Emerging Practice

Mothers on the Rise

State/Jurisdiction: Indiana
Setting: Community
Population: Infant Women & Maternal
Topic Area: Health Promotion & Communication Mental Health & Substance Use Care Coordination
NPMs:

Mothers on the Rise (MOR) supports mother-baby pairs transitioning from the Indiana Women’s Prison Nursery to their home community, providing an individualized coordinated system of care. MOR works with the mother-baby pairs directly, our comprehensive, coordinated system of care works to promote the whole family system and encourage the women to integrate into their home communities. MOR meets each mother’s immediate needs after release, by supplying her with clothing, hygiene products, and infant supplies. Additionally, our social support team works with participants to navigate any barriers they face in community by providing support from our interdisciplinary team of professionals and community members near the mother’s home neighborhood. The social support team includes the program manager, social work navigator, lead community navigator (a mother who was formerly incarcerated), nurse navigator, and community navigator when applicable. The social support team works to support the mothers to promote independence, stability, and access to resources for sustainable success. With ongoing support from our social support team, mothers can maintain support in times of stability (maintenance status) or have increased engagement in times of stress (crisis status). These two categories allow us to individualize our level of support to maintain rapport and anticipate and address crises as they arise.


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Implementation Handout
Creating a Coordinated System of Care for Mother-Baby Pairs Transitioning from a Prison Nursery to Their Home Community


CONTACT INFORMATION
Indiana University School of Medicine, Dept. of Pediatrics, Grassroots Maternal and Child Health Initiative
Ashley Mager, MPH
atmager@iu.edu

Practice Website