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

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 partnership of healthcare professionals and public and private organizations committed to improving perinatal health in West Virginia. Working together for West Virginia Perinatal Partnership healthier mothers and babies

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Drug Free Moms and Babies Project (DFMB) Goal To deliver drug free babies or lessen the effects of prenatal substance exposure. Working together for West Virginia Perinatal Partnership healthier mothers and babies

DFMB Funded by: Working together for West Virginia Perinatal Partnership healthier mothers and babies

Drug Free Moms and Babies Model Services •Outreach •Prenatal •Needs Care Assessment •Labor and Drug Delivery •Referrals/ Free Maternity Linkages •Postpartum Moms Care •Follow up and •Peer Babies Recovery Care Coach Coordinator Substance •Medication Use Social Assisted Services Disorder •Home visitation Treatment Treatment •WIC/nutrition •Individual and Group •Housing Counseling •Child Care •Transportation Working together for West Virginia Perinatal Partnership healthier mothers and babies

DFMB Pilot Project Sites 2012-2018 WVU Medicine, Ob-Gyn Dep’t. Shenandoah Community Health Thomas Health Greenbrier Physicians, Ob-Gyn Dep’t. Working together for West Virginia Perinatal Partnership healthier mothers and babies

West Virginia Birthing Facilities and Drug Free Moms and Babies Sites HANCOCK July 2019 Weirton Medical Center Ohio Valley Medical Center Wheeling Hospital BROOKE Mon Health Medical Center OHIO Ruby Memorial/ WVU Medicine Children’s MARSHALL Reynolds Memorial Hospital MONONGALIA WETZEL MORGAN Shenandoah Community Health BERKELEY Fairmont Regional Medical Center TYLER PRESTON MARION Berkeley Medical Center JEFFERSON Camden Clark Medical Center MINERAL PLEASANTS TAYLOR HAMPSHIRE HARRISON DODDRIDGE Jefferson Medical Center GRANT RITCHIE WOOD BARBOUR TUCKER United Hospital Center LEWIS HARDY WIRT UPSHUR Grant Memorial Hospital Pleasant Valley Hospital GILMER CALHOUN JACKSON RANDOLPH MASON PENDLETON ROANE Davis Medical Center BRAXTON St. Mary's Hospital St. Joseph's Hospital Cabell Huntington Hospital/ WEBSTER CLAY Hoops Family Children’s Hospital PUTNAM CABELL Stonewall Jackson Memorial POCAHONTAS NICHOLAS KANAWHA Valley Health CAMC Women and Children’s Hospital WAYNE LINCOLN FAYETTE WomenCare BirthCenter BOONE Thomas Memorial Hospital GREENBRIER LOGAN Birthing Hospital Logan General Hospital Greenbrier Valley Medical Center MINGO Tertiary Care Center RALEIGH WYOMING SUMMERS MONROE Freestanding Birthing Center Raleigh General Hospital MCDOWELL MERCER Princeton Community Hospital Tug River Health Association Bluefield Regional Medical Center Drug Free Moms and Babies Site Integrated Services for Pregnant Women 25 birthing hospitals, 1 freestanding birthing center 16 DFMB programs (operating or in Working together for West Virginia Perinatal Partnership healthier mothers and development) babies

Who is being served? Expansion Data: Pilot Data: 2012- entered between 2018 1/1/2018- 597 Entries from 10/18/2019 4 Sites 1049 Entries – 47 Readmissions from 10 Sites – 550 Unduplicated – 67 Readmissions 1532 total women – 982 Unduplicated served! Working together for West Virginia Perinatal Partnership healthier mothers and babies

Who is being served? Expansion (N=982) Race/Ethnicity Marital Status: – 89.4% White – Never married: 69% Maternal Age: – Married: 18% – 26.5 (Range 16-41) Cohabitation (for those not married): Number in Household: – Yes: 61% – 3.3 (Range 1-8) Number of Living Planned Pregnancy: Children: – 18% – 1.9 (Range 0-8) Working together for West Virginia Perinatal Partnership healthier mothers and babies

Who is being served? Housing: Education – Permanent residence: • No HS degree: 21% 66% • HS degree/GED: 46% – Friends/family: 28% Income – Temporary housing: 3% • <$15k: 61.4% – Shelter: 1% Insurance – Homeless: 1% • Medicaid: 88.9% Employment: Intention to Breastfeed – Not employed: 67% • 50% – Part-time: 13% – Full-time: 21% Working together for West Virginia Perinatal Partnership healthier mothers and babies

Who is being served? Pregnant N=834 (85%) Unduplicated N=982 Postpartum N=148 (15%) Working together for West Virginia Perinatal Partnership healthier mothers and babies

Substance Use During Pregnancy ( Pregnant, N=834) Alcohol: 10% Tobacco: 76% Cannabis: 59% Stimulant: 24% Hallucinogens: <1% Opioids Pilot data: – Non-prescribed: 35% Opioids (non-prescribed) 65% MAT : 49% – – Prescribed: 6% Depressants: 8% Working together for West Virginia Perinatal Partnership healthier mothers and babies

Outcomes Still in program: N=209 Program went to Completed: delivery only: N=349 N=266 Pregnant (N=834) Left prior to delivery: N=133 Did not complete: Left at delivery: N=276 N=43 After delivery but before 2 years pp: N=96 Working together for West Virginia Perinatal Partnership healthier mothers and babies

• Positive prescribed: 122 (18%) Outcomes • Positive non-prescribed: 517 (75%) Baseline All unduplicated with • 519 participants known baseline • 405 (78%) positive First Trimester (N=687) • 432 participants • 248 (57%) positive Second Trimester • 506 participants • 227 (45%) positive Third Trimester • 565 participants • 180 (32%) positive At Delivery Working together for West Virginia Perinatal Partnership healthier mothers and babies

Outcomes Birth outcomes Cord tissue (N=467) – N=503 term births – Not positive (N=151, 32%) – N=86 preterm births – Positive prescribed (N=147, 31%) – 11 sets of twins – Positive non-prescribed NAS (N=138, 30%) – N=220, 43% Breastfed after birth – N=225, 43% Working together for West Virginia Perinatal Partnership 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 Working together for West Virginia Perinatal Partnership 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 Working together for West Virginia Perinatal Partnership 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 Working together for West Virginia Perinatal Partnership healthier mothers and babies