DRUG FREE MOMS AND BABIES PROJECT An integrated, comprehensive - - PowerPoint PPT Presentation

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DRUG FREE MOMS AND BABIES PROJECT An integrated, comprehensive - - PowerPoint PPT Presentation

Oct 05, 2023 323 likes •548 views

DRUG FREE MOMS AND BABIES PROJECT An integrated, comprehensive maternity and behavioral health care model Working together for West Virginia Perinatal Partnership healthier mothers and babies West Virginia Perinatal Partnership A statewide

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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

DRUG FREE MOMS AND BABIES PROJECT

An integrated, comprehensive maternity and behavioral health care model

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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

A statewide partnership of healthcare professionals and public and private organizations committed to improving perinatal health in West Virginia.

West Virginia Perinatal Partnership

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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Drug Free Moms and Babies Project (DFMB)

Goal To deliver drug free babies or lessen the effects of prenatal substance exposure.

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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

DFMB Funded by:

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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Drug Free Moms and Babies Model Services

  • Medication

Assisted Treatment

  • Individual and

Group Counseling

  • Home visitation
  • WIC/nutrition
  • Housing
  • Child Care
  • Transportation
  • Prenatal

Care

  • Labor and

Delivery

  • Postpartum
  • Outreach
  • Needs

Assessment

  • Referrals/

Linkages

  • Follow up
  • Peer

Recovery Coach

Drug Free Moms and Babies Maternity Care Substance Use Disorder Treatment Social Services

Care Coordinator

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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

DFMB Pilot Project Sites 2012-2018

Shenandoah Community Health Greenbrier Physicians, Ob-Gyn Dep’t. WVU Medicine, Ob-Gyn Dep’t. Thomas Health

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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Greenbrier Valley Medical Center Thomas Memorial Hospital Berkeley Medical Center

PRESTON MONONGALIA MARION TAYLOR HARRISON DODDRIDGE WETZEL MARSHALL OHIO BROOKE HANCOCK TYLER PLEASANTS WOOD JACKSON RITCHIE WIRT ROANE CALHOUN GILMER LEWIS UPSHUR BARBOUR TUCKER GRANT MINERAL HAMPSHIRE MORGAN BERKELEY JEFFERSON HARDY PENDLETON RANDOLPH WEBSTER BRAXTON POCAHONTAS NICHOLAS CLAY GREENBRIER FAYETTE RALEIGH SUMMERS MONROE MERCER MCDOWELL WYOMING MINGO LOGAN BOONE KANAWHA PUTNAM MASON CABELL WAYNE LINCOLN

Weirton Medical Center Ohio Valley Medical Center Wheeling Hospital Stonewall Jackson Memorial

  • St. Joseph's Hospital

Davis Medical Center Grant Memorial Hospital Jefferson Medical Center Fairmont Regional Medical Center United Hospital Center Camden Clark Medical Center

Ruby Memorial/ WVU Medicine Children’s

CAMC Women and Children’s Hospital

Raleigh General Hospital

Cabell Huntington Hospital/ Hoops Family Children’s Hospital

Bluefield Regional Medical Center Princeton Community Hospital Logan General Hospital

  • St. Mary's Hospital

Pleasant Valley Hospital

Birthing Hospital Tertiary Care Center Freestanding Birthing Center Drug Free Moms and Babies Site Integrated Services for Pregnant Women

West Virginia Birthing Facilities and Drug Free Moms and Babies Sites

WomenCare BirthCenter

July 2019

25 birthing hospitals, 1 freestanding birthing center 16 DFMB programs (operating or in development)

Mon Health Medical Center Reynolds Memorial Hospital Valley Health Shenandoah Community Health Tug River Health Association

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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Who is being served?

Expansion Data: entered between 1/1/2018- 10/18/2019 1049 Entries from 10 Sites

– 67 Readmissions – 982 Unduplicated

Pilot Data: 2012- 2018 597 Entries from 4 Sites

– 47 Readmissions – 550 Unduplicated 1532 total women served!

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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Race/Ethnicity – 89.4% White Maternal Age: – 26.5 (Range 16-41) Number in Household: – 3.3 (Range 1-8) Number of Living Children: – 1.9 (Range 0-8) Marital Status: – Never married: 69% – Married: 18% Cohabitation (for those not married): – Yes: 61% Planned Pregnancy: – 18%

Who is being served?

Expansion (N=982)

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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Who is being served?

Housing:

– Permanent residence: 66% – Friends/family: 28% – Temporary housing: 3% – Shelter: 1% – Homeless: 1%

Employment:

– Not employed: 67% – Part-time: 13% – Full-time: 21%

Education

  • No HS degree: 21%
  • HS degree/GED: 46%

Income

  • <$15k: 61.4%

Insurance

  • Medicaid: 88.9%

Intention to Breastfeed

  • 50%
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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Who is being served?

Unduplicated N=982 Pregnant N=834 (85%) Postpartum N=148 (15%)

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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Substance Use During Pregnancy

(Pregnant, N=834)

Alcohol: 10% Tobacco: 76% Cannabis: 59% Stimulant: 24% Hallucinogens: <1% Opioids – Non-prescribed: 35%

– MAT: 49%

– Prescribed: 6% Depressants: 8%

Pilot data:

Opioids (non-prescribed) 65%

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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Outcomes

Pregnant (N=834) Still in program: N=209 Completed: N=349 Program went to delivery only: N=266 Did not complete: N=276 Left prior to delivery: N=133 Left at delivery: N=43 After delivery but before 2 years pp: N=96

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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Outcomes

All unduplicated with known baseline (N=687)

Baseline

  • Positive prescribed: 122 (18%)
  • Positive non-prescribed: 517 (75%)

First Trimester

  • 519 participants
  • 405 (78%) positive

Second Trimester

  • 432 participants
  • 248 (57%) positive

Third Trimester

  • 506 participants
  • 227 (45%) positive

At Delivery

  • 565 participants
  • 180 (32%) positive
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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Birth outcomes – N=503 term births – N=86 preterm births – 11 sets of twins NAS – N=220, 43% Breastfed after birth – N=225, 43% Cord tissue (N=467) – Not positive (N=151, 32%) – Positive prescribed (N=147, 31%) – Positive non-prescribed (N=138, 30%)

Outcomes

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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Summary: Who is being reached?

DFMB Programs are continuing to reach high-risk, medically-underserved women, including high percentages of:

– Low education – Low income – Medicaid insurance – Unplanned pregnancies

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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Summary: Outcomes

Positive urine drug screens decreased from 75% at baseline to 32% at delivery for non- prescribed substances Cord tissue testing results currently 70% for either no substances or prescribed only Other outcome results still forthcoming

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West Virginia Perinatal Partnership

Working together for healthier mothers and babies

Janine Breyel, Project Director

1018 Kanawha Boulevard East Charleston, WV 25301 (304) 216-3437 jbreyel@hsc.wvu.edu www.wvperinatal.org

Coordinated by the West Virginia Higher Education Policy Commission, Division of Health Sciences