Search Results: MCHLine

Annotation: This report highlights innovative efforts that are underway to address the treatment and prevention needs of substance using pregnant women, mothers, and their drug affected infants. It also presents a summary of the 1989 annual conference of the National Association for Perinatal Addiction Research and Education and lists information resources including organizations and publications.

Contact: U.S. Alcohol, Drug Abuse, and Mental Health Administration, Office for Substance Abuse Prevention, 1 Choke Cherry Road , Rockville, MD 20857, Telephone: (800) 694-4747 ext. 4820 Fax: (240) 747-5453 Available from the website.

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Keywords: Drug affected infants, Postpartum women, Pregnant women, Substance abuse, Treatment

Annotation: These resources for clinicians involved in the care of pregnant and postpartum women include position papers, algorithms, toolkits, guidelines for treatment, screening tools, research on perinatal mood and anxiety disorders, professional organizations, training and continuing education, books, and other resources. Information and peer support for pregnant and new moms with postpartum depression and other mental illnesses related to pregnancy and childbirth are also available from the website.

Contact: Postpartum Progress, E-mail: [email protected] Web Site: http://www.postpartumprogress.com Available from the website.

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Keywords: Childbirth, Mental disorders, Mental health, Perinatal bereavement, Perinatal health, Perinatal influences, Postpartum care, Postpartum depression, Postpartum women, Pregnancy, Pregnant women, Puerperal disorders, Resources for professionals, Women', s health

Annotation: These perinatal clinical care guidelines for the general population include guidelines for the first prenatal visit (6–12 weeks) and each subsequent prenatal visit (13–42 weeks). Topics include initial and interval history; psychosocial assessment; physical examinations; immunizations; laboratory evaluation and additional testing; oral health; genetic counseling, screening, and testing; general counseling, education, and discussion; and the postpartum visit.

Contact: Massachusetts Health Quality Partners, 1380 Soldiers Field Road, Floor 3, Brighton, MA 02135, Telephone: (617) 600-4621 Fax: (617) 393-3433 E-mail: [email protected] Web Site: http://www.mhqp.org Available from the website.

• 2024 Guidelines
• License Required To Access This Material

Keywords: Guidelines, Perinatal health, Perinatal services, Postpartum care, Pregnant women, Prenatal care, Preventive health services

Annotation: This report examines the critical impact of mental health and substance use disorders on maternal mortality and morbidity in the United States, highlighting how suicide and substance use-related overdoses account for over 20 percent of postpartum deaths. It presents promising approaches from states including Massachusetts, New Jersey, Oregon, New Hampshire, and California that integrate maternity care with behavioral health services and social supports. The report outlines six key recommendations for improving care: supporting dedicated multidisciplinary care teams, centering people with lived experience to drive health equity, normalizing substance use care, training all staff on bias and stigma, expanding the community-based workforce including doulas and peer recovery specialists, and implementing harm reduction and street medicine approaches. The authors emphasize that with nearly every state now providing 12 months of postpartum Medicaid coverage, there are unprecedented opportunities to implement integrated, trauma-informed, non-punitive care models that can significantly reduce maternal mortality and improve outcomes for families.

Contact: Center for Health Care Strategies, 300 American Metro Boulevard, Suite 125, Hamilton, NJ 08619, Telephone: (609) 528-8400 Fax: (609) 586-3679 Web Site: http://www.chcs.org

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Keywords: Substance abusing pregnant women, Community participation, Disorders, Health care reform, Initiatives, Maternal morbidity, Maternal mortality, Medicaid, Mental health, Model programs, Perinatal addiction, Perinatal care, Postpartum care, Quality improvement, Risk factors, Service integration, Substance use disorders

Annotation: This website recommends a series of postpartum visits to ensure the health of mother and baby and provides technical resource tools for improving the quality of care during the postpartum period. Intended to support state Medicaid and CHIP agencies’ efforts to provide quality care, the site provides links to quality improvement (QI) materials that include both documents and videos. The site also describes the "Improving Postpartum Care learning collaborative," launched by the Centers for Medicare & Medicaid Services in 2021 to support state Medicaid and CHIP agencies’ efforts to improve health outcomes among postpartum people. Included are links to associated webinars and to the Postpartum Care Action Learning Series created in 2013-2014.

Contact: U.S. Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244, Telephone: (800) 633-4227 Secondary Telephone: (877) 267-2323 Fax: Web Site: https://www.cms.gov

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Keywords: Postpartum care, Puerperium, Postpartum women, Program improvement. Quality assurance

Annotation: This issue brief outlines Action 5.4 from Goal 5 of the White House Blueprint for Addressing the Maternal Health Crisis, which focuses on preventing and addressing violence against pregnant and postpartum individuals through state-level pilot programs. It describes how intimate partner violence intersects with leading causes of pregnancy-associated deaths, examines evidence-based screening tools and interventions, and presents data on racial disparities in pregnancy-associated homicide rates. The document details barriers to effective screening, successful intervention models, and resources for implementing provider training programs to better identify and respond to intimate partner violence during pregnancy and postpartum periods.

Contact: Maternal Health Learning and Innovation Center , University of North Carolina at Chapel Hill, Chapel Hill, NC Web Site: https://maternalhealthlearning.org/

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Keywords: Battered women, Domestic violence, Injury prevention, Model programs, Physical abuse, Postpartum women, Pregnant women, Professional training

Annotation: This issue brief outlines Action 5.3 from Goal 5 of the White House Blueprint for Addressing the Maternal Health Crisis, focusing on increasing awareness of workplace benefits and protections for pregnant and postpartum women, particularly around breastfeeding support. It discusses the importance of workplace accommodations like private lactation spaces and break times, examines disparities in breastfeeding rates across demographic groups, and presents evidence-based strategies for improving workplace support through legislation, employer policies, and educational initiatives. The document includes data on breastfeeding rates, state policies, and successful intervention programs, while highlighting persistent challenges in workplace support for lactating employees.

Contact: Maternal Health Learning and Innovation Center , University of North Carolina at Chapel Hill, Chapel Hill, NC Web Site: https://maternalhealthlearning.org/

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Keywords: Breastfeeding, Employee benefits, Employer initiatives, Postpartum women, Pregnant women, Workplace health promotion

Annotation: This issue brief highlights Action 1.7 from the White House Blueprint for Addressing the Maternal Health Crisis, which focuses on improving quality of care for pregnant and postpartum women with or at risk for hypertensive disorders of pregnancy (HDP). The document presents evidence supporting the use of self-measured blood pressure monitoring tools and resources, discussing their effectiveness in reducing maternal morbidity and addressing racial disparities in healthcare access. It examines current data on HDP prevalence and outcomes across different populations, with particular attention to racial, ethnic, and geographic disparities, and outlines specific state-level maternal health innovations and evidence-based strategies being implemented across the United States. The brief includes detailed statistics, implementation examples from states like Arizona, Illinois, and Ohio, and recommendations for strategy development at state and local levels.

Contact: Maternal Health Learning and Innovation Center , University of North Carolina at Chapel Hill, Chapel Hill, NC Web Site: https://maternalhealthlearning.org/

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Keywords: Federal initiatives, Hypertension, Maternal health, Maternal morbidity, Model programs, Postpartum women, Pregnant women, Prevention, State initiatives

Annotation: The June 2022 report to Congress presented by the Medicaid and CHIP Payment and Access Commission (MACPAC) focuses on aspects of Medicaid's mission to ensure access to high-quality health services and the program's future as a major health care payer driving health system change toward value. Chapter six addresses health equity in Medicaid, providing a context for understanding racial disparities and discussing policy levers that federal and state goverenment can use to promote equity. The chapter describes how Medicaid programs can advance health equity by (1) collecting and reporting race and ethnicity data; (2) prioritizing a health equity agenda; (3) engaging beneficiaries in the policy-making process; (4) streamlining enrollment and renewal processes; (5) optimizing delivery systems, including managed care contracting, payment approaches, and quality strategies; and (6) developing a diverse and culturally competent workforce.

Contact: Medicaid and CHIP Payment and Access Commission, 1800 M Street, N.W., Suite 360 South, Washington, DC 20036, Telephone: (202) 350-2000 Fax: (202) 273-2452 E-mail: https://www.macpac.gov/contact-us/ Web Site: http://www.macpac.gov

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Keywords: Blacks, Ethnic factors, Health care delivery, Health equity, Medicaid, Policy development, Postpartum women, Pregnant women, Racial factors

Annotation: In this webinar, subject matter experts present on 1) the Alliance for Innovation on Maternal Health’s (AIM) patient safety bundle for perinatal people with substance use disorders, and 2) the role of public health agencies, perinatal quality collaboratives, and community organizations in supporting the implementation of the AIM bundle in their state. Speakers include representatives from the American College of Obstetricians and Gynecologists (ACOG), the Louisiana Department of Health, and the Florida Department of Health.

Contact: Association of Maternal and Child Health Programs, 1825 K Street, N.W., Suite 250, Washington, DC 20006-1202, Telephone: (202) 775-0436 Fax: (202) 478-5120 E-mail: [email protected] Web Site: http://www.amchp.org

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Keywords: Guidelines, Perinatal care, Postpartum women, Pregnant women, Preventive health services, Public health , Quality assurance, Safety, State initiatives, Substance abusing pregnant women, Substance use disorders

Annotation: This issue brief assesses the current coverage landscape for pregnant and postpartum women and shows how a postpartum Medicaid/CHIP extension could benefit uninsured new mothers. The brief 1) provides an overview of existing publicly subsidized coverage options for pregnancy and the postpartum period, including covered benefits and cost-sharing requirements; 2) reviews recent state and federal legislative proposals to extend postpartum coverage options and examines how such reforms could expand the coverage landscape for new mothers; and 3) estimates how many postpartum individuals would likely benefit from a 12-month postpartum Medicaid/CHIP extension, based on analysis of 2016–18 American Community Survey (ACS) data using the Urban Institute Health Policy Center’s Medicaid/CHIP Eligibility Simulation Model.

Contact: Commonwealth Fund, One East 75th Street, New York, NY 10021, Telephone: (212) 606-3800 Fax: (212) 606-3500 E-mail: [email protected] Web Site: http://www.commonwealthfund.org

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Keywords: Insurance, Medicaid, Postpartum care, Pregnant women, State Children', s Health Insurance Program

Annotation: This resource guide presents emergency preparedness and response materials focused on maternal and infant health. It provides links to tools, guidance documents, and training opportunities for public health professionals addressing the needs of pregnant women and infants during disasters. The guide is organized into two main sections: a collection of toolkits and resources addressing topics such as post-disaster surveillance indicators, pregnancy estimation, and contraception access during emergencies; and a comprehensive listing of trainings and webinars from organizations including CDC, FEMA, EPA, and academic institutions. Each training entry includes information on source agency, content description, duration, and continuing education availability. The document is intended for participants in the Association of Maternal & Child Health Programs (AMCHP) Action Learning Collaborative and includes resources relevant to various disaster types including hurricanes, wildfires, and public health emergencies.

Contact: Association of Maternal and Child Health Programs, 1825 K Street, N.W., Suite 250, Washington, DC 20006-1202, Telephone: (202) 775-0436 Fax: (202) 478-5120 E-mail: [email protected] Web Site: http://www.amchp.org

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Keywords: Maternal health, Infant health, Disaster planning, Federal MCH programs, Pregnant women, Postpartum women, Resource materials, Disaster planning, Title V programs,

Annotation: This compendium provides information for nurses caring for women, infants, and families in any setting: hospital, birthing center, ambulatory care, or home. This revised reference manual provides evidence-based information and guidelines for postpartum care, and addresses the physical, emotional, and psychosocial needs of mothers, newborns, and families for the first three months following birth. Topics include an overview of postpartum care in the hospital, discharge planning and health teaching, early home care of the mother and infant, reorganization of the family unit, and breastfeeding. Also featured are the latest research and practice recommendations for postpartum mood and anxiety disorders, including postpartum obsessive-compulsive disorder, panic disorder, and post-traumatic stress disorder secondary to birth trauma. References and a glossary are provided along with continuing education forms, questions, a participant evaluation form, patient handouts, and a post-text answer key.

Contact: Association of Women's Health, Obstetric and Neonatal Nurses, 1800 M Street, NW, Suite 740S, Washington, DC 20036, Telephone: (202) 261-2400 E-mail: [email protected] Web Site: https://www.awhonn.org/

• Preview Of 3rd Edition

Keywords: Home visiting, Infant care, Maternal mental health, Mental health services, Nursing services, Postpartum care, Postpartum depression, Postpartum women, Puerperal disorders, Resources for professionals

Annotation: This Call to Action is intended to engage and equip individuals, organizations, and communities with actions to improve women’s health prior to, during, and following pregnancy. It describes the current state of maternal mortality and morbidity in the United States, risk factors present prior to pregnancy that may worsen or cause complications during pregnancy, strategies and actions to improve maternal health and reduce maternal mortality and morbidity. It includes a glossary, information on data systems, and government programs and resources.

Contact: U.S. Office of the Surgeon General, U.S. Department of Health and Human Services, 200 Independence Ave., SW, Humphrey Bldg., Suite 701H, Washington, DC 20201, Telephone: (240) 276-8853 Fax: (202) 401-7529 E-mail: [email protected] Web Site: http://www.surgeongeneral.gov/index.html Available from the website.

• Full Report
• Executive Summary

Keywords: Federal initiatives, Federal programs, Maternal morbidity, Maternal morbidity, Postpartum care , Pregnancy, Pregnant women

Annotation: This issue brief describes the Screening, Brief Intervention, and Referral to Treatment (SBIRT) model for pregnant and postpartum women with substance use disorders and explains how this treatment model can be integrated into care delivery.

Contact: Association of Maternal and Child Health Programs, 1825 K Street, N.W., Suite 250, Washington, DC 20006-1202, Telephone: (202) 775-0436 Fax: (202) 478-5120 E-mail: [email protected] Web Site: http://www.amchp.org

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Keywords: Drug abuse programs, Model programs, Postpartum women, Pregnant women, Screening, Service integration., Substance abuse, Substance abuse prevention, Substance abuse treatment services

Annotation: This issue brief outlines the implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) for pregnant and postpartum women with substance use disorders. SBIRT is an evidence-based practice endorsed by major health organizations that includes three key components: universal screening using validated tools, brief intervention through short conversations using motivational interviewing techniques, and referral to treatment when needed. The brief details how various states, including Iowa, Kansas, and South Carolina, have implemented SBIRT programs through partnerships, training initiatives, and innovative delivery methods such as text-based screening in waiting rooms. It addresses practical considerations including billing codes, mandatory reporting requirements, and provides extensive resources including validated screening tools (such as T-ACE, TWEAK, and 4Ps) and implementation toolkits. The guide emphasizes opportunities for Maternal and Child Health programs to advance SBIRT usage through provider partnerships, training programs, and policy advocacy, while noting that the approach has shown significant effectiveness in reducing substance use, with studies showing reductions in alcohol use (35.6%), heavy drinking (43.4%), and illicit drug use (75.8%).

Contact: Association of Maternal and Child Health Programs, 1825 K Street, N.W., Suite 250, Washington, DC 20006-1202, Telephone: (202) 775-0436 Fax: (202) 478-5120 E-mail: [email protected] Web Site: http://www.amchp.org

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Keywords: Title V Programs, MCH programs, Pregnant women, Postpartum women, Substance use screening, Perinatal care, Substance abusing pregnant women

Annotation: This webinar highlights two innovative telehealth programs developed to address mental health and substance use disorders during the COVID-19 pandemic. The first presentation by Dr. Rachel Whitman describes Rhode Island's 24/7 buprenorphine hotline, which provides telephone-based treatment for opioid use disorder without requiring video capability, making it accessible to vulnerable populations with limited technology access. The second presentation by Dr. Gwen Latendresse showcases Utah's project to implement universal electronic screening for perinatal depression in rural public health districts and provide telehealth group therapy sessions for women with mild to moderate symptoms. Both speakers emphasize how the pandemic accelerated telehealth adoption while simultaneously creating greater barriers to care access. They address equity concerns, highlighting the importance of audio-only options to reach marginalized populations, and discuss program outcomes, future goals, and lessons learned about expanding telehealth for behavioral health treatment.

Contact: Association of Maternal and Child Health Programs, 1825 K Street, N.W., Suite 250, Washington, DC 20006-1202, Telephone: (202) 775-0436 Fax: (202) 478-5120 E-mail: [email protected] Web Site: http://www.amchp.org

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Keywords: Rhode Island, Utah, Telemedicine, Pregnant women, Postpartum women, Mental health, Substance abuse, Covid-19 (suggested keyword), Case studies, Infant health, Washington, New Mexico, Iowa, Arkansas, South Carolina, Northern Mariana Islands, Native Americans

Annotation: This systematic review examines the benefits and harms of primary care-relevant interventions to prevent perinatal depression (i.e., depression during pregnancy and postpartum depression). Sources consulted for the review include MEDLINE, PubMED, PsyINFO, and the Cochrane Central Register of Controlled Trials; references of relevant publications and government web sites were also searched. The review looked at publications published in English between January 1, 2012, and February 6, 2018. The evidence review concluded that counseling interventions can be effective in preventing perinatal depression; a variety of other intervention approaches provided some evidence of effectiveness, but lacked a robust evidence base and need further research.

Contact: U.S. Agency for Healthcare Research and Quality, 5600 Fishers Lane, Rockville, MD 20857, Telephone: (301) 427-1364 Web Site: http://www.ahrq.gov

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Keywords: Evidence based medicine, Intervention, Literature reviews, Maternal health, Mental health screening, Postpartum depression, Pregnancy, Women', s health

Annotation: This issue of the Commonwealth Fund's "Transforming Care" focuses on efforts to support women throughout pregnancy and the postpartum period. It describes persistent racial disparities in maternal morbidity and mortality rates and examines efforts to redress health care shortcomings by providing more supportive services for women who are at heightened risk due to their social or medical needs. Included are examples of promising federal and regional programs.

Contact: Commonwealth Fund, One East 75th Street, New York, NY 10021, Telephone: (212) 606-3800 Fax: (212) 606-3500 E-mail: [email protected] Web Site: http://www.commonwealthfund.org

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Keywords: Blacks, Health equity, Maternal health services, Minority health, Perinatal care, Postpartum care, Pregnant women, Prenatal care

Annotation: This brief presents resources for families on finding help and learning more about depression during and after pregnancy. [Funded by the Maternal and Child Health Bureau]

Contact: National Center for Education in Maternal and Child Health, Georgetown University, Telephone: (202) 784-9770 E-mail: [email protected] Web Site: https://www.ncemch.org Available from the website.

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Keywords: Bibliographies, Depression, Electronic publications, Families, Maternal mental health, Postpartum depression, Pregnancy, Pregnant women