Project Link

Scientific Rating:
3
Promising Research Evidence
See scale of 1-5
Child Welfare System Relevance Level:
Medium
See descriptions of 3 levels

About This Program

The information in this program outline is provided by the program representative and edited by the CEBC staff. Project Link has been rated by the CEBC in the area of: Substance Abuse Treatment (Adult).

Target Population: Pregnant and parenting women of childbearing age

For parents/caregivers of children ages: 0 – 2

Brief Description

Project Link provides substance abuse and mental health treatment for pregnant and parenting women. It is also integrated with maternal-child health at Women & Infants Hospital. It was originally funded in October 1991 by the Federal Center for Substance Abuse Prevention (CSAP) as a 5-year demonstration grant for pregnant and postpartum women with substance abuse problems.

Program Goals:

The program representative did not provide information about the program’s goals.

Essential Components

The essential components of Project Link include:

  • Individual therapy (minimum 1 hour per week)
  • Group therapy with no more than 10 participants (1.0-1.5 hours per week)
  • Intensive case management (minimum 1 hour per week)
  • Home visits when necessary
  • Assistance with food, clothing, housing, etc.
  • TB/HIV/STD/Hepatitis Education
  • Psychiatric consultation (as needed)
  • Medication management (as needed)
  • Introduction to 12-Steps (2 hours per week)
  • Childcare
  • Transportation
  • Random, supervised urine drug screens and breathalyzer testing (as medically needed)

Parent/Caregiver Services

Project Link directly provides services to parents/caregivers and addresses the following:

  • Substance abuse and pregnant or parent of infant

Delivery Setting

This program is typically conducted in a(n):

  • Outpatient Clinic

Homework

Project Link includes a homework component:

Journaling

Languages

Project Link has materials available in a language other than English:

Spanish

For information on which materials are available in this language, please check on the program's website or contact the program representative (contact information is listed at the bottom of this page).

Resources Needed to Run Program

The typical resources for implementing the program are:

A central office, individual clinical offices, a group room, and a childcare room

Minimum Provider Qualifications

  • Clinicians require Master's level and Independent licensure (LICSW, LCMHC, LMFT) and State licensure in Chemical Dependency, with at least 5 years postgraduate experience.
  • Clinical Supervisor, at least what is above and a 32 -hour approved training for Clinical Supervision in Chemical Dependency.

Education and Training Resources

There is a manual that describes how to implement this program, and there is training available for this program.

Training Contacts:
  • Eileen Dykeman, LCMHC,LCDPII, CCJP, Clinical Program Manager
    phone: (401) 453-7618 or (401) 453-7692
  • Alda Medeiros, BS, Associate Division Manager
    phone: (401) 453-7618 or (401) 453-7692
  • Dorinda Montague, BA, Case Management Coordinator
    phone: (401) 453-7618 or (401) 453-7692
Training is obtained:

Consultation by telephone

Number of days/hours:

Varies

Implementation Information

Since Project Link is rated on the Scientific Rating Scale, information was requested from the program representative on available pre-implementation assessments, implementation tools, and/or fidelity measures.

Show implementation information...

Pre-Implementation Materials

The program representative did not provide information about pre-implementation materials.

Formal Support for Implementation

The program representative did not provide information about formal support for implementation of Project Link.

Fidelity Measures

The program representative did not provide information about fidelity measures of Project Link.

Implementation Guides or Manuals

The program representative did not provide information about implementation guides or manuals for Project Link.

Research on How to Implement the Program

The program representative did not provide information about research conducted on how to implement Project Link.

Relevant Published, Peer-Reviewed Research

This program is rated a "3 - Promising Research Evidence" on the Scientific Rating Scale based on the published, peer-reviewed research available. The practice must have at least one study utilizing some form of control (e.g., untreated group, placebo group, matched wait list study) establishing the practice's benefit over the placebo, or found it to be comparable to or better than an appropriate comparison practice. Please see the Scientific Rating Scale for more information.

Child Welfare Outcome: Child/Family Well-Being

Sweeney, P. J., Schwartz, R. M., Mattis, N., & Vohr, B. (2000). The effect of integrating substance abuse treatment with prenatal care on birth outcome. Journal of Perinatology, 4, 219-224.

Type of Study: Non-equivalent control group.
Number of Participants: 87 treatment, 87 comparison.

Population:

  • Age — Mean age approximately 27 years.
  • Race/Ethnicity — Pregnant: 54% White and 33% African American. Postpartum, 51% White and 39% African American.
  • Gender — Not Specified
  • Status — Women receiving prenatal care at Women and Infants Hospital.

Location/Institution: Providence, RI

Summary: (To include comparison groups, outcomes, measures, notable limitations)
The study design compared women who enrolled in the Project Link program during pregnancy with those who enrolled postpartum. Mothers who enrolled prenatally had infants with significantly higher birth weights than those enrolling post-partum, and their infants had higher Apgar scores. (The Apgar score is determined by evaluating a newborn baby on five simple criteria: Appearance, Pulse, Grimace, Activity, Respiration) at 1 and 5 minutes. They were also less likely to require admission to the NICU. Postpartum enrollees were more likely to have infants that obtained a positive toxicology screen. The authors note that self-report screening for substance abuse history may introduce a source of bias.

Length of postintervention follow-up: None.

References

No reference materials are currently available for Project Link.

Contact Information

Name: Lynn Hess
Agency/Affiliation: Women and Infants Hospital
Website: www.womenandinfants.org/projectlink
Email:
Phone: (401) 453-7618
Fax: (401) 453-7692

Date Research Evidence Last Reviewed by CEBC: January 2017

Date Program Content Last Reviewed by Program Staff: June 2009

Date Program Originally Loaded onto CEBC: June 2009