TY - JOUR
KW - Analgesics, Opioid/adverse effects
KW - Female
KW - Humans
KW - Mothers/psychology
KW - Opioid-Related Disorders/drug therapy/psychology/therapy
KW - Parenting/psychology
KW - Pregnancy
KW - Social Stigma
KW - opioid use disorder
KW - Addiction
KW - Parenting
KW - prenatal
AU - D. J. Hand
AU - A. C. Fischer
AU - M. L. Gannon
AU - K. A. McLaughlin
AU - V. L. Short
AU - D. J. Abatemarco
A1 - 
AB - 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.
AD - Department of Obstetrics & Gynecology, Thomas Jefferson University, Philadelphia, PA, USA.; Department of Psychiatry & Human Behavior, Thomas Jefferson University, Philadelphia, PA, USA.; Department of Obstetrics & Gynecology, Thomas Jefferson University, Philadelphia, PA, USA.; Department of Obstetrics & Gynecology, Thomas Jefferson University, Philadelphia, PA, USA.; Department of Obstetrics & Gynecology, Thomas Jefferson University, Philadelphia, PA, USA.; Department of Obstetrics & Gynecology, Thomas Jefferson University, Philadelphia, PA, USA.; Department of Obstetrics & Gynecology, Thomas Jefferson University, Philadelphia, PA, USA.; Department of Pediatrics, Thomas Jefferson University, Philadelphia, PA, USA.
BT - International review of psychiatry (Abingdon, England)
C5 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
CP - 6
CY - England
DO - 10.1080/09540261.2021.1908966
IS - 6
JF - International review of psychiatry (Abingdon, England)
LA - eng
M1 - Journal Article
N2 - 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.
PP - England
PY - 2021
SN - 1369-1627; 0954-0261
SP - 514
EP - 527
EP - 
T1 - Comprehensive and compassionate responses for opioid use disorder among pregnant and parenting women
T2 - International review of psychiatry (Abingdon, England)
TI - Comprehensive and compassionate responses for opioid use disorder among pregnant and parenting women
U1 - Education & Workforce; Healthcare Disparities; Opioids & Substance Use
U2 - 34176410
U3 - 10.1080/09540261.2021.1908966
VL - 33
VO - 1369-1627; 0954-0261
Y1 - 2021
Y2 - Sep
ER -