A National Survey Investigating Methadone Treatment for Pregnant Opioid Dependent Women in England and Wales.

We investigated the management and treatment of pregnant opioid users by Drug Treatment Services in England and Wales. A postal survey was conducted among 223 Community Drug Treatment Services (CDTS) across England and Wales. Sixty-six percent CDTS responded (  = 154/233) to the survey. Over half CD...

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Publicado en:International Journal of Mental Health & Addiction Vol. 11; no. 6; pp. 693 - 703
Autores principales: Perez-Montejano, Raul, Finch, Emily, Wolff, Kim
Formato: Artículo
Publicado: Springer Nature Dec2013
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2013
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      pub: Springer Nature
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        10.1007/s11469-013-9447-0
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        atl: A National Survey Investigating Methadone Treatment for Pregnant Opioid Dependent Women in England and Wales.
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        au:
          Perez-Montejano, Raul
          Finch, Emily
          Wolff, Kim
        affil:
          King’s College London, London, UK
          Department of Mental Health, Friarage Hospital, Tees Esk and Wear Valleys NHS Foundation Trust, Northallerton, North Yorkshire, UK
          South London and Maudsley NHS Foundation Trust, London, UK
          Institute of Pharmaceutical Sciences, King’s College London, London, UK
      su:
        England
        Wales
        Drug abuse treatment
        Abuse of pregnant women
        Health surveys
        Methadone hydrochloride
        Opioid abuse
      sug:
        subj:
          Drug abuse treatment
          Abuse of pregnant women
          England
          Wales
          Psychiatric and Substance Abuse Hospitals
          Residential Mental Health and Substance Abuse Facilities
          Health surveys
          Methadone hydrochloride
          Opioid abuse
      keyword:
        Community Drug Treatment Services
        Methadone
        Opioid dependent
        Pregnant
        Community Drug Treatment Services
        Methadone
        Opioid dependent
        Pregnant
      ab: We investigated the management and treatment of pregnant opioid users by Drug Treatment Services in England and Wales. A postal survey was conducted among 223 Community Drug Treatment Services (CDTS) across England and Wales. Sixty-six percent CDTS responded (  = 154/233) to the survey. Over half CDTS (55.3 %) provided a maintenance methadone dose lower than that recommended for non-pregnant drug users. There were significant variations on how professionals approached the management of pregnant opioid users. CDTS with an addiction specialist were significantly more likely (  < 0.01) to advocate high doses of methadone whereas those with a midwife, obstetrician or social worker involved were more likely (  < 0.05) to suggest low dose methadone and/or detoxification. Service provision for pregnant opioid users is reliable and comprehensive but there is still variability in some aspects of the treatment received and the way in which methadone is prescribed is not always optimal.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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