Substance Use Disorder Treatment in Pregnant and Parenting Women: Integrated Care Models

Evidence Ranking: Proven

Research has shown that integrated care models that provide medical care, substance use disorder (SUD) treatment and social and peer support services for pregnant women with substance use disorders improve outcomes for both mothers and babies. In this collection, we feature resources from programs in Oregon, Vermont, and Ohio. First, several resources from Project Nurture in Oregon, a Center of Excellence program that provides prenatal care, inpatient maternity care, and postpartum care for women with SUD as well as pediatric care for their infants: A 2-page overview of the Project Nurture model A 1 page guide that describes the partners implementing the Project Nurture model in different care settings A 3-minute video explaining the Project Nurture model A 10-minute video that highlights the important role peer support mentors play in the Project Nurture model Slides from a presentation explaining the Project Nurture model and presenting initial evaluation results A summary of a research study that evaluates outcomes for mothers and babies served by Project Nurture compared to mothers with SUD receiving treatment as usual This collection also includes the following resources from other state initiatives: A case study of the Children and Recovering Mothers (CHARM) Collaborative in Burlington, Vermont from…
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Payers & Providers

Mother & Baby Substance Exposure Toolkit

Evidence Ranking: Proven

Source: California Perinatal Quality Care Collaborative, California Maternal Quality Care Collaborative, HMA Institute on Addiction

The comprehensive Mother & Baby Substance Exposure Toolkit was created by the California Perinatal Quality Care Collaborative, the California Maternal Quality Care Collaborative, and HMA Institute on Addiction. This toolkit provides information on treating mothers and newborns from the prenatal period through hospital discharge with a focus on opioid-related conditions.

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Policymakers & Community Leaders

Spotlight: Moms and Babies Program

Evidence Ranking: Promising

Source: Addiction Policy Forum

An overview of the Moms and Babies program at the Decatur Correctional Center in Illinois which allows incarcerated women to keep their babies with them for the early development stages and provides the women with parenting education and support. The women are also provided with post-release community reentry services. Women participating in the program have significantly lower rates of recidivism. This report is part of the Addiction Policy Forum’s Spotlight series which highlights innovative programs to address the opioid crisis.

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Policymakers & Community Leaders
Payers & Providers

Maternal Opiate Medical Support Project: MetroHealth Medical Center, Cleveland

Evidence Ranking: Potential

Source: American Hospital Association

A 2 page overview of the maternal opiate medical support project that piloted a program to treat pregnant women with opioid use disorder (OUD) and their babies at MetroHealth Medical Center in Cleveland, Ohio. This brief overview provides limited information but the review indicates that coordinated, respectful care can improve outcomes for mothers with OUD and their infants.

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Substance Use Disorder Treatment in Pregnant and Parenting Women

Providing effective treatment for substance use disorder (SUD) in pregnant and parenting women is a priority for many policymakers, community leaders and clinicians. Untreated SUD can lead to harms for both mothers and their children,

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Substance Use Disorder Treatment in Pregnant and Parenting Women: Family-Centered Treatment

Since the early 1990s, the Substance Abuse and Mental Health Services Administration (SAMHSA) has promoted family-centered treatment for pregnant and parenting women with substance use disorders (SUD), including supporting residential treatment models that prioritize family unity by allowing children to reside with their mothers or fathers while they receive treatment. The Family First Prevention Services Act of 2018 allows for Title IV-E foster care maintenance payments to be used to support a child residing with a parent in a family-focused residential SUD treatment program. In addition, Section 8081 of the 2018 Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (SUPPORT Act) directs the Secretary of Health and Human Services (HHS) to provide guidance to states on creating family-focused residential SUD treatment programs that allow children to reside with their parents as they receive treatment. In anticipation of the HHS guidance, we offer these resources for policymakers and community leaders interested in developing family-centered treatment programs in their communities: A 15 minute video that profiles one such residential treatment program, SHIELDS for families, in Southern California A report from a 2007 symposium on family-centered SUD treatment sponsored by SAMHSA A 2004 case study of the…
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Substance Use Disorder Treatment in Pregnant and Parenting Women: Policy Resources

This collection features policy reports and recommendations for policymakers and community leaders who may be developing programs to serve pregnant and parenting women with substance use disorder (SUD). This collection includes: A report on findings from a 12-state learning collaborative on improving treatment of opioid use disorder among pregnant and parenting women and infants exposed to opioids A guide to creating a coordinated, multi-system approach to treating pregnant women with opioid use disorder and their infants from the Substance Abuse and Mental Health Services Administration A 2-page guide for policymakers on evidence based treatment for opioid use disorder during pregnancy from the National Institute on Drug Abuse A study looking at the relationship between policies that criminalized substance use in pregnancy and rates of neonatal abstinence syndrome (NAS) and found that such policies may have the unintended effect of increasing the incidence of NAS A 2019 report to the Minnesota legislature that evaluates a pilot initiative to provide integrated care for high-risk pregnancies including American Indians at risk for opioid use during pregnancy And 2 reports from the National Academy for State Health Policy: A report on state Medicaid strategies to promote early identification and treatment of pregnant women with…
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Substance Use Disorder Treatment in Pregnant and Parenting Women: Clinical Guides

This collection features information for clinicians and substance use disorder treatment providers who serve pregnant and parenting women. The collection includes: A link to the comprehensive Mother & Baby Substance Exposure Toolkit created by the California Perinatal Quality Care Collaborative, the California Maternal Quality Care Collaborative, and the HMA Institute on Addiction A link to the Mid-America Addiction Technology Transfer Center’s resource library for family-centered behavioral health support for pregnant and postpartum women An educational toolkit with resources for providers and patients on perinatal drug exposure including patient information guides from Northern Arizona Healthcare, the Arizona Substance Abuse Task Force, and the Arizona Statewide Task Force on Preventing Prenatal Exposure to Alcohol and Other Drugs A 2018 guideline from the Substance Abuse and Mental Health Services Administration on treating pregnant and parenting women with opioid use disorder and their infants A 2018 guideline from the American Academy of Pediatrics on providing supportive, culturally appropriate care when treating neonatal abstinence syndrome in American Indian/Alaska Native populations A readiness assessment and implementation guide for clinicians implementing the Ohio Maternal Opiate Medical Support (MOMS) model of providing prenatal, obstetrical, and postpartum care for pregnant women with opioid use disorder A shared decision-making tool…
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