Expand Reproductive Services in Substance Abuse Treatment Centers

Expand Reproductive Services in Substance Abuse Treatment Centers

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Table of Contents

Background

Promising Programs

Tools & Resources

Resources to Investigate

Sources

Background

• Only about half of women with opioid and other substance use disorders use contraception.
  One study showed that integrating free family planning services into drug treatment programs that women who received family planning services, including inexpensive referral services, in their drug treatment program were more likely to be using contraception at follow-up than women who didn’t [find citation]
• Data on contraceptive method choice indicate that condoms were by far the most commonly used method (approximately 62%), while prevalence of the very effective methods (tubal ligation, implants, and IUDs) was typically much lower (approximately 8%).

Promising Programs

The Contraceptive CHOICE Project
9,256 adolescents and women at risk for unintended pregnancy were enrolled in this project. Contraceptive counseling included all reversible methods, but emphasized the superior effectiveness of LARC methods (IUDs and implants). All participants received the reversible contraceptive method of their choice at no cost.

Components:

• First contact - Read a brief script informing them of the effectiveness and safety of LARC methods at initial contact
• Contraceptive counseling -
• Contraception - Participants were offered all Food and Drug Administration-approved contraceptive methods and could choose any method

Results:

• When counseled about all methods of birth control, 75% women chose a LARC method (IUD or Implant)
• Among women who chose a LARC method, 86% were still using the method at 1 year, women who chose a non-long-acting method, only 55% were still using their method at 1 year.
• Women using LARC methods had the highest satisfaction at their one-year follow-up. Women who stopped their method during the course of the study were considered not satisfied.
• Women using either LARC or the shot had the lowest unintended pregnancy rates during year 1, year 2, and year 3 of their follow-up. Pill, patch and ring users had much higher unintended pregnancy rates; they were 20 times more likely to have an unintended pregnancy compared to LARC users in Year 1.

See charts of findings in pdf below:

[File:http://www.wikispaces.com/i/mime/32/application/pdf.png CHOICE Study Findings.ashx]

CHOICE Study Findings.ashx

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Tools & Resources

TR - Expand Reproductive Services in Substance Abuse Treatment Centers

Scorecard and Data Collection

Scorecard Building Potential Objective Details
Potential Measures and Data Sources
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Resources to Investigate

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