Table 3 Themes, codes and excerpts for “pregnant women & children-sensitive policy”
Excerpts | Codes | Themes |
|---|---|---|
Pregnant women | ||
“Sensitize and inform pregnant women and their partners about the impact of their addictive behaviors on fetal development…” [33] | Education and awareness generation | Prevention |
“…initiating, supporting and conducting activities in the field of prevention of disorders that result from prenatal exposure to alcohol, narcotic substances, psychotropic drugs, substitutes or new psychoactive substances, as well as initiating and supporting activities in the field of helping people with fetal alcohol spectrum disorders (FASD) and their families or carers [39]” | Preventing exposure to psychoactive substance during pregnancy | |
“Early detection and treatment in the sexual and reproductive care services, family planning, pre-pregnancy visits, and obstetrics, as well as sexually transmitted infection units [31]” | Screening | |
“Mobilize the teams that, at the level of primary health care, develop maternal and child health responses, through a process of training and technical framework by the services specialized in CAD.” [31] | Integrated care | Treatment |
“Ensure priority access to specific care for pregnant women with drug and alcohol misuse and their partners, according to their problems and risk levels in the course of pregnancy… [31]” | Gender-sensitive treatment | |
“Unborn children can be put under supervision by a social worker throughout pregnancy. Child protection can then give instructions such as assisting with obstetric check-ups and other forms of care. (..). In the case of suicidality and addiction to hard drugs, forced admission to a care facility is possible based on the BOPZ Act. In the event of incapacity in making decisions, mentorship or guardianship can be requested from the court.” [23] | Child care | Child custody issues |
“Specialized training for those who work with vulnerable groups, such as patients with psychiatric co-morbidities, children and women, including pregnant women.” [27] | Training | Training |
“Strengthening the articulation between services, in order to allow an integrated intervention at different levels (health promotion prevention, treatment, reinsertion, and harm reduction), in multiple contexts at the stage of pregnancy and neonatal period, englobing the family contexts community, prisional settings [31]” | Multilevel collaboration | Collaboration and Coordination |
Child-sensitive policies (Additional themes) | ||
“The State is responsible for ensuring the protection of children and adolescents through legal regulations when other measures are insufficient to provide effective protection. Legal measures must find adequate responses to new challenges [31]” | Reduce supply/access to drugs | Legislation |
“Study and identify factors and processes that increase the risk of developing addictive behaviors without substances [33]” | Preventive research | Research |
“Harm reduction should also include protection of the health and safety of minors and other family members in settings affected by drug use. There is evidence that people’s substance misuse can have an impact on the lives of the people around them, especially the family.” [31] | Minimize harm to others | Harm reduction |