Adapting the Role of Doulas to Enhance Supports for Perinatal People with Substance Use Disorders

Purpopse: There is a gap in the current literature regarding how doula care may be implemented into existing systems in Montana to best address the needs of individuals with substance use disorders (SUDs) during the perinatal period. Doulas may be particularly well positioned to reach a diverse range of patients, allowing them to feel supported and advocated for within the medical system. This study aims to illustrate the perspectives and experiences of doulas, individuals who have experienced perinatal SUDs, and maternal and mental health providers. Materials and Methods: A qualitative descriptive research methodology was used to conduct qualitative semi-structured interviews with 29 participants. Results: Through these interviews, three overarching themes emerged: the necessity of doula workforce development to enhance sustainability when working with individuals with SUDs; reducing financial and structural barriers that prevent clients with SUDs from accessing doula care; and working to promote the acceptability of SUD-focused doulas in the healthcare system. Discussion and Conclusion: These findings highlight areas of possible intervention to broaden the use of doulas for perinatal individuals with SUDs.