Postakutbehandlung

Braunwarth, Wolf-Dietrich; Härtel-Petri, Roland; Hamdorf, Willem; Harfst, Timo; Fleischmann, Heribert; Jeschke, Peter; Mühlig, Stephan; Paulick, Jeanine

doi:10.1007/978-3-662-53541-7_5

Cited by 1 publication

(4 citation statements)

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“…Psychiatric comorbidities and social complexities were frequent in our naturalistic sample of pregnant and parenting women, echoing the multiple burdens reported in association with methamphetamine use ( 19 , 24 ). We previously found that comorbid attention-deficit hyperactivity disorder and depression jeopardized treatment engagement in integrated care ( 27 ).…”

Section: Discussionsupporting

confidence: 62%

“…These data combined with the stresses of single parenting ( 10 , 12 – 14 ) indicate that women could greatly benefit from interventions targeted at building relationships. Couple counseling should be offered and cover substance use, family planning, and parenting skills ( 19 ).…”

Section: Discussionmentioning

confidence: 99%

“…Psychiatric care draws on the available evidence and best practice for the management of methamphetamine-related disorders ( 19 ). Patients consult with a psychiatrist and/or psychotherapist from several times a week to once a month as needed.…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies described the Mamadam concept in detail and added to the evidence that pregnancy and parenthood provide opportunities to motivate change ( 13 , 19 , 24 ), thereby decreasing substance use and child removal ( 15 , 25 – 27 ). Patients could be engaged in outpatient psychiatric treatment over months, but more research is imperative to evaluate and optimize care strategies.…”

Section: Introductionmentioning

confidence: 99%

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Housing Correlates in Pregnant and Parenting Women Using Methamphetamine and Accessing Psychiatric Care

et al. 2022

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BackgroundIntegrated care is a promising model for pregnant and parenting women with problems related to methamphetamine use. Yet more research is imperative to guide services for this vulnerable population as methamphetamine use contributes to housing instability, which is associated with heavier use and overdose death.MethodThis prospective observational study analyzed how housing at discharge from psychiatric care was related to patient characteristics, program participation, and aftercare in 102 pregnant and/or parenting women.ResultsTwelve of 23 women who were unstably housed at admission (three of six homeless) achieved stable housing by discharge from integrated care. Women were more likely unstably housed at discharge when unstably housed at admission, single, living apart from at least one minor, or when the other parent had a substance use disorder (p < 0.05). Unstably housed women at discharge were also more likely to have used social and inpatient services, and to transition to inpatient rehabilitation (p < 0.05). Among baseline characteristics, logistic regression identified unstable housing at admission (OR = 6.07) and being single (OR = 4.01) as the strongest unique contributors to unstable housing at discharge (p < 0.05).ConclusionUnstably housed women and single women seem particularly at risk of remaining in precarious living conditions despite accessing integrated care for problems associated with methamphetamine use. Future work should investigate whether stronger partnerships with government and community agencies could be a way forward to help these women attain and maintain stable housing.

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Section: Discussionsupporting

confidence: 62%