在马萨诸塞州服务怀孕,产后和育儿中学到的经验教训 患有物质使用障碍的人:母亲们确实关心计划
Laura Sternberger1, Amy Sorensen-Alawad2, Telyia Prescott3
1Institute for Health and Recovery, Watertown, USA. laurasternberger@healthrecovery.org.
Maternal and child health journal
|October 4, 2023
概括
"们要照顾"计划为孕妇和育儿中患有物质使用障碍的人提供综合,创伤相关的护理. 这种多学科的方法增强了支持网络,并解决了健康不平等问题,以改善结果.
科学领域:
- 围产期健康 围产期健康
- 药物使用障碍治疗 药物使用障碍治疗
- 综合医疗保健模式的整合
背景情况:
- 药物使用障碍 (SUD) 显著影响孕妇,产后和育儿人员 (PPPP).
- 现有的医疗保健系统往往缺乏为PPPP与SUD提供综合服务.
- 需要采用多学科的方法来解决这一群体的复杂需求.
研究的目的:
- 描述PPPP与SUD的综合,多学科计划的设计和实施.
- 评估同处医疗和行为健康团队在支持PPPP与SUD方面的有效性.
- 确定优化产周SUD服务的关键经验教训.
主要方法:
- 们关心 (MDC) 计划在马萨诸塞州建立了11个联合医疗和行为健康团队 (2015-2022年).
- 团队提供创伤相关的初级/产科护理,SUD治疗,育儿支持和病例管理.
- 大约有1048个拥有SUD的PPPP获得了服务.
主要成果:
- 通过整合跨产周连续的护理,MDC创建了一个强大的支持网络.
- 关键的教训包括需要持续培训员工,加强同行恢复支持,改善有色人种社区的获取.
- 持续评估和可持续性规划对于计划的成功至关重要.
结论:
- 该MDC计划展示了一个有前途的创伤信息,对受SUD影响的PPPP受影响的综合护理模式.
- 优先考虑同行恢复和解决不平等问题是MDC方法的核心.
- 这种模式对于为患有围产SUD的边缘化人口开发多学科医疗保健系统具有价值.
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