药物使用障碍和精神健康障碍治疗设施的特点,包括具有围产期计划的治疗设施
Brooke N Lombardi1, Anna B Parisi2, Helen Newton3
1Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 725 Martin Luther King Jr. Blvd., CB# 7590, Chapel Hill, NC 27516, United States of America; School of Social Work, University of North Carolina at Chapel Hill, 725 Martin Luther King Jr. Blvd., CB# 7590, Chapel Hill, NC 27516, United States of America.
美国很少有治疗设施为吸毒和精神健康障碍提供产周服务. 扩大这些专业计划和支持服务对于母亲和婴儿的福祉至关重要.
科学领域:
- 围产期心理健康问题
- 药物使用障碍在怀孕期间
- 获得孕产妇医疗保健的机会
背景情况:
- 药物使用障碍 (SUD) 和心理健康障碍 (MHD) 在围产期带来重大风险.
- 许多患有围产SUD或MHD的个体没有得到足够的,量身定制的治疗.
- 大多数治疗设施都缺乏针对这一弱势群体的专业服务.
研究的目的:
- 确定美国提供产周服务的治疗设施的比例.
- 确定与提供产周护理相关的设施和州级因素.
- 突出需要改善治疗对围产期人口的可访问性.
主要方法:
- 利用了2022年全国物质使用和心理健康服务调查的数据.
- 分析了6995个仅用于SUD的治疗设施和9134个用于SUD/MHD的治疗设施.
- 采用描述性统计学,双变量分析和多层次物流回归.
主要成果:
- 只有32.7%的SUD-only和31.1%的综合设施提供了产周计划.
- 超过一半的人提供了交通,社会支持,创伤治疗和远程医疗等关键服务.
- 医疗补助的接受,非营利性地位和赠款资金增加了提供产周服务的可能性.
结论:
- 在围产SUD和MHD治疗服务中存在很大的差距.
- 设施必须扩大产周计划和基本/辅助服务 (例如,综合护理,儿童保育).
- 需要进一步研究最佳时机和围产期支持服务类型.
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