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 the Substance Abuse and Mental Health Services Administration
  • The link to the website for MOMS Ohio that provides obstetrical care and substance use disorder treatment through a medical homes model and a brief case study of the initiative at MetroHealth Medical Center in Cleveland

If you have additional materials we should consider including in this collection, please see our call for submissions page.

Payers & Providers

Project Nurture – A New Model of Care that Integrates Maternity Care and Substance Use Treatment

Source: Health Share of Oregon

A 2 page overview of Project Nurture, a Center of Excellence program that provides prenatal care, inpatient maternity care, and postpartum care for women with substance use disorder as well as pediatric care for their infants. The integrated delivery model includes physicians, certified alcohol and drug counselors and peer support specialists in the treatment team. The model has been adopted by multiple sites, some of which incorporate addiction treatment into a primary care clinic and some which incorporate maternity and pediatric care into an addiction treatment facility. This paper provides a brief summary of the Project Nurture evaluations which showed positive outcomes for Project Nurture participants compared to women with substance use disorder provided usual maternity care. Funding Source:  Legacy Health Systems, Lifeworks NW, CODA, Inc., Oregon Health & Science University, Oregon DHS Child Welfare, Health Share of Oregon

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Policymakers & Community Leaders
Payers & Providers
Patients & Caregivers

Project Nurture – A Center of Excellence Model that Integrates Maternity Care and Addiction Treatment

Source: Legacy Health Systems, Lifeworks NW, CODA, Inc., Oregon Health & Science University, Oregon DHS Child Welfare, Health Share of Oregon

A one page guide to Project Nurture, a Center of Excellence program that provides prenatal care, inpatient maternity care, and postpartum care for women with substance use disorder as well as pediatric care for their infants. The integrated delivery model includes physicians, certified alcohol and drug counselors and peer support specialists in the treatment team. The model has been adopted by multiple sites, some of which incorporate addiction treatment into a primary care clinic and some which incorporate maternity and pediatric care into an addiction treatment facility. Funding Source:  Legacy Health Systems, Lifeworks NW, CODA, Inc., Oregon Health & Science University, Oregon DHS Child Welfare, Health Share of Oregon

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Policymakers & Community Leaders
Payers & Providers
Patients & Caregivers

Project Nurture: An Overview of the Model

Source: Health Share of Oregon

This 3 minute video explains the Project Nurture model of providing prenatal, maternity, and post partum care to women with substance use disorders and pediatric care for the infants. The model provides an integrated, interdisciplinary team treatment model that includes maternity and substance use disorder treatment along with peer support services and assistance with child welfare issues if needed. Funding Source:  Health Share of Oregon

Video
Policymakers & Community Leaders
Payers & Providers
Patients & Caregivers

Project Nurture: The Role of Peer Support Mentors

Source: Health Share of Oregon

A 10 minute video about the Project Nurture model of providing prenatal, maternity, and post partum care to women with substance use disorder and pediatric care for their infants. Includes stories from the peer support mentors who help the patients throughout the program. Funding Source:  Health Share of Oregon

Video
Policymakers & Community Leaders
Payers & Providers

The Children and Recovering Mothers (CHARM) Collaborative in Burlington, Vermont: A Case Study

Source: Substance Abuse and Mental Health Services Administration

This 2014 case study describes the Children and Recovery Mothers (CHARM) Collaboration which provides a model for integrated and collaborative care for pregnant women with opioid dependence and their babies. The case study focuses on how the CHARM initiative provides support to families at multiple points of intervention and

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Patients & Caregivers

MOMSOhio

Source: Ohio Colleges of Medicine Government Resource Center

This is the website for Ohio’s Maternal Opiate Medical Supports (MOMS) collaborative which is working to improve maternal and baby health outcomes by providing obstetrical care and substance use disorder treatment treatment through a maternity care home model of care. The interactive website

External Website
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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