Interprofessional Care Models for Pregnant and Early-Parenting Persons Who Use Substances: A Scoping Review

Area of Science:

• Perinatal Health
• Substance Use Disorders
• Healthcare Delivery Models

Background:

• Substance use during pregnancy is a significant global health issue.
• Interprofessional care teams offer an optimal approach for engaging perinatal individuals with substance use disorders.
• Scoping reviews are essential for synthesizing existing literature on complex healthcare interventions.

Purpose of the Study:

• To comprehensively review published literature on interprofessional care models for perinatal individuals who use substances.
• To identify the components and outcomes of existing interprofessional care models.
• To inform the development and implementation of effective care strategies.

Main Methods:

• Systematic search of health-related databases.
• Adherence to Preferred Reporting Items for Systematic Reviews for Scoping Reviews (PRISMA-ScR) guidelines.
• Data extraction and synthesis to identify care team roles, program characteristics, and outcomes.

Main Results:

• Eleven articles met inclusion criteria from 645 screened publications.
• Successful models featured co-located services, agency partnerships, and group/peer support.
• Approaches incorporated cultural care, trauma-informed care, and harm reduction principles.

Conclusions:

• Growing evidence supports integrated care models with relational providers for comprehensive perinatal care.
• Models successfully blended social, primary, pregnancy, and addiction services.
• Further research is needed to evaluate program and patient outcomes for sustainability.