FHS Seminar Series - Integrated service provision for pregnant and parenting women who use substances: a mixed methods evaluation

by Dr. Karen Urbanoski, Assistant Professor & CRC in Substance Use, Addictions and Health Services Research, UVic & Scientist, Canadian Institute for Substance Use Research

March 07, 2019

Event Type

Seminar Series


March 07, 2019 at 12:00 pm to 1:15 pm


Blusson Hall, Room 9920


Pregnant and parenting women who have substance use problems face barriers to accessing health and social services, including stigma, fear of losing child custody, and complex needs exacerbated by homelessness and poverty. Integrated treatment programs for this population operate at the intersection of multiple service systems, including substance use services, child welfare, and social services. We evaluated a set of 34 integrated treatment programs operating across Ontario, including interviews, focus groups, and surveys with program administrators, staff, and clients, and secondary analysis of administrative data. Analyses focused on treatment processes, partnerships, and collaborative arrangements. Findings revealed that programs were successful in engaging most women in services, although there was heterogeneity in the service complement across programs and consistent gaps in access to some service types. The therapeutic relationship emerged as a central element, with programs supporting women in emotion regulation and problem solving. Ongoing work is examining maternal and child health outcomes.


Dr. Karen Urbanoski is a Scientist with the Canadian Institute for Substance Use Research and Assistant Professor in Public Health and Social Policy at the University of Victoria. She holds the Tier 2 Canada Research Chair in Substance Use, Addictions and Health Services Research (2015-2020). Prior to coming to the University of Victoria in 2015, she was a Scientist at the Centre for Addiction and Mental Health in Toronto, Ontario, where she still holds a position as a Collaborator Scientist. Her research program focuses on the social determinants of substance-related harms and problems (including, but not limited to, substance use disorders), and how these affect the equity and effectiveness of services and health outcomes.



  • This Seminar Series is open to the SFU and the Broader Research Community.
  • This seminar will be webcast and recorded.
  • A light lunch will be available at this seminar.
  • The FHS Research Seminar Series is an Accredited Small Group Learning by the Royal College of Physicians and Surgeons.



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