A Multidisciplinary Approach to the Treatment of Co-occurring Opioid Use Disorder and Posttraumatic Stress Disorder in Pregnancy: A Case Report

Goodman, Daisy; Milliken, Catherine U; Theiler, Regan N.; Nordstrom, Benjamin R.; Akerman, Sarah C.

doi:10.1080/15504263.2015.1104484

Cited by 66 publications

(6 citation statements)

References 82 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although much of the work identified in the review concerned PTSD’s effect on OAT, it is also important to understand the effects of OAT on PTSD symptoms. One case study described the integration of BUP into other medical care in the case of a pregnant woman with OUD and PTSD (Goodman, Milliken, Theiler, Nordstrom, & Akerman, 2015). In the case study, BUP was readily integrated and coordinated with other psychiatric care for PTSD (i.e., selective serotonin reuptake inhibitor), and pre- and postnatal care.…”

Section: Resultsmentioning

confidence: 99%

“…In the case study, BUP was readily integrated and coordinated with other psychiatric care for PTSD (i.e., selective serotonin reuptake inhibitor), and pre- and postnatal care. She reported improved PTSD symptoms and obtained more stable housing (Goodman et al, 2015). It may be that integration of services contributed to these favorable outcomes.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Posttraumatic stress disorder in opioid agonist therapy: A review.

Ecker

Hundt

2018

Psychological Trauma: Theory, Research, Practice, and

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Posttraumatic stress disorder in opioid agonist therapy: A review.

Ecker

Hundt

2018

Psychological Trauma: Theory, Research, Practice, and

View full text Add to dashboard Cite

show abstract

“…Lifetime and current trauma experiences add additional complexities to SUD treatment for postpartum women as trauma increases the risk of substance use recurrence and overdose (Cleveland et al, 2020). Evidence suggests that routine screening for trauma experiences and trauma-informed, integrated interventions that address both SUD and trauma history simultaneously improve treatment outcomes (Goodman et al, 2015;Marsden et al, 2019;Najavits et al, 1998); therefore, trauma experiences should be considered during SUD treatment planning for postpartum women.…”

Section: How Should Behavioural Health Approaches To Sud Treatment An...mentioning

confidence: 99%

Addiction treatment in the postpartum period: an opportunity for evidence-based personalized medicine

Martin

Parlier-Ahmad

2021

International Review of Psychiatry

View full text Add to dashboard Cite

Substance use disorders (SUD) are becoming rapidly more prevalent in women and a leading cause of pregnancy associated deaths, with most deaths occurring during the 12 months after pregnancy. The postpartum period can be quite intense, especially for women seeking addiction recovery. There is a call to reconceptualize the obstetrical postpartum care model into one that extends specialised care and is tailored to an individual's specific needs. Although SUD treatment improves maternal and infant outcomes as well as decreases overdose risk, many women do not receive consistent SUD treatment during the postpartum period. Thus, SUD treatments should consider following the same guidance as obstetrics to reconceptualize how SUD treatment is delivered postpartum. Clinically, this translates into substantially modifying traditional siloed SUD treatment structures to meet the unique needs of this vulnerable patient population. At the same time, more research is urgently needed to inform these advancements in clinical care to ensure they are evidence-based and effective. In this article, we review the existing evidence as well as highlight opportunities for both clinicians and researchers to advance the integration of tailored approaches for postpartum women into personalised SUD medical and behavioural treatments.

show abstract

“…Yet, a recent secondary database review from publicly available data sets by Terplan et al examined 13,000 addiction treatment facilities in the USA and found that trauma-related services were selectively available in urban centers and states with larger populations, and a large percentage of women in treatment programs reported unmet needs [ 39 •]. A case study by Goodman et al examined the complexities of providing obstetric care for women with comorbid PTSD and substance use and stressed the importance of early screening and a coordinated multidisciplinary approach to improving outcomes for the substance-exposed mother-infant dyad [ 40 ].…”

Section: Special Considerations: Trauma Mood Disorders Breastfeedinmentioning

confidence: 99%

Caring for Pregnant Women with Opioid Use Disorder in the USA: Expanding and Improving Treatment

Saia

Schiff

Wachman

et al. 2016

Curr Obstet Gynecol Rep

109

104

View full text Add to dashboard Cite

Purpose of the ReviewOpioid use disorder in the USA is rising at an alarming rate, particularly among women of childbearing age. Pregnant women with opioid use disorder face numerous barriers to care, including limited access to treatment, stigma, and fear of legal consequences. This review of opioid use disorder in pregnancy is designed to assist health care providers caring for pregnant and postpartum women with the goal of expanding evidence-based treatment practices for this vulnerable population.Recent FindingsWe review current literature on opioid use disorder among US women, existing legislation surrounding substance use in pregnancy, and available treatment options for pregnant women with opioid use disorder. Opioid agonist treatment (OAT) remains the standard of care for treating opioid use disorder in pregnancy. Medically assisted opioid withdrawal (“detoxification”) is not recommended in pregnancy and is associated with high maternal relapse rates. Extended release naltrexone may confer benefit for carefully selected patients. Histories of trauma and mental health disorders are prevalent in this population; and best practice recommendations incorporate gender-specific, trauma-informed, mental health services. Breastfeeding with OAT is safe and beneficial for the mother-infant dyad.SummaryFurther research investigating options of OAT and the efficacy of opioid antagonists in pregnancy is needed. The US health care system can adapt to provide quality care for these mother-infant dyads by expanding comprehensive treatment services and improving access to care.

show abstract

A Multidisciplinary Approach to the Treatment of Co-occurring Opioid Use Disorder and Posttraumatic Stress Disorder in Pregnancy: A Case Report

Cited by 66 publications

References 82 publications

Posttraumatic stress disorder in opioid agonist therapy: A review.

Posttraumatic stress disorder in opioid agonist therapy: A review.

Addiction treatment in the postpartum period: an opportunity for evidence-based personalized medicine

Caring for Pregnant Women with Opioid Use Disorder in the USA: Expanding and Improving Treatment

Contact Info

Product

Resources

About