They just looked at me like I was human": The experiences of parenting women and providers with substance use disorder treatment

被引：4

作者：

Bosak, J. ^{[1
,3
,6
]}

Messersmith, L. ^{[2
]}

Bryer, C. ^{[3
]}

Drainoni, M. ^{[4
,5
]}

Goodman, D. ^{[3
,5
,6
]}

Adams, M. ^{[7
]}

Barry, T. ^{[3
]}

Flanagan, C. ^{[7
]}

Flanagan, V. ^{[3
]}

Wolff, K. ^{[8
]}

Declercq, E. ^{[1
]}

机构：

[1] Boston Univ, Sch Publ Hlth, Community Hlth Serv, 801 Massachusetts Ave, Boston, MA 02118 USA

[2] Boston Univ, Sch Publ Hlth, Dept Global Hlth, 801 Massachusetts Ave, Boston, MA 02118 USA

[3] Dartmouth Hitchcock Med Ctr, 1 Med Dr, Lebanon, NH 03766 USA

[4] Boston Univ, Aram V Chobanian & Edward Avedisian Sch Med, Dept Med, Sect Infect Dis, 801 Massachusetts Ave, Boston, MA 02118 USA

[5] Boston Univ, Sch Publ Hlth, Dept Hlth Law Policy & Management, 801 Massachusetts Ave,2nd Floor, Boston, MA 02118 USA

[6] Dartmouth Geisel Sch Med, 1 Med Dr, Lebanon, NH 03766 USA

[7] Families Flourish Northeast, POB 20, Enfield Ctr, NH 03749 USA

[8] 566 Hanover Ctr Rd, Hanover, NH 03755 USA

来源：

JOURNAL OF SUBSTANCE USE & ADDICTION TREATMENT | 2024年 / 157卷

关键词：

TREATMENT ADMISSIONS; TRAUMA; ABUSE; INTERVENTION; ADDICTION; STIGMA; CARE;

D O I：

10.1016/j.josat.2023.209240

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Background: The current US addiction treatment system does not effectively meet the needs of pregnant and parenting women with substance use disorder (SUD). The aim of this research was to identify barriers and facilitators to engagement and retention in SUD residential treatment for pregnant and parenting women. This research was part of a co-design process to collaboratively create a more patient-centered long-term residential program. Design and methods: The study conducted semi-structured individual interviews with both parenting women with lived experience (WWLE) in residential SUD treatment and SUD treatment providers. Interviews aimed to elicit participants' experiences either receiving or providing care. The study team analyzed data in NVivo-12 using a deductive codebook based on the six principles of trauma informed care (TIC). Results: We conducted a total of 32 interviews (WWLE =13, SUD providers =19). The study identified four major themes: 1) peer relationships provide inspiration and diminish shame; 2) providing individuals safe space to stumble in recovery creates opportunities for growth and builds self-efficacy; 3) reasonable, clear boundaries create a structured, protective environment for early recovery; 4) nonjudgmental connections facilitate engagement and build trust. We identified small pivotal moments along the continuum of care that showed how the elements in the four themes enhanced engagement and retention in treatment. These interactions, along the care continuum, are either structural (workflow process) or relational (interpersonal). Conclusion: This research increases understanding of the interplay of the structural and relational barriers and facilitators to engagement and retention in treatment. These seemingly minor positive or negative interactions along the care continuum are pivotal to fully operationalizing TIC and optimizing women's engagement in treatment. Improvement strategies that integrate the voices of WWLE and collaboratively co-design a more patient-centered system are critical steps to improving engagement in SUD treatment and more equitable SUD treatment services.

引用

页数：9

共 59 条

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