Expand Perinatal Treatment and Support for Women with SUDs
Contents
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
Tools & Resources
TR - Expand Perinatal Treatment for Women with SUDs
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