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Related Concept Videos

Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

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Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
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Substance use disorders involve a pattern of using drugs more extensively than intended and continuing use despite harmful consequences. This includes legal substances like alcohol and nicotine, as well as illegal drugs. These disorders often involve both physical and psychological dependence, reflecting compulsive use of substances that significantly alter thoughts, feelings, and behaviors, contributing to a major public health issue.
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Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
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Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
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Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
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Related Experiment Video

Updated: Jul 10, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Partnering for the future clinic: A multidisciplinary perinatal substance use program.

Courtney Townsel1, Sanaya Irani2, Carol Buis1

  • 1Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI, United States of America.

General Hospital Psychiatry
|November 22, 2023
PubMed
Summary

This study introduces an integrated clinic for pregnant individuals with substance use disorder (SUD), improving care and perinatal outcomes. The model reduced NICU admissions and severe Neonatal Abstinence Syndrome (NAS) by offering holistic, patient-centered services.

Keywords:
Integrated careMultidisciplinaryOpioid use disorderPerinatal mental healthPregnancySubstance use disorder

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Area of Science:

  • Obstetrics and Gynecology
  • Perinatal Medicine
  • Addiction Psychiatry

Background:

  • Current obstetric care models often fragment services for high-risk pregnancies involving substance use disorder (SUD).
  • This fragmentation leads to suboptimal care for pregnant individuals with complex needs, including co-occurring mental health conditions.

Purpose of the Study:

  • To describe the framework of a multidisciplinary, integrated perinatal substance use clinic.
  • To present recent clinical outcomes demonstrating the effectiveness of this integrated model.

Main Methods:

  • Detailed the Partnering for the Future (PFF) clinic, integrating subspecialty and support services.
  • Conducted a retrospective chart review of 182 patients from 2017 to 2021.
  • Focused on trauma-informed care, stigma reduction, and harm mitigation.

Main Results:

  • Opioid use disorder was the most common indication for care; 81% had co-occurring mental illness.
  • Neonatal intensive care unit (NICU) admissions and severe Neonatal Opioid Withdrawal Syndrome (NOWS) diagnoses decreased after implementing the Eat-Sleep-Console approach.
  • Key social service needs included care coordination, transportation, and adjustment counseling; a virtual behavioral health service was launched.

Conclusions:

  • The integrated care model facilitates holistic care for pregnant individuals with SUD and mental health conditions.
  • Patient-centered, co-located services demonstrably improved perinatal outcomes, especially for opioid-exposed pregnancies.