Women-centered drug treatment models for pregnant women with opioid use disorder: A scoping review

Joshi, Chandni; Skeer, Margie R.; Chui, Ken; Neupane, Gagan; Koirala, Reecha; Stopka, Thomas J.

doi:10.1016/j.drugalcdep.2021.108855

Cited by 15 publications

(6 citation statements)

References 50 publications

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“…67 An overwhelming majority of incarcerated pregnant and postpartum women report illicit substance use both prior to and during pregnancy, yet carceral systems are deficient in providing treatment for addiction among this population. Despite the abundance of evidence of long-term effectiveness of SUD treatment programs for pregnant women in the community, 37,67 the scarcity of empirical data and research of incarcerated pregnant women suggests there might be an unmet need of pregnancy-focused SUD treatment for these women. Incarcerated pregnant women and their infants possess significant health care need.…”

Section: Discussionmentioning

confidence: 99%

“…Incarceration could present an opportunity to provide pregnant women with access to critical healthcare services that might otherwise be inaccessible, 37 in turn increasing the possibility of continued healthcare utilization post-release. 67 An overwhelming majority of incarcerated pregnant and postpartum women report illicit substance use both prior to and during pregnancy, yet carceral systems are deficient in providing treatment for addiction among this population. Despite the abundance of evidence of long-term effectiveness of SUD treatment programs for pregnant women in the community, 37,67 the scarcity of empirical data and research of incarcerated pregnant women suggests there might be an unmet need of pregnancy-focused SUD treatment for these women.…”

Section: Discussionmentioning

confidence: 99%

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An integrative literature review of substance use treatment service need and provision to pregnant and postpartum populations in carceral settings

Smith

Wilson

Zielinski

2023

Womens Health (Lond Engl)

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Pregnancy is a critical time to provide access to substance use treatment; this is especially true among incarcerated populations, who are known to be at particularly high risk of poor health outcomes. In this integrated literature review, we (1) report what is known about the prevalence of substance use among incarcerated pregnant and postpartum populations; (2) describe substance use treatment programs and current care practices of pregnant and postpartum populations in carceral settings; and (3) explore recommendations and strategies for increasing access to substance use treatment for incarcerated pregnant and postpartum populations. A comprehensive search of seven electronic databases yielded in the retrieval of 139 articles that were assessed for inclusion. Of the retrieved articles, 33 articles met criteria for inclusion in this review. A review of the literature revealed that the understanding of substance use prevalence among pregnant incarcerated women is limited. We also found that treatment of substance use disorders among pregnant and postpartum populations is not routinely available, enhanced perinatal services are sorely needed, and substance use treatment programs are feasible with the help of community partnerships. More research is required to understand current substance use treatment initiatives and outcomes for pregnant women in prison. In addition, strategies for integrating evidence-based, substance use treatment in carceral settings is also needed. Future directions are discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An integrative literature review of substance use treatment service need and provision to pregnant and postpartum populations in carceral settings

Smith

Wilson

Zielinski

2023

Womens Health (Lond Engl)

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“…As advocates for their clients, navigators have a role to play in enhancing patient‐provider communication, building cross‐systems linkages, and strengthening relationships and referral/treatment pathways between existing providers. Other research has found that improved collaboration and coordination of care can address access to PMH services for vulnerable groups (Joshi et al., 2021; Willey et al., 2020), highlighting the potential of PN to enhance care for those who need it most.…”

Section: Discussionmentioning

confidence: 99%

Patient navigation models for mental health of parents expecting or caring for an infant or young child: A systematic review

Harris,

Harrison,

Hazell‐Raine

et al. 2023

Infant Mental Health Journal

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Patient navigation (PN) aims to improve timely access to healthcare by helping patients to “navigate” complex service provision landscapes. PN models have been applied in diverse healthcare settings including perinatal mental health (PMH). However, the practice models and implementation of PN programs vary widely, and their impact on engagement with PMH services has not been systematically investigated. This systematic narrative review study aimed to (1) identify and describe existing PMH PN models, (2) understand their effectiveness in improving service engagement and clinical outcomes, (3) review patient and provider perceptions, and (4) explore facilitators and barriers to program success. A systematic search of published articles/reports describing PMH PN programs/service delivery models targeting parents in the period from conception to 5 years postpartum was conducted. In total, 19 articles describing 13 programs were identified. The analysis yielded a number of commonalities and differences across program settings, target populations, and the scope of the navigator role. While there was promising evidence to support the clinical efficacy and impact on service utilization of PN programs for PMH, the current evidence base is sparse. Further research evaluating the efficacy of such services, and facilitators and barriers to their success, is warranted.

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“…Pregnant and parenting WWUD may also benefit from these types of care models. 47 , 48 Rural communities, with less overall healthcare availability, have further limitations in availability of SUD treatment programs that include wraparound services (behavioral health, social services) and family-specific programs. 49 This further emphasizes the importance of primary care clinics in delivering SUD treatment and reproductive health services for WWUD in rural areas.…”

Section: Discussionmentioning

confidence: 99%

Contraception and Healthcare Utilization by Reproductive-Age Women Who Use Drugs in Rural Communities: a Cross-Sectional Survey

Levander

Foot

Magnusson³

et al. 2022

J GEN INTERN MED

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Background Women who use drugs (WWUD) have low rates of contraceptive use and high rates of unintended pregnancy. Drug use is common among women in rural U.S. communities, with limited data on how they utilize reproductive, substance use disorder (SUD), and healthcare services. Objective We determined contraceptive use prevalence among WWUD in rural communities then compared estimates to women from similar rural areas. We investigated characteristics of those using contraceptives, and associations between contraceptive use and SUD treatment, healthcare utilization, and substance use. Design Rural Opioids Initiative (ROI) — cross-sectional survey using respondent-driven sampling (RDS) involving eight rural U.S. regions (January 2018–March 2020); National Survey on Family Growth (NSFG) — nationally-representative U.S. household reproductive health survey (2017–2019). Participants Women aged 18–49 with prior 30-day non-prescribed opioid and/or non-opioid injection drug use; fecundity determined by self-reported survey responses. Main Measures Unweighted and RDS-weighted prevalence estimates of medical/procedural contraceptive use; chi-squared tests and multi-level linear regressions to test associations. Key Results Of 855 women in the ROI, 36.8% (95% CI 33.7–40.1, unweighted) and 38.6% (95% CI 30.7–47.2, weighted) reported contraceptive use, compared to 66% of rural women in the NSFG sample. Among the ROI women, 27% had received prior 30-day SUD treatment via outpatient counseling or inpatient program and these women had increased odds of contraceptive use (aOR 1.50 [95% CI 1.08–2.06]). There was a positive association between contraception use and recent medications for opioid use disorder (aOR 1.34 [95% CI 0.95–1.88]) and prior 6-month primary care utilization (aOR 1.32 [95% CI 0.96–1.82]) that did not meet the threshold for statistical significance. Conclusion WWUD in rural areas reported low contraceptive use; those who recently received SUD treatment had greater odds of contraceptive use. Improvements are needed in expanding reproductive and preventive health within SUD treatment and primary care services in rural communities.

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Women-centered drug treatment models for pregnant women with opioid use disorder: A scoping review

Cited by 15 publications

References 50 publications

An integrative literature review of substance use treatment service need and provision to pregnant and postpartum populations in carceral settings

An integrative literature review of substance use treatment service need and provision to pregnant and postpartum populations in carceral settings

Patient navigation models for mental health of parents expecting or caring for an infant or young child: A systematic review

Contraception and Healthcare Utilization by Reproductive-Age Women Who Use Drugs in Rural Communities: a Cross-Sectional Survey

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