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Integrating Reproductive Health Services Into Opioid Treatment Facilities

A Missed Opportunity to Prevent Opioid-exposed Pregnancies and Improve the Health of Women Who Use Drugs

Wright, Tricia E. MD, MS, FACOG, DFASAM

doi: 10.1097/ADM.0000000000000532
Commentary
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Opioid treatment programs (OTPs) are federally mandated to provide certain medical services to patients, and are often the only place where people with substance use disorders (SUD) obtain medical care. Just as medication for addiction treatment (MAT) should be part of comprehensive addiction care, so should reproductive health care be a part of comprehensive medical care. The most significant barrier that must be overcome is that the majority of OTPs believe that it is outside their scope of service to provide reproductive health services. Reproductive health care is basic medical care. It is imperative for the long-term health of women with SUD, their children and the community that they receive this care. OTPs can and should do better for their female clients.

Department of Obstetrics, Gynecology and Women's Health, Department of Psychiatry, University of Hawaii John A. Burns School of Medicine, Honolulu, HI.

Send correspondence to Tricia E. Wright, MD, MS, FACOG, DFASAM, Associate Professor, Department of Obstetrics, Gynecology and Women's Health, Clinical Associate Professor, Department of Psychiatry, University of Hawaii John A. Burns School of Medicine, Honolulu, HI 96826. E-mail: tewright@hawaii.edu

Received 27 February, 2019

Accepted 27 February, 2019

© 2019 American Society of Addiction Medicine