Pregnant women in treatment for opioid use disorder: Material hardships and psychosocial factors

Rose-Jacobs, Ruth; Trevino-Talbot, Michelle; Vibbert, Martha; Lloyd‐Travaglini, Christine; Cabral, Howard

doi:10.1016/j.addbeh.2019.106030

Cited by 22 publications

(22 citation statements)

References 26 publications

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“…Methadone treatment was independently associated with increased odds of seeking care (AOR = 2.29; 95 % CI 1.24, 4.24). Rose-Jacobs et al (2019) Boston, MA Cohort study Pregnant women being treated for OUD 61 % reported housing instability. Compared to those with neither food nor housing instability, those reporting both food and housing instability had greater depressive scores (P = 0.02) and clinically but not statistically significant higher intimate partner vulnerability scores.…”

Section: Resultsmentioning

confidence: 99%

“…Fewer descriptive studies reported on OUD treatment-associated outcomes among PEH, primarily assessing MOUD and detoxification outcomes ( Alford et al, 2007 ; Chang, 2017 ; Cousins et al, 2016 ; Damian et al, 2017 ; Fine et al, 2020 ; Havens et al, 2009 ; Jones et al, 2017 ; Kertesz et al, 2003 ; Li et al, 2019 ; Marienfeld and Rosenheck, 2015 ; Rose-Jacobs et al, 2019 ; Stein et al, 2017 , 2015 , 2014 ; Riggins et al, 2017 ; Velasquez et al, 2019 ).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Opioid use disorder treatment for people experiencing homelessness: A scoping review

McLaughlin

Carrero

et al. 2021

Drug and Alcohol Dependence

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Opioid use disorder treatment for people experiencing homelessness: A scoping review

McLaughlin

Carrero

et al. 2021

Drug and Alcohol Dependence

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“…37,38 Food insecurity has not been extensively studied, but studies of pregnant women receiving MOUDs found comparably high rates. 39,40 Furthermore, only one-third of the sample reported that they had their own reliable transportation; some evidence suggests that providing transportation can improve treatment retention. 41 There is likely a reciprocal relationship between psychosocial concerns and substance use; patients in low socioeconomic situations may be more susceptible to use disorders and use disorders may lead to socioeconomic difficulties.…”

Section: Discussionmentioning

confidence: 99%

Mental Health and Psychosocial Needs of Patients Being Treated for Opioid Use Disorder in a Primary Care Residency Clinic

Hooker

Sherman

Lonergan-Cullum

et al. 2020

J Prim Care Community Health

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Purpose: Primary care is an ideal setting to deliver efficacious treatments for opioid use disorder (OUD). Primary care providers need to be aware of other concerns patients with OUD might have in order to provide comprehensive care. This study describes the prevalence of mental health, comorbid substance use, and psychosocial concerns of patients seeking treatment for OUD in primary care and their relation to 6-month treatment retention. Methods: Patients (N = 100; M age = 34.9 years (SD = 10.8), 74% white, 46% female) with OUD who were starting treatment with buprenorphine at an academic family medicine residency clinic completed surveys of mental health concerns (depression, anxiety, trauma), psychosocial needs (food insecurity, income, transportation, employment), and demographic variables. Chart reviews were conducted to gather information on comorbid substance use, mental health diagnoses, and 6-month treatment retention. Results: Mental health symptoms were highly prevalent in this sample (44% screened positive for anxiety, 31% for depression, and 52% for posttraumatic stress disorder). Three-quarters reported use of illicit substances other than opioids. Many patients also had significant psychosocial concerns, including unemployment (54%), low income (75%), food insecurity (51%), and lacking reliable transportation (64%). Two-thirds (67%) of the sample were retained at 6 months; patients who previously used intravenous opioids were more likely to discontinue treatment ( P = .003). Conclusions: Many patients receiving treatment for OUD have significant mental health problems, comorbid substance use, and psychosocial concerns; interestingly, none of these factors predicted treatment retention at 6 months. Primary care clinics would benefit from having appropriate resources, interventions, and referrals for these comorbid issues in order to enhance overall patient well-being and promote recovery.

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“… 21 , 22 Despite some pregnant women receiving prenatal care and treatment for opioid use disorder, risk of intimate partner violence is increased. 23 Children who grow up in households where opioid misuse is common also experience increased life stressors, such as parental neglect, higher risk for mental health problems and future drug use, accidental opioid poisoning, and unstable family environments with possible foster care placement or loss of a parent because of substance use disorder. 24 These social determinants of health put children and teenagers at risk of growing up in an unstable environment where they are exposed early in life to opioid misuse, substance use, and possibly subject to drug‐related environments.…”

Section: Recommendations For Clinical Practice In the Edmentioning

confidence: 99%

“…These hardships increase risk of depression, intimate partner violence, and delivery of a low‐birth‐weight infant 21,22 . Despite some pregnant women receiving prenatal care and treatment for opioid use disorder, risk of intimate partner violence is increased 23 . Children who grow up in households where opioid misuse is common also experience increased life stressors, such as parental neglect, higher risk for mental health problems and future drug use, accidental opioid poisoning, and unstable family environments with possible foster care placement or loss of a parent because of substance use disorder 24 .…”

Section: Recommendations For Clinical Practice In the Edmentioning

confidence: 99%

Emergency department strategies to combat the opioid crisis in children and adolescents

et al. 2021

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The opioid crisis has greatly affected not only adults but also children as well. As clinicians develop effective approaches to minimize pain and distress in children, the risks and benefits of opioids must be carefully considered. Children of parents with opioid use disorder are also at risk of living in unstable environments, performing poorly academically, engaging in future drug use, and having increased stress, which affects their development before entering adulthood. This statement focuses on the effects of the opioid crisis on children and adolescents and is intended to inform institutional policies, improve education, advocate for evidence‐informed guidelines, and improve the care of children affected by the opioid epidemic who are seen in the emergency department.

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Pregnant women in treatment for opioid use disorder: Material hardships and psychosocial factors

Cited by 22 publications

References 26 publications

Opioid use disorder treatment for people experiencing homelessness: A scoping review

Opioid use disorder treatment for people experiencing homelessness: A scoping review

Mental Health and Psychosocial Needs of Patients Being Treated for Opioid Use Disorder in a Primary Care Residency Clinic

Emergency department strategies to combat the opioid crisis in children and adolescents

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