Opioid use in pregnancy and parenting: An Indigenous-based, collaborative framework for Northwestern Ontario
| Autor: | Terry O'Driscoll, Lisa Bishop, Susan Pilatzke, Mike Franklyn, Sol Mamakwa, Brenda Small, Cynthia Olsen, Janet Gordon, Meldon Kahan, Naana Jumah, Natalie Paavola, Brieanne Olibris, Len Kelly |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Social Work Innovations in Policy and Practice - Commentary Best practice Community organization Health Personnel 030508 substance abuse Indigenous 03 medical and health sciences 0302 clinical medicine Nursing Pregnancy Health care medicine Health Services Indigenous Humans 030212 general & internal medicine Cooperative Behavior Ontario Social work Parenting business.industry Public health Public Health Environmental and Occupational Health Infant General Medicine Opioid-Related Disorders Pregnancy Complications Professional association Female Rural Health Services 0305 other medical science business Psychology Buprenorphine medicine.drug |
| Popis: | Opioid use affects up to 30% of pregnancies in Northwestern Ontario. Health care providers in Northwestern Ontario have varying comfort levels providing care to substance-involved pregnant women. Furthermore, health care practitioners, social service agencies and community groups in Northwestern Ontario often work in isolation with little multidisciplinary communication and collaboration. This article describes two workshops that brought together health and social service providers, community organizations, as well as academic institutions and professional organizations involved in the care of substance-involved pregnant and parenting women. The initial workshop presented best practices and local experience in the management of opioid dependence in pregnancy while the second workshop asked participants to apply a local Indigenous worldview to the implementation of clinical, research and program priorities that were identified in the first workshop. Consensus statements developed by workshop participants identified improved transitions in care, facilitated access to buprenorphine treatment, stable funding models for addiction programs and a focus on Indigenous-led programming. Participants identified a critical need for a national strategy to address the effects of opioid use in pregnancy from a culturally safe, trauma-informed perspective that takes into account the health and well-being of the woman, her infant, her family and her community. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|