Substance abuse treatment services for pregnant women: psychosocial and behavioral approaches.
Women who use tobacco, alcohol and drugs during pregnancy are at increased risk of maternal and fetal morbidity. Universal screening using empirically validated approaches can improve identification of substance-using pregnant women and facilitate comprehensive assessment of treatment needs. There is strong evidence for effectiveness of psychosocial and behavioral substance abuse treatments across a range of intensities and levels of care. In addition to addressing substance use, services for co-occurring psychiatric disorders, trauma exposure, and prenatal care are important components of coordinated systems of care. More research on and greater access to evidence-based interventions is needed for this underserved population.
The Gronowski Center, Palo Alto University, 5150 El Camino Real, C-22, Los Altos, CA 94022, USA. Electronic address: nhaug@paloaltou.edu.
Nancy A
NA
Haug
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, 550 North Broadway, Baltimore, MD 21205, USA.
Megan
M
Duffy
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, 550 North Broadway, Baltimore, MD 21205, USA.
Mary E
ME
McCaul
D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D001523:Mental Disorders / Q000150:complications / Q000517:prevention & control / Q000628:therapy*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control* / Q000523:psychology; D011295:Prenatal Care / Q000379:methods*; D011297:Prenatal Exposure Delayed Effects / Q000517:prevention & control*; D012307:Risk Factors; D015813:Substance Abuse Detection / Q000379:methods*; D019966:Substance-Related Disorders / Q000517:prevention & control / Q000523:psychology / Q000628:therapy*; D014481:United States / Q000453:epidemiology
Alcohol use disorder; Co-occurring psychiatric disorders; Pregnancy; Psychosocial treatments; Smoking and tobacco; Substance use disorders