Healio (4/27, Gramigna) reports that even though “substance use is less prevalent among pregnant women than nonpregnant women, use during pregnancy has significant adverse effects on maternal, as well as fetal, neonatal and childhood health outcomes, according to” a presentation given by Kimberly Yonkers, MD, director of psychological medicine and the Center for Wellbeing of Women and Mothers at Yale School of Medicine, at the American Psychiatric Association Spring Highlights Meeting. In addition, “the legalization of cannabis…has directly affected pregnant women, since this population has exhibited significant preconception, prenatal and postpartum prevalence rates, according to Yonkers.” Finally, “maternal nicotine use also presents significant perinatal risks, including fetal growth restriction, ectopic pregnancy, placental disorders and fetal or infant death, Yonkers said.”

Related Links:

— “The landscape of perinatal substance use: Prevalence, outcomes and interventions, “Joe Gramigna, Healio, April 27, 2020

MD Magazine (4/25, Kunzmann) reported, “In a virtual presentation as part of the American Psychiatric Association…Spring Highlights Meeting 2020, Kimberly A. Yonkers, MD, of the Yale University School of Medicine, discussed national data-based understandings of substance use among” pregnant women. In her presentation, Dr. “Yonkers also appealed for the implementation of both universal and health equity approaches to addressing the prevalence of such cases.” In addition, she “called for understanding that, though substance use remains lower among pregnant women than those who are not pregnant, it is a severely detrimental risk to both the mother’s and child’s long-term health, and a combination of care team collaboration and proven therapies should be prepared to address it.”

Related Links:

— “Treating, Understanding Substance Use in Pregnant Women, “Kevin Kunzmann, MD Magazine , April 25, 2020

Psychiatric News (4/23) reports the coronavirus pandemic “and the associated public health response could be causing the number of people who are the victims of intimate partner violence and child abuse to rise dramatically, according to a resource document published this week by the Substance Abuse and Mental Health Services Administration (SAMHSA).” The document from SAMHSA said, “COVID-19 has caused major economic devastation, disconnected many from community resources and support systems, and created widespread uncertainty and panic. Such conditions may stimulate violence in families where it didn’t exist before and worsen situations in homes where mistreatment and violence have been a problem.”

Related Links:

— “Intimate Partner Violence, Child Abuse May Rise During Pandemic, Psychiatric News, April 23, 2020

The New York Times (4/23, Carey) reports many mental-health residential centers have closed because of the pandemic leaving many patients in difficult situations. Across the US, the “pandemic has scrambled mental health services, forcing thousands of people with disabling psychological distress, and their families, to adjust on the fly.” The New York Times highlights several specific examples of facilities that have been forced to close or change their operations because of the pandemic and how this has affected patients and staff.

Related Links:

— “When Mental Distress Comes Home, “Benedict Carey, The New York Times, April 23, 2020

NPR (4/23, Noguchi) reports Dr. Bruce Schwartz, president of the APA, says Montefiore Medical Center in the Bronx where he works is “in the center of the epidemic.” Dr. Schwartz describes an overworked hospital staff who have endured weeks of people dying from coronavirus, “It is really a very horrendous experience that no one could possibly be prepared for.” Dr. Schwartz “says hospitals like his are offering teletherapy for their own staff” and the need will likely grow.

Related Links:

— “Trauma On The Pandemic’s Front Line Leaves Health Workers Reeling, “Yuki Noguchi, NPR, April 23, 2020