Qualitative description of outreach and engagement in perinatal substance treatment in Finland

Substance Abuse Treatment, Prevention, and Policy

Research

Kaija Puura¹  Minna Sorsa²  Hanna Sellergren³  Miia Pikulinsky³  Maria Hohenthal³ 

[1] Child Psychiatry, Tampere University Hospital, Pirkanmaa Hospital District, Tampere, Finland;Faculty of Medicine and Health Technology, TamCAM Research Centre, Tampere University, Tampere, Finland;Child Psychiatry, Tampere University Hospital, Pirkanmaa Hospital District, Tampere, Finland;Nursing Science, Faculty of Social Sciences, Tampere University, Biokatu 12, FM 5 (4-306), SF-33520, Tampere, Finland;The Federation of Mother and Child Homes and Shelters, Helsinki, Finland;

关键词: Early intervention;    Engagement;    Family;    Low threshold;    Outreach;    Perinatal period;    Substance use;    Women;   

DOI  :  10.1186/s13011-022-00513-y

 received in 2022-10-08, accepted in 2022-12-29,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundWomen with perinatal substance problems experience a multitude of barriers to care. They have specific early intervention needs, they endure societal stigma, and both substances and mental health issues influence the way they navigate within support and treatment systems. Early interventions for women with perinatal substance problems are underresearched contexts. The aim of the study is to describe building relationships and engagement within an outreach and low threshold service encounter tailored for pregnant women with SUD (substance use disorder).MethodsThe data consist of online written narratives from 11 workers involved in the program and feedback from 504 families in the recovery process comprising 228 open-ended answers. The data were analyzed with a thematic analysis.ResultsThe programs are characterized by flexibility and the implementation of inclusive ways to approach families. The themes for enhancing relationships and engagement within outreach and low threshold programs are Acceptance and attitude: a sensitive approach of approval; flexibility within strictness to allow for diversity and individuality; availability and space to ensure a trustful atmosphere; negotiating via doing to build connections; and everyday life changes: imagining recovery. The themes represent the need of being available, focusing on the worker’s attitudes and building connections by doing together, and visioning recovery together.ConclusionsThe study results can add to the understanding of SUD outreach and low threshold work during pregnancy. The elements described in this study need further theoretical development, research and critical assessment. Building relationships during pregnancy were characterized by connecting within everyday life situations and supporting the development of an attachment relationship between the baby and the parents. To promote recovery, a comprehensive approach in which substance-related issues and mental health conditions are interconnected can be favored. Engaging early on during pregnancy might enhance success during future rehabilitation.

【 授权许可】

CC BY   
© The Author(s) 2023

【 图 表 】

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