TY - JOUR
T1 - Treatment for substance use disorders in pregnant women
T2 - Motivators and barriers
AU - Frazer, Zane
AU - McConnell, Krystle
AU - Jansson, Lauren M.
N1 - Funding Information:
This work was supported by: William Walker Award for Psychiatric Research , Department of Psychiatry and Behavioral Science , Johns Hopkins; Johns Hopkins University School of Medicine , Primary Care Leadership Track and Dean’s Funding ; AMWA Elizabeth Small Grant . Funding was used for recording equipment, transcription software and gift cards for interview participants.
Publisher Copyright:
© 2019 Elsevier B.V.
PY - 2019/12/1
Y1 - 2019/12/1
N2 - Background: Pregnancy is a unique opportunity to provide broad and necessary medical care for women- including treatment for Substance Use Disorders (SUD). The standard of care for SUD in pregnant women is treatment at a comprehensive care facility. There is little existing qualitative research exploring what brings pregnant women with SUD to treatment and what barriers to treatment exist for this population. This study explored women's self-reported reasons for pursuing treatment or hesitating to do so. Methods: This qualitative study used interviews to explore common factors that motivate pregnant women with SUD to seek comprehensive care during pregnancy and common hesitations/ barriers to treatment. The study population included 20 women in treatment at a comprehensive care facility for pregnant and parenting women at Johns Hopkins. Participants volunteered to do interviews which were recorded and transcribed for analysis. Results: Interviews revealed several major themes in motivators to seek treatment: readiness to stop using, concern for the baby's health, concern about custody of the baby or other children, wanting to escape violent environments or homelessness, and seeking structure. Barriers to treatment included fear of loss of custody, not wanting to be away from children/partner, concern about stigma or privacy, and lack of childcare and transportation. Conclusions: This study revealed common motivators to seek treatment and barriers to treatment for pregnant women with SUD. These themes may help direct future studies and guide efforts to increase access to crucial care in this vulnerable population.
AB - Background: Pregnancy is a unique opportunity to provide broad and necessary medical care for women- including treatment for Substance Use Disorders (SUD). The standard of care for SUD in pregnant women is treatment at a comprehensive care facility. There is little existing qualitative research exploring what brings pregnant women with SUD to treatment and what barriers to treatment exist for this population. This study explored women's self-reported reasons for pursuing treatment or hesitating to do so. Methods: This qualitative study used interviews to explore common factors that motivate pregnant women with SUD to seek comprehensive care during pregnancy and common hesitations/ barriers to treatment. The study population included 20 women in treatment at a comprehensive care facility for pregnant and parenting women at Johns Hopkins. Participants volunteered to do interviews which were recorded and transcribed for analysis. Results: Interviews revealed several major themes in motivators to seek treatment: readiness to stop using, concern for the baby's health, concern about custody of the baby or other children, wanting to escape violent environments or homelessness, and seeking structure. Barriers to treatment included fear of loss of custody, not wanting to be away from children/partner, concern about stigma or privacy, and lack of childcare and transportation. Conclusions: This study revealed common motivators to seek treatment and barriers to treatment for pregnant women with SUD. These themes may help direct future studies and guide efforts to increase access to crucial care in this vulnerable population.
KW - Addiction
KW - Medication
KW - Medication treatment
KW - Neonatal abstinence syndrome
KW - Neonatal opioid withdrawal syndrome
KW - Pregnancy
KW - Stigma
KW - Substance use disorder
KW - Treatment
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U2 - 10.1016/j.drugalcdep.2019.107652
DO - 10.1016/j.drugalcdep.2019.107652
M3 - Article
C2 - 31704383
AN - SCOPUS:85074490100
SN - 0376-8716
VL - 205
JO - Drug and alcohol dependence
JF - Drug and alcohol dependence
M1 - 107652
ER -