Preventing FASD: The Implementation and Impact of State Policies

预防胎儿酒精谱系障碍：国家政策的实施和影响

• 批准号: 7362885
• 负责人: Sue Thomas
• 金额: $ 7.49万
• 依托单位: PACIFIC INSTITUTE FOR RES AND EVALUATION
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-07-01 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7362885
• 关键词: Address; Advocate; Affect; Alcohol abuse; Alcohol consumption; Alcohols; Appendix; Area; Attention; Birth; California; Child; Child Welfare; Classification; Collection; Communities; Complex; County; Criminal Justice; Data; Data Collection; Depth; Elements; Environment; Evaluation Research; Family; Fetal Alcohol Spectrum Disorder; Fetus; Focus Groups; Foundations; Government; Grant; Health; Health Policy; Health Professional; Health Services; Health Services Accessibility; Human Resources; Incentives; Incidence; Institutes; Interdisciplinary Study; Interview; Knowledge; Law Enforcement; Laws; Legal; Literature; Medical; Methodology; Methods; Newspapers; Outcome; Perception; Persons; Pilot Projects; Policies; Policy Making; Population; Pregnancy; Pregnant Women; Preventive; Process; Protocols documentation; Public Health; Purpose; Range; Relative (related person); Research; Research Design; Residential Treatment; Science; Services; Social Work; Staging; Statutes and Laws; Structure; Study Section; Substance abuse problem; System; Taxonomy; Telephone; Testing; United States National Institutes of Health; Update; Variant; Woman; alcohol consumption during pregnancy; base; design; drinking; experience; improved; innovation; instrument; news; prenatal health; prevent; programs; research study; substance abuser; symposium; tool

DESCRIPTION (provided by applicant): This proposed exploratory study is the first step in a larger research agenda to investigate the impact of two distinct types of state laws regarding alcohol use during pregnancy (public health-oriented or punitive) on pregnant women's decisions to seek substance abuse treatment and prenatal health services. The relevance of this study is that FASD is a critical health issue about which policy choices are being made without evidence based research about the impact of those choices on healthy fetuses, healthy children, substance abuse-free women, and intact, stable families. The study's specific aims include: 1) To set the stage for the first study to assess implementation impact across types of alcohol and pregnancy policy. In this pilot, we will test the adequacy of research design, data collection instruments (especially those designed for use with women to whom the policies are targeted), and the feasibility of rigorous, systematic data collection in one state, California, with a mixed set of alcohol and pregnancy policies. 2) To provide evidence-based guidance of the effects of public health and punitive laws to policymakers who seek to improve birth outcomes in their states. 3) To employ an interdisciplinary research design that relies on multiple methodologies, stages, and standpoints to reflect each element of the policymaking, policy implementation, and service delivery systems. The stages of the proposed eighteen month study are as follows: 1) Update and expand the statutory, regulatory and case law in California. 2) Collect and analyze publicly-available national and county-level data and evaluate their adequacy to assess the need for services, the extent of service provision, and the manner in which the services have been provided. 3) Identify and interview key personnel in California state and county agencies and legislative committees who make policy for and interact with pregnant women substance abusers. 4) Using the key contacts in each of three selected counties, conduct interviews and focus groups with a broad range of affected women.

描述（由申请人提供）：这项拟议的探索性研究是更大的研究议程的第一步，旨在调查两种不同类型的州法律对怀孕期间饮酒的影响（面向公共卫生的或惩罚性）对孕妇寻求孕妇的决定药物滥用治疗和产前卫生服务。这项研究的相关性是，FASD是一个关键的健康问题，即在没有基于证据的研究的情况下进行哪些政策选择，没有关于这些选择对健康胎儿，健康的孩子，无药物滥用妇女以及完整，稳定家庭的影响的研究。该研究的具体目的包括：1）为第一个研究奠定了阶段，以评估酒精和怀孕政策的实施影响。在该飞行员中，我们将测试研究设计的充分性，数据收集工具（尤其是针对政策针对的妇女使用的工具），以及在加利福尼亚州一个州的严格，系统数据收集的可行性，混合了一套酒精和怀孕政策。 2）提供基于证据的指导，以指导公共卫生和惩罚性法律对寻求改善其州出生结果的决策者的影响。 3）采用跨学科研究设计，该设计依赖于多种方法，阶段和观点来反映政策制定，政策实施和服务提供系统的每个要素。拟议的18个月研究的阶段如下：1）更新和扩展加利福尼亚州的法定，监管和判例法。 2）收集和分析公开获取的国家和县级数据，并评估其适当的评估服务需求，服务提供的程度以及提供服务的方式。 3）在加利福尼亚州和县机构和立法委员会中确定和采访关键人员，以制定政策并与孕妇滥用者互动。 4）使用三个选定县的每个县中的每个关键联系人，与广泛受影响的妇女进行访谈和焦点小组。