Retombées de l’initiative Main dans la main auprès des futures et nouvelles mères consommatrices de substances psychoactives en période périnatale

Chantal Lavergne, Geneviève Turcotte, Pauline Morissette


OBJECTIVES: The Main dans la main initiative relies on collaboration between child protection and hospital-based social workers to help substance-abusing expectant mothers maximize their chances of caring for their newborn. The article describes the positive outcomes of this initiative for the women, based on the experiences and perception of the participants and social workers involved.

METHOD: A case study was conducted with 21 participants using three data sources: 1) a semi-structured interview with the mothers at two points in time; 2) a semi-structured interview with social workers; and 3) the tools of the initiative. The data were analyzed based on content condensation and data presentation.

RESULTS: A majority of participants experienced changes in their various spheres of life: personal (positive changes in substance-abuse habits), parental (improved self-confidence as a parent, reduced stress due to the fear of losing custody of their newborn), and social/relational (improved relationships with social support network and support services).

CONCLUSION: The results confirm the relevance and potential for change of a short intervention model during the perinatal period based on interprofessional collaboration with substance-abusing expectant mothers. Further research is needed to validate the hypothesis on the effectiveness of this initiative.


Substance abuse during pregnancy; inter-professional collaboration; outcomes