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Home Visiting Hybrid for High Risk Moms- Calvert County Health Department (Calvert County FY 18 and beyond- Annual)

Better Off: % of moms who delivered babies with a negative toxicology screen for un-prescribed substances - Annual

Current Value

67%

FY 2024

Definition

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Story Behind the Curve

FY 22: The progarm continues to see a decrease in the number of moms who deliver babies with a negative toxicology screen for un-prescribed substances. In the first half of FY22, there were 7 babies born to mothers participating in the program. All 7 mothers were particpating in Medicated Assisted Treatment for Opioid Use Disorder. Of the 7 babies, 4 were born with a positive toxicology screen for marijuana and 1 was born with a positive toxicology screen for cocaine. The program cites a misperception of safety associated with marijuana use.

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What Works

Action Plan

FY22: In an effort to address the increase in the number of babies born to program participants with a positive toxicology screen for un-prescribed substances, the program will implement a Contingency Management conponent. 

Pregnant and postpartum women who are introduced to contingency management are more likely to be willing and able to engage in substance use disorder treatment and reduce use of illicit drugs such as cocaine and heroin. Contingency Management is one of the most effective approaches to treating SUDs. Typically implemented in clinical settings, contingency management relies on “operant conditioning” or providing rewards to individuals based on their level of behavioral change. In the case of marijuana use, the behavioral change would be period of abstinence.

When implementing contingency management, the Program will:

1. Arrange for regular testing to ensure that the individual is abstaining from substance use.

2. Provide agreed-upon and tangible rewards, such as vouchers, when the individual abstains.

3. Withhold the reward or incentive from the individual when substance use is detected.

4. Assist the individual in establishing alternate and healthier activities to replace the rewards derived from substance use.

Many programs use this practice during pregnancy to promote healthy prenatal behavior in women, such as reducing or quitting substance misuse. Contingency management has proven effective for helping pregnant women quit smoking. It is also effective for helping women in general abstain from cocaine, tobacco, and heroin.

Source: Substance Abuse and Mental Health Services Administration (SAMHSA). Preventing the Use of Marijuana: Focus on Women and Pregnancy. SAMHSA Publication No. PEP19-PL-Guide-2 Rockville, MD: National Mental Health and Substance Use Policy Laboratory. Substance Abuse and Mental Health Services Administration, 2019.

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