CHOICES: An Integrated Behavioral Intervention to Prevent Alcohol-Exposed Pregnancies among High-Risk Women in Community Settings.
Special Issue: The Role of Social Work in the Prevention and Treatment of Substance Use Disorders.
Velasquez, Mary M. von Sternberg, Kirk. Parrish, Danielle E.
Published: May-June 2013
Social Work in Public Health
Vol. 28, No. 3-4 , p. 224-233
Routledge -- Taylor and Francis Group
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CHOICES is an integrated behavioral intervention for prevention of prenatal alcohol exposure in women at high risk for alcohol-exposed pregnancies. The intervention uses motivational interviewing and cognitive-behavioral strategies, and targets adoption of effective contraception and reduction of alcohol use. The CHOICES intervention includes four manual-guided counseling sessions delivered by behavioral health counselors and one contraceptive session with a family planning clinician. CHOICES's efficacy has been established through a series of randomized controlled trials in settings including primary care, university hospital-based obstetrical/gynecology practices, urban jails, substance abuse treatment settings, and a media-recruited sample in three large cities. This article describes the CHOICES line of research including the epidemiology, feasibility, and efficacy studies. It also details the CHOICES intervention and the components of each session. In addition, the authors describe current studies testing modifications of the CHOICES intervention, the dissemination efforts to date, and implications for social work practice. (Author abstract)
Alcohol abuse; Alcohol education; Alcoholic intoxication; Behavior; Environmental influences; Biosocial theories; Family environment; Social influences; Prenatal influences; Prenatal drug exposure; Prevention programs