Search Results: MCHLine

Annotation: This report describes the Healthy Start program in Shelby County, Tennessee from 2000-2004 to reduce racial and ethnic disparities, especially among African Americans, in infant mortality, low birth weight babies, births to adolescents, inadequate spacing between births, and the use of tobacco and illicit drugs. Report contents include an overview of racial and ethnic disparity focused on by the project; the project implementation; project accomplishments; the impact of the project on systems of care, the community, the state, and the role of local government. Additional information is provided about the local evaluation of the program, and the fetal and infant mortality review program. Sample products developed during the project, along with statistical data, are provided on enclosed CD-ROMs. [Funded by the Maternal and Child Health Bureau]

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Keywords: Adolescent pregnancy, Blacks, Final reports, Healthy Start, Infant mortality, Low birthweight infants, MCH services, Prevention programs, Substance abusing pregnant women, Tennessee

Annotation: This primer promotes public education to all Minnesotans who need to know that: (1) there is no known safe time to use any type or amount of alcohol during pregnancy, and (2) alcohol, tobacco, and other drugs have immediate and long-term effects on women's and children's health. The primer provides information, educational resources, and tools in various formats about women's substance abuse, addiction, and its consequences; risk factors associated with women's substance use including sexual and domestic abuse, depression, and other mental health issues; and how to engage a wide range of community members to take action in helping women who abuse substances, particularly during pregnancy. Resources include books, brochures, pamphlets, and other print media; counseling and information phone lines; curricula; Internet resources; prevention planning and resource guides; reports; resource centers; services for children and families, as well as women; and videos for purchase or loan. Resources are identified throughout the primer for African American, Asian American, Latino, and Native American cultures and for lesbian, gay, bisexual, and transgender persons, in addition to general audiences. Appendices include information on selecting and pre-testing educational materials; selecting health information on the Web; community prevention strategies; effective strategies to reduce drinking during pregnancy; facts about women who drink during pregnancy; substance use and the harm to women and children; recognizing and treating alcohol abuse and alcoholism; and a calendar of community events and national health observances. References conclude the primer.

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Keywords: Alcohol use during pregnancy, Drug use during pregnancy, Fetal alcohol syndrome, Fetal tobacco syndrome, Minnesota, Perinatal health, Prenatal health, Resource materials, Smoking during pregnancy, State initiatives, Substance abuse prevention, Substance abuse prevention programs, Substance abusing pregnant women, Women's health

Annotation: This brief summarizes the Washington state program Safe Babies, Safe Moms (formerly the Comprehensive Program Evaluation Project, or CPEP) implemented to improve the health and welfare of substance abusing mothers and their young children and provides an update to the October 2003 evaluation report with additional outcome measures and longer periods of follow-up. Measures tracked include demonstrated behavior change in the use of more effective family planning methods, reduced levels of parenting stress, decreased arrest rates, a reduction in low birth weight infants for those pregnant women enrolled in the program before delivery, decreased accepted referrals for child abuse or neglect for mothers enrolled before delivery, and higher employment rates for non-substance abusing Medicaid women than substance abusers.

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Keywords: Case management, Drug affected infants, High risk mothers, Housing programs, Program evaluation, State programs, Substance abuse treatment services, Substance abusing mothers, Substance abusing pregnant women, Surveys, Washington, Young children

Annotation: This report describes efforts that states can make to improve birth outcomes. The report presents a summary of the problem of poor birth outcomes in the United States, explains the meaning of poor birth outcome, discusses the costs of poor birth outcomes, provides recommendations for improving poor birth outcomes and reducing costs associated with high-risk births, explains how specific states are using Medicaid to provide family planning services, discusses ways that states can help reduce the use of harmful substances, and offers a conclusion. Statistical information is presented in tables throughout the report. The report concludes with resources for improving birth outcomes and a list of endnotes.

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Keywords: Alcohol use during pregnancy, Childbirth, Congenital abnormalities, Costs, Family planning, High risk infants, High risk pregnancy, Infant mortality, Low birthweight, Low birthweight infants, Maternal mortality, Medicaid, Pregnancy, Premature infants, State programs, Substance abusing pregnant women

Annotation: This book summarizes a workshop convened on October 2-3, 2001, to look at issues surrounding the impact of environmental exposure on the fetus in the uterus, risks of premature birth, as well as child health and well-being throughout life. In addition the role of social and behavioral factors such as stress, anxiety, depression, drug use, alcohol use, and tobacco smoking is discussed. Chapters include: (1) preterm birth and its consequences, (2) labor and delivery, (3) preterm birth and a brief summary of biological pathways, (4) preterm birth and gene-environment interactions, (5) the social implications of preterm birth, and (6) future directions for research. The book also contains abstracts of 18 relevant articles and references. Three appendices contain the workshop agenda, a list of speakers and panelists, and a list of workshop participants.

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Keywords: Childbirth, Conferences, Environment, Environmental exposure, Environmental influences, Genes, Labor, Maternal fetal exchange, Maternal health, Maternal mental health, Prematurity, Preterm birth, Research, Substance abusing mothers, Substance abusing pregnant women

Annotation: This report describes the evaluation of the Washington state program Safe Babies, Safe Moms (formerly the Comprehensive Program Evaluation Project, or CPEP) to: (1) develop and implement comprehensive programs for alcohol- and drug-abusing women and their young children, (2) increase the availability of chemical dependency treatment, (3) implement new services called Targeted Intensive Case Management, and (4) enhance housing support services. Report contents include a summary and introduction to the need for the program and its services, client needs and services provided, a program description, methods used for the evaluation, and findings. Survey results and findings are summarized in charts and tables throughout the report and a bibliography is included.

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Keywords: Case management, Drug affected infants, High risk mothers, Housing programs, Program evaluation, State programs, Substance abuse treatment services, Substance abusing mothers, Substance abusing pregnant women, Surveys, Washington, Young children

Annotation: This report summarizes and analyzes information from a study conducted to determine whether health professionals in Hennepin County, Minnesota, discuss alcohol use with women of childbearing age. The report includes the following sections: (1) a model for clinical prevention and intervention, (2) phase one: provider prenatal alcohol screening survey, (3) phase two: provider focus group research, (3) summary, and (4) a call to action. A reference list is also included. Four appendices include the prenatal alcohol screening survey, selected survey results, coding schemes for variables in multiple regression analyses, and a prenatal care provider focus group discussion guide.

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Keywords: Alcohol use during pregnancy, Fetal alcohol effects, Fetal alcohol syndrome, Focus groups, Health personnel, Intervention, Minnesota, Pregnancy, Questionnaires, Research, Substance abusing pregnant women, Surveys

Annotation: This report presents an overview of the current state of knowledge regarding the effects of cocaine on the developing brain of the fetus and offers policy considerations for addressing the issues that arise from cocaine use by pregnant women. Three preventive strategies are outlined; primary (before and during pregnancy), secondary (to identify pregnant women who use drug and minimizing their drug use), and tertiary (to reduce the adverse consequences of substance exposure to children exposed in utero). The report also includes additional sources, and references.

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Keywords: Cocaine, Drug affected infants, Drug use during pregnancy, Fetal development, Neonatal addiction, Substance abuse prevention programs, Substance abusing pregnant women

Annotation: This report focuses on process evaluation of a comprehensive program in Washington state that seeks to improve the health and welfare of substance-abusing mothers and their children by early identification of pregnant substance abusers, improved access to and coordination of health care services and chemical dependency treatment, and family-focused early intervention services for mothers and their children. The purpose of the report is to describe practices that are demonstrated to be effective and to identify challenges faced during program implementation. Client characteristics, service utilization, and outcome data are also included where available. The report, which includes an executive summary, is divided into the following sections: (1) methods, (2) pilot site descriptions, (3) findings, (4) discussion, (5) conclusion, (6) bibliography, and (7) appendices. Eleven appendices include pilot site description data sources, a pilot eligibility inquiry form, and other relevant information and forms.

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Keywords: Access to health care, Child health, Early intervention, Families, Health care services, Maternal health, Pilot projects, Service coordination, Substance abuse, Substance abuse prevention, Substance abusing mothers, Substance abusing pregnant women, Treatment, Washington

Annotation: This report describes the Healthy Start program in Saginaw, Michigan from 1998-2001 to develop and implement strategies that would impact the high infant mortality rate. Activities including risk reduction screening and referral for domestic violence, substance abuse (smoking, alcohol, and cocaine), parenting skills, high risk sexual behavior for sexually transmitted diseases and AIDS, and male involvement were implemented along with intensive outreach and health advocacy services. Report sections provided are purpose of the project and its relationship to maternal and child health programs, goals and objectives, methodology, evaluation, results and outcomes (positive and negative), publications and products, dissemination of results, future plans and follow-up, and type and amount of support and resources needed to replicate the project. Appendices include data tables, sample forms, surveys, checklists, brochures, handouts, and summary sheets. Two additional appendices include copies of the Saginaw Healthy Start policy and procedure manual and Saginaw maternal and infant health advocacy services Healthy Start manual. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to health care, Domestic violence, Final reports, Healthy Start, Infant mortality, Local initiatives, Michigan, Parenting skills, Prevention programs, Sexually transmitted diseases, Substance abusing pregnant women

Annotation: This book addresses popular myths about profiles of drug-addicted mothers and their children, providing an assessment of the physical, psychological, social, and economic effects of drug exposure on children. A synthesis of the state of knowledge about fetal exposure to illicit drugs is presented by contributors from diverse disciplines. They also describe a comprehensive model for services, public and private resources to deliver those services, and approaches to training personnel. This volume also explores ramifications of public policies for social service and health professionals involved in prevention, treatment, and education. It also examines the implications of legislation such as the 1996 Welfare Reform Bill. The book addresses issues in prenatal, perinatal, and postnatal health care within the legislative, legal, child welfare, and education systems. The appendices provide numerous policy statements, a model statute, and resources for program funding, program development, professional development, and professional education.

Keywords: Drug affected children, Drug affected infants, Drug use during pregnancy, Federal legislation, Health services, Pregnant women, Professional education, Public policy, Substance abuse prevention, Substance abusing pregnant women, Welfare reform

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Keywords: Alcohol dependence, Awards, Drug abuse, HIV, Health promotion, Massachusetts, Model programs, Models That Work, Prevention programs, Primary care, Public private partnerships, Risk management, Sexual behavior, Substance abusing pregnant women, Underserved communities

Annotation: This report summarizes the history of the first 5 years of the Maternity and Infant Care Resource Mothers Project at the University of Florida. The project was developed as part of a prenatal care delivery system that provides services in several counties. The project offers family-centered, community-based services through paraprofessional home visitors working with preconceptional, pregnant, and postpartum substance-using women. The report provides an overview of the area served; describes the components of the program, the resource mothers, the women served, the results to date, and program costs and benefits; and summarizes the lessons learned. [Funded in part by the Maternal and Child Health Bureau]

Keywords: Community based services, Drug affected infants, Family centered services, Home visiting, Infant health, Maternal health, Outreach, Perinatal care, Prenatal care, Program descriptions, Substance abusing mothers, Substance abusing pregnant women

Annotation: This report presents the findings of a study which examined the incidence, prevalence, and impact of substance use by American women. It examines how the use of substances presents more health risks to women than to men; and it considers the origins, patterns, and consequences of women's using substances whether they are illegal drugs, alcohol, tobacco, or prescription drugs. The report analyzes factors that lead women to seek treatment and examines how treatment programs can be designed to serve them. The report evaluates the risks for women in general and the added risks for women who use substances while they are pregnant and for their children. The report identifies areas where more research is needed on this topic and discusses the implications for public health policies.

Keywords: Alcohol abuse, Illicit drugs, Infant health, Maternal health, Policy development, Prescription drugs, Public health, Substance abuse, Substance abuse prevention, Substance abusing pregnant women, Tobacco, Women

Annotation: This document reports lessons learned by a group of community-based demonstration projects targeting substance-abusing pregnant and postpartum women and their infants. The focus is on recruiting women into programs and retaining them once they are recruited. Information is derived from focus group discussions and comparisons with the published literature where appropriate. [Funded by the Maternal and Child Health Bureau and the Center for Substance Abuse Prevention]

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Keywords: Health care systems, Infants, Service delivery, Substance abusing pregnant women, Systems development

Annotation: This report presents the findings of the National Pregnancy and Health Survey which was taken in 1992 to determine the prevalence of substance abuse among women who delivered live-born babies during a 12-month period. The report includes background information, describes the objectives and design of the survey, and presents and discusses the findings. Data on the following categories are included: overall estimates of substance use any time during the pregnancy, including prior to and during the pregnancy; sociodemographic patterns of use; and for specific substances: any illicit drug, marijuana, cocaine, crack cocaine, alcohol, tobacco, and substances used in combination. The report focuses at length on the design, implementation, and reporting procedures used in carrying out the survey.

Keywords: Alcohol, Cocaine, Crack cocaine, Demographics, Illicit drugs, Marijuana, Perinatal health, Prenatal health, Prevalence, Statistics, Substance abuse, Substance abusing pregnant women, Surveys, Tobacco, Women

Annotation: This guide describes how to design, implement, and evaluate a comprehensive prevention and treatment program for women involved in or in danger of perinatal substance abuse. It is based on experiences of the CSAP Pregnant and Post-partum Women and their Infants (PPWI) demonstration projects. Aimed at teachers, community health workers, and doctors, the guide discusses the mechanics of implementing the program and dealing with clients, not the content of counseling sessions. It includes many references, resource lists, brief guides, and reproducible forms.

Keywords: Alcohol use during pregnancy, Drug use during pregnancy, High risk populations, Infants, Mothers, Pregnancy outcome, Program budgeting, Program development, Program evaluation, Program planning, Smoking during pregnancy, Substance abusing pregnant women, Women

Annotation: This document reports on lessons learned by a group of community-based demonstration projects targeting substance-using pregnant and postpartum women and their infants (PPWI) about the care and delivery of services to this population. Topics covered are case management, building systems of care, and sustainability. Information is derived from focus group discussions and comparisons with the published literature. [Funded by the Maternal and Child Health Bureau and the Center for Substance Abuse Prevention]

Keywords: Health care systems, Infants, Service delivery, Substance abusing pregnant women, Sustainability, Systems development

Annotation: This report presents the findings on the effects of parent training programs in two Massachusetts urban residential treatment centers for substance-abusing pregnant women. The programs included training and multiple services for the women and their infants while they were in treatment and after their discharge. The report describes the women, changes in their parenting skills and self-esteem, their assessment of the program, the infant's development, follow-up data on a sample of the women, factors that predict program retention, and implications of the findings. The program is one of a group focusing on pregnant and postpartum women and infants (PPWI). [Funded by the Maternal and Child Health Bureau and the Center for Substance Abuse Prevention]

Keywords: Children of alcoholics, Children with special health care needs, Detoxification, Drug affected children, High risk children, Massachusetts, Parent education, Parent support services, Parenting, Rehabilitation, Residential programs, Substance abusing pregnant women

Annotation: This report reviews the changes in the population of young foster care children from 1986 to 1991 in California, New York, and Pennsylvania. It suggests drug abuse treatment programs for biological mothers and pregnant women, and services to treat the health and developmental problems of drug-exposed children.

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Keywords: Drug affected children, Foster care, Parents, Substance abuse, Substance abuse treatment services, Substance abusing pregnant women