This 2007 report from a symposium on family-centered substance use disorder treatment (SUD) sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA) describes options for supporting families during SUD treatment along the continuum of care, including residential treatment programs that allow children to reside with their mothers during treatment.
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The Unmet Need for Family Planning Services in Addiction Treatment Settings
Source: Office Based Addiction Treatment at Boston Medical Center's Grayken for Addiction
This 4 minute video titled “The Unmet Need for Family Planning Services in Addiction Treatment Settings” from a Clinical Nurse Educator at Boston Medical Center’s Grayken Center for Addiction describes the need for offering non-coercive family planning services to women with substance use disorders and provides guidance for clinicians in how to talk to patients about family planning options.
Association of Punitive and Reporting State Policies Related to Substance Use in Pregnancy with Rates of Neonatal Abstinence Syndrome
Source: Laura J. Faherty, et. al.
The authors of this open-source journal article looked at whether the enactment of policies that penalized substance use in pregnancy was associated in changes in the rates of neonatal abstinence syndrome (NAS) reported in those states.
State Medicaid Strategies to Promote Early Identification and Treatment of Pregnant Women with Substance Use Disorder
Source: National Academy for State Health Policy
This policy brief from the National Academy for State Health Policy reviews Medicaid strategies for identifying and caring for pregnant women with substance use disorders. The report provides a high-level overview of programs operational in 5 states: Connecticut, Florida, Tennessee, Montana, and Vermont.
Neonatal Abstinence Syndrome Among Newborn Hospitalizations
Source: Healthcare Cost and Utilization Project
The Healthcare Cost and Utilization Project (HCUP) is a collaborative federal-state-industry data project that provides encounter-level health care data. This link is to the dashboard for data on neonatal abstinence syndrome or neonatal opioid withdrawal syndrome in newborn hospitalizations.
Integrated Care for High Risk Pregnancies: A Pilot Project to Improve Medical Assistance Birth Outcomes
Source: Minnesota Department of Human Services
In 2015, the Minnesota Legislature directed the Department of Human Services to implement a pilot program to improve birth outcomes – the Integrated Care for High Risk Pregnancies (ICHRP) Initiative. The pilot program was designed to reach two demographic groups: African Americans at risk for low birth weight births in the Twin Cities metropolitan area and American Indians at risk for opiate use during pregnancy.
State Strategies to Address Opioid Use Disorder Among Pregnant and Postpartum Women and Infants Prenatally Exposed to Substances, Including Infants with Neonatal Abstinence Syndrome
Source: Kroelinger, C.D. et. al., Centers for Disease Control and Prevention
A report from a 12 state learning collaborative on improving treatment of opioid use disorder among pregnant and parenting women and infants exposed to opioids. The report focuses on the strategies states used to expand access to and coordination of services, improve education and training for providers, use data to monitor and evaluate initiatives, enhance medical coverage and reimbursement policies, and address ethical, legal, and social considerations such as stigma.
Bring Them All: A Family-Centered Approach to Addiction Treatment
Source: Center of Excellence on Behavioral Health for Pregnant and Postpartum Women and Their Families, Addiction Technology and Transfer Center
This 15 minute video describes the family-centered approach to addiction treatment provided by SHIELDS for Families in Southern California. The model allows women and their children and partners to stay together during treatment in a residential setting with all services provided on site.
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
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