Using a Multidisciplinary Approach for Pregnant Women With Nicotine Dependence and Co-occurring Disorders
UMass Chan Affiliations
Department of PsychiatryDocument Type
Journal ArticlePublication Date
2012-05-11Keywords
SmokingPregnant Women
Pregnancy
Smoking Cessation
Comorbidity
Mental and Social Health
Obstetrics and Gynecology
Psychiatry
Psychiatry and Psychology
Substance Abuse and Addiction
Women's Health
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Show full item recordAbstract
Smoking during pregnancy increases the risk of complications during pregnancy, including low birth weight and prematurity. While smoking prevalence among pregnant women has been declining, pregnant women with co-occurring disorders struggle with smoking cessation not only because they are managing their psychiatric and substance-related conditions but also because they are at greater risk for a number of psychosocial stressors, such as poverty, domestic violence, and limited support. In addition, obstetric, substance abuse, and psychiatric treatment for pregnant women is often fragmented and uncoordinated, resulting in poor health outcomes for mother and baby. The goal of this clinical forum is to demonstrate the potential for multidisciplinary treatment providers and community members to work together toward successfully meeting the complex needs of pregnant women with co-occurring disorders. Following the case presentation, we outline the ways in which patients and their obstetric, psychiatric, and substance abuse treatment providers can work together as a team, often incorporating members of the broader community. In this context, we provide brief overviews of effective pharmacotherapy approaches, psychosocial interventions, as well as community-based interventions for tobacco cessation among pregnant women with co-occurring disorders. In addition, we outline an organizational change model to systematically address tobacco use in clinical settings that serve these patients. We demonstrate that even small efforts to coordinate care can have large payoffs in terms of outcomes for mothers and their babies.Source
Rebecca S. Lundquist, Greg Seward, Nancy Byatt, Makenzie E. Tonelli, Monika E. Kolodziej. Using a Multidisciplinary Approach for Pregnant Women With Nicotine Dependence and Co-occurring Disorders. Journal of Dual Diagnosis, Vol. 8, Iss. 2, 2012, p. 158-167. DOI 10.1080/15504263.2012.671119DOI
10.1080/15504263.2012.671119Permanent Link to this Item
http://hdl.handle.net/20.500.14038/46026ae974a485f413a2113503eed53cd6c53
10.1080/15504263.2012.671119