The Alcohol and Substance-Exposed Pregnancy Prevention Initiative (AStEPP) offers training and technical assistance to increase Healthy Start grantees’ understanding of the impacts of fetal exposure to alcohol and other drugs, and strengthen their capacity to engage in effective prevention and early identification activities with pregnant women, mothers, and newborns. The initiative also aims to address social, environmental and broader behavioral health factors as they contribute to substance use before, during, and after pregnancy. The initiative takes a health equity approach by focusing efforts on populations at higher risk, including Native American and tribal communities, as well as building upon community strengths and resiliency factors.

Foundational Webinar Series on FASD

This webinar series provides a basic overview of fetal alcohol spectrum disorders (FASDs), prevention strategies including referral to treatment for pregnant women, and screening and assessment for FASDs in children. Click on the links below for webinar recordings and slides.

Addressing Fetal Alcohol Spectrum Disorders in the Context of Healthy Start: What do we need to know?   (Presented live 2/21/17)

Using SBIRT in Healthy Start: Destigmatizing Addiction and Cultural Considerations (Presented live 4/13/17)

Introduction to FASD Screening and Diagnosis (Presented live 5/25/17)

What are the Long-term Effects and Impacts of Fetal Alcohol Spectrum disorders (FASD) on Individuals and their Families? (Presented live 9/5/17)

Ask The Expert: How does prenatal exposure to alcohol, marijuana, opioids and other substances affect maternal and child health outcomes? (Presented live 12/12/17)

Featured Resources

Education & Fetal Alcohol Syndrome Disorders Toolkit 

Opioid and Behavioral Health Resources: A Quick Start List for Healthy Start Grantees

ACOG/CDC FASD Prevention Program

Moms’ Mental Health Matters

Visit the Evidence-based Practices Inventory for additional resources and practices for addressing substance use and mental health with women and families.

For More Information

Please contact the Healthy Start EPIC Center, by email: or by phone: EPIC Helpline 1-844-225-3713.