Navigating the Maze: Facilitators and Barriers to Substance Use Treatment for Pregnant and Parenting Women in Mississippi

Date

2024-02-04

Authors

Klee, Katherine
Bartkowski, John P.
Newkirk, Caroline
Dawson, Jan
Hubanks, Jonathan

Journal Title

Journal ISSN

Volume Title

Publisher

MDPI

Abstract

There are significant hurdles to placing pregnant and parenting women (PPW) with a substance use disorder into treatment programs. This study uses qualitative analysis of case notes collected by a linkage to care expert (patient navigator) from over 50 Mississippi PPW client cases. The analysis identified facilitators and barriers in the referral to treatment process. We group the observed patterns into three general categories: (1) individual factors such as motivation to change and management of emotions; (2) interpersonal relationships such as romantic partner support or obstruction; and (3) institutional contexts that include child welfare, judicial, and mental health systems. These factors intersect with one another in complex ways. This study adds to prior research on gender-based health disparities that are often magnified for pregnant and parenting women.

Description

Keywords

addiction, gender, medication, patient navigator, pregnancy, program evaluation, program delivery, stigma, substance use disorder, treatment

Citation

Women 4 (1): 22-41 (2024)

Department

Sociology