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

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<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"><div id="toc">
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= Table of Contents =
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=Expand Perinatal Treatment for Women with SUDs=
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<div style="margin-left: 1em">[[#Background|Background]]</div> <div style="margin-left: 1em">[[#Promising_Programs|Promising Programs]]</div> <div style="margin-left: 2em">[[#Promising_Programs-Perinatal_Addiction_Treatment_Program|Perinatal Addiction Treatment Program]]</div> <div style="margin-left: 2em">[[#Promising_Programs-Centering_Pregnancy|Centering Pregnancy]]</div> <div style="margin-left: 1em">[[#Tools_.26_Resources|Tools & Resources]]</div> <div style="margin-left: 1em">[[#Scorecard_Building|Scorecard Building]]</div> <div style="margin-left: 1em">[[#Resources_to_Investigate|Resources to Investigate]]</div> <div style="margin-left: 1em">[[#Sources|Sources]]</div> </div>  
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<span style="background-color: #ffffff">Return to</span>[[Expand%20Steps%20to%20Minimize%20Opioid%20Use%20During%20Pregnancy%20or%20Pregnancy%20During%20Opioid%20Use| Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy During Opioid Use]]<br /> <span style="background-color: #ffffff">or </span>[[ZOOM%20MAP%20-%20Expand%20Steps%20to%20Minimize%20Opioid%20Use%20During%20Pregnancy%20or%20Pregnancy%20during%20Opioid%20Use|ZOOM MAP - Expand Steps to Minimize Opioid Use During Pregnancy or Pregnancy during Opioid Use]]<br /> <div id="toc">
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= Background =
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=Table of Contents=
 
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<div style="margin-left: 1em">[[#Background|Background]]</div><div style="margin-left: 1em">[[#Promising Programs|Promising Programs]]</div><div style="margin-left: 2em">[[#Promising Programs-Perinatal Addiction Treatment Program|Perinatal Addiction Treatment Program]]</div><div style="margin-left: 2em">[[#Promising Programs-Centering Pregnancy|Centering Pregnancy]]</div><div style="margin-left: 1em">[[#Tools & Resources|Tools & Resources]]</div><div style="margin-left: 1em">[[#Scorecard Building|Scorecard Building]]</div><div style="margin-left: 1em">[[#Resources to Investigate|Resources to Investigate]]</div><div style="margin-left: 1em">[[#Sources|Sources]]</div></div>
 
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=Background=
 
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=Promising Programs=
 
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<br />
 
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==Perinatal Addiction Treatment Program==
 
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<br /> '''[https://geiselmed.dartmouth.edu/psych/care/dhmc_services/perinatal/ Perinatal Addiction Treatment Program] - Dartmouth Hitchcock Medical Center'''<br /> ''Program Highlights''<br />
 
  
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* Integrated Care Model: Includes maternity care, substance use treatment, behavioral health/psychiatry, pediatrics
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= Promising Programs =
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* Participant Drive Design
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* Private setting 10 minutes from hospital campus
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&nbsp;
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* Tablet-based [http://www.integration.samhsa.gov/clinical-practice/SBIRT SBIRT] screening
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* 18 week parenting class
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== Perinatal Addiction Treatment Program ==
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''Outcome Successes''<br />  
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<br/> '''[https://geiselmed.dartmouth.edu/psych/care/dhmc_services/perinatal/ Perinatal Addiction Treatment Program] - Dartmouth Hitchcock Medical Center'''<br/> ''Program Highlights''
 +
 
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*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 [http://www.integration.samhsa.gov/clinical-practice/SBIRT SBIRT] screening  
 +
*18 week parenting class  
 +
 
 +
''Outcome Successes''
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*Perinatal: Average gestational age is over 38 weeks; Average birthweight in the normal range
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*Decreased NAS treatment rate
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*Decreased neonatal LOS
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*Effective use of technology for screening
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*2/3 of participants remain in treatment postpartum
 +
 
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&nbsp;
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== Centering Pregnancy ==
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While not specifically focusing on issues of addiction or substance misuse among pregnant women, the [https://www.centeringhealthcare.org/what-we-do/centering-pregnancy 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.
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= Tools & Resources =
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[[TR_-_Expand_Perinatal_Treatment_for_Women_with_SUDs|TR - Expand Perinatal Treatment for Women with SUDs]]
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= Scorecard Building =
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[[PO_-_Expand_Perinatal_Treatment_for_Women_with_SUDs|Potential Objective Details]]<br/> [[PM_-_Expand_Perinatal_Treatment_for_Women_with_SUDs|Potential Measures and Data Sources]]<br/> [[PA_-_Expand_Perinatal_Treatment_for_Women_with_SUDs|Potential Actions and Partners]]
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= Resources to Investigate =
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[[More_RTI_on_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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* Perinatal: Average gestational age is over 38 weeks; Average birthweight in the normal range
 
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* Decreased NAS treatment rate
 
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* Decreased neonatal LOS
 
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* Effective use of technology for screening
 
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* 2/3 of participants remain in treatment postpartum
 
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<br />
 
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==Centering Pregnancy==
 
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While not specifically focusing on issues of addiction or substance misuse among pregnant women, the [https://www.centeringhealthcare.org/what-we-do/centering-pregnancy 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. <br />
 
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=Tools & Resources=
 
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[[TR - Expand Perinatal Treatment for Women with SUDs]]<br />
 
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=Scorecard Building=
 
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[[PO - Expand Perinatal Treatment for Women with SUDs|Potential Objective Details]]<br /> [[PM - Expand Perinatal Treatment for Women with SUDs|Potential Measures and Data Sources]]<br /> [[PA - Expand Perinatal Treatment for Women with SUDs|Potential Actions and Partners]]<br />
 
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=Resources to Investigate=
 
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[[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><br />
 
 
{| class="wiki_table"
 
{| class="wiki_table"
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| '''Reviewer'''<br />
 
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| '''Date'''<br />
 
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| '''Comments'''<br />
 
 
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| '''Reviewer'''
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| '''Date'''
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| '''Comments'''
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=Sources=
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= Sources =
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</div> </div> </div>

Revision as of 08:30, 8 January 2019

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

Background

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

Scorecard Building

Potential Objective Details
Potential Measures and Data Sources
Potential Actions and Partners

Resources to Investigate

More RTI on Expand Perinatal Treatment for Women with SUDs

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

Reviewer Date Comments
     

Sources

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