Black Elza, Liddell Jessica L, Garnsey Al, Glover Annie, Reese Sarah, Piskolich Emma
Health Policy and Management, BSPH, Tulane School of Public Health and Tropical Medicine, New Orleans, Louisiana, USA.
School of Social Work, University of Montana, Missoula, Montana, USA.
J Evid Based Soc Work (2019). 2025 Mar-Apr;22(2):149-170. doi: 10.1080/26408066.2024.2444300. Epub 2024 Dec 27.
There is a gap in the current literature regarding how doula care may be implemented into existing systems in Montana to best address the needs of individuals with substance use disorders (SUDs) during the perinatal period. Doulas may be particularly well positioned to reach a diverse range of patients, allowing them to feel supported and advocated for within the medical system. This study aims to illustrate the perspectives and experiences of doulas, individuals who have experienced perinatal SUDs, and maternal and mental health providers.
A qualitative descriptive research methodology was used to conduct qualitative semi-structured interviews with 29 participants.
Through these interviews, three overarching themes emerged: the necessity of doula workforce development to enhance sustainability when working with individuals with SUDs; reducing financial and structural barriers that prevent clients with SUDs from accessing doula care; and working to promote the acceptability of SUD-focused doulas in the healthcare system.
These findings highlight areas of possible intervention to broaden the use of doulas for perinatal individuals with SUDs.
当前文献在如何将导乐护理纳入蒙大拿州现有体系以最好地满足围产期物质使用障碍（SUD）患者需求方面存在空白。导乐可能特别适合接触各类患者，使他们在医疗系统中感到得到支持和倡导。本研究旨在阐明导乐、有围产期物质使用障碍经历的个体以及孕产妇和心理健康提供者的观点和经历。
采用定性描述性研究方法对29名参与者进行定性半结构化访谈。
通过这些访谈，出现了三个总体主题：发展导乐队伍以提高与物质使用障碍患者合作时的可持续性的必要性；减少阻碍物质使用障碍患者获得导乐护理的经济和结构障碍；努力提高以物质使用障碍为重点的导乐在医疗保健系统中的可接受性。
这些发现突出了可能进行干预的领域，以扩大导乐对围产期物质使用障碍患者的使用。
