Early Intervention and Resources for Expectant Mothers with Substance Use Problems: Service Shortages in the Present Age

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Authors

  • Nelson J. Tiburcio AA The SASSI Institute, 201 Camelot Lane, Springville, IN 47462, USA
  • Scarlett L. Baker AA The SASSI Institute, 201 Camelot Lane, Springville, IN 47462, USA

DOI:

https://doi.org/10.17140/WHOJ-8-148

Keywords:

providing access to treatment and resources

Abstract

Substance use during pregnancy exposes prenatally unborn children to alcohol and other drugs. Such exposure may cause serious damage to the unborn child, including but not limited to fetal
alcohol syndrome (FAS), neonatal abstinence syndrome (NAS),
and is devastating in terms of human suffering, not to mention
monumental healthcare costs. Expectant mothers should be
shown compassion about their addiction and provided early access
to resources to improve these outcomes. Punishing them will most
likely push them away from the healthcare system and increases
stigma.

References

Winkelman TNA, Villapiano N, Kozhimannil KB, Davis MM, Patrick SW. Incidence and costs of neonatal abstinence syndrome among infants with medicaid: 2004–2014. Pediatrics. 2018; 141(4): e20173520. doi: 10.1542/peds.2017-3520

National Institute on Drug Abuse. Overdose death rates. 2020. Web site. https://nida.nih.gov/research-topics/trends-statistics/ overdose-death-rates. Accessed September 2, 2022.

Hudak, ML, Tan, RC. Committee on Drug, Committee on Fe-tus and Newborn, American Academy of Pediatrics. Neonatal drug withdrawal. Pediatrics. 2012; 129(2): e540-e560. doi: 10.1542/ peds.2011-3212

Gleason JL, Jagteshwar G, Chen Z, Cernich AN, Grantz KL. Commentary | Volume 8 | Number 1 | Tiburcio NJ, et al Risk of adverse maternal outcomes in pregnant women with dis-abilities. JAMA Netw Open. 2021; 4(12): e2138414. doi: 10.1001/ jamanetworkopen.2021.38414

McKiever ME, Cleary EM, Schmauder T, et al. Unintend-ed consequences of the transition to telehealth for pregnancies complicated by opioid use disorder during the coronavirus disease 2019 pandemic. Am J Obstet Gynecol. 2020; 223(5): 770-772. doi: 10.1016/j.ajog.2020.08.003

Pajuloa M, Savonlahtia E, Sourandera A, Helenius H, Pihaa J. Antenatal depression, substance dependency and social support. J Affect Disord. 2001; 65: 9-17. doi: 10.1016/s0165-0327(00)00265-2

Gunatilake R, Patil AS. Drug Use During Pregnancy. 2021. Web site. https://www.merckmanuals.com/home/women-s-health-is-sues/drug-use-during-pregnancy/drug-use-during-pregnancy. Ac-cessed September 2, 2022.

Miller FG. SASSI: Application and assessment for substance-re-lated problems. Journal of Substance Misuse. 1997; 2: 163-166. doi: 10.3109/14659899709084630

National Institute on Drug Abuse. What are the unique needs of pregnant women with substance use disorders? 2020. Web site. https:// nida.nih.gov/publications/principles-drug-addiction-treatment-re-search-based-guide-third-edition/frequently-asked-questions/what-are-unique-needs-pregnant-women-substance-use. Accessed September 1, 2022.

Prince MK, Ayers D. Substance Use in Pregnancy. 2022. Web site. https://www.ncbi.nlm.nih.gov/books/NBK542330/. Ac-cessed September 6, 2022.

Van Baar A, De Graaff BMT. Cognitive development at pre-school-age of infants of drug-dependent mothers. Dev Med Child Neurol. 1994; 36(12): 1063-1075. doi: 10.1111/j.1469-8749.1994. tb11809

Nygaard E, Moe V, Slinning K, Walhov KB. Longitudinal cog-nitive development of children born to mothers with opioid and polysubstance use. Pediatr Res. 2015; 78(3): 330-335. doi: 10.1038/ pr.2015.95

Young NK, Boles SM, Otero C. Parental substance use disor-ders and child maltreatment: Overlap, gaps, and opportunities. Child Maltreat. 2007; 12(2): 137-149. doi: 10.1177/1077559507300322

Abdel-Latif ME, Oei J, Craig F, Lui K. Profile of infants born to drug-using mothers: A state-wide audit. J Paediatr Child Health. 2013; 49(1): E80-E86. doi: 10.1111/j.1440-1754.2012.02471.x

Sokol RJ, Martier SS, Ager JW. The T-ACE questions: Practi-cal prenatal detection of risk-drinking. Am J Obstet Gynecol. 1989; 160(4): 868-870. doi: 10.1016/0002-9378(89)90302-5

Russell M. New assessment tools for drinking in pregnancy: T-ACE, TWEAK, and others. Alcohol Health Res World. 1994; 18(1): 55-61.

Lazowski LE, Kimmell KS, Baker SL. The Adult Substance Abuse Subtle Screening Inventory-4 (SASSI-4) User Guide & Manual. Spring-ville, IN, USA: The SASSI Institute; 2016.

Lazowski LE, Geary BB. Validation of the adult substance abuse subtle screening inventory-4 (SASSI-4). European Journal of Psychological Assessment. 2019; 35(1): 86-97. doi: 10.1027/1015- 5759/a000359

Chang G, Fisher ND, Hornstein MD, Jones JA, Orav EJ. Iden-tification of risk drinking women: T-ACE screening tool or the medical record. J Womens Health (Larchmt). 2010; 19(10): 1933-1939. doi: 10.1089/jwh.2009.1911

Præstegaard C, Kesmodel PS, Kesmodel US. Is TWEAK a valid screening questionnaire to identify alcohol risk drinkers among pregnant women in Denmark? Acta Obstet Gynecol Scand. 2018; 97: 483-490. doi: 10.1111/aogs.13314

Horrigan TJ, Piazza NJ, Weinstein L. The Substance Abuse Subtle Screening Inventory (SASSI) is more cost effective and has better selectivity than urine toxicology for the detection of sub-stance abuse in pregnancy. J Perinatol. 1996; 16: 326-330.

Horrigan TJ, Schroeder AV, Schaffer RM. The triad of sub-stance abuse, violence, and depression are interrelated in preg-nancy. J Subst Abuse Treat. 2000; 18(1): 55-58. doi: 10.1016/s0740- Submit your article to this journal | https://openventio.org/submit-manuscript/ 22 Tiburcio NJ, et al 5472(99)00058-6

Horrigan TJ, Piazza N. The Substance Abuse Subtle Screening Inventory minimizes the need for toxicology screening of prenatal patients. J Subst Abuse Treat. 1999; 17(3): 243-247. doi: 10.1016/ s0740-5472(99)00018-5

Horrigan TJ, Katz L. Ohio’s Bill 167 fails to increase prenatal referrals for substance abuse. J Subst Abuse Treat. 2000; 18(3): 283- 286. doi: 10.1016/s0740-5472(99)00055-0

Tiburcio NJ, Baker SL, Kimmell KS. Criminal justice alcohol and drug screening in practice: Using the SASSI to identify sub-stance use disorders in offenders. Soc Behav Res Pract Open J. 2021; 6(1): 1-6. doi: 10.17140/SBRPOJ-6-129

Young NK, Gardner S, Otero C, et al. Substance-Exposed Infants: State Responses to the Problem. 2009. Web site. https://ncsacw.acf. hhs.gov/files/Substance-Exposed-Infants.pdf. Accessed September 19, 2022.

Substance Abuse Mental Health Services Administration (SAMHS). HHS Announces New Reports and Grant Program Addressing the Health Needs of Pregnant Women and Children Affected by Substance Use. 2022. Web site. https://www.samhsa. gov/newsroom/press-announcements/20220203/grants-preg-nant-women. Accessed September 20, 2022.

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Published

2022-10-18

How to Cite

Nelson J. Tiburcio, & Scarlett L. Baker. (2022). Early Intervention and Resources for Expectant Mothers with Substance Use Problems: Service Shortages in the Present Age. Women’s Health, 19–22. https://doi.org/10.17140/WHOJ-8-148

Issue

Volume 8 Issue 1 2022

Section

Articles

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