A Toolkit for the Perinatal Care of Women with Substance Use Disorders
This page contains all of the documents included in the Toolkit for the Perinatal Care of Women with Substance Use Disorders, downloadable as individual PDFs.
This toolkit was developed by a multidisciplinary group of obstetric, pediatric, neonatal, and addiction treatment providers and nurses to assist front-line perinatal care providers to improve the quality and safety of care provided to pregnant women with substance use disorders in northern New England.
Introductory Letter REV 08.29.18
1. Best Practice Recommendations
- Best Practice Recommendations for Perinatal Care of Pregnant Women with SUD (rev08.29.18)
- Checklist Chart Template (rev08.29.18)
2. Facilitating SUD Treatment
- Facilitating Treatment for Substance Use Disorders (rev08.29.18)
- Facilitating access to naloxone (NARCAN)
- Sample_Consent_for_release_of_information
- Template_State and Local Resources
3. Screening for Substance Use During Pregnancy
4. Tobacco Use
5. Alcohol Use Disorders
6. Cannabis Use
7. Polysubstance Use
- Counseling Women about Polysubstance Use_REV 03.15.18
- Counseling Women about Synthetic Cathinones (Bath Salts)_REV 03.15.18
- BathSalts_bifold4x9_press4
8. Breastfeeding
9. Neonatal Abstinence Syndrome (NAS)
- Neonatal Abstinence Syndrome (rev08.29.18)
- Sample Parent Letter_REV 03.15.18
- NNEPQIN NAS Pamphlet – REV 03.15.18
- NAS parent education guide
10. Infectious Disease Diagnosis & Treatment
- Hepatitis C Diagnosis and Treatment (rev08.29.18)
- Hepatitis B Screening and Diagnosis_REV 03.15.18
- HIV Resources for Providers_REV 03.15.18
11. Social Needs Assessment
- Assessing Social Needs (rev08.29.18)
- Screening for Intimate Partner Violence (rev08.29.18)
- Screening Tools – Partner Violence Screen (PVS)
- Screening Tools – Woman Abuse Screening Tool (WAST)
12. Helping Women Access Mental Health Services
13. Plan of Safe Care
14. Postpartum Care
15. Implementation Tools
- POUDLC Process Map
- Patient Eligibility Flow
- Internal Patient Tracking List
- Checklist Chart Template
- Blank DCF for iMAT t4 Outcomes Summary
- Patient Experience Survey
- ProviderSurvey_2017
- Buprenorphine Induction (inpatient) for Pregnant Women Procedure Draft 2-17-18
- Buprenorphine Induction Algorithm 1.27.17 (2)