A Prospective Study of Service Use in the Year After Birth by Women at High Risk for Antenatal Substance Use and Mental Health Disorders.

Maternal substance use (SUD) and mental health disorders commonly co-occur and require complex treatment. Information on women's use of appropriate services in the perinatal period is limited. Data from the New Zealand Infant Development, Environment and Lifestyle Study were used to examine the char...

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Publicado en:International Journal of Mental Health & Addiction Vol. 19; no. 4; pp. 1005 - 1019
Autores principales: Stevens, Suzanne, Rogers, Jennifer, Dansereau, Lynne, DellaGrotta, Sheri, Lester, Barry M., Wouldes, Trecia A.
Formato: Artículo
Publicado: Springer Nature Aug2021
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2021
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      pub: Springer Nature
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        10.1007/s11469-019-00207-w
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        atl: A Prospective Study of Service Use in the Year After Birth by Women at High Risk for Antenatal Substance Use and Mental Health Disorders.
      aug:
        au:
          Stevens, Suzanne
          Rogers, Jennifer
          Dansereau, Lynne
          DellaGrotta, Sheri
          Lester, Barry M.
          Wouldes, Trecia A.
        affil:
          Department of Psychological Medicine, Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand
          Brown Center for the Study of Children at Risk, Warren Alpert Medical School and Women & Infants Hospital, 02905, Providence, RI, USA
      su:
        New Zealand
        Substance abuse
        Mental illness
        Mental health
        Women's health services
        Brief Symptom Inventory
        Perinatal period
      sug:
        subj:
          Substance abuse
          Mental illness
          Mental health
          Women's health services
          New Zealand
          Offices of Mental Health Practitioners (except Physicians)
          Brief Symptom Inventory
          Perinatal period
      keyword:
        Maternal drug use
        Perinatal
        Psychiatric disorder
        Service use
        Substance use disorder
        SUD
        Maternal drug use
        Perinatal
        Psychiatric disorder
        Service use
        Substance use disorder
        SUD
      ab: Maternal substance use (SUD) and mental health disorders commonly co-occur and require complex treatment. Information on women's use of appropriate services in the perinatal period is limited. Data from the New Zealand Infant Development, Environment and Lifestyle Study were used to examine the characteristics of women with high probability of substance use and/or psychiatric disorder and rates of service use at 1 and 12 months following birth (n = 221). The Substance Abuse Subtle Screening Inventory-3 and the Brief Symptom Inventory were used to identify risk of disorder. Despite a high proportion of mothers with disorder risk, rates of specialist treatment remained low across SUD and psychiatric groups at 1 (27–39%) and 12 months postnatal (25–42%). Very low rates of women with comorbid disorder received both mental health and substance use treatments (1 month, 4.5%; 12 months, 7.3%). There was no association between service use and risk for psychiatric disorder at 12 months after birth. The findings suggest that even when services are publicly funded, they may be under-utilised or under-resourced to provide effective treatment, despite the high and complex needs of this population.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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