Addressing Pregnancy And Parenting In Mental Health Care: Perspectives Of Women With Serious Mental Illness.

IF 8.6 1区医学 Q1 HEALTH CARE SCIENCES & SERVICES Health Affairs Pub Date : 2024-04-01 DOI:10.1377/hlthaff.2023.01450

Karissa Fenwick, Emily C Dossett, Rebecca Gitlin, Kristina Cordasco, Alison B Hamilton, Nichole Goodsmith

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Abstract

Women living with serious mental illness (SMI) are at increased risk for adverse pregnancy and parenting outcomes. However, little is known about the experiences and preferences of women with SMI related to addressing pregnancy and parenting with their mental health providers. We conducted semistructured interviews with twenty-two reproductive-age cisgender women patients living with SMI. Participants characterized discussions about pregnancy and medication teratogenicity with their mental health providers as limited or unsatisfactory. Participants' openness to discussing pregnancy varied by topic and its perceived relevance to their individual circumstances, and it hinged on participants' trust in their providers. Participants characterized discussions about parenting with their mental health providers as helpful and identified additional opportunities for parenting support. Our findings highlight critical gaps in the delivery of information, support, and resources that can inform efforts to increase providers' capacity to address pregnancy and parenting with women living with SMI.

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在心理健康护理中解决怀孕和育儿问题：患有严重精神疾病的妇女的观点。

患有严重精神疾病（SMI）的女性在怀孕和养育子女过程中出现不良后果的风险会增加。然而，人们对患有 SMI 的女性在与心理健康服务提供者讨论怀孕和育儿问题时的经验和偏好知之甚少。我们对 22 名育龄期顺性女性 SMI 患者进行了半结构化访谈。受访者认为，她们与心理健康服务提供者就怀孕和药物致畸性进行的讨论是有限的或不令人满意的。参与者对讨论怀孕问题的开放程度因话题和与个人情况的相关性而异，并且取决于参与者对其心理健康服务提供者的信任程度。参与者认为与心理健康服务提供者讨论育儿问题是有帮助的，并发现了更多为育儿提供支持的机会。我们的研究结果强调了在提供信息、支持和资源方面存在的关键差距，这些差距可以为提高服务提供者与患有 SMI 的女性一起解决怀孕和育儿问题的能力提供参考。

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来源期刊

Health Affairs 医学-卫生保健

CiteScore

15.00

自引率

2.10%

发文量

246

审稿时长

3-6 weeks

期刊介绍： Health Affairs is a prestigious journal that aims to thoroughly examine significant health policy matters both domestically and globally. Our publication is committed to addressing issues that are relevant to both the private and public sectors. We are enthusiastic about inviting private and public decision-makers to contribute their innovative ideas in a publishable format. Health Affairs seeks to incorporate various perspectives from industry, labor, government, and academia, ensuring that our readers benefit from the diverse viewpoints within the healthcare field.