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Strengthen the Evidence for Maternal and Child Health Programs

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Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.

Displaying records 1 through 20 (99 total).

Pan American Health Organization. 2025. Leading causes of death and disease burden in the Americas. Washington, DC: Pan American Health Organization, 112

Texas Health and Human Services Commission . 2025. Maternal behavioral health. Austin, TX: Texas Family Resources ,

Annotation: This resource page from the Texas state government focuses on maternal behavioral health for pregnant and postpartum mothers, addressing the fact that mental health conditions (including depressive disorder and substance use disorder (SUD)) were the leading cause of pregnancy-related death in the state. The site provides resources for maternal depression, listing available services and urgent maternal warning signs that require immediate medical attention, such as thoughts about hurting oneself or the baby. Furthermore, the page details multiple state programs designed to support pregnant and parenting Texas residents with SUD, including the Pregnant and Parenting Intervention programs (which offer case management and evidence-based education), the Maternal Opioid Misuse Model (a comprehensive care model available in the Houston area), and the Comprehensive Continuum of Care for Women, which provides support like transportation and financial assistance to reduce treatment barriers

Keywords: Behavioral medicine, Depression, Mental health, Postpartum care, Postpartum depression, Prental care, State programs, Substance use disorder, Texas

American Lung Association . 2024. N.O.T.: Not on tobacco-- proven teen smoking and vaping cessation program . Washington, DC: American Lung Association,

Annotation: This website describes a tobacco cessation program designed specifically for teenagers. The program emphasizes the importance of total health and encourages teens to break their nicotine dependence through a series of interactive learning strategies based on Social Cognitive Theory of behavior change. The site describes how the program works, highlights its effectiveness, outlines the content of each session, and explains how individuals or organizations can start their own program. A self-guided online adaptation of the Not On Tobacco (N-O-T)® program is also described.

Keywords: Adolescent health, Smoking cessation, Substance use behavior, Tobacco use

Silverman K, Benyo A. 2024. Building healthy futures: Addressing mental health and substance use disorders during pregnancy and postpartum. Hamilton, NJ: Center for Health Care Strategies, 26 pp.

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.

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

Missouri Perinatal Quality Collaborative. 2024. Evidence-based care for maternal-infant dyads affected by substance use disorder resource workbook . Jefferson City, MO: Missouri Perinatal Quality Collaborative, 12 pp.

Annotation: This resource workbook for healthcare providers addresses evidence-based care practices for maternal-infant dyads affected by substance use disorder. The workbook presents key evidence-based practices including universal screening with validated tools following the screening, brief intervention and referral to treatment process, medications for opioid use disorder such as buprenorphine and methadone for pregnant and postpartum people, and the Eat, Sleep, Console model of care for infants experiencing neonatal abstinence syndrome. It emphasizes that substance use disorder is a chronic medical condition requiring evidence-based treatment and highlights the importance of trauma-informed, anti-racist care to address stigma and discrimination. The workbook includes the Alliance for Innovation on Maternal Health Care for Pregnant and Postpartum People with Substance Use Disorder patient safety bundle components organized into readiness, recognition and prevention, response, reporting and systems learning, and respectful care categories. It presents outcomes from the Missouri Neonatal Abstinence Syndrome Collaborative showing a 23.9% reduction in transfer rates for infants diagnosed with or at risk for withdrawal, and discusses Missouri's maternal mortality data indicating that mental health conditions including substance use disorder were the primary cause of pregnancy-related deaths from 2018 to 2020. Resources include screening tools, educational materials, guidance documents for urine drug testing and plans of safe care, and training opportunities specific to Missouri providers.

Keywords: Guidelines, Infant health, Maternal health, Missouri, State initiatives, Substance use disorders

Food and Drug Administration. 2023. The real cost cigarette prevention campaign . Silver Spring, MD: Food and Drug Administration,

Annotation: This website describes The Real Cost Cigarette Prevention Campaign--the U.S. Food and Drug Administration's youth tobacco prevention campaign aimed at ages 12-17. The site explains how the campaign works, provides research on the campaign's effectiveness, and links to quitting resources for youth. Free campaign posters and video advertisements are also available.

Keywords: Adolescent health, Educational materials , Media campaigns, Smoking Cessation, Substance use prevention, Youth

Maternal Health Learning and Innovation Center. 2023. Strengthen supports and access to perinatal addiction services for individuals with substance use disorders. Chapel Hill, NC: Maternal Health Learning and Innovation Center, 11 pp. (White House blueprint evidence to action series)

Annotation: This issue brief highlights Action 1.4 from the White House Blueprint for Addressing the Maternal Health Crisis, which focuses on strengthening risk-appropriate care in rural and urban areas through implementation of the CDC Levels of Care Assessment Tool (LOCATe). The document examines how this standardized assessment tool helps states evaluate and improve the distribution of maternal care capabilities across birthing facilities. It presents current data on maternal mortality rates and disparities across populations, discusses the challenges of providing appropriate levels of care particularly in rural areas, and outlines specific state-level innovations being implemented to strengthen perinatal regionalization. The brief includes detailed examples of successful LOCATe implementation in states like Montana and North Carolina, along with evidence-based measures for tracking progress in establishing risk-appropriate care systems.

Keywords: Access to care, Data, Evaluation methods, Perinatal addiction, Perinatal care, Risk assessment, Rural populations, State initiatives, Substance use disorders, model programs

Association of Maternal and Child Health Programs; American College of Obstetricians and Gynecologists; the Louisiana Department of Health; Florida Department of Health. 2022. Implementing the “Care for pregnant and postpartum people with substance use disorder” patient safety bundle: Opportunities for state public health. Washington, DC: Association of Maternal and Child Health Programs ,

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.

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

National Council for Mental Wellbeing and Bowling Business Strategies. [2021]. Oral health, mental health, and substance use treatment: A framework for increased coordination and integration. Washington, DC: National Council for Mental Wellbeing, 32 pp.

Annotation: This toolkit is designed to serve as a guide for health professionals, organizations, health systems, states, and payers interested in advancing the integration and coordination of oral health, mental health, and substance use care and treatment. It presents a coordination and integration framework based on 10 models. For each model, a description is provided, along with examples of the model in practice, key planning questions, potential funding approaches, potential data-monitoring measures, a list of tools, and an example or case study.

Keywords: Care coordination, Health care systems, Mental health, Oral health, Service integration, Substance use behavior, Treatment

U.S. Substance Abuse and Mental Health Services Administration. 2021 . Telehealth for treatment of serious mental illness and substance use disorders . Rockville: U.S. Substance Abuse and Mental Health Services Administration, 75 pp. (Evidence Based Resource Guide Series )

Annotation: This guide presents an overview of the telehealth landscape, describing the need, benefits, and challenges using this modality to address serious mental illness (SMI) and substance abuse disorders (SUD) among adults. It reviews the literature and research findings related to this issue, examines emerging and best practices, discusses gaps in knowledge, and identifies challenges and strategies for implementation. The guide is part of the Evidence-Based Resource Guide Series--a comprehensive set of modules with resources to improve health outcomes for people at risk for, experiencing, or recovering from SMI and/or SUD. It's designed for practitioners, administrators, community leaders, and others considering an intervention for their organization or community.

Keywords: Evidence based medicine, Mental health, Mental illness, Professional education, Resources for professionals, Substance abuse, Substance use disorders, Telecommunication, Telemedicine

Association of State and Territorial Health Officials. 2021. Evidence-informed substance use disorder policies for maternal and child populations . Arlington, VA: Association of State and Territorial Health Officials, 2 pp.

Association of Maternal and Child Health Programs . 2021. Perinatal cannabis use in the era of increasing legalization: Considerations for state MCH programs. Washington, DC: Association of Maternal and Child Health Programs , 28 pp.

Annotation: This issue brief is a call to action for maternal and child health (MCH) professionals to be leaders in designing and implementing public health approaches to minimize the potential harms of perinatal cannabis (marijuana) use. The brief describes trends in Cannabis use among pregnant people, addresses the changing policy landscape, and discusses the racial implications of criminalizing the use of drugs among pregnant people and mothers. State MCH program approaches to help prevent eprinatal cannabis use are included.

Keywords: Cannabis, Illicit drugs, Marijuana, Maternal health, Models, Perinatal care, Pregnancy, Prevention, Substance use

Alliance for Innovation in Maternal Health (AIM). 2021. Care for pregnant and postpartum people with substance use disorder. Washington, DC: Alliance for Innovation on Maternal Health,

Annotation: The bundle provides actionable steps that can be adapted to a variety of facilities and resource levels to improve quality of care and outcomes for patients with substance use conditions. It includes: Implementation tools and resources, a data collection plan (with outcome measures), a change package, and learning modules.

Keywords: Guidelines, Postpartum care, Prenatal care, Substance use disorders, Therapeutics

U.S. Maternal and Child Health Bureau. [2020]. The case for integrated behavioral health care for mothers, children, and adolescents. Rockville, MD: U.S. Maternal and Child Health Bureau, 3 pp.

Annotation: This fact sheet describes treatment gaps experienced by women and children with substance abuse or mental disorders, benefits of integrated behavioral health care, and services provided in primary care settings to address these gaps, including Health Resources and Services Administration-funded Pediatric Mental Health Care Access (PMHCA) and Screening ad Treatment for Maternal Depression and Related Behavioral Disorders (MDRBD) programs. The fact sheet gives examples from HRSA awardees in Missouri, Rhode Island, Louisiana, and Kansas. [Funded by the Maternal and Child Health Bureau]

Keywords: Behavior disorders, Children, Mental disorders, Model programs, State initiatives, Substance use disorders, Women

The University of North Carolina, Collaborative for Maternal and Infant Health, 4th Trimester Project. 2020; 2021. Postpartum in practice: Practice guidelines and billing. Chapel Hill, NC: Collaborative for Maternal and Infant Health, 4th Trimester Project,

Annotation: This Postpartum in Practice tool for clinicians, program directors, and health care teams offers resources and supports to improve the way postpartum care is provided to all women. Specific resources available on the page include the Postpartum in Practice Bulletin and Postpartum Billing and Coding Information. These documents are available in a printable/booklet/flyer format. The site also provides access to Postpartum Toolkit materials that are available for free printing and shipping.

Keywords: , Clinical coding, Contraception, Mental health, Postpartum care, Resources for professionals, Screening, Substance use

U.S. Substance Abuse and Mental Health Services Administration. Office of Behavioral Health Equity and Chau V. 2020. The opioid crisis and the Hispanic/Latino population: An urgent issue. Rockville, MD: U.S. Substance Abuse and Mental Health Services Administration, 27 pp.

Lenardson JD, Paluso N, Ziller EC. 2020. Substance use among rural and urban youth and young adults. Portland, ME: Maine Rural Health Research Center, 5 pp.

Selph S, Patnode CD, Bailey SR, Pappas M, Stoner R, Hart E, Chou R. 2020. Primary care interventions for prevention and cessation of tobacco use in children and adolescents: A systematic review for the U.S. Preventive Services Task Force. Rockville, MD: Agency for Healthcare Research and Quality, 100 pp. (Evidence synthesis; no. 185; AHRQ publication; no. 19-05254-EF-1)

Annotation: This report systematically updates the 2013 United States Preventive Services Task Force review on primary care relevant interventions for tobacco use prevention and cessation in children and adolescents. Data sources included the Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews, MEDLINE, PsycINFO, and EMBASE, with searches conducted for literature published between September 1, 2012, to June 25, 2019, with additional surveillance of relevant literature through February 7, 2020. The review concluded that behavioral interventions can reduce the likelihood of smoking initiation in nonsmoking youth and young adults. Further research is needed to identify effective interventions for youth who already smoke or use other tobacco products, such as e-cigarettes.

Keywords: Adolescent health, Adolescents, Adverse effects, Child health, Children, Disease prevention, Interventions, Literature reviews, Nicotine, Prevention, Risk factors, Smoking, Substance abuse, Substance use behavior, Tobacco

Association of Maternal and Child Health Programs; Georgia Health Policy Center. 2020. Promoting access to care for women of reproductive age with mental health and substance use disorders in rural communities . Washington, DC: Association of Maternal and Child Health Programs, 12 pp.

Annotation: This issue brief addresses barriers to adequate health care in rural communities for women of reproductive age with mental health and substance use disorders. The brief discusses social determinants that play a significant role in health outcomes (e.g., rising unemployment, unreliable transportation, inadequate housing, and low rates of health insurance coverage) and addresses the complex needs of women in rural settings who have limited access to medical treatment. Included are examples of state and federal programs designed to increase access to care and improve care coordination for vulnerable women of reproductive age, including pregnant women.

Keywords: Access to care, Intervention, Mental disorders, Model programs, Reproductive health, Rural health, Rural population, Substance use disorders, Women's health

Child Welfare Information Gateway. 2020. Bulletins for professionals: Preventing, identifying, and treating substance use among youth in foster care. Washington, DC: Child Welfare Information Gatewayu, 18 pp. (Bulletins for Professionals)

Annotation: Because youth in foster care have a higher propensity for drug use, this report was written to inform child welfare professionals, treatment providers, families, and community members on the signs of drug use and the risk factors that and impact of substance abuse. The report also provides links and information on various prevention and treatment initiatives, including those determined to be culturally sensitive.

Keywords: Alcohol abuse, Drug abuse, Drug affected children, Drug use behavior, Foster care, Foster children, Substance abuse prevention, Substance use disorders
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The MCH Library is one of six special collections at Georgetown University, the nation's oldest Jesuit institution of higher education. The library is supported through foundation, private, university, state, and federal funding. This information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by Georgetown University or the U.S. Government. Note: web pages whose development was supported by federal government grants are being reviewed to comply with applicable Executive Orders.