在佛罗里达州的当地卫生部门解决围产期阿片类药物使用问题
Maret Wachira1, Hitomi Abe2, Elana Filipos2
1Florida Department of Health in Citrus County, 3700 W. Sovereign Path Lecanto, 34461, Florida, USA. mary.wachira@flhealth.gov.
该试点计划将阿片类药物使用障碍 (MOUD) 和心理健康服务整合到产前护理中,解决产前物质使用障碍 (SUD) 并改善孕妇的护理连续性.
科学领域:
- 公共卫生 公共卫生
- 孕产妇健康 孕产妇健康
- 药物使用障碍治疗 药物使用障碍治疗
背景情况:
- 周产期物质使用障碍 (SUDs) 对母亲和婴儿健康构成重大风险.
- 让孕妇参与全面的产前护理对于解决SUD至关重要.
- 地方卫生部门 (LHD) 是公共卫生服务的重要接入点.
研究的目的:
- 为了应对佛罗里达州西特鲁斯县 (Citrus County) 产前SUDs的增加.
- 将SUD治疗纳入常规产前护理.
- 改善获得护理的机会,并减少SUDs孕妇的障碍.
主要方法:
- 佛罗里达州卫生部在子县 (DOH-Citrus) 开发了一个试点计划.
- 该计划包括药物治疗阿片类药物使用障碍 (MOUD) 和心理健康服务.
- 这些服务在定期的产前护理预约期间提供.
主要成果:
- 卫生部-花试点项目已向23名社区成员提供布普伦诺啡援助.
- 该计划展示了一个将SUD治疗整合到产前护理中的模型.
结论:
- 孕产妇的LHD处于一个独特的位置,可以实施对周围SUD的危害降低策略.
- 这种整体模型改善了护理的连续性,并减少了孕妇的障碍.
- 该计划的成功为面临类似挑战的州提供了一个可复制的模型,特别是那些医疗补助扩张有限和高无保险率的州.
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