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 Prenatal Care Medication Addiction Delivery and Postpartum Assisted Therapy treatment (MAT) MAT Behavioral Medical MAT Health Behavioral Prenatal Care Health
Ohio MHAS MOMs Grant 2014-2016 HOPE Maternal Addiction Program Medication Assisted Treatment • Prenatal Care/ • Behavioral • Medication Case Health Therapy Assisted Management Treatment • Inpatient MAT • Inpatient/ induction Residential Care • Outpatient • Referral to Buprenorphine • Intensive community MAT Therapy Outpatient and addiction Therapy • Addiction treatment Medicine • Wrap Around • Enhanced Services Prenatal Care • Delivery • Enhanced Postpartum Care
Ohio MHAS MOMs Grant 2014-2016 Maternal Addiction Program Counseling • Self • Violence • Relationships • Trauma • Sexuality • Healing • Spirituality Helping Beyond Women Recovery Recover Motivational Smoking inter-viewing Cessation • Barriers to • Learning about recovery healthy living • Change • Contemplation versus quitting • Confidence
Ohio MHAS MOMs Grant 2014-2016 Maternal Addiction Program Other Services • Nutrition Wrap Around Services for • Mental Health Care seamless return to the • Housing community • Family Reunification • Evidence based care Trauma Informed Behavioral • Integration of mental health, trauma and recovery counseling Healthcare • Barrier reduction • Relapse prevention • Education on NAS Program Retention • Improved physical plant/ safe environment • Anticipatory guidance for L & D and neonatal time period • Parenting classes
Ohio MHAS MOMs Grant 2014-2016 Wrap Around Services --Outside Collaboration-- • Vocation • Prevention support therapy for kids Dress for GLAD Success House Healthy Cross- Moms roads and Health Babes Center • Post-partum • Peds and Pathway Primary Care
Revision Date: 12-2-2013 KEY DRIVER DIAGRAM Project Name: M.O.M.S. Team Leader: Terry Schoenling SMART AIM INTERVENTIONS • Provide information to the community aggressively Expand the existing Maternal •Enlist support from medical, justice, children’s protective KEY DRIVERS Addictions Program into two community additional hospital locations •Adopt an “Open Access” intake model by 2016 to facilitate improvement in birth outcomes Community outreach designed to engage women for addicted women Measures: who are pregnant and addicted as early as possible • Develop therapeutic relationships with the major delivery • hospitals in the community 60% reduction in low birth • Introduce MAP protocols regarding passage to addictions weight babies treatment and MAT services • 50% reduction in average • Educate community physicians on the need for timely NICU LOS referral to MAP services • 85% of women will Provide access to pre-natal medical care that links remain in treatment and women to medically supervised MAT services in a abstain from drug use seamless and timely manner during pregnancy • Utilize monthly planning sessions as a process for data • 70% of women will utilize analysis and collaboration ( NIATX) subutex versus • Provide specialized assessments that identify client methadone during Integrate best practice therapy modalities that meet readiness and willingness to change pregnancy the needs of pregnant women • Utilize focus groups as an evaluation tool GLOBAL AIMS • Engage outside specialist for nutrition, fetal development and pregnancy care Provide specialized maternal educational • Prioritize developmental education into the weekly therapy programming that targets healthy fetal development schedule Create a community based • Utilize peer support and self care during pregnancy collaborative that provides an holistic • Integrate vocational, housing and child therapy approach to treatment of women who are pregnant and addicted that addresses their unique needs regarding medical care, mental health • Introduce intensive trauma informed care into therapy treatment, community reintegration, Acknowledge that trauma in this population is a major model and substance abuse therapy factor for addiction and that it must be addressed in a • Coordinate Mental Health therapy with addictions comprehensive manner therapy around trauma identification and treatment • Involve family in discussion of trauma issues and potential methods of reduction of effects
Questions michael_marcotte@trihealth.com 513-250-6144
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