Document Type
Article
Publication Date
6-27-2021
Abstract
Pregnant and parenting women with opioid use disorder face multiple challenges to recovery. Trauma histories, poverty, stigma and discrimination, and lack of access to treatment intersect to marginalise this population. It is important that pregnant and parenting women with opioid use disorder receive comprehensive care to improve their health, the health of their child(ren), and prevent the intergenerational transmission of opioid and other substance use disorders. For nearly 50 years the Maternal Addiction Treatment, Education, and Research program has provided an evolving and expanding range of comprehensive services for treating opioid and other substance use disorders in this population. In this review the rationale for, and processes by which, key components of a comprehensive approach are discussed. These components include patient navigation for access to care, low-barrier medications for opioid use disorder, effective trauma-responsive therapy, prenatal and well-child healthcare, and other support services that make it possible for pregnant and parenting women to engage in treatment and improve the health of the entire family. Additionally, a method for supporting staff to build resilience and reduce fatigue and burnout is discussed. These components comprise an effective model of care for pregnant and parenting women with opioid and other substance use disorders.
Recommended Citation
Hand, Dennis J.; Fischer, Alice C.; Gannon, Meghan L.; McLaughlin, Kimberly A.; Short, Vanessa L.; and Abatemarco, Diane J., "Comprehensive and compassionate responses for opioid use disorder among pregnant and parenting women." (2021). Department of Obstetrics and Gynecology Faculty Papers. Paper 75.
https://jdc.jefferson.edu/obgynfp/75
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
PubMed ID
34176410
Language
English
Comments
This is an Accepted Manuscript of an article published by Taylor & Francis in International Review of Psychiatry on June 27, 2021, available online: https://doi.org/10.1080/09540261.2021.1908966
This article is deposited under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited, and is not altered, transformed, or built upon in any way.