학술논문
Low barrier perinatal psychiatric care for patients with substance use disorder: meeting patients across the perinatal continuum where they are.
Document Type
Article
Author
Source
Subject
*SUBSTANCE abuse treatment
*SUBSTANCE abuse diagnosis
*MATERNAL health services
*CULTURE
*DRUG addiction
*HEALTH services accessibility
*DUAL diagnosis
*PSYCHOLOGY of drug abusers
*PATIENT-centered care
*HARM reduction
*DECISION making
*HEALTH care teams
*PUERPERIUM
*WOUNDS & injuries
*PSYCHIATRIC treatment
*PSYCHOPHARMACOLOGY
*WOMEN'S health
*PREGNANCY
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Language
ISSN
0954-0261
Abstract
Pregnant and postpartum patients with substance use disorders (SUD) often have other co-occurring mental health disorders. Complications of substance use and mental health conditions, such as overdose and suicide, are a significant contributor to maternal morbidity and mortality. For individuals dually diagnosed with SUD and other mental health disorders, the perinatal period can be both a motivating and a vulnerable period for care. Barriers to optimal care include, but are not limited to, lack of screening, lack of referrals for care, a limited number of psychiatric providers available to care for pregnant patients, and stigma around mental health and addiction care in pregnancy. In this review, we discuss approaches to low-barrier perinatal psychiatric care for women with SUD to promote engagement in care. We review (1) appropriate psychiatric assessment and diagnostic work-up; (2) treatment planning incorporating shared-decision making, non-punitive and culturally sensitive patient-centred care, and principles of harm reduction with a focus on psychopharmacology, and (3) the benefits of an integrated and collaborative multidisciplinary care model for this subpopulation of vulnerable patients. [ABSTRACT FROM AUTHOR]