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 for use by pregnant women and their providers that uses plain language to address multiple pregnancy related issues such as ensuring support for new moms, housing, food and patient safety
  • A toolkit with screening tools, treatment guidelines, sample forms and policies, and patient education resources for family medicine, obstetric, pediatric, and addiction medicine providers treating pregnant women and their children from the Maine Department of Health and Human Services
  • A 2-page summary of the Maine guidelines with clinician checklists for caring for pregnant women with substance use disorders during the first, second and third trimesters and postpartum period

Clinicians and treatment providers may also want to review the collections on integrated care models for pregnant and parenting women with substance use disorder and family-centered substance use disorder treatment.

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.

External Website
Payers & Providers

Tools for Treatment: Family-Centered Behavioral Health Support for Pregnant and Postpartum Women

Source: Mid America Addiction Technology Transfer Center

This website provides training curricula, treatment provider guidelines and resources for providers and payers offering family-centered behavioral health support for pregnant and postpartum women. The website include a resource library with more than 300 documents, a section for highlighting innovative programs, and information about

External Website
Policymakers & Community Leaders
Payers & Providers

Educational Toolkit: Perinatal Drug Exposure Resources

Source: Northern Arizona Healthcare, Arizona Substance Abuse Task Force, Arizona Statewide Task Force on Preventing Prenatal Exposure to Alcohol and Other Drugs

This toolkit includes informational resources for patients and providers addressing perinatal drug exposure and appropriate treatment of substance-exposed newborns. Guidance is offered for multiple substances including opioids, cocaine, ecstasy, methamphetamine, marijuana, anti-depressants, hallucinogens, and other substances (e.g., special K, kratom). The toolkit includes references and links to relevant resources. Funding Source:  Northern Arizona Healthcare, Arizona Substance Abuse Task Force, Arizona Statewide Task Force on Preventing Prenatal Exposure to Alcohol and Other Drugs

Document
Policymakers & Community Leaders
Payers & Providers

MOMS Care Coordination Model

Source: Maternal Opiate Medical Support

Policymakers and clinicians in Ohio developed the Maternal Opiate Medical Support (MOMS) model of providing prenatal, obstetrical, and postpartum care for pregnant women with opioid use disorder. This guide includes a process to assess readiness to adopt the MOMS model and an

Document
Policymakers & Community Leaders
Payers & Providers

Strong Start Toolkit for You and Your Baby

Source: Strong Start Ohio

A collaboration of providers in Ohio developed this shared decision making tool for use by pregnant women and their providers. The tool is not specific to patients with substance use disorders but uses plain language to address multiple pregnancy related issues such as ensuring support for new moms, housing, food and patient safety. Funding Source: Ohio Department of Medicaid

Document
Payers & Providers

The Snuggle ME Guidelines: Tools for Caring for Women with Addiction and their Babies

Source: Maine Department of Health and Human Services

The 2018 guidelines on caring for pregnant women with substance use disorder (SUD) and their babies from the Maine Department of Health and Human Services. The guidelines include clinical algorithms for screening for substance use during pregnancy and caring for

Document
Payers & Providers

Pregnancy Care Provider Quick Reference Checklists: Snuggle ME Guidelines

Source: Maine Department of Health and Human Services

A 2 page summary of the Maine Snuggle Me guideline for treating pregnant women with substance use disorder and their infants. Includes clinician checklists for recommended care during the first, second and third trimesters and postpartum period. Funding Source:  Maine Department of Health and Human Services

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