioids & Substance Use; Healthcare Disparities
CP - 4
CY - United States
DO - 10.1097/ADM.0000000000000397
IS - 4
JF - Journal of addiction medicine
LA - eng
M1 - Journal Article
N2 - OBJECTIVES: This study examined the impact of early patient response on treatment utilization and substance use among pregnant participants enrolled in substance use disorder (SUD) treatment. METHODS: Treatment responders (TRs) and treatment nonresponders (TNRs) were compared on pretreatment and treatment measures. Regression models predicted treatment utilization and substance use. RESULTS: TR participants attended more treatment and had lower rates of substance use relative to TNR participants. Regression models for treatment utilization and substance use were significant. Maternal estimated gestational age (EGA) and baseline cocaine use were negatively associated with treatment attendance. Medication-assisted treatment, early treatment response, and baseline SUD treatment were positively associated with treatment attendance. Maternal EGA was negatively associated with counseling attendance; early treatment response was positively associated with counseling attendance. Predictors of any substance use at 1 month were maternal education, EGA, early treatment nonresponse, and baseline cocaine use. The single predictor of any substance use at 2 months was early treatment nonresponse. Predictors of opioid use at 1 month were maternal education, EGA, early treatment nonresponse, and baseline SUD treatment. Predictors of opioid use at 2 months were early treatment nonresponse, and baseline cocaine and marijuana use. Predictors of cocaine use at 1 month were early treatment nonresponse, baseline cocaine use, and baseline SUD treatment. Predictors of cocaine use at 2 months were early treatment nonresponse and baseline cocaine use. CONCLUSIONS: Early treatment response predicts more favorable maternal treatment utilization and substance use outcomes. Treatment providers should implement interventions to maximize patient early response to treatment.
PP - United States
PY - 2018
SN - 1935-3227; 1932-0620
SP - 300
EP - 307
EP - 
T1 - The Impact of Early Substance Use Disorder Treatment Response on Treatment Outcomes Among Pregnant Women With Primary Opioid Use
T2 - Journal of addiction medicine
TI - The Impact of Early Substance Use Disorder Treatment Response on Treatment Outcomes Among Pregnant Women With Primary Opioid Use
U1 - Opioids & Substance Use; Healthcare Disparities
U2 - 29538089
U3 - 10.1097/ADM.0000000000000397
VL - 12
VO - 1935-3227; 1932-0620
Y1 - 2018
Y2 - Jul/Aug
ER -