"在家里"带来心情:在州监狱怀孕期间实施内部心情计划
Bianca Hall1, Claire Jensen2, Jenna Nakagawa3
1Division of General Obstetrics and Gynecology, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
这项研究实施了一家为患有阿片类药物使用障碍 (OUD) 的孕妇提供基于监禁的护理的综合诊所. 该计划成功改善了针对阿片类药物使用障碍 (MOUD) 和围产期结局的药物获取.
科学领域:
- 围产期健康 围产期健康
- 成 药物 药物 药物 药物
- 公共卫生政策 公共卫生政策
背景情况:
- 患有阿片类药物使用障碍 (OUD) 的孕妇面临更高的监禁率,造成基本治疗的障碍.
- 获得OUD的护理和持续护理对于降低过量使用风险和改善围产期结果至关重要.
- 癌症系统在提供一致和有效的物质使用障碍治疗方面提出了独特的挑战.
研究的目的:
- 描述一个国家惩戒设施内为OUD孕妇提供综合产周诊所的实施情况.
- 评估为阿片类药物使用障碍 (MOUD) 提供药物的成功和挑战,以及监禁期间的综合护理.
- 支持在癌症环境中为孕妇和产后患者启动和维护MOUD.
主要方法:
- 在北卡罗来纳州唯一的州立监狱里为孕妇建立了一个综合诊所.
- 提供包括产前护理,MOUD,咨询,病例管理和释放后护理协调在内的综合服务.
- 专注于整合身体和行为健康服务,以监禁的怀孕和产后个人与OUD.
主要成果:
- 在孕妇中实现了MOUD的更快启动和延续.
- 增加了员工能力,加强了利益相关者的合作,并降低了产前OUD护理的成本.
- 在一致的查,戒断监测,产后护理和释放后的治疗连续性方面发现了挑战.
结论:
- 综合诊所模型成功地支持MOUD启动和维护被监禁的孕妇和产后患者.
- 这一新的项目证明了在监狱环境中整合身体和行为健康服务的可行性.
- 未来的努力应专注于患者的观点和扩大合作伙伴关系,以进一步减少过量致病率和死亡率.
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