Difference between revisions of "Expand Perinatal Treatment and Support for Women with SUDs"

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<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">__NOTOC__ <div class="mw-parser-output"><div class="mw-parser-output">Return to&nbsp; [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]]&nbsp;or&nbsp;[[ZOOM_MAP_-_Expand_Steps_to_Minimize_Opioid_Use_During_Pregnancy_or_Pregnancy_during_Opioid_Use|ZOOM MAP - Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy during Opioid Use]] <div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">__TOC__  
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<div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output"><div class="mw-parser-output">__NOTOC__ <div class="mw-parser-output"><div class="mw-parser-output">Return to&nbsp; [[Opioid_Top-Level_Strategy_Map|Opioid Top-Level Strategy Map]]&nbsp;or&nbsp;[[ZOOM_MAP_-_Expand_Steps_to_Minimize_Opioid_Use_During_Pregnancy_or_Pregnancy_during_Opioid_Use|ZOOM MAP - Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy during Opioid Use]] <div class="mw-parser-output"><div class="wiki" id="content_view" style="display: block">__TOC__  
 
= Background =
 
= Background =
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<span style="display: inline !important; float: none; background-color: rgb(255, 255, 255); color: rgb(34, 34, 34); font-family: sans-serif; font-size: 13.93px; font-style: normal; font-variant: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: left; text-decoration: none; text-indent: 0px; text-transform: none; -webkit-text-stroke-width: 0px; white-space: normal; word-spacing: 0px;">Most doctors recommend that pregnant women undergo a long-term treatment plan called drug-assisted stabilization using methadone, also known as harm reduction therapy. This treatment remains sustainable for a woman after she has given birth, because it's covered under Medicaid, so new mothers can still access the treatment, even after their six-week Medicaid-provided postnatal care is done. The treatment also doesn't subject a woman's mind and body through the stress of full withdrawal, allowing her to focus on caring for herself and her baby</span>
  
 
= Promising Programs =
 
= Promising Programs =
 
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== Perinatal Addiction Treatment Program ==
 
== Perinatal Addiction Treatment Program ==
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[[TR_-_Expand_Perinatal_Treatment_for_Women_with_SUDs|TR - Expand Perinatal Treatment for Women with SUDs]]
 
[[TR_-_Expand_Perinatal_Treatment_for_Women_with_SUDs|TR - Expand Perinatal Treatment for Women with SUDs]]
  
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<br/> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span><br/> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span>
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Potential Objective Details(Under Construction)&nbsp;<br/> Potential Measures and Data Sources(Under Construction)&nbsp;<br/> Potential Actions and Partners(Under Construction)&nbsp;
 
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= Resources to Investigate =
 
 
 
[[RTI_-_Expand_Perinatal_Treatment_for_Women_with_SUDs|More RTI on Expand Perinatal Treatment for Women with SUDs]]<br/> <br/> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">PAGE MANAGER</span>:''' </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[insert name here]</span><br/> <span style="background-color: #ffffff; color: #222222; font-family: arial,sans-serif; font-size: 12.8px">'''<span style="color: #4d4d4d">SUBJECT MATTER EXPERT</span>''': </span><span style="background-color: #ffffff; color: #ff0000; font-family: arial,sans-serif; font-size: 12.8px">[fill out table below]</span>
 
  
 
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= Sources =
 
= Sources =
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[[Category:SAFE-Treatment and Recovery]]
 
[[Category:SAFE-Treatment and Recovery]]

Revision as of 11:55, 16 March 2020

Return to  Opioid Top-Level Strategy Map or ZOOM MAP - Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy during Opioid Use

Background

Most doctors recommend that pregnant women undergo a long-term treatment plan called drug-assisted stabilization using methadone, also known as harm reduction therapy. This treatment remains sustainable for a woman after she has given birth, because it's covered under Medicaid, so new mothers can still access the treatment, even after their six-week Medicaid-provided postnatal care is done. The treatment also doesn't subject a woman's mind and body through the stress of full withdrawal, allowing her to focus on caring for herself and her baby

Promising Programs

Perinatal Addiction Treatment Program


Perinatal Addiction Treatment Program - Dartmouth Hitchcock Medical Center
Program Highlights

  • Integrated Care Model: Includes maternity care, substance use treatment, behavioral health/psychiatry, pediatrics
  • Participant Drive Design
  • Private setting 10 minutes from hospital campus
  • Tablet-based SBIRT screening
  • 18 week parenting class

Outcome Successes

  • Perinatal: Average gestational age is over 38 weeks; Average birthweight in the normal range
  • Decreased NAS treatment rate
  • Decreased neonatal LOS
  • Effective use of technology for screening
  • 2/3 of participants remain in treatment postpartum

 

Centering Pregnancy

While not specifically focusing on issues of addiction or substance misuse among pregnant women, the CenteringPregnancy approach has the potential to cost-effectively improve prenatal and perinatal care among women who may be using or be addicted to opioids or other substances. It is a group approach to prenatal and perinatal care. 
 

Tools & Resources

TR - Expand Perinatal Treatment for Women with SUDs


PAGE MANAGER: [insert name here]
SUBJECT MATTER EXPERT: [fill out table below]

Reviewer Date Comments
     

Sources