Pregnant substance-abusing, and incarcerated: Exploratory study of a comprehensive approach to treatment

Interventions addressing the multiple needs of incarcerated women are rare. In this study, several measures were used to assess functional changes among pregnant, substance-dependent, incarcerated women transferred to a community-based residential treatment program that allowed their infants to reside with them. Women engaged in comprehensive therapeutic and skill-building activities for 6 to 9 months. The program's goal was to assist women in childbirth and in the continuing relationship with their child while improving psychological and social functioning. Examination of changes were limited to those who completed treatment and all measures (n = 27). Although significant improvements were noted, nearly half were discharged with symptoms indicative of a depressive disorder. Assessment of long-term outcomes comparing this group with pregnant women who remained in prison is under way.