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Strengthen the Evidence for Maternal and Child Health Programs

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Association of Maternal and Child Health Programs. 2020. Screening, brief intervention and referral to treatment (SBIRT) for pregnant and postpartum women: Opportunities for state MCH programs. [Washington, DC]: Association of Maternal and Child Health Programs; The National Association of State Alcohol and Drug Abuse Directors, 14 pp. (Issue Brief)

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%).

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

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