Indian Health Services – Maternal Health

The Indian Health Services maternal health page contains information on caring for American Indian/Alaska Native women during pregnancy and the postpartum period. It includes links to culturally-specific guides for treating substance use disorder in pregnancy and neonatal abstinence syndrome. Continue reading

State Team-Based Care Strategies for Medicaid-Eligible Women

This 2 pager provides a brief overview of state strategies to implement team-based care for pregnant women eligible for Medicaid from the National Academy for State Health Policy. It also gives a brief overview of strategies adopted in Minnesota, Montana, and the District of Columbia with links for additional information. Continue reading

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,while providing effective treatment and recovery supports can change the trajectory for the entire family. In this collection, we place a spotlight on effective models for treating SUD in pregnant and parenting women. Continue reading

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

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.

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 Families in Transitions program created through a SAMHSA pregnant and parenting women (PPW) grant

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

 

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 substance use disorders
    • A report on state strategies to promote recovery among pregnant or parenting women with substance use disorder

Policymakers and community leaders may also want to review the collections on integrated care models for pregnant and parenting women with SUD and family-centered SUD treatment.

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 link to the Indian Health Services website for maternal health
  • 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.