Participant Perception of an Integrated Program for Substance Abuse in Pregnancy

Lefebvre, Lisa; Midmer, Deana; Boyd, J. Brian; Ordean, Alice; Graves, Lisa; Pantea, Lydia

doi:10.1111/j.1552-6909.2009.01083.x

Cited by 33 publications

(51 citation statements)

References 17 publications

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“…While a large body of literature promotes the development of a trusting relationship (e.g., Lefebvre et al, 2010;Mills et al, 2012), less is known about the impact of clinicians modeling a secure-attachment for mothers to emulate for their infants. Further research is needed to identify the nuances that clinicians use when modeling a secure attachment and whether women identified with complex needs are able to comprehend these nuances and translate them into practice by promoting a secure attachment with their infants.…”

Section: Implications For Practice and Further Researchmentioning

confidence: 98%

Therapeutic Interventions in Perinatal and Infant Mental Health Services: A Mixed Methods Inquiry

Myors

Schmied

Johnson

et al. 2014

Issues in Mental Health Nursing

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Perinatal mental health disorders potentially have long-term negative sequelae for women, their infants and their families. Multidisciplinary perinatal and infant mental health (PIMH) services are an emerging specialty in mental health designed to improve mother-infant outcomes. This mixed methods study explored the characteristics of women referred to a specialist PIMH service and the therapeutic interventions that PIMH clinicians use. Women referred to the service were identified with multiple and complex risk factors. Perinatal and infant mental health clinicians use a range of interventions, dependent upon their training, such as family of origin work/genograms, non-directive counseling, and strategies to manage anxiety and depression. Clinicians also emphasized the therapeutic relationship and the interventions they use within an attachment-based framework, which warrants further research.

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Section: Implications For Practice and Further Researchmentioning

confidence: 98%

Therapeutic Interventions in Perinatal and Infant Mental Health Services: A Mixed Methods Inquiry

Myors

Schmied

Johnson

et al. 2014

Issues in Mental Health Nursing

View full text Add to dashboard Cite

show abstract

“…Emerging evidence highlights that improved perinatal and infant mental health (PIMH) outcomes are likely if services can move to more collaborative approaches to care (e.g. Halbreich, 2005; Lefebvre et al., 2010; Stafford & Zeanah, 2008). However, this ideal may be difficult to achieve, given the varying structures, government bodies, diverse professional groups and funding streams for perinatal services.…”

Section: Introductionmentioning

confidence: 99%

Collaboration and integrated services for perinatal mental health: an integrative review

Myors¹,

Schmied²,

Johnson³

et al. 2012

Child Adoles Ment Health

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Background: An integrative review was undertaken to synthesise the research related to professionals’ perceptions and experiences of working in collaborative and integrated models of perinatal care for women with mental health problems. Method: A search of the databases CINAHL, Medline, PubMed, Psychinfo and Scopus was conducted. Studies were limited to English language papers published from 2000 to 2010. Fourteen papers were included in the review. Results: The overarching theme identified in the review related to the process of ‘making it happen’. Eight key elements were identified as central components of this process: funding and resources for collaboration; shared vision, aims and goals; pathways and guidelines; continuity of care; building relationships and trust; role clarity; training and education of staff and support to work in new ways. Conclusion: Perinatal mental health is an emerging field that is particularly challenging as it requires professionals to work across disciplines and timeframes, where there is a risk of dichotomising care, compounding existing barriers to service uptake. Professionals need resources and to feel supported to change clinical practice and work in more collaborative ways. The voices of women and families are missing in the literature.

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“…These programs report improved perinatal outcomes and increased satisfaction with care (Goler et al, 2008; Lefebvre et al, 2010). A review of 38 studies of substance abuse treatment for women also found positive treatment outcomes associated with collaborative, multidisciplinary programs, which provided services including child care, prenatal care, mental health treatment, women-only admissions and a comprehensive treatment approach (Ashley et al, 2003).…”

Section: Literature Review and Discussionmentioning

confidence: 99%

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

Goodman

Milliken

Theiler

et al. 2015

Journal of Dual Diagnosis

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Perinatal opioid use disorders negatively impact maternal and neonatal outcomes and are a public health problem of increasing severity. More than half of women with a substance use disorder have a history of posttraumatic stress disorder that, if not adequately addressed, can impede substance use disorder treatment. This case report describes complexities in the treatment of a pregnant woman with opioid use disorder and posttraumatic stress disorder and reviews the psychotherapeutic and pharmacologic approaches available to treat these co-occurring disorders in pregnancy. This case demonstrates the importance of early screening and intervention for cooccurring posttraumatic stress disorder in pregnant women who use substances, in a closely coordinated, multidisciplinary approach to improve outcomes for women and their infants.

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Participant Perception of an Integrated Program for Substance Abuse in Pregnancy

Cited by 33 publications

References 17 publications

Therapeutic Interventions in Perinatal and Infant Mental Health Services: A Mixed Methods Inquiry

Therapeutic Interventions in Perinatal and Infant Mental Health Services: A Mixed Methods Inquiry

Collaboration and integrated services for perinatal mental health: an integrative review

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

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