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(194) Communities Working to Reduce Barriers to Care for Pregnant and Parenting Women with Opioid Use Disorder: Findings from a National Technical Assistance Project


Laurie Krom, M.S. – Co-Director, Addiction Technology Transfer Center (ATTC) Network Coordinating Office; Opioid Response Network (STR-TA); Prevention Technology Transfer Center (PTTC) Network Coordinating Office


Session/Poster Description: According to the 2018 National Survey on Drug Use and Health over 22,000 pregnant women in the United States used opioids in the past month. Opioid use disorder (OUD) can be very harmful for the mother and baby. OUD is linked to neonatal abstinence syndrome, preterm birth, low birthweight, and pregnancy-related mortality. Clinical guidance for treating pregnant women with OUD consists of methadone or buprenorphine provided in combination with behavioral interventions and medical services. Many barriers hinder women from getting this appropriate care, such as inadequate capacity and geographic distribution of treatment, and lack of gender-specific care and support services. To address these barriers at the local level, communities may benefit from funded and coordinated technical assistance (TA). The Substance Abuse and Mental Health Services Administration funded the Opioid Response Network (ORN) to provide TA to communities responding to the opioid crisis. This poster will present an analysis of requests that ORN received for TA regarding treating pregnant and parenting women with OUD. Preliminary results indicate that at least 50 of 1,083 requests received between May 2018 and August 2019 related to this priority population. Requestors were from 26 states and the District of Columbia. TA examples include trainings to educate providers and support staff, program planning and implementation consultations, and clinical mentoring and coaching. TA participants shared what they learned with over 6,000 people. An analysis of these requests demonstrates a wide range of topics and strategies that are being implemented and the diversity of stakeholders who are involved.

Contributors: Carolina Close, MA; Sara Calvin, MS; Alex Cowell, PhD; Brendan Wedehase, BA; Stephen Orme, MA; Kathryn Cates-Wessel, BA; Fances Levin, MD

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