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The problem
Intervention: Project Nurture integrated maternity care, substance use treatment, and social service coordination for Medicaid-eligible opioid-dependent women
Who it was tested with: Opioid-dependent women enrolled in Medicaid in Portland, Oregon.
Experience from people who deliver programmes: stories, case studies and lessons learned. Valuable for understanding how and why, and for spotting what to test next, but not a measure of effect.
"This study assessed the impact of Project Nurture on a range of patient and child welfare outcomes. Among the 'treatment' population of opioid-dependent women enrolled in Medicaid, Project Nurture was associated with reductions in child maltreatment, placement of children in foster care, and increases in both prenatal visits and maternal lengths-of-stay in the hospital, compared to opioid-dependent women enrolled in Medicaid in Oregon counties not served by the project." The study employed a quasi-experimental design comparing outcomes between counties with and without the integrated intervention.
The study does not report specific effect sizes or statistical significance levels. The quasi-experimental design relies on geographic comparison rather than random assignment, which may introduce confounding variables.
Across countries and designs
1 study · 1 country