Evidence map›Paper›PMID 36681846›Full record

ArticleSubstance abuse treatment, prevention, and policy2023

Qualitative description of outreach and engagement in perinatal substance treatment in Finland.

Minna Sorsa, Maria Hohenthal, Miia Pikulinsky, Hanna Sellergren, Kaija Puura

Open access · goldAbstract read
In one paragraph

Article in Substance abuse treatment, prevention, and policy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.3field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Minna SorsaChild Psychiatry, Tampere University Hospital, Pirkanmaa Hospital District, Tampere, Finland. minna.sorsa@tuni.fi.
Maria HohenthalThe Federation of Mother and Child Homes and Shelters, Helsinki, Finland.
Miia PikulinskyThe Federation of Mother and Child Homes and Shelters, Helsinki, Finland.
Hanna SellergrenThe Federation of Mother and Child Homes and Shelters, Helsinki, Finland.
Kaija PuuraChild Psychiatry, Tampere University Hospital, Pirkanmaa Hospital District, Tampere, Finland.
Pirkanmaa Hospital District · FITampere University · FI

Funding

Competitive State Research Financing of the Expert Responsibility area of Tampere University Hospital 9AC090Finnish Nursing Education Foundation 21.12.2021
6 · The paper itself

Abstract

backgroundWomen with perinatal substance problems experience a multitude of barriers to care. They have specific early intervention needs, they endure societal stigma, and both substances and mental health issues influence the way they navigate within support and treatment systems. Early interventions for women with perinatal substance problems are underresearched contexts. The aim of the study is to describe building relationships and engagement within an outreach and low threshold service encounter tailored for pregnant women with SUD (substance use disorder).

methodsThe data consist of online written narratives from 11 workers involved in the program and feedback from 504 families in the recovery process comprising 228 open-ended answers. The data were analyzed with a thematic analysis.

resultsThe programs are characterized by flexibility and the implementation of inclusive ways to approach families. The themes for enhancing relationships and engagement within outreach and low threshold programs are Acceptance and attitude: a sensitive approach of approval; flexibility within strictness to allow for diversity and individuality; availability and space to ensure a trustful atmosphere; negotiating via doing to build connections; and everyday life changes: imagining recovery. The themes represent the need of being available, focusing on the worker's attitudes and building connections by doing together, and visioning recovery together.

conclusionsThe study results can add to the understanding of SUD outreach and low threshold work during pregnancy. The elements described in this study need further theoretical development, research and critical assessment. Building relationships during pregnancy were characterized by connecting within everyday life situations and supporting the development of an attachment relationship between the baby and the parents. To promote recovery, a comprehensive approach in which substance-related issues and mental health conditions are interconnected can be favored. Engaging early on during pregnancy might enhance success during future rehabilitation.

Indexed as

Pregnant PeopleSubstance-Related DisordersFemaleFinlandHumansParentsPregnancyQualitative ResearchEarly interventionEngagementFamilyLow thresholdOutreachPerinatal periodSubstance useWomen

Identifiers

PMID36681846
PMCPMC9862241
OpenAlexW4317655839

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.