HOPE Helping Opiate- Addicted Pregnant women Evolve

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1 HOPE Helping Opiate- Addicted Pregnant women Evolve Medical Director: Michael P. Marcotte, MD TriHealth-Good Samaritan Hospital Cincinnati

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3 Ohio MHAS MOMs Grant

4 Ohio MHAS MOMs Grant Intake/ Induction Prenatal Care Maintenance Medication Assisted treatment (MAT) Behavioral Health Addiction Therapy MAT Prenatal Care Delivery and Postpartum Medical MAT Behavioral Health

5 Maternal Addiction Program HOPE Medication Assisted Treatment Ohio MHAS MOMs Grant Behavioral Health Therapy Inpatient/ Residential Care Intensive Outpatient Therapy Wrap Around Services Prenatal Care/ Case Management Inpatient MAT induction Referral to community MAT and addiction treatment Enhanced Prenatal Care Delivery Enhanced Postpartum Care Medication Assisted Treatment Outpatient Buprenorphine Therapy Addiction Medicine

6 Ohio MHAS MOMs Grant Maternal Addiction Program Counseling Self Relationships Sexuality Spirituality Helping Women Recover Beyond Recovery Violence Trauma Healing Motivational inter-viewing Smoking Cessation Barriers to recovery Change Confidence Learning about healthy living Contemplation versus quitting

7 Ohio MHAS MOMs Grant Maternal Addiction Program Other Services Wrap Around Services for seamless return to the community Nutrition Mental Health Care Housing Family Reunification Trauma Informed Behavioral Healthcare Evidence based care Integration of mental health, trauma and recovery counseling Barrier reduction Program Retention Relapse prevention Education on NAS Improved physical plant/ safe environment Anticipatory guidance for L & D and neonatal time period Parenting classes

8 Ohio MHAS MOMs Grant Wrap Around Services --Outside Collaboration-- Vocation support Dress for Success GLAD House Prevention therapy for kids Post-partum Pathway Healthy Moms and Babes Crossroads Health Center Peds and Primary Care

9 Revision Date: Project Name: M.O.M.S. SMART AIM Expand the existing Maternal Addictions Program into two additional hospital locations by 2016 to facilitate improvement in birth outcomes for addicted women Measures: 60% reduction in low birth weight babies 50% reduction in average NICU LOS 85% of women will remain in treatment and abstain from drug use during pregnancy 70% of women will utilize subutex versus methadone during pregnancy GLOBAL AIMS Create a community based collaborative that provides an holistic approach to treatment of women who are pregnant and addicted that addresses their unique needs regarding medical care, mental health treatment, community reintegration, and substance abuse therapy KEY DRIVER DIAGRAM Team Leader: Terry Schoenling KEY DRIVERS INTERVENTIONS Community outreach designed to engage women who are pregnant and addicted as early as possible Develop therapeutic relationships with the major delivery hospitals in the community Introduce MAP protocols regarding passage to addictions treatment and MAT services Educate community physicians on the need for timely referral to MAP services Provide access to pre-natal medical care that links women to medically supervised MAT services in a seamless and timely manner Integrate best practice therapy modalities that meet the needs of pregnant women Provide specialized maternal educational programming that targets healthy fetal development and self care during pregnancy Acknowledge that trauma in this population is a major factor for addiction and that it must be addressed in a comprehensive manner Provide information to the community aggressively Enlist support from medical, justice, children s protective community Adopt an Open Access intake model Utilize monthly planning sessions as a process for data analysis and collaboration ( NIATX) Provide specialized assessments that identify client readiness and willingness to change Utilize focus groups as an evaluation tool Engage outside specialist for nutrition, fetal development and pregnancy care Prioritize developmental education into the weekly therapy schedule Utilize peer support Integrate vocational, housing and child therapy Introduce intensive trauma informed care into therapy model Coordinate Mental Health therapy with addictions therapy around trauma identification and treatment Involve family in discussion of trauma issues and potential methods of reduction of effects

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