Grants Dashboard

The Michigan Comprehensive Assistance for Family Success (MI-CAFS) initiative will enhance the continuum of care services for pregnant and parenting women and their families. Between 2017 and 2020, 1,100 female substance use treatment admissions were pregnant at admission, with 58% of those women reporting opioids as their primary substance. The purpose of the MI-CAFS project is to: 1) increase outreach, engagement, screening and assessment; 2) expand enhanced women's services; 3) increase pregnant and parenting women's care in opioid health homes; 4) deliver women and family-specific evidence-based practices; 5) increase medication assisted treatment to those with an opioid use disorder; 6) enhance collaboration across systems of care; 7) increase screening for communicable diseases, including HIV and Hepatitis; and 8) provide information on the risks of tobacco and nicotine use during pregnancy. The current system of care reflects the support and encouragement for women with a substance use disorder to seek treatment. However, due to racial, ethnic, geographic and other disparities, the full continuum of services may not be easily accessible. Support for newly waivered physicians will be provided by the University of Michigan, Michigan Opioid Collaborative. Their assistance will ensure that newly waivered practitioners will have a coach to work with as they are faced with challenging and complex cases. This will further their own knowledge and confidence, and willingness to continue with the program and work for this vulnerable population. Program evaluation will be accomplished by the Wayne State University School of Social work. With their guidance, surveys to the field and GPRA will be completed and compiled, and annual reports generated.

The purpose of the program is to enhance flexibility in the use of funds designed to: (1) support family-based services for pregnant and postpartum women with a primary diagnosis of a substance use disorder, emphasizing the treatment of opioid use disorders; (2) help state substance abuse agencies address the continuum of care, including services provided to pregnant and postpartum women in nonresidential-based settings; and (3) promote a coordinated, effective and efficient state system managed by state substance abuse agencies by encouraging new approaches and models of service delivery

Healthy Moms and Babies will address Alabama's growing use of illicit drugs by pregnant and postpartum women, especially opioids. The project will promote the development and implementation of a statewide strategy to provide a continuum of family based services for pregnant and postpartum women. It will also support two new treatment programs that will open in communities with some of the state's highest rates of babies born dependent upon opioids. The new outpatient treatment programs will serve pregnant and postpartum women in Colbert, Lawrence and Walker Counties, which are larger rural counties with some of the nation's highest rates of opioid use and babies born with neonatal opioid withdrawal syndrome. Babies born in the proposed catchment area were born dependent on opioids at rates that were more than 350 to 600% higher than the the national average. The project will serve 30 women in the first year and 120 women in the three year grant period. At least 55% of the women served in these programs will have opioid use disorders. The treatment providers, Aletheia House and Birmingham Fellowship House, have been providing substance use disorder treatment services in Central Alabama for more than 45 years. Project goals include: 1)increasing access to family based services for pregnant and postpartum women with a primary diagnosis of a substance use disorder, with at least 55% of the women receiving services for an opioid use disorder; 2)expanding Alabama's continuum of care for pregnant and postpartum women with substance use disorders, especially opioid use disorders, by increasing access to evidence based non-residential services; and 3)improving the coordination, effectiveness and efficiency of services provided to pregnant and postpartum women with substance use disorders, especially opioid use disorders, by encouraging new approaches and models of service delivery. The project's treatment providers will utilize evidence based interventions including: 1)cognitive behavioral therapy; 2)twelve step facilitation; 3)medication assisted treatment; 4)gender responsive, trauma informed services; 5)case management; and 6)peer recovery support services. The project will also enhance and strengthen the state infrastructure by providing: 1)a comprehensive needs assessment using statewide epidemiological data; 2)a comprehensive strategic plan that will include strategies that increase service use and improve outcomes for the population of focus; and 3)providing on-going training and support for workforce development.

The KS Helping Empower and Recover Together (KS HEART) program will provide evidence-based, family-centered treatment services to pregnant and postpartum women in Kansas with substance use disorder, including opioid use disorder. Pregnant and postpartum women using substances face complex challenges that put the health and stability of their family at risk. Funding and eligibility restrictions to existing substance use treatment services often cause women to lose access to care during some of the most vulnerable points postpartum. The KS HEART program will bridge these gaps to services and provide evidence-based treatments, including Medication Assisted Treatment and tobacco cessation. By focusing on family-centered therapy, expanding outpatient programs, and providing community-based wraparound services the KS HEART program aims to accomplish the goals of decreasing substance use, including opioids, among pregnant and post-partum women in Kansas; increasing family stability and support; and maintaining community tenure and recovery for the whole family unit. The KS HEART program will serve approximately 55 women a year at two pilot locations, for a total of 165 women over three years.