Beyond the bump: ethical and legal considerations for psychologists providing services to pregnant individuals who use substances

Psychologists providing services to pregnant individuals using substances face a number of complicated ethical dilemmas, however guidance in this area is sparse. This article presents the ethical and legal issues that may arise in working with this population within the framework of the American Psychological Association's (APA) Ethical Principles of Psychologists and Code of Conduct (2017). The recommendations made are designed to assist psychologists with understanding factors that contribute to substance use during pregnancy, navigating punitive policies and liability risk, and methods to increase access to care for this vulnerable group.