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Strengthen the Evidence for Maternal and Child Health Programs

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Search Results: MCHLine

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 21 through 40 (99 total).

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

Association of State and Territorial Health Officials PRISM Learning Community . 2019. Universal screening and testing of pregnant women. Arlington: VA: Association of State and Territorial Health Officials ,

Annotation: This virtual learning session explores the logistical, legislative, and legal issues surrounding universal screening for substance use in pregnant and parenting women and their newborns. Examples of screening tests for substance abuse, state initiatives in support of universal screening, the legal aspects of substance use, and legislative measures that address universal screening are among the topics discussed by various panelists during this 50-minute presentation.

Keywords: Alcohol abuse, Fetal alcohol symptom, Infants, MCH Programs , Mental health, Model programs, Perinatal care, Pregnant women, Prevention services, Screening tests, State initiatives, Substance abuse, Substance use screening

U.S. Substance Abuse and Mental Health Services Administration. 2018. Clinical guidance for treating pregnant and parenting women with opioid use disorder and their infants. Rockville, MD: U.S. Substance Abuse and Mental Health Services Administration, 159 pp.

Annotation: This guide provides guidance for the optimal management of pregnant and parenting women with opioid use disorder (OUD) and their infants, based on recommendations of experts as of 2017. The guide is designed to help health professionals and women determine the most clinically appropriate action for a particular circumstance. In addition to offering background information, the guide includes fact sheets divided into the following sections: prenatal care, infant care, and maternal postnatal care. Each fact sheet includes a clinical scenario, clinical action steps, supporting evidence and clinical considerations, and links to and descriptions of online resources on the topic.

Keywords: Guidelines, Narcotics, Parents, Perinatal addiction, Pregnant women, Prenatal addiction, Substance dependence, Substance use disorders, Treatment

U.S. Office of the Surgeon General. 2018. Surgeon General's advisory on e-cigarette use among youth. Rockville, MD: U.S. Office of the Surgeon General, 4 pp.

Annotation: This advisory warns of the e-cigarette epidemic among youth. The document explains the different types of e-cigarettes and offers information for parents, teachers, health professionals, and states, communities, tribes, and territories. There are links to relevant studies and publications.

Keywords: Adolescent health, Adolescents, Adverse effects, Disease prevention, Drug administration routes, Federal agencies, Nicotine, Prevention, Regulations, Risk factors, Smoking, Substance abuse, Substance use behaviors, Tobacco, Young adults

Ko HY, Patrick SW, Tong VT, Patel R, Lind JN, Barfield WD. 2016. Incidence of neonatal abstinence syndrome: 28 states, 1999–2013. Morbidity and Mortality Weekly Report 65(31):799–802,

Annotation: This report examines state trends in neonatal abstinence syndrome (NAS) incidence using all-payer, hospital inpatient delivery discharges compiled in the State Inpatient Databases of the Healthcare Cost and Utilization Project (HCUP) during 1999–2013. The findings underscore the importance of state-based public health programs to prevent unnecessary opioid use and to treat substance use disorders during pregnancy, as well as decrease the incidence of NAS.

Keywords: Drug use during pregnancy, Measures, Neonatal abstinence syndrome, Newborn infants, Opiates, Pregnant women, State programs, Statistical data, Substance use disorders, Trends

Lechner A, Cavanaugh M, Blyler C. 2016. Addressing trauma in American Indian and Alaska Native youth. Princeton, NJ: Mathematica Policy Research, 55 pp.

Annotation: This report summarizes an environmental scan of practices and programs for addressing trauma and related behavioral health needs in American Indian and Alaska Native (AI/AN) youth. Contents include a summary of the scan scope and results, trauma-informed care and trauma-specific interventions, interventions focused on suicide prevention and substance use disorders, parenting interventions for youth and their guardians, aspirational frameworks, and common elements of programs addressing trauma and related behavioral health needs of AI/AN youth. The systematic database search methodology and summaries of interventions and evaluations are also provided.

Keywords: Alaska Natives, American Indian, Intervention, Mental health, Model programs, Parenting, Program evaluation, Protective factors, Substance use disorders, Suicide prevention, Trauma, Trauma care, Youth

U.S. Office of the Surgeon General. 2016. Facing addiction in America: The Surgeon General’s report on alcohol, drugs, and health. Rockville, MD: U.S. Office of the Surgeon General, multiple items.

Annotation: This report reviews what is known about substance misuse and how that knowledge can be used to address substance misuse and related consequences. Contents include information and findings related to neurobiology, prevention, treatment, recovery, and health care systems. The report concludes with a vision for the future including five general messages and their implications for policy and practice, and recommendations for specific stakeholder groups. Supplementary materials such as fact sheets on specific findings and recommendations for different audiences and a toolkit for promoting the report are also available.

Keywords: Health care systems, Medical treatment, Policy development, Public private partnerships, Substance abusers, Substance dependence, Substance use behavior, Substance use disorders, Substance use screening

National Advisory Committee on Rural Health and Human Services. 2016. Families in crisis: The human services implications of rural opioid misuse. [Rockville, MD]: National Advisory Committee on Rural Health and Human Services, 9 pp.

Annotation: This policy brief discusses the unique rural challenges related to opioid use disorder and the experiences of families in crisis and recommendations for federal action. Topics include the opioid epidemic as a national problem with rural differentials, opioid abuse trends in rural communities, substance abuse and child welfare, the role of federal block grants, and barriers to treatment and services. Opportunities for creating a stronger treatment system for opioid use disorders are also addressed including the role of support services, care coordination and mental health workers to address current shortages in rural communities, increasing the availability of treatment programs, and research. A case study from Indiana is included.

Keywords: Access to health care, Barriers, Child welfare, Crisis intervention, Drug addiction, Family support services, Federal initiatives, Health care systems, Health policy, Interagency cooperation, Mental health, Opiates, Policy development, Program coordination, Rural population, Service coordination, Substance abuse prevention programs, Substance abuse treatment services, Substance use disorders, Systems development, Work force

American College of Nurse-Midwives and Centers for Disease Control and Prevention. [2015]. Alcohol and pregnancy: Tips on why and how to stop drinking. Silver Spring, MD: American College of Nurse-Midwives, 1 v.

U.S. Government Accountability Office. 2015. Prenatal drug use and newborn health: Federal efforts need better planning and coordination. Washington, DC: U.S. Government Accountability Office,

Annotation: This report provides information on how federal agencies have addressed opioid use by pregnant women and neonatal abstinence syndrome (NAS). Topics include federally funded research, federal programs, and other federal agency efforts related to prenatal opioid use or NAS; gaps identified by federal agency officials and experts in efforts to address prenatal opioid use or NAS; and how federal efforts to address prenatal opioid use or NAS are planned and coordinated.

Keywords: Analgesic drugs, Federal agencies, Infant health, Newborn infants, Prenatal influences, Prevention, Program coordination, Program development, Program planning, Referrals, Research, Screening, Substance use

Bolin JN, Bellamy G, Ferdinand AO, Kash B, Helduser, eds. 2015. Rural Healthy People 2020: A companion document to Healthy People 2020. College Station, TX: Texas A&M Health Science Center School of Rural Public Health, Southwest Rural Health Research Center, 2 v.

Annotation: This report provides a guide and benchmark on the current state of rural health priorities and disparities and serves as a roadmap for updating federal and state leaders on rural health priorities identified through the national Rural Healthy People 2020 survey. Volume one addresses each of the ten top-ranked rural health priorities and includes reviews of relevant literature, updated for those topics previously identified as priorities in Rural Healthy People 2010, and models for practice that rural practitioners can use to support community and regional programs. Volume two addresses priorities 11-20.

Keywords: Access to health care, Barriers, Child health, Community health services, Diabetes, Health care disparities, Health objectives, Health promotion, Healthy People 2020, Heart diseases, Literature reviews, Maternal health, Mental health, National initiatives, Nutrition, Physical activity, Rural populations, Strokes, Substance abuse, Tobacco use

National Institute for Health Care Management Foundation. 2015. Reducing neonatal abstinence syndrome in Tennessee. Washington, DC: National Institute for Health Care Management Foundation, 2 pp. (Women, children & adolescents)

Annotation: This fact sheet highlights partnerships to address the neonatal abstinence syndrome (NAS) epidemic in Tennessee. Topics include efforts to expand a community-based program to assist mothers with substance abuse problems and ensure a drug-free and safe home for their newborns; provide start-up costs for a regional detox center for women addicted to prescription drugs; research the effectiveness of detox from opiate drugs during pregnancy, and the long-term effect of detox treatment on NAS rates in the state; and establish a hospital-based NAS treatment process.

Keywords: Drug addiction, Drug use during pregnancy, Financing, Neonatal abstinence syndrome, Newborn infants, Opiates, Postpartum care, Pregnant women, Prenatal care, Prevention program, State initiatives, Substance abuse treatment, Tennessee

University of Washington Health Sciences Administration, Alcohol and Drug Abuse Institute, Fetal Alcohol and Drug Unit. 2015. The Parent-Child Assistance Program (PCAP): Prevention & intervention with high-risk mothers and their children. Seattle, WA: Washington State Department of Social and Health Services, Division of Behavioral Health and Recovery, 6 pp.

Annotation: This brochure describes a program to prevent and/or reduce the risk of maternal alcohol and drug abuse by providing home visitation and intervention over a 3-year period by trained and supervised case managers. Contents include a description of the program goals, approach, client outcomes, and eligibility criteria. Topics include helping mothers build and maintain healthy independent family lives, assuring that children are in safe and stable homes, and preventing future births of alcohol and drug-exposed children.

Keywords: Alcohol abuse, Alcohol use during pregnancy, Case management, Child safety, Drug abuse, Family support programs, Fetal alcohol effects, High risk children, High risk mothers, Home visiting, Postpartum care, Pregnancy, Pregnant women, Prenatal care, Program descriptions, Referrals, Risk factors, Substance abuse prevention programs, Substance abuse treatment services, Washington, Women

Clifford S, Austin C. 2015. Betel nut. Hillsborough, NC: Orange County Health Department, 1 p.

Annotation: This handout provides information about the potentially harmful effects of chewing betel nut, including increased risk for cancer and gum disease. The handout addresses risk associated with combining betel nut and tobacco and risks for chewing betel nut for pregnant women and children. The handout also includes information about the importance of talking with a doctor and dentist about betel nut use and early cancer detection and provides phone numbers for information about oral health care in North Carolina. The handout is available in English, Burmese, and Karen.

Keywords: Adverse effects, Cancer, Children, Early intervention, Gingivitis, Non English language materials, North Carolina, Oral health, Pregnancy, Pregnant women, Risk factors, Substance use, Tobacco use

National Institute on Drug Abuse. 2014. Principles of adolescent substance use disorder treatment: A research-based guide. Bethesda, MD: National Institute on Drug Abuse, 35 pp.

Annotation: This guide focuses on adolescent substance use -- including abuse of illicit and prescription drugs, alcohol, and tobacco -- and the special treatment needs for people ages 12-17. Topics include the principles of adolescent substance use disorder treatment, frequently asked questions, treatment settings, and evidence-based approaches to treating adolescent substance use disorders (behavioral and family-based approaches, addiction medications, and recovery support services). Treatment referral resources are included.

Keywords: Adolescents, Evidence based medicine, Referrals, Research, Substance use disorders, Therapeutics, Treatment effectiveness evaluation

Ramakrishnan M. 2014. Neonatal abstinence syndrome: How states can help advance the knowledge base for primary prevention and best practices of care. Arlington, VA: Association of State and Territorial Health Officials, 24 pp.

Annotation: This report describes opportunities to avert or ameliorate the outcome of neonatal abstinence syndrome (NAS) along a continuum of care spanning timeframes in the mother's and infant's life and the role of state health agencies. Topics include surveillance for NAS-affected infants and the sources of maternal opiate use; reimbursement for using screening protocols to detect substance abuse early in pregnancy and withdrawal signs in newborns; development of measures to ensure follow-up with opioid-dependent women and receipt of comprehensive services; and collaborative efforts to strengthen clinical standards for identification, management, and follow-up with NAS-affected infants and their families. A state index of resources is included.

Keywords: Comprehensive health care, Intervention, Neonatal abstinence syndrome, Neonatal addiction, Newborn infants, Opiates, Population surveillance, Primary prevention, Screening, State health agencies, Substance use

U.S. Preventive Services Task Force. 2014. Drug use, illicit: Primary care interventions for children and adolescents. Rockville, MD: U.S. Preventive Services Task Force, multiple items.

U.S. Substance Abuse and Mental Health Services Administration. 2014. Serious mental health challenges among older adolescents and young adults. Rockville, MD: U.S. Substance Abuse and Mental Health Services Administration, 14 pp. (The CBHSQ report)

Annotation: This report focuses on mental health problems, co-occurring mental health problems and substance use disorder, and mental health service use among older adolescents ages 16-17 and young adults ages 18 to 25. The report provides a snapshot of mental health issues among older adolescents and young adults overall and by key issues for the transition into adulthood such as housing, employment, education, and insurance coverage.

Keywords: Adolescents, Comorbidity, Health care utilization, Mental health, School to work transition, Substance use disorders, Transition to independent living, Young adults

Lorenzo SB. 2014. Tobacco, alcohol, and substance use during preconception and pregnancy: Professional resource brief (upd. ed.). Washington, DC: National Center for Education in Maternal and Child Health, 1 p.

Lorenzo SB. 2014. Tobacco, alcohol, and substance use in children and adolescents:Professional resource brief (upd. ed.). Washington, DC: National Center for Education in Maternal and Child Health, 1 p.

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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.