Site Examples

The following resources provide examples of how jurisdictions have developed policy and protocols in working with pregnant women affected by opioid use disorders, their infants and families.

Vermont

The Treatment of Opioid Dependence in Pregnancy: Vermont Guideline

The Treatment of Opioid Dependence in Pregnancy: Vermont Guidelines. These best practice guidelines were written as a collaborative effort between the division of Alcohol and Drug Abuse Programming at the Vermont Department of Health, the Maternal Fetal Medicine Department at Fletcher Allen Health Care and the Neomedical Follow-up Department at Fletcher Allen Health Care. The obstetrical and pediatric guidelines were written for use in Vermont after a decade of work with the population of substance dependent pregnant women and their children. They are intended for clinical providers to review and use as a template, if desired. http://www.uvm.edu/medicine/vchip/documents/ICONFULLTREATMENTGUIDELINESFINAL.pdf (PDF 1.3 MB)

Opioid Use in Pregnancy: A Community’s Approach, The Children and Recovering Mothers (CHARM) Collaborative

Opioid Use in Pregnancy: A Community’s Approach, The Children and Recovery Mothers (CHARM) Collaborative Webinar and Case Study. These resources describe a collaborative approach in working with pregnant women with opioid use disorders. Contact the NCSACW for the case study. Facilitated as part of a webinar series – see the textbox, National Center on Substance Abuse and Child Welfare: Webinar Series for a complete listing. The webinar is available at https://www.youtube.com/watch?v=4-OJYK8N0GQ

Maine

The Snuggle ME Project: Embracing Drug Affected Babies and their Families in the First Year of Life To Improve Medical Care and Outcomes. Collaborative initiative between various service providers in the State of Maine. The collaborative seeks to improve outcomes for pregnant women with substance use disorders and their infants.

Introducing the Snuggle ME Recommendations: Care of Pregnant Women with Perinatal Substance Use with a Focus on Pain Management

Snuggle ME Webinar Series. This series features presentations by national and state experts on how to identify substance use and optimize care and coordination for women and children affected by substance use in pregnancy. https://www.mainequalitycounts.org/page/2-934/snuggle-me-webinar-series

Introducing the Snuggle ME Recommendations: Care of Pregnant Women with Perinatal Substance Use with a Focus on Pain Management

Webinar: Introducing the Snuggle ME Recommendations: Care of Pregnant Women with Perinatal Substance Use with a Focus on Pain Management. This webinar highlights treatment for pregnant women with opioid use disorders and their newborns. https://www.mainequalitycounts.org/image_upload/PLL_Introducing%20the%20Snuggle%20ME%20Recommendations_04.02.13.pdf (PDF 1.0 MB)

The Snuggle ME Project: Embracing Drug Affected Babies and their Families in the First Year of Life To Improve Medical Care and Outcomes Maine

The Snuggle ME Project: Draft of Evidence Based Recommendations for Care of Mom, Newborn and Families Affected by Perinatal Addiction. This document provides recommendations for screening for substance use during pregnancy, care of pregnant women with opioid dependency, and treatment of newborns with prenatal substance exposure. It includes sample hospital policy guidelines and patient education handouts. https://www1.maine.gov/dhhs/mecdc/documents/SnuggleME-Project.pdf (PDF 1.0 MB)

Screen for Substance Use

Snuggle ME Screening Algorithm. This resource is a step-by-step screening algorithm that can be used to guide the process of screening, brief intervention and referral to treatment for pregnant women. https://www.mainequalitycounts.org/image_upload/Screening%20algorithm.pdf (PDF 348 KB)

Ohio

Maternal Opiate Medical Support (MOMS) Care Coordination Model: Collaborative initiative seeking to improve outcomes for mothers and infants affected by opioid and other substance use disorders.

Neonatal Abstinence Syndrome Project

Ohio Perinatal Quality Collaborative: Neonatal Abstinence Syndrome Project, Legalities and Practicalities Webinar. Describes strategies to identify neonatal abstinence syndrome. Discusses practice based implications in screening and testing for prenatal substance exposure. https://opqc.net/sites/bmidrupalpopqc.chmcres.cchmc.org/files/Webinar%20Series/NAS%20Level%20I%20ID%20of%20Substance%20Use%20in%20Pregnancy-%20Legalities%20and%20Practicalities.pdf (PDF 4.8 MB)

Iowa

2013 Iowa Medicaid Birth Certificate Match Report: Neonatal Abstinence Syndrome

2013 Iowa Medicaid Birth Certificate Match Report: Neonatal Abstinence Syndrome, Factors Associated with Neonatal Abstinence Syndrome. A project supported by an inter-departmental agreement between the Iowa Department of Human Services and the Iowa Department of Public Health/Bureaus of Family Health and Health Statistics. The report summarizes recommendations to address risk factors, including tobacco use, among pregnant women with opioid use disorders. http://idph.iowa.gov/Portals/1/Files/HealthStatistics/2013_medicaid_neonatal.pdf (PDF 2.6 MB)

Community Care of North Carolina

CCNC Pregnancy Home Risk Screening Form

Pregnancy Home Risk Screening Form This resource is a sample screening form used to identify substance use during pregnancy and other risk factors. https://www.communitycarenc.org/media/files/pmh-risk-screening-form-english.pdf (PDF 338 KB)

Home Care Pathways: Management of Substance Use in Pregnancy

Home Care Pathways: Management of Substance Use in Pregnancy This resource offers guidelines and tools to conduct the screening, brief intervention and referral to treatment (SBIRT) approach to addressing substance use in clinical practice. https://www.communitycarenc.org/population-management/pregnancy-home/pmh-pathways/pmh-care-pathways-management-substance-use-pregnan/

State of Washington

Substance Use Disorders During Pregnancy: Guidelines for Screening & Management

Washington Department of Health — Substance Abuse During Pregnancy: Guidelines for Screening and Management This resource offers guidelines and sample tools for screening pregnant women for substance use and provides recommendations on drug testing protocols for pregnant women and newborns. http://here.doh.wa.gov/materials/guidelines-substance-abuse-pregnancy/13_PregSubs_E16L.pdf (PDF 1.0 MB)

Guidelines for Testing and Reporting Drug Exposed Newborns in Washington State

Guidelines for Testing and Reporting Drug Exposed Newborns in Washington State, 2014. This document provides guidance to hospitals, health care providers and affiliated professionals about maternal drug screening, laboratory testing and reporting of drug-exposed newborns delivered in Washington State. http://here.doh.wa.gov/materials/guidelines-drug-exposed-newborns/15_BabyDrugTest_E15L.pdf (PDF 541 KB)

Pennsylvania

Inpatient Pathway for the Evaluation/Treatment of Infants with Neonatal Abstinence Syndrome

Inpatient Pathway for the Evaluation/Treatment of Infants with Neonatal Abstinence Syndrome. The Children's Hospital of Philadelphia developed this tool, which lays out the clinical steps in evaluating and treating infants with neonatal abstinence syndrome. http://www.chop.edu/clinical-pathway/neonatal-abstinence-syndrome-clinical-pathway

Australia

Neonatal Abstinence Syndrome Clinical Pathway

Queensland, Australia: Neonatal Abstinence Syndrome Clinical Treatment Pathway This resource provides clinical steps in identifying and treating infants with neonatal abstinence syndrome. https://www.health.qld.gov.au/caru/pathways/docs/nas-pathway.pdf (PDF 1.2 MB)

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