What Happens When Pregnant Women Seek Substance Abuse Help?
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What are the challenges pregnant women face in seeking substance abuse treatment?
There's nothing more tragic than seeing an overdosed mom in the ER who's potentially unrevivable. Her unborn child suffers the consequences as well.
As you guys know, my name is Richard Tate. I'm the founder of Carrera Treatment Facility. And I call this podcast, We're Out of Time. And the reason I do that is because we actually are with this fentanyl crisis that we're having. I mean, the opioid epidemic has been going on for a while, okay? But now it's killing everybody with fentanyl. And you know, when you were back in the day, when you were scoring cocaine or heroin or pills off the street, it wasn't, you, you thought you were getting it, you know, you were getting the Percocet, you were getting the heroin, you were getting all these drugs today. That's not what you're bargaining for. Okay. It's being laced with fentanyl. It's killing about, um, 112,000 people a year, right?
And it's increased 30-fold over the last 10 years. And most of it has been in the last five since I've been gone. And one of the reasons I came back was because of this. This is Dr. Blair. She's a psychologist. Fantastic. She's been doing this for about 20 years. This is Dr. Kenneth Spielvogel, one of the finest women's physicians in the city. And let's start with Dr. Spielvogel. Good morning.
How does stigma affect women's access to medical care for substance use?
Thank you for having me. It's my pleasure. Thanks for being here. Yeah, I mean, this is an epidemic and it's in the realm of pregnancy and delivery. It is a unique problem because in my job, it's a unique area of medicine because we treat at least two patients at once. We'll have a mom and unborn child. If it's a singleton, if it's twins, triplets, obviously that brings more individuals that are affected into the picture. So, you know, this problem I've definitely seen, you know, the pandemic weirdly kind of brought a certain quiet to it and definitely started to rear its head up again. And there's nothing more tragic than seeing an overdosed mom in the ER who's potentially unrevivable And, you know, her unborn child suffers the consequences as well, too. So, you know, I wanted to be involved. I wanted to have a voice that extends well beyond the hospital. So I really appreciate you having me here. It's my pleasure. Thanks for adding to the conversation, Blair.
Yeah, you know, so much has changed with time and women's issues. And one of them is the prevalence of substance abuse in women. And women, as we know, are mothers. And there is a lot of stigma attached that can really prevent someone from seeking treatment and asking for help. And some of it can come from extremely well-meaning practitioners.
Especially when they show up to treatment pregnant showing. Yes. Because there's so much judgment around it.
There is. And you have to be aware of that and work through it. And to be honest and vulnerable, I've had to work through this myself. And it's very important that I get to the place that this person needs and deserves as much love and care and attention as anyone else. Yeah. Someone asked me last week, they said, what's one of the biggest barriers to treatment when it comes to opioid addicted moms? I said, judgment. Honestly, judgment is probably the biggest one because I can walk in a room, introduce myself to every family member, to patient, really get on a level to where they feel safe and cared for and in a judgment-free environment to do so, which honestly, to get a patient... who's addicted to trust their healthcare provider is an incredible challenge.
And especially when you mix in race and we look at the outcomes, especially for African-American women these days, and that they clearly have a disparity when it comes to healthcare, being able to bridge those gaps and get to a place, have them feel safe and cared for and trust you, and then you leave at the end of your shift and someone else comes in and that trust is eroded instantaneously with the person walking in the room.
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Chapters
5 chapters
1
What are the challenges pregnant women face in seeking substance abuse treatment?
0:14–1:59
2
How does stigma affect women's access to medical care for substance use?
1:59–5:29
3
What is medication-assisted treatment (M.A.T.)?
5:29–8:42
4
Why is establishing trust crucial in addiction treatment?
8:42–9:31
5
How can AI technology improve treatment outcomes for pregnant women?
9:31–46:48
Speakers
2 identifiedMore from We're Out of Time
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CDC Foundation's Fight Against Overdose Deaths | We're Out of Time
Wanting vs Liking: Why Addiction Isn't About Pleasure | Dr. Kent Berridge