Date of Conferral

11-21-2025

Date of Award

November 2025

Degree

Ph.D.

School

Psychology

Advisor

Mark Arcuri

Abstract

Exploring medical providers’ role in relation to pregnant individuals who use substances is critical. Understanding how screening practices and provider biases influence addiction treatment referrals based on pregnancy status can help address several key issues, including potential disparities resulting from provider bias. It can ensure fair referral practices, promote equitable access to treatment, and ensure timely intervention resulting in better health outcomes. It can influence changes to policy and procedure among healthcare and judicial establishments, ultimately improving the relationship between providers and patients. The purpose of this study was to explore how medical providers’ screening practices of substance use in pregnancy and personal biases influence addiction treatment referrals. The design of this study employed a qualitative approach and utilized thematic analysis. The theoretical foundation was social constructivism theory. Participants reported a high degree of consistency in screening for alcohol and drug use in pregnancy. Participants indicated that referrals, rather than screenings, are influenced by social stigma. Participants demonstrated awareness of their biases and described intentional efforts to build trust and reduce stigma in their practice. A need to explore the impact of diagnostic language on stigma and care was identified, as well as a need to address postpartum support, evaluate integrated care models, and assess the effectiveness of community education and outreach in reducing stigma around substance use in pregnancy. The positive social change implication of this study is that it supports systemic changes that reduce stigma, improve access to care, and promote healthier outcomes for pregnant individuals and their families.

Download

Share

 
COinS