Citation URL: http://www.urban.org/MaryHarrington

This report, the first from a congressionally mandated evaluation, draws on case studies in six of the ten states included in the national evaluation, focus groups, preliminary data from a survey of low-income uninsured families nationwide, and enrollment records from three states. The authors found that states acted quickly and made great use of the flexibility afforded by the SCHIP statute to design their programs, although they did face many implementation challenges. Despite the challenges that remain, evidence to date suggests that SCHIP is a successful program popular among legislators, families, advocates, and providers alike. [Read the corresponding press release.]

Recent years have brought an increased interest in the treatment needs of pregnant substance abusers. This article reviews the literature on this subject, providing an overview of what is known about the prevalence of substance abuse during pregnancy; the factors in women’s lives, especially pregnant women, that lead to substance abuse and that facilitate and impede treatment success; and the components of successful treatment programs. (Journal of Substance Abuse Treatment 1991; 16(3): 195-219).

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