MOMS Plu lus Project February Action Period Call Ohio Perinatal - PowerPoint PPT Presentation

MOMS Plu lus Project February Action Period Call Ohio Perinatal Quality Collaborative February 21, 2020 Through collaborative use of improvement science methods, reduce preterm births & improve perinatal and preterm newborn outcomes in Ohio as quickly as possible.

Today’s Facilitators Susan Ford, MSN Rachel Staley, MPA Cole Jackson, MS OPQC QIC OPQC Project Specialist OPQC Project Specialist 6

Agenda Time Topic Presenter 12:00 pm Welcome & Agenda Review Susan Ford, MSN, RN 12:05 pm Data Review Susan Ford 12:15 pm Recovery Housing for the mom with OUD Roma Barickman, MA, MSSA, LISW-S • OMHAS- Housing & Homelessness Programs Maura Klein, MS • Miami Valley Hospital - Promise to Hope Sarah Zinn, LISW-S All Teach ~ All Learn All participants Team sharing regarding Recovery Housing options 12:50 pm Next steps/Wrap up Susan Ford 7

MOMS+ Project Key Driver Diagram (KDD) Revision Date: 8/30/2019 Project Leader: Carole Lannon (PI) Interventions Global Aim Key Drivers • Provide training in trauma informed care and addiction as chronic disease Compassionate care/ Optimize the health and well-being of for clinical practitioners culture change pregnant women with opioid use • Ongoing support for practice culture change disorder and their infants • Selection and use of a standardized screening tool for all OB patients to SMART Aim identify pregnant women with OUD (e.g. 5 P’s, NIDA Quick Screen). • Identification of At time of identification, assess need to prevent acute opiate withdrawal By June 30, 2020 we will: pregnant women by initiating or referring to MAT Optimize maternity medical home to • with OUD Establish connections for coordinated referral to maternity care from BH improve outcomes for pregnant and MAT providers, drug courts, prisons, homeless shelters, and ERs. women with opioid use disorder (OUD) as measured by : • Identify a care coordinator to provide ongoing support and assist with referrals • Increased identification of and ongoing communication among the multi-disciplinary care team. • pregnant women with OUD Use tracking system to monitor care of pregnant women with OUD diagnosis (e.g.. Database, spreadsheet) • • Increased % of women with OUD Use standardized checklist for maternity care of the pregnant patient with OUD • during pregnancy who receive Coordinate care among OB, BH, MAT, care navigator by regularly reviewing Supportive care prenatal care (PNC), Medication shared patients (e.g. multi-disciplinary care conference, huddle). and tracking during Assisted Treatment (MAT) and pregnancy • Tailor counseling and support for healthy behaviors based on Behavioral Health (BH) counseling each month patient-specific situation/need during pregnancy (sobriety, smoking cessation, stable housing and future contraception • Decreased % of full-term infants plan) with referral to community resources as needed to with Neonatal Abstinence augment medical resources. Syndrome (NAS) requiring pharmacological treatment • Ensure mom and baby have a Patient Centered Medical Home (post- delivery) • Increased % of babies who go • Provide a warm handoff to pediatric care provider for infant post discharge home with mother Connection to • Provide lactation consultation (if applicable), post partum depression postpartum support screening and contraceptive counseling; and ”normalization” of Population postpartum transition (overwhelmed) Pregnant women with • Facilitate continuation of OUD treatment and services post-delivery occur 8 opioid use disorder • Coordinate with Department of Job & Family Services/Child Protective Services regarding reporting requirements and infant plan of safe care

Polling Question #1 Pregnant patients with OUD have options for Recovery Housing in our region. □ Yes □ No What is Recovery Housing? Recovery housing is a safe and healthy living environment that promotes abstinence from alcohol and other drugs with peer support and accountability, relapse prevention, case management and employment skills training and other assistance to transition to living independently and productively in the community. Length of stay is not limited to a specific duration. 17

Polling Question #2 Moms with OUD and their NEWBORN have options for Recovery Housing in our region. □ Yes What is Recovery Housing? □ No Recovery housing is a safe and healthy living environment that promotes abstinence from alcohol and other drugs with peer support and accountability, relapse prevention, case management and employment skills training and other assistance to transition to living independently and productively in the community. Length of stay is not limited to a specific duration. 18

Recovery Housing Roma Barickman & Maura Klein Ohio Department of Mental Health and Addiction Services Housing & Homelessness Program and Policy Team 19

OhioMHAS has aligned its principles and values to the following tenets of Quality Housing Criteria and envisions that all housing settings should: • Be safe and affordable; • Ensure access to natural supports and allow visitors of an individual’s choice where one is living in accordance with a legally enforceable lease or resident agreement; • OhioMHAS Be integrated in and have full access to the greater community; • Be selected by the individual from a variety of housing options; Guiding • Ensure individual rights of privacy, dignity and respect, and freedom from coercion and restraint; • Principles for Include trauma-informed best practices and cultural competence for all staff and residents; • Optimize autonomy and independence in making life choices; Housing • Provide access to available services and supports within the community in coordination with individual choice; and, • Provide for special accommodations or have policies and procedures in place to provide housing for individuals that require special accommodations (such as individuals with physical or mental disabilities, hearing or speaking disabilities, or those with limited English proficiency). 20

Recovery housing means housing for individuals recovering from alcoholism or drug addiction that provides an alcohol and drug-free living environment, peer support, assistance with obtaining alcohol and drug addiction services, and other alcoholism and recovery assistance (ORC 340.01) 21

Oxford What we House Sober mean House Recovery Housing vs. when we say Halfway House “Recovery House” ¾ House 22

Recovery Housing is NOT Treatment 23

Alcohol and Drug Free Recovery Person Driven LOS Housing Community of Recovery 24

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Ohio Recovery Housing 26

• https://find.ohiorecoveryhousing.org/ • https://findtreatment.gov/ How do I find • Be sure to research your options! quality recovery • Use Ohio Recovery Housing housing? ‘ 5 Questions to Ask a Recovery Housing Operator ’ questionnaire. 27

1. Do I get a written and signed resident agreement? You should receive a written resident agreement before you move in or pay any fees or deposits. This agreement should tell you what fees are due and when. It should also explain what code of conduct or other behavior guidelines you must follow in order to stay at the house. You should know under what circumstances you may be asked to leave the house. The operator should be able to answer any questions you may have before requiring you to sign the agreement or make a payment. You should not be asked to waive your individual or fair housing rights. 2. How do you ensure that the environment is free from alcohol or illicit drug use? The operator should have a comprehensive strategy for ensuring that the environment is free from alcohol and illicit drugs. This strategy can vary from house to house-but the operator should be able to explain to you how they ensure a recovery 5 Questions to environment. As a resident, you will likely have to follow a specific code of conduct that helps the house ensures the maintenance of the recovery environment. Ask a Recovery 3. What supports are available to help me live in recovery? The recovery house should engage with you in developing positive relationships with others in the house and with your community. This is usually done Housing through both formal recovery oriented activities such as house meetings, assisting you with finding a sponsor, mentor or other mutual aid supporter, or other recovery supports. The house also should engage in Operator recreational and informal activities that are designed to help you develop positive relationships, live in the house as a family, and build community. 4. Does this house feel like a home? The recovery house should look and feel like a home. You should have access to common areas of the house, be able to buy, store and prepare your own meals and snacks, and be able to have personal items and belongings. You should have access to basic utilities, hot water and working appliances. Furniture should be in good condition and used appropriately. 5. How do you ensure resident safety? The recovery house should be following all local building and fire codes designed to keep residents safe. Residents should not be overcrowded. Residents should also have emergency contact information available in case of an emergency. The bedrooms should have appropriate egresses and the house should have smoke alarms, fire extinguishers and other safety equipment. 28

Recovery Housing Sarah Zinn Miami Valley Hospital - Promise to Hope 30