SEN Resources

National Institute of Drug Abuse (NIDA) : https://www.drugabuse.gov 

Treatment information page: https://www.drugabuse.gov/publications/drugfacts/treatment-approaches-drug-addiction 

Substance Abuse and Mental Health Services Administration’s (SAMSHA) evidence-based practices resource center: https://www.samhsa.gov/ebp-resource-center 

Toolkit on Substance and Pregnancy – This comprehensive toolkit reviews numerous topics related to substance use and pregnancy, including but not limited to trauma informed care, MOUD (medication for opioid use disorder), stigma, breastfeeding, & involvement with CPS. Please note some information discussed is based on New York laws, data, statistics, etc. https://issuu.com/harmreduction/docs/pregnancy_and_substance_use-_a_harm_2fa242e7fb6684 

NIDA Substance Use While Pregnant & Breastfeeding Webpage: https://nida.nih.gov/publications/research-reports/substance-use-in-women/substance-use-while-pregnant-breastfeeding 

Academy of Perinatal Harm Reduction - https://www.perinatalharmreduction.org/ 

National Harm Reduction Coalition - https://harmreduction.org/ 

Drugs and Lactation Database - https://www.ncbi.nlm.nih.gov/books/NBK501922/ 

State policy information: Information on reporting, testing, targeted treatment programs for substance use in pregnancy https://www.guttmacher.org/state-policy/explore/substance-use-during-pregnancy#− 

Drug Use and Unborn Babies - https://easyread.drugabuse.gov/content/drug-use-hurts-unborn-babies 

SAMHSA YouTube Playlist “Treatment for Opioid Dependence During Pregnancy” 

NOVA (PBS) Documentary "Addiction: discover how opioid addiction affects the brain and how evidence-based treatments are saving lives." (Approximately 1 hour) 

https://www.pbs.org/wgbh/nova/video/addiction 

MHAMD's Healthy New Moms program continues to compile and update PMAD resources for both families and providers.

• Resources for Providers — a list of scientific articles about PMAD prevalence, risk factors, treatment options, and more.
• Visit Preparation Resource — designed to support conversations with a health care provider by noting issues to discuss ahead of an appointment and ensuring important information is readily available.

National Maternal Mental Health Hotline - 1-833-9-HELP4MOMS
24/7, free, confidential support, resources, and referrals to any pregnant and postpartum mothers facing mental health challenges and their loved ones. The service is available via phone and text in English or Spanish. Call or text 1-833-9-HELP4MOMS (1-833-943-5746) to connect with counselors at the National Maternal Mental Health Hotline. Go here to learn more.  

SAMHSA National Helpline - 1-800-662-4357
Confidential free help, from public health agencies, to find substance use treatment and information. Learn more

American Addiction Centers Substance & Drug Use Hotline - (866) 255-8836

Maryland Tobacco Quitline:  1-800-QUIT NOW (1-800-784-8669) OR  TTY: 1-877-777-6534 
Website: www.smokingstopshere.com 

SAMHSA’s national behavioral health treatment locator  

https://findtreatment.samhsa.gov/  

SAMSHA’s National helpline – 24 hour information and referral line: 1-800-662-HELP (4357) 

Maryland 211 - community resources and treatment centers for substance abuse, mental health and other services including housing, food and legal assistance 

https://211md.org/211   

Psychology Today Treatment Finder: https://www.psychologytoday.com/us/treatment-rehab/md/baltimore?category=substance-abuse 

The following are Substance Use Recovery Programs that allow women to bring their children with them during their stay.

The NIH LactMed® database contains information on drugs and other chemicals to which breastfeeding mothers may be exposed. It includes information on the levels of such substances in breast milk and infant blood, and the possible adverse effects in the nursing infant. Suggested therapeutic alternatives to those drugs are provided, where appropriate. All data are derived from the scientific literature and fully referenced. A peer review panel reviews the data to assure scientific validity and currency. 

• The LactRx app is a free app with access to the LactMed database: https://mothertobaby.org/lactrx/ 

MommyMeds for Moms: MommyMeds is the premier health & safety app for all pregnant and breastfeeding mothers. Ensure safe breastfeeding and care of your baby while using prescription and over-the-counter medication.

• Mobile app available on Apple and Google Play 

Breast Milk Preparation and Storage: CDC guidelines for the safe handling, storage, and preparation of breast milk. 

Alcohol Use & Breastfeeding: Special Considerations: Safety concerns, how timing effects milk’s safety, and strategies to lessen exposure including “pumping and dumping.”  

Parent Handouts on Breastfeeding from the Academy of Breastfeeding Medicine (Scroll past the practitioner handouts).  

• Topics include: 

• Hypoglycemia 

• Bedsharing & Breastfeeding 

• Physiologic Infant Care: Supporting Breastfeeding, Sleep, and Well-being 

• Mastitis 

• Available in multiple languages 

• https://www.bfmed.org/parent-handouts 

Historical Stigma and Stereotypes: How They Harm Pregnant African Americans with SUDs—and their Children—and What We Can Do About It - This article is about behavioral healthcare at the intersection of four of these streams of stigma, stereotype, and discrimination: being Black, being female, being pregnant, and having a substance use disorder (SUD). Already in a state of heightened physical, psychological, social, and often financial vulnerability, these individuals are also targets of multiple myths and prejudices, blocking access to appropriate treatment and support.

 National Center on Substance Abuse and Child Welfare Online Tutorials and Training Link

Maryland Addiction Consultation Service for MOMS

The Maryland Addiction Consultation Service for Maternal Opioid Misuse (MACS for MOMs) supports maternal health providers in addressing the needs of their pregnant and postpartum patients with substance use disorders (SUD), particularly opioid use disorder (OUD). MACS for MOMs, an expansion of the Maryland Addiction Consultation Service (MACS), is a statewide program that is free to all providers.

MOM Communication Toolkit -  Digital resources created from the MACS for MOMs initiative. Resources include downloadable materials and video content.

University of Maryland, Baltimore Center for Infant Study - 

Our partners at University of Maryland Baltimore recently received a State Opioid Response Grant which allows them to support programs, who serve families with young children affected by Opioid use, in sustaining evidenced based treatment models. They will be partnering with developers to train program teams on two evidenced based group interventions:
1.  Mom Power: https://zerotothrive.org/strong-roots/mom-power/
2.  Attachment Vitamins:  
https://childtrauma.ucsf.edu/sites/childtrauma.ucsf.edu/files/Attachment%20Vitamins%20Description.pdf

If your program is interested in getting trained in either or both of these models, please contact Brijan Fellows (BFellows@som.umaryland.edu) and/or Kay Connors (Kconnors@som.umaryland.edu) directly to discuss an implementation and sustainability plan for your program. 

Trinity Wellness - Virtual Grand Rounds

Drug overdose is the leading cause of maternal death in Maryland and Baltimore. It most commonly occurs in the late postpartum period, well after most patients have ceased perinatal care. However, these individuals show up elsewhere: the ED, primary care offices, behavioral health clinics, and pediatric practices. This 30-minute video – which describes maternal morbidity and mortality, stresses the importance of screening for postpartum status, and covers warning signs that can mean a birthing person is in danger – was created for clinicians in these settings.

Register here- https://www.trinitywellnessmd.us/education.html