This clinical review describes approaches to psychiatric care for pregnant and postpartum patients with substance use disorders who also experience mental health conditions. The authors identify stigma, inadequate screening and referrals, and shortages of clinicians comfortable treating pregnant patients as barriers to care. They recommend accessible psychiatric assessment, shared decision-making, nonpunitive and culturally sensitive treatment, harm reduction, and coordination among obstetric, addiction, and mental health professionals. The article offers a care framework rather than results from a controlled intervention.
