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Integrated Care for Pregnant Women and Parents With Methamphetamine-Related Mental Disorders

Background: Methamphetamine use is a rapidly increasing cause of morbidity and mortality. Pregnant women and new parents who consume methamphetamine are at high risk since they seldom seek health services despite having multiple needs. We addressed this care gap by implementing an easily accessible...

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Autores principales: Petzold, Johannes, Spreer, Maik, Krüger, Maria, Sauer, Cathrin, Kirchner, Tobias, Hahn, Susanna, Zimmermann, Ulrich S., Pilhatsch, Maximilian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8573098/
https://www.ncbi.nlm.nih.gov/pubmed/34759851
http://dx.doi.org/10.3389/fpsyt.2021.762041
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author Petzold, Johannes
Spreer, Maik
Krüger, Maria
Sauer, Cathrin
Kirchner, Tobias
Hahn, Susanna
Zimmermann, Ulrich S.
Pilhatsch, Maximilian
author_facet Petzold, Johannes
Spreer, Maik
Krüger, Maria
Sauer, Cathrin
Kirchner, Tobias
Hahn, Susanna
Zimmermann, Ulrich S.
Pilhatsch, Maximilian
author_sort Petzold, Johannes
collection PubMed
description Background: Methamphetamine use is a rapidly increasing cause of morbidity and mortality. Pregnant women and new parents who consume methamphetamine are at high risk since they seldom seek health services despite having multiple needs. We addressed this care gap by implementing an easily accessible program that pools resources from psychiatric, obstetric, and pediatric departments as well as community and government agencies. Method: This real-life observational study evaluated an integrated care program in 27 expecting parents and 57 parents of minors. The outcome criteria were treatment retention, psychosocial functioning, and abstinence. We compared participant demographics according to outcome and applied ordinal logistic regression to predict treatment success. Results: Patients received integrated care for almost 7 months on average. Nearly half achieved stable abstinence and functional recovery. Only one pregnant woman dropped out before a care plan could be implemented, and all women who gave birth during treatment completed it successfully. Three-fourths of patients had psychiatric comorbidities. Patients with depressive disorders were almost 5 times less likely to succeed with treatment. Attention-deficit hyperactivity disorder (ADHD) was diagnosed in nearly 30% of patients who dropped out of a care plan, which was about 4 times more often than in the successful outcome group. Conclusion: Our program engaged pregnant women and parents in treatment and helped them recover from methamphetamine-related mental disorders. Management of comorbid ADHD and depression should be an integral part of care initiatives to counter the methamphetamine crisis that affects parents and children across the globe.
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spelling pubmed-85730982021-11-09 Integrated Care for Pregnant Women and Parents With Methamphetamine-Related Mental Disorders Petzold, Johannes Spreer, Maik Krüger, Maria Sauer, Cathrin Kirchner, Tobias Hahn, Susanna Zimmermann, Ulrich S. Pilhatsch, Maximilian Front Psychiatry Psychiatry Background: Methamphetamine use is a rapidly increasing cause of morbidity and mortality. Pregnant women and new parents who consume methamphetamine are at high risk since they seldom seek health services despite having multiple needs. We addressed this care gap by implementing an easily accessible program that pools resources from psychiatric, obstetric, and pediatric departments as well as community and government agencies. Method: This real-life observational study evaluated an integrated care program in 27 expecting parents and 57 parents of minors. The outcome criteria were treatment retention, psychosocial functioning, and abstinence. We compared participant demographics according to outcome and applied ordinal logistic regression to predict treatment success. Results: Patients received integrated care for almost 7 months on average. Nearly half achieved stable abstinence and functional recovery. Only one pregnant woman dropped out before a care plan could be implemented, and all women who gave birth during treatment completed it successfully. Three-fourths of patients had psychiatric comorbidities. Patients with depressive disorders were almost 5 times less likely to succeed with treatment. Attention-deficit hyperactivity disorder (ADHD) was diagnosed in nearly 30% of patients who dropped out of a care plan, which was about 4 times more often than in the successful outcome group. Conclusion: Our program engaged pregnant women and parents in treatment and helped them recover from methamphetamine-related mental disorders. Management of comorbid ADHD and depression should be an integral part of care initiatives to counter the methamphetamine crisis that affects parents and children across the globe. Frontiers Media S.A. 2021-10-25 /pmc/articles/PMC8573098/ /pubmed/34759851 http://dx.doi.org/10.3389/fpsyt.2021.762041 Text en Copyright © 2021 Petzold, Spreer, Krüger, Sauer, Kirchner, Hahn, Zimmermann and Pilhatsch. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Petzold, Johannes
Spreer, Maik
Krüger, Maria
Sauer, Cathrin
Kirchner, Tobias
Hahn, Susanna
Zimmermann, Ulrich S.
Pilhatsch, Maximilian
Integrated Care for Pregnant Women and Parents With Methamphetamine-Related Mental Disorders
title Integrated Care for Pregnant Women and Parents With Methamphetamine-Related Mental Disorders
title_full Integrated Care for Pregnant Women and Parents With Methamphetamine-Related Mental Disorders
title_fullStr Integrated Care for Pregnant Women and Parents With Methamphetamine-Related Mental Disorders
title_full_unstemmed Integrated Care for Pregnant Women and Parents With Methamphetamine-Related Mental Disorders
title_short Integrated Care for Pregnant Women and Parents With Methamphetamine-Related Mental Disorders
title_sort integrated care for pregnant women and parents with methamphetamine-related mental disorders
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8573098/
https://www.ncbi.nlm.nih.gov/pubmed/34759851
http://dx.doi.org/10.3389/fpsyt.2021.762041
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