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    Using a Multidisciplinary Approach for Pregnant Women With Nicotine Dependence and Co-occurring Disorders

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    Authors
    Lundquist, Rebecca
    Seward, Gregory
    Byatt, Nancy
    Tonelli, Makenzie E.
    Kolodziej, Monika
    UMass Chan Affiliations
    Department of Psychiatry
    Document Type
    Journal Article
    Publication Date
    2012-05-11
    Keywords
    Smoking
    Pregnant 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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    http://dx.doi.org/10.1080/15504263.2012.671119
    Abstract
    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 10.1080/15504263.2012.671119
    DOI
    10.1080/15504263.2012.671119
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/46026
    ae974a485f413a2113503eed53cd6c53
    10.1080/15504263.2012.671119
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