Caring for Families with Young Children Affected by Substance Use Disorder: Needed Changes.
Caring for Families with Young Children Affected by Substance Use Disorder: Needed Changes.
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DOI：
10.1097/dbp.0000000000000942
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发表时间：
2021-06-01
期刊：
影响因子：
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通讯作者：
Zuckerman B
中科院分区：
文献类型：
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作者：
Peacock-Chambers E;Schiff DM;Zuckerman B
物质使用障碍（SUD）的增加，以及孕妇和育儿妇女中阿片类药物使用和多种物质使用障碍的同时增加，给儿童卫生系统带来了重大负担：医疗，行为和家访。1具体来说，阿片类药物的使用在过去十年中翻了两番，每年有超过30，000名新生儿被诊断患有新生儿阿片类药物戒断综合征，大约每1000名活产婴儿中有6名。2，3作为服务受SUD影响的家庭的儿科医生和临床科学家，我们的临床和研究经验表明，目前针对这一人群的基于临床和社区的服务存在重大局限性，特别是在婴儿期和孩子出生后的前5年。4-9儿科，孕产妇和SUD护理的分离可能会导致结构性障碍，干扰受SUD影响的家庭的最佳支持。我们认为需要在一系列项目中进行更好的合作和跨学科培训，以满足这些家庭的独特需求，并支持受影响儿童的长期发展。10-12还需要改进对临床和社区提供者的支持，他们经常承担病人和客户所经历的压力，特别是当他们在满足这些家庭的需要方面面临障碍时。13，14这些系统层面的缺陷随着COVID-19大流行的额外压力而变得越来越明显，暴露了这一人群的独特脆弱性。15–17
The rise in substance use disorders (SUDs), as well as concurrent rise in opioid use and polysubstance use disorders among pregnant and parenting women, places a significant burden on child health systems: medical, behavioral, and home-visiting. 1 Opioid use, specifically, has quadrupled over the past decade, and over 30,000 newborns each year are diagnosed with neonatal opioid withdrawal syndrome, roughly 6 of every 1000 live births. 2, 3 As pediatricians and clinician-scientists serving families affected by SUDs, our clinical and research experience suggests significant limitations to the present clinic-and community-based services for this population, especially during infancy and the first 5 years after the birth of a child. 4–9 The separation of pediatric, maternal, and SUD care likely contributes to the structural barriers that interfere with optimal support for families affected by SUDs..We see a need for better collaboration and interdisciplinary training across a range of programs to meet the unique needs of these families and to support the long-term development of affected children. 10–12 There is additional need for improved support of clinical and community providers, who often take on stressors experienced by their patients and clients, especially when they face barriers to meeting the needs of these families. 13, 14 These systems-level shortcomings have become increasingly apparent with the additional stress of the COVID-19 pandemic exposing the unique vulnerabilities of this population. 15–17