Project Link

About This Program

Target Population: Pregnant and parenting women of childbearing age

For parents/caregivers of children ages: 0 – 2

Program Overview

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.

Logic Model

The program representative did not provide information about a Logic Model for Project Link.

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)

Program Delivery

Parent/Caregiver Services

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

  • Substance abuse and pregnant or parent of infant

Recommended Intensity:

Usually one-hour weekly individual sessions and one to one-and-a-half hour weekly group sessions

Recommended Duration:

Average 3 months to a year

Delivery Setting

This program is typically conducted in a(n):

  • Outpatient Clinic


Project Link includes a homework component:



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


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

Manuals and Training

Prerequisite/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.

Manual Information

There is a manual that describes how to deliver this program.

Training Information

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 Type/Location:

Consultation by telephone

Number of days/hours:


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

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.


  • 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 basic study design, measures, results, and 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.

Additional References

No reference materials are currently available for Project Link.

Contact Information

Lynn Hess
Agency/Affiliation: Women and Infants Hospital
Phone: (401) 453-7618
Fax: (401) 453-7692

Date Research Evidence Last Reviewed by CEBC: February 2021

Date Program Content Last Reviewed by Program Staff: June 2009

Date Program Originally Loaded onto CEBC: June 2009