title: Mental health treatment need among pregnant and postpartum women/girls entering substance abuse treatment.
abstract: Substance use during pregnancy is widely acknowledged as a major public health concern with detrimental effects on both mother and unborn child. Mental health issues often co-occur with substance use and may trigger continued use during pregnancy or relapse to use postpartum, though little is known about the extent of these issues in pregnant and postpartum women entering substance abuse treatment. The purpose of this study is: (a) to examine self-reported mental health in a population of women and girls who were pregnant in the past year and are entering substance abuse treatment, and (b) to determine whether disparity exists in mental health treatment received across groups by race and age if a treatment need is present. Secondary data analysis was conducted with Global Appraisal of Individual Needs (GAIN) data from 502 female adolescents and adults who reported having been pregnant in the past year and who completed the GAIN upon entry into substance abuse treatment. Participants were compared on demographic, diagnostic, and problem severity variables by race and age. Results indicate that mental health treatment need is high among the whole pregnant and postpartum sample, but African American and Hispanic women and girls are receiving less mental health treatment than other groups despite having a need for it. No mental health treatment acquisition disparity was found by age.
authors: Chestnut Health Systems, 448 Wylie Drive, Normal, IL 61761, USA. vhcoleman-cowger@chestnut.org
authors: Victoria H
authors: VH
authors: Coleman-Cowger
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D002648:Child; D017831:Diagnosis, Dual (Psychiatry); D005260:Female; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data*; D054625:Healthcare Disparities; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D001523:Mental Disorders / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D020380:Needs Assessment / Q000706:statistics & numerical data*; D049590:Postpartum Period; D011247:Pregnancy; D011248:Pregnancy Complications; D012008:Recurrence; D057566:Self Report; D019966:Substance-Related Disorders / Q000150:complications / Q000175:diagnosis / Q000534:rehabilitation*; D014481:United States; D055815:Young Adult