Observational studySubstance abuse treatment, prevention, and policy2026
Startup activities and challenges implementing an integrated care model for pregnant and postpartum individuals with substance use disorders: a qualitative study.
Observational study in Substance abuse treatment, prevention, and policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundSubstance use has increased among pregnant and postpartum people in the last decade, yet few pregnant individuals receive prenatal care and treatment for substance use disorder (SUD). The Nurture Oregon model aims to integrate medical care with SUD treatment and provide destigmatized care through regular visits in an integrated care setting. We studied one family medicine, one behavioral health, and two SUD treatment organizations in rural counties with high SUD rates and limited resources that were funded to implement the model.
methodsTo examine the startup and early implementation phases of Nurture Oregon, we used a prospective, observational design to appreciate the effort from multiple perspectives. We observed program development meetings, team operations, and conducted semi-structured interviews with organization leaders, team members, and community partners. We used an inductive and comparative approach to identify sites' startup and early implementation activities and challenges.
resultsEach site started with different program elements at baseline. This influenced the model elements each organization worked on during startup and the implementation challenges they experienced. The SUD and behavioral health organizations did not fully integrate care due to difficulty developing partnerships with medical organizations; they leveraged peers and doulas to provide cohesion for patients. The family medicine site was the only site that fully implemented the model, but they experienced barriers to financially supporting their peer workforce due to licensing and reimbursement policy constraints. All sites experienced challenges collaborating with hospital labor and delivery departments, and they all took steps to address patient housing needs by connecting patients to housing resources or acquiring housing units.
conclusionsImplementing a care model to integrate medical and SUD treatment for pregnant individuals is difficult to accomplish but has the potential to make a significant difference in maternal and child health outcomes, recovery success, and prevention of foster care placement. Experiences during the startup and early implementation phases can shape the entire trajectory of a program and determine its long-term success. Our work shows the early challenges that need to be addressed to build an integrated program.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.