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Examining barriers to harm reduction and child welfare services for pregnant women and mothers who use substances using a stigma action framework

Pregnant women and mothers who use substances often face significant barriers to accessing and engaging with substance use services. A scoping review was conducted in 2019 to understand how stigma impacts access to, retention in and outcomes of harm reduction and child welfare services for pregnant...

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Autores principales: Wolfson, Lindsay, Schmidt, Rose A., Stinson, Julie, Poole, Nancy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8251798/
https://www.ncbi.nlm.nih.gov/pubmed/33713525
http://dx.doi.org/10.1111/hsc.13335
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author Wolfson, Lindsay
Schmidt, Rose A.
Stinson, Julie
Poole, Nancy
author_facet Wolfson, Lindsay
Schmidt, Rose A.
Stinson, Julie
Poole, Nancy
author_sort Wolfson, Lindsay
collection PubMed
description Pregnant women and mothers who use substances often face significant barriers to accessing and engaging with substance use services. A scoping review was conducted in 2019 to understand how stigma impacts access to, retention in and outcomes of harm reduction and child welfare services for pregnant women and mothers who use substances. The forty‐two (n = 42) articles were analysed using the Action Framework for Building an Inclusive Health System developed by Canada's Chief Public Health Officer to articulate the ways in which stigma and related health system barriers are experienced at the individual, interpersonal, institutional and population levels. Many articles highlighted barriers across multiple levels, 19 of which cited barriers at the individual level (i.e., fear and mistrust of child welfare services), 18 at the interpersonal level (i.e., familial and relational influence on accessing substance use treatment), 30 at the institutional level (i.e., high organisational expectations on women) and 17 at the population level (i.e., negative stereotypes and racism). Our findings highlight the interconnectedness of stigma and related barriers and the ways in which stigma at the institutional and population levels pervasively influence individual and interpersonal experiences of stigma. Despite a wealth of literature on barriers to treatment and support for pregnant women and mothers who use substances, there has been minimal focus on how systems can address these formidable barriers. This review highlights the ways in which the barriers are connected and identifies opportunities for service providers and policymakers to better support pregnant women and mothers who use substances.
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spelling pubmed-82517982021-07-07 Examining barriers to harm reduction and child welfare services for pregnant women and mothers who use substances using a stigma action framework Wolfson, Lindsay Schmidt, Rose A. Stinson, Julie Poole, Nancy Health Soc Care Community Review Articles Pregnant women and mothers who use substances often face significant barriers to accessing and engaging with substance use services. A scoping review was conducted in 2019 to understand how stigma impacts access to, retention in and outcomes of harm reduction and child welfare services for pregnant women and mothers who use substances. The forty‐two (n = 42) articles were analysed using the Action Framework for Building an Inclusive Health System developed by Canada's Chief Public Health Officer to articulate the ways in which stigma and related health system barriers are experienced at the individual, interpersonal, institutional and population levels. Many articles highlighted barriers across multiple levels, 19 of which cited barriers at the individual level (i.e., fear and mistrust of child welfare services), 18 at the interpersonal level (i.e., familial and relational influence on accessing substance use treatment), 30 at the institutional level (i.e., high organisational expectations on women) and 17 at the population level (i.e., negative stereotypes and racism). Our findings highlight the interconnectedness of stigma and related barriers and the ways in which stigma at the institutional and population levels pervasively influence individual and interpersonal experiences of stigma. Despite a wealth of literature on barriers to treatment and support for pregnant women and mothers who use substances, there has been minimal focus on how systems can address these formidable barriers. This review highlights the ways in which the barriers are connected and identifies opportunities for service providers and policymakers to better support pregnant women and mothers who use substances. John Wiley and Sons Inc. 2021-03-13 2021-05 /pmc/articles/PMC8251798/ /pubmed/33713525 http://dx.doi.org/10.1111/hsc.13335 Text en © 2021 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Review Articles
Wolfson, Lindsay
Schmidt, Rose A.
Stinson, Julie
Poole, Nancy
Examining barriers to harm reduction and child welfare services for pregnant women and mothers who use substances using a stigma action framework
title Examining barriers to harm reduction and child welfare services for pregnant women and mothers who use substances using a stigma action framework
title_full Examining barriers to harm reduction and child welfare services for pregnant women and mothers who use substances using a stigma action framework
title_fullStr Examining barriers to harm reduction and child welfare services for pregnant women and mothers who use substances using a stigma action framework
title_full_unstemmed Examining barriers to harm reduction and child welfare services for pregnant women and mothers who use substances using a stigma action framework
title_short Examining barriers to harm reduction and child welfare services for pregnant women and mothers who use substances using a stigma action framework
title_sort examining barriers to harm reduction and child welfare services for pregnant women and mothers who use substances using a stigma action framework
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8251798/
https://www.ncbi.nlm.nih.gov/pubmed/33713525
http://dx.doi.org/10.1111/hsc.13335
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