@article{ref1,
title="Low barrier perinatal psychiatric care for patients with substance use disorder: meeting patients across the perinatal continuum where they are",
journal="International review of psychiatry",
year="2021",
author="Raffi, Edwin R. and Gray, Jessica and Conteh, Nkechi and Kane, Martha and Cohen, Lee S. and Schiff, Davida M.",
volume="33",
number="6",
pages="543-552",
abstract="Pregnant and postpartum patients with substance use disorders (SUD) often have other co-occurring mental health disorders. Complications of substance use and mental health conditions, such as overdose and suicide, are a significant contributor to maternal morbidity and mortality. For individuals dually diagnosed with SUD and other mental health disorders, the perinatal period can be both a motivating and a vulnerable period for care. Barriers to optimal care include, but are not limited to, lack of screening, lack of referrals for care, a limited number of psychiatric providers available to care for pregnant patients, and stigma around mental health and addiction care in pregnancy. In this review, we discuss approaches to low-barrier perinatal psychiatric care for women with SUD to promote engagement in care. We review (1) appropriate psychiatric assessment and diagnostic work-up; (2) treatment planning incorporating shared-decision making, non-punitive and culturally sensitive patient-centred care, and principles of harm reduction with a focus on psychopharmacology, and (3) the benefits of an integrated and collaborative multidisciplinary care model for this subpopulation of vulnerable patients.<p /><p>Language: en</p>",
language="en",
issn="0954-0261",
doi="10.1080/09540261.2021.1898351",
url="http://dx.doi.org/10.1080/09540261.2021.1898351"
}