A prospective study of service use in the year after birth by women at high risk for antenatal substance use and mental health disorders

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dc.contributor.author Stevens, Suzanne en
dc.contributor.author Rogers, Jennifer en
dc.contributor.author Dansereau, L en
dc.contributor.author DellaGrotta, S en
dc.contributor.author Lester, BM en
dc.contributor.author Wouldes, Trecia en
dc.date.accessioned 2020-02-13T03:28:51Z en
dc.date.issued 2019 en
dc.identifier.issn 1557-1874 en
dc.identifier.uri http://hdl.handle.net/2292/49981 en
dc.description.abstract Maternal substance use (SUD) and mental health disorders commonly co-occur and require complex treatment. Information on women’s use of appropriate services in the perinatal period is limited. Data from the New Zealand Infant Development, Environment and Lifestyle Study were used to examine the characteristics of women with high probability of substance use and/or psychiatric disorder and rates of service use at 1 and 12 months following birth (n = 221). The Substance Abuse Subtle Screening Inventory-3 and the Brief Symptom Inventory were used to identify risk of disorder. Despite a high proportion of mothers with disorder risk, rates of specialist treatment remained low across SUD and psychiatric groups at 1 (27–39%) and 12 months postnatal (25–42%). Very low rates of women with comorbid disorder received both mental health and substance use treatments (1 month, 4.5%; 12 months, 7.3%). There was no association between service use and risk for psychiatric disorder at 12 months after birth. The findings suggest that even when services are publicly funded, they may be under-utilised or under-resourced to provide effective treatment, despite the high and complex needs of this population. en
dc.publisher Springer Verlag en
dc.relation.ispartofseries International Journal of Mental Health and Addiction en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title A prospective study of service use in the year after birth by women at high risk for antenatal substance use and mental health disorders en
dc.type Journal Article en
dc.identifier.doi 10.1007/s11469-019-00207-w en
dc.rights.holder Copyright: The author en
pubs.publication-status Submitted en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 750850 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Psychological Medicine Dept en
pubs.record-created-at-source-date 2018-08-06 en

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