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Cited by 12Opioid Use Disorder TreatmentSubstance Abuse Treatment and OutcomesPrenatal Substance Exposure Effects

Engagement in Perinatal Outpatient Services among Women in Recovery from Opioid use Disorders

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Peacock-Chambers, Elizabeth, Paterno, Mary T., Kiely, Daniel, Fioroni, Tinamarie, Byatt, Nancy, Friedmann, Peter D.·2021·Substance Abuse
DOI 10.1080/08897077.2021.1904091PMC PMC8919676
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Abstract

Background: Despite being highly motivated to recover, pregnant and postpartum women with opioid use disorders (OUD) are at high risk of relapse and death. While many services mitigate this risk, engagement in voluntary, outpatient services remains low. Our aim was to understand the experiences of and factors influencing outpatient service engagement during the perinatal period among women in recovery from OUD. Methods: We conducted semi-structured interviews about perinatal experiences engaging with outpatient services, with 20 women in recovery aged 22–46 years who had children between 6 months and 10 years old. Interviews were audio-recorded, transcribed, coded, and analyzed using conventional content analysis. Results: Women described a continuum of ‘collaborative engagement’ experiences, defined by the extent to which they perceived their providers or service organizations were invested in their journeys as a partners and advocates. The ability to achieve collaborative engagement depended upon two factors: (1) the woman's transformational development as a mother and woman in recovery, and (2) her perception of the providers’ ability to meet her multifaceted needs. Conclusions: Women in recovery from OUD may experience deeper engagement in voluntary outpatient perinatal services when they perceive that their providers are invested and collaboratively engaging in their recovery and personal growth. Future research should test whether collaborative engagement improves service retention. Abbreviations: IPV: Intimate Partner Violence; OUD: opioid use disorder

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Authors
Peacock-Chambers, E., Paterno, M. T., Kiely, D., Fioroni, T., Byatt, N., & Friedmann, P. D.
Affiliations
  • Department of Pediatrics, University of Massachusetts Medical School-Baystate, Springfield, MA, USA
  • University of Massachusetts Amherst (US)
  • Behavioral Health Network (US)
  • University of Massachusetts Chan Medical School (US)
  • Baystate Medical Center (US)
ORCID
Venue
Substance Abuse
Publisher
SAGE Publications
Published
2021-10
Volume
42
Issue
4
Pages
1022-1029
ISSN
  • 0889-7077 (ISSN-L)
  • 1547-0164
DOI
10.1080/08897077.2021.1904091
PMC
PMC8919676
OpenAlex
W3148615533
Cited by
12
References
3
Citations by year
2026: 1 · 2025: 4 · 2024: 4 · 2023: 1 · 2022: 1 · 2021: 1
FWCI
1.52
Type
journal article
Language
en
Open access
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Substance Abuse (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • the University of Massachusetts Amherst Center for Research on Families (CRF) and the Healthy Development Initiative
  • National Center for Advancing Translational Sciences
  • National Institutes of Health (1KL2TR002545)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
Keywords
opioid use disorder, perinatal care, outpatient care, service engagement, maternal recovery, collaborative engagement, provider-patient relationship, postpartum women, service retention, intimate partner violence
MeSH terms
Intimate Partner Violence, Ambulatory Care, Child, Child, Preschool, Female, Humans, Infant, Mothers, Opioid-Related Disorders, Pregnancy, Postpartum Period

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