SUD

Perinatal Care of Women with Substance Use Disorders

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Toolkit for the Perinatal Care of Women with Substance Use Disorders – 2021 Update

This toolkit was developed by a multidisciplinary group of obstetric, pediatric, neonatal, and addiction treatment providers and nurses to assist front-line perinatal care providers to improve the quality and safety of care provided to pregnant women with substance use disorders in northern New England.

• NNEPQIN Toolkit Updated 11_5_21

  • Section 1 RESPECTFUL PERINATAL CARE FOR PEOPLE WITH SUBSTANCE USE DISORDERS Updated 11_5_21

  • Section 2 SCREENING AND ASSESSMENT Updated 11_5_21-2

  • Section 3 TOOLS BY SUBSTANCE Updated 11_5_21-3

  • Section 4 TOOLS TO SUPPORT PATIENT NEEDS Updated 11_5_21-4

  • Section 5 BEST PRACTICE IMPLEMENTATION AND QUALITY IMPROVEMENT Updated 11_5_21-5

  • Section 6 OTHER LEARNING OPPORTUNITIES FOR PROVIDERS Updated 11_5_21-6

  • Section 7 NNEPQIN Toolkit ADDITIONAL REFERENCES Updated 11_5_21-7

Screening for Alcohol, Tobacco and Drug Use in Pregnancy – 2018 Update

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• Download the Guideline (PDF)

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Harm Reduction

• http://nhhrc.org/

• https://harmreduction.org/

Pregnancy

• NNEPQIN – Toolkit for Perinatal Care of Women with Substance Use Disorder

  • NNEPQIN Toolkit for Perinatal Care of Women with Substance Use Disorders

  • NH SBIRT Implementation Playbook for Perinatal Providers 1.19

• Maine Snuggle ME Guidelines: Tools for Caring for Women with Addiction and Their Babies (Maine)

  • https://www.maine.gov/dhhs/SnuggleME/documents/SnuggleME-2018-GuidelinesFINAL.pdf

• Clinical Guidance for Treating Pregnant and Parenting Women with Opioid Use Disorders and Their Infants – Substance Abuse and Mental Health Service Administration (SAMHSA)

  • https://library.samhsa.gov/sites/default/files/sma18-5054.pdf

• Addiction Technology Transfer Center Network (ATTC) Perinatal Provider Toolkit​

  • http://attcppwtools.org/Toolkit/PerinatalProviderToolkit.aspx

• National Perinatal Association

  • https://www.nationalperinatal.org/substance-use

AIM Patient Safety Bundle Resources

• Safety Bundle landing page

• Safety Bundle implementation resources

• Safety Bundle Core Data Collection Plan

• IHI Change Package

• Webinar recording: Introduction to the AIM Portal and Bundle Implementation Strategies

• SUD Bundle Measures (REDCap Data Collection Tool): 2023 DeIdentified SUD Bundle Metrics

NNEPQIN Toolkit

• NNEPQIN Toolkit

Screening For Substance Use

• NIDA one-question screener drugs

• The AUDIT-C  (alcohol) as a pre-screen, followed by the DAST and AUDIT-10

• NIDA recommended two step approach (quick screen followed by ASSIST) NIDA quick screen assist then DAST

• 5Ps-Screening-Tool-and-Follow-Up-Questions

SMFM Guidance

• SMFM Special Report on SUD Screening and Testing Ecker 2019

ACOG Guidance

• Opposition to Criminalization of Individuals During Pregnancy and the Postpartum Period _ ACOG2020

SAMHSA Guidance

• https://store.samhsa.gov/product/Clinical-Guidance-for-Treating-Pregnant-and-Parenting-Women-With-Opioid-Use-Disorder-and-Their-Infants/SMA18-5054

Professional Education

Non-Stigmatizing Language

• Words Matter: Preferred Language For Talking About Addiction And Substance Use Disorder https://nida.nih.gov/drug-topics/addiction-science/words-matter-preferred-language-talking-about-addiction

• Non-Stigmatizing Language: Reducing Stigma by Using Strength-Based Language https://www.mcpapformoms.org/docs/Non-stigmatizing_Language.pdf

• PCSS: Stigma Language videos

Harm Reduction

• Pregnancy and Substance Use: A Harm Reduction Toolkit: https://harmreduction.org/issues/pregnancy-and-substance-use-a-harm-reduction-toolkit/

• DHMC About Narcan Patient Education Script: Dartmouth Hitchcock About Narcan-Patient Education Script 1.2023

• DHMC BP Narcan Distribution Education: Dartmouth Hitchcock BP Narcan Distribution Nursing Education 1-18-23

• DHMC Standing Order State Provided Narcan Kits: Standing order State Provided Narcan Kits

Adaptable Narcan Bifold Brochures

• Narcan Bifold Brochure Template blank

• Narcan Bifold Brochure Template crop blank

• Narcan Bifold Brochure Template crop with logo area marked

• Narcan Bifold Brochure Template with logo area marked

Trauma Informed Care

• Integrating a Trauma-Informed Approach into Substance Use Disorder Treatment: https://www.chcs.org/resource/integrating-trauma-informed-approach-into-substance-use-disorder-treatment/

Respectful Care

Education

• March of Dimes Implicit Bias Training: Awareness to Action: Dismantling Bias in Maternal and Infant Healthcare™ [aha.org]

• My Bias: Implicit, Explicit, Does it Matter in Maternal & Newborn Nursing Care? [my.awhonn.org] AWHONN Free webinar

• Deconstructing Unconscious Bias in Behavioral Health Care – Make Case Not Blame [youtube.com]

SUD Specific Education

• Creating a Culture of Respectful Care for Pregnant and Postpartum People with Substance Use Disorders: https://www.youtube.com/watch?app=desktop&v=n3SNBBrPVxM

Further Readings on Perinatal SUD

• Challenges in Perinatal Drug Testing

• Test or Talk_Empiric Bias and Epistemic Injustice​

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