This 244-page publication contains detailed guidelines and recommendations on the identification and management of women who are pregnant or postpartum and use alcohol or drugs or have a substance use disorder. It includes extensive information on screening and brief interventions, psychosocial interventions, detoxification and quitting programs, pharmacological treatment, breastfeeding and maternal substance use, and management of infants exposed to alcohol and other psychoactive substances. The document also features a comprehensive review of the evidence behind the recommendations.
Alcohol/Drug Services Breastfeeding Prenatal Care and Education Risk Assessment
The CRAFFT is a short, validated behavioral health tool developed to screen adolescents under age 21 for high risk alcohol and drug use. Recommended by the American Academy of Pediatrics, it consists of 6 questions involving Car, Relax, Alone, Forget, Friends, and Trouble. The tool is meant to assess whether a longer conversation about the context of use, frequency, and other risks and consequences of alcohol and/or drug use is warranted. It is available in 13 languages.
Alcohol/Drug Services Risk Assessment
Marijuana is the most common mood-altering drug used during pregnancy, and with legalization occurring in several states, there is concern that its use may increase. This ACOG Committee Opinion provides a comprehensive summary of current evidence regarding risks of recreational or medicinal marijuana use during pregnancy and lactation to both the mother and the fetus.
Alcohol/Drug Services
ACNM encourages CNMs, CMs, and other professionals who provide care for reproductive-aged women to routinely use evidence-based strategies to prevent alcohol exposed pregnancy, including:
–Conduct universal alcohol screening and appropriate follow-up at least annually for all adults. For pregnant women, screen at the initial prenatal visit and during each trimester thereafter.
–Be aware of state reporting laws and potential practice implications regarding the use of ICD-10 codes to indicate alcohol use during pregnancy if recording alcohol exposure in the prenatal problem list.
–Provide education about the potentially harmful effects of alcohol on a developing fetus
–Advise use of effective contraception to prevent pregnancy; if the woman is not using contraception consistently, advise her to consider abstaining from alcohol use.
–Encourage women who are attempting to become pregnant to abstain from alcohol.
–Provide a brief behavioral intervention and appropriate follow-up plan for those who screen positive for symptoms or dependency, including a referral to specialty services as needed.
In addition,CNMs and CMs should seek information and training to enhance their knowledge and build theclinical skills needed to address alcohol use with women, especially those of reproductive age.
Alcohol/Drug Services Prenatal Care and Education
The National Center on Substance Abuse and Child Welfare (NCSACW) is an initiative of the Department of Health and Human Services to improve family recovery, safety and stability by advancing practices and collaboration among agencies, organizations and courts working with families affected by substance use and co-occurring mental health disorders and child abuse or neglect.
Alcohol/Drug Services Depression Intimate Partner Violence
MotherToBaby, a service of the non-profit Organization of Teratology Information Specialists, is dedicated to providing evidence-based information to mothers, health care professionals, and the general public about medications and other exposures during pregnancy and while breastfeeding. Talk directly to the experts behind the most up-to-date research!
Alcohol/Drug Services Breastfeeding Prenatal Care and Education
Mental Health First Aid teaches people how to identify, understand and respond to signs of mental illnesses and substance use disorders. Its training gives the skills needed to reach out and provide initial help and support to someone who may be developing a mental health or substance use problem or experiencing a crisis.
Alcohol/Drug Services Depression Intimate Partner Violence
National Council for Behavioral Health is the unifying voice of America’s community mental health and addictions treatment organizations. The organization is committed to ensuring all Americans have access to comprehensive, high-quality care that affords every opportunity for recovery and full participation in community life. It also offers state-of-the-science education and practice improvement consulting and resources to ensure mental health and addiction services are efficient and effective.
Alcohol/Drug Services Depression Intimate Partner Violence
NOFAS works to prevent prenatal exposure to alcohol and other substances of abuse known to harm fetal development by raising awareness and supporting women before and during their pregnancy, and supports individuals, families, and communities living with Fetal Alcohol Spectrum Disorders (FASDs) and other preventable intellectual/developmental disabilities.
Alcohol/Drug Services Parenting Education Patient-centered Medical Home Prenatal Care and Education
The American Academy of Pediatrics FASD Toolkit was developed in coordination with the CDC to raise awareness, promote surveillance and screening, and ensure that all children who possibly have FASDs receive appropriate and timely interventions. Focused primarily on providers, it features basic information on FASD, diagnostic tools for use in children suspected of being affected, evidence-based interventions, and guidelines for case management/care coordination. The site also contains FAQ and a list of resources for families and school professionals who care for children with FASD.
Alcohol/Drug Services Case Management/Care Coordination Parenting Education
