Partnering for the future clinic: A multidisciplinary perinatal substance use program.
Gen Hosp Psychiatry
; 85: 220-228, 2023.
Article
en En
| MEDLINE
| ID: mdl-37992465
ABSTRACT
OBJECTIVE:
The current model of obstetric care does not integrate multiple subspecialty services for high-risk pregnancies with substance use disorder (SUD), resulting in fragmented care. We describe the framework of our multidisciplinary and integrated perinatal substance use clinic and provide recent clinical outcomes.METHODS:
We detail the Partnering for the Future (PFF) clinic, which integrates numerous subspecialty and support services for patients with SUDs and complex mental health needs. Additionally, a retrospective chart review of patients receiving care in the PFF clinic from 2017 to 2021 was completed.RESULTS:
Seven integrated services are detailed with a focus on reducing stigma, providing trauma-informed care and mitigating harm. During the study period, 182 patients received care in PFF clinic, with opioid use disorder the most common indication for care. Co-occurring mental illness was common (81%). NICU admissions and severe NOWS diagnosis declined after the implementation of Eat-Sleep-Console. Social services identified care coordination, transportation assistance and adjustment counseling as the most common needs. A novel virtual behavioral health consultation service was successfully launched.CONCLUSIONS:
Our integrated care model supports the holistic care of pregnant people with SUD and mental health disease. Patient-centered care and co-located services have improved perinatal outcomes, particularly for opioid-exposed pregnancies.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Salud Mental
/
Trastornos Relacionados con Sustancias
Límite:
Female
/
Humans
/
Pregnancy
Idioma:
En
Revista:
Gen Hosp Psychiatry
Año:
2023
Tipo del documento:
Article
País de afiliación:
Estados Unidos