Addressing Perinatal Substance Use: A Triad Approach Led by the Colorado Perinatal Care Quality Collaborative

IF 2.1 4区 医学 Q2 NURSING
Amber Johnson CNM, DNP, Karli S. Swenson PhD, MPH, Elena Dillner MPH, MSW, Kaylin A. Klie MD, MA, Rachael Duncan PharmD, Sara Brandspigel MPH, Katie Breen MPH
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Abstract

Unintentional overdose is a leading driver of maternal death in Colorado. The high volume of maternal deaths from preventable causes lends questions to failures in our clinical and community-based care for pregnant and postpartum people. The Colorado Maternal Mortality Review Committee identified 3 main contributors including stigma in the community and health care system, fragmentation of the health care system, and the need for more clinician training. The Colorado Perinatal Care Quality Collaborative led a 3-pronged intervention to address these challenges and improve perinatal care. The first intervention, the Colorado Alliance for Innovation on Maternal Health Substance Use Disorder quality improvement initiative, partnered with birthing hospitals statewide to institute universal screening and timely referral for individuals at risk of substance use disorder (SUD) and perinatal mood and anxiety disorders. The second intervention, the Improve Perinatal Access, Coordination, and Treatment for Behavioral Health initiative, established a perinatal support network within communities. This program assists individuals with SUD, perinatal mood and anxiety disorders, or social needs to navigate the perinatal period. The third intervention, the Colorado Maternal Overdose Matters Plus program, has enhanced in-hospital access to pharmacotherapy for pregnant and postpartum individuals with SUD through training and technical support. These collaborative initiatives aim to minimize barriers to care by integrating inpatient screening, treatment referrals, pharmacotherapy access, and community care support to mitigate maternal mortality in Colorado.

解决围产期药物使用问题:科罗拉多围产期护理质量合作组织领导的三联方法。
意外用药过量是科罗拉多州孕产妇死亡的主要原因。大量孕产妇死于可预防的原因,让人质疑我们对孕妇和产后妇女的临床和社区护理是否存在失误。科罗拉多孕产妇死亡审查委员会确定了 3 个主要原因,包括社区和医疗保健系统中的污名化、医疗保健系统的分散化以及需要更多临床医生培训。科罗拉多围产期护理质量合作组织牵头采取了三管齐下的干预措施,以应对这些挑战并改善围产期护理。第一项干预措施是 "科罗拉多产妇健康药物使用障碍创新联盟 "质量改进计划,该计划与全州的分娩医院合作,对有药物使用障碍(SUD)和围产期情绪和焦虑障碍风险的个人进行普遍筛查和及时转诊。第二项干预措施是 "改善围产期行为健康的获取、协调和治疗 "计划,该计划在社区内建立了一个围产期支持网络。该计划帮助患有药物滥用、围产期情绪和焦虑障碍或社会需求的个人度过围产期。第三项干预措施是 "科罗拉多产妇用药过量事项附加计划",该计划通过培训和技术支持,提高了患有药物依赖性精神障碍的孕妇和产后患者在院内获得药物治疗的机会。这些合作倡议旨在通过整合住院筛查、治疗转诊、药物治疗和社区护理支持,最大限度地减少护理障碍,从而降低科罗拉多州的孕产妇死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.60
自引率
7.40%
发文量
103
审稿时长
6-12 weeks
期刊介绍: The Journal of Midwifery & Women''s Health (JMWH) is a bimonthly, peer-reviewed journal dedicated to the publication of original research and review articles that focus on midwifery and women''s health. JMWH provides a forum for interdisciplinary exchange across a broad range of women''s health issues. Manuscripts that address midwifery, women''s health, education, evidence-based practice, public health, policy, and research are welcomed
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