Supporting pregnant and parenting women who use alcohol during pregnancy: A scoping review of trauma-informed approaches
Alcohol is legalized and used for a variety of reasons, including socially or as self-medication for trauma in the absence of accessible and safe supports. Trauma-informed approaches can help address the root causes of alcohol use, as well as the stigma around women’s alcohol use during pregnancy. H...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-02-01
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| Series: | Women's Health |
| Online Access: | https://doi.org/10.1177/17455057221148304 |
| _version_ | 1811170643180257280 |
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| author | Melody E Morton Ninomiya Yasmeen Almomani Katharine Dunbar Winsor Nicole Burns Kelly D Harding Megan Ropson Debbie Chaves Lindsay Wolfson |
| author_facet | Melody E Morton Ninomiya Yasmeen Almomani Katharine Dunbar Winsor Nicole Burns Kelly D Harding Megan Ropson Debbie Chaves Lindsay Wolfson |
| author_sort | Melody E Morton Ninomiya |
| collection | DOAJ |
| description | Alcohol is legalized and used for a variety of reasons, including socially or as self-medication for trauma in the absence of accessible and safe supports. Trauma-informed approaches can help address the root causes of alcohol use, as well as the stigma around women’s alcohol use during pregnancy. However, it is unclear how these approaches are used in contexts where pregnant and/or parenting women access care. Our objective was to synthesize existing literature and identify promising trauma-informed approaches to working with pregnant and/or parenting women who use alcohol. A multidisciplinary team of scholars with complementary expertise worked collaboratively to conduct a rigorous scoping review. All screening, extraction, and analysis was independently conducted by at least two authors before any differences were discussed and resolved through team consensus. The Joanna Briggs Institute method was used to map existing evidence from peer-reviewed articles found in PubMed, CINAHL, PsycINFO, Social Work Abstracts, and Web of Science. Data were extracted to describe study demographics, articulate trauma-informed principles in practice, and gather practice recommendations. Thirty-six studies, mostly from the United States and Canada, were included for analysis. Studies reported on findings of trauma-informed practice in different models of care, including live-in treatment centers, case coordination/management, integrated and wraparound supports, and outreach—for pregnant women, mothers, or both. We report on how the following four principles of trauma-informed practices were applied and articulated in the included studies: (1) trauma awareness; (2) safety and trustworthiness; (3) choice, collaboration, and connection; and (4) strengths-based approach and skill building. This review advances and highlights the importance of understanding trauma and applying trauma-informed practice and principles to better support women who use alcohol to reduce the risk of alcohol-exposed pregnancies. Relationships and trust are central to trauma-informed care. Moreover, when applying trauma-informed practices with pregnant and parenting women who use alcohol, we must consider the unique stigma attached to alcohol use. |
| first_indexed | 2024-04-10T17:00:07Z |
| format | Article |
| id | doaj.art-d94bda9e7cbd4a1a8eda6922de26a963 |
| institution | Directory Open Access Journal |
| issn | 1745-5065 |
| language | English |
| last_indexed | 2024-04-10T17:00:07Z |
| publishDate | 2023-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Women's Health |
| spelling | doaj.art-d94bda9e7cbd4a1a8eda6922de26a9632023-02-06T16:03:37ZengSAGE PublishingWomen's Health1745-50652023-02-011910.1177/17455057221148304Supporting pregnant and parenting women who use alcohol during pregnancy: A scoping review of trauma-informed approachesMelody E Morton Ninomiya0Yasmeen Almomani1Katharine Dunbar Winsor2Nicole Burns3Kelly D Harding4Megan Ropson5Debbie Chaves6Lindsay Wolfson7School of Public Health Sciences, University of Waterloo, Waterloo, ON, CanadaDepartment of Health Sciences, Wilfrid Laurier University, Waterloo, ON, CanadafasdNL Network, NL, CanadaDepartment of Health Sciences, Wilfrid Laurier University, Waterloo, ON, CanadaSchool of Liberal Arts, Laurentian University, Sudbury, ON, CanadaLabrador-Grenfell Health, Happy Valley-Goose Bay, NL, CanadaLibrary, Wilfrid Laurier University, Waterloo, ON, CanadaCentre of Excellence for Women’s Health, Vancouver, BC, CanadaAlcohol is legalized and used for a variety of reasons, including socially or as self-medication for trauma in the absence of accessible and safe supports. Trauma-informed approaches can help address the root causes of alcohol use, as well as the stigma around women’s alcohol use during pregnancy. However, it is unclear how these approaches are used in contexts where pregnant and/or parenting women access care. Our objective was to synthesize existing literature and identify promising trauma-informed approaches to working with pregnant and/or parenting women who use alcohol. A multidisciplinary team of scholars with complementary expertise worked collaboratively to conduct a rigorous scoping review. All screening, extraction, and analysis was independently conducted by at least two authors before any differences were discussed and resolved through team consensus. The Joanna Briggs Institute method was used to map existing evidence from peer-reviewed articles found in PubMed, CINAHL, PsycINFO, Social Work Abstracts, and Web of Science. Data were extracted to describe study demographics, articulate trauma-informed principles in practice, and gather practice recommendations. Thirty-six studies, mostly from the United States and Canada, were included for analysis. Studies reported on findings of trauma-informed practice in different models of care, including live-in treatment centers, case coordination/management, integrated and wraparound supports, and outreach—for pregnant women, mothers, or both. We report on how the following four principles of trauma-informed practices were applied and articulated in the included studies: (1) trauma awareness; (2) safety and trustworthiness; (3) choice, collaboration, and connection; and (4) strengths-based approach and skill building. This review advances and highlights the importance of understanding trauma and applying trauma-informed practice and principles to better support women who use alcohol to reduce the risk of alcohol-exposed pregnancies. Relationships and trust are central to trauma-informed care. Moreover, when applying trauma-informed practices with pregnant and parenting women who use alcohol, we must consider the unique stigma attached to alcohol use.https://doi.org/10.1177/17455057221148304 |
| spellingShingle | Melody E Morton Ninomiya Yasmeen Almomani Katharine Dunbar Winsor Nicole Burns Kelly D Harding Megan Ropson Debbie Chaves Lindsay Wolfson Supporting pregnant and parenting women who use alcohol during pregnancy: A scoping review of trauma-informed approaches Women's Health |
| title | Supporting pregnant and parenting women who use alcohol during pregnancy: A scoping review of trauma-informed approaches |
| title_full | Supporting pregnant and parenting women who use alcohol during pregnancy: A scoping review of trauma-informed approaches |
| title_fullStr | Supporting pregnant and parenting women who use alcohol during pregnancy: A scoping review of trauma-informed approaches |
| title_full_unstemmed | Supporting pregnant and parenting women who use alcohol during pregnancy: A scoping review of trauma-informed approaches |
| title_short | Supporting pregnant and parenting women who use alcohol during pregnancy: A scoping review of trauma-informed approaches |
| title_sort | supporting pregnant and parenting women who use alcohol during pregnancy a scoping review of trauma informed approaches |
| url | https://doi.org/10.1177/17455057221148304 |
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