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Medical Director: Michael P. Marcotte, MD TriHealth-Good Samaritan Hospital Cincinnati
HOPE H elping O piate- A ddicted P regnant women E volve Medical - - PowerPoint PPT Presentation
HOPE H elping O piate- A ddicted P regnant women E volve Medical - - PowerPoint PPT Presentation
HOPE H elping O piate- A ddicted P regnant women E volve Medical Director: Michael P. Marcotte, MD TriHealth-Good Samaritan Hospital Cincinnati Ohio MHAS MOMs Grant 2014-2016 Ohio MHAS MOMs Grant 2014-2016 Intake/ Induction Maintenance
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Ohio MHAS MOMs Grant 2014-2016
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Ohio MHAS MOMs Grant 2014-2016 Intake/ Induction
Prenatal Care Medication Assisted treatment (MAT) Behavioral Health
Maintenance
Addiction Therapy MAT Prenatal Care
Delivery and Postpartum
Medical MAT Behavioral Health
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Ohio MHAS MOMs Grant 2014-2016
Maternal Addiction Program
- Behavioral
Health Therapy
- Inpatient/
Residential Care
- Intensive
Outpatient Therapy
- Wrap Around
Services
HOPE
- Prenatal Care/
Case Management
- Inpatient MAT
induction
- Referral to
community MAT and addiction treatment
- Enhanced
Prenatal Care
- Delivery
- Enhanced
Postpartum Care
Medication Assisted Treatment
- Medication
Assisted Treatment
- Outpatient
Buprenorphine Therapy
- Addiction
Medicine
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Ohio MHAS MOMs Grant 2014-2016 Maternal Addiction Program Counseling
- Learning about
healthy living
- Contemplation
versus quitting
- Barriers to
recovery
- Change
- Confidence
- Violence
- Trauma
- Healing
- Self
- Relationships
- Sexuality
- Spirituality
Helping Women Recover Beyond Recovery Smoking Cessation Motivational inter-viewing
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Ohio MHAS MOMs Grant 2014-2016 Maternal Addiction Program Other Services
- Nutrition
- Mental Health Care
- Housing
- Family Reunification
Wrap Around Services for seamless return to the community
- Evidence based care
- Integration of mental health, trauma and recovery counseling
- Barrier reduction
Trauma Informed Behavioral Healthcare
- Relapse prevention
- Education on NAS
- Improved physical plant/ safe environment
- Anticipatory guidance for L & D and neonatal time period
- Parenting classes
Program Retention
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Ohio MHAS MOMs Grant 2014-2016 Wrap Around Services
- -Outside Collaboration--
- Peds and
Primary Care
- Post-partum
Pathway
- Prevention
therapy for kids
- Vocation
support
Dress for Success GLAD House Cross- roads Health Center Healthy Moms and Babes
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KEY DRIVER DIAGRAM
Project Name: M.O.M.S. Team Leader: Terry Schoenling SMART AIM KEY DRIVERS INTERVENTIONS
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 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
Revision Date: 12-2-2013
GLOBAL AIMS
Acknowledge that trauma in this population is a major factor for addiction and that it must be addressed in a comprehensive 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 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
- 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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