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Perinatal Substance Use Collaboration & Policy Action Map

The Perinatal Substance Use Collaboration & Policy Action Map and the associated resources were developed by the Association of Maternal & Child Health Programs (AMCHP) with support from the Foundation for Opioid Response Efforts (FORE) and Perigee Fund. The Action Map and its companion resources are designed to show what a strong perinatal substance use system can look like and help people and organizations see how their work fits into the bigger picture, strengthen collaboration, advance effective policies, and drive systems change.

Process Overview

Convene cross-sector experts

AMCHP brought together more than 20 experts to engage in systems mapping activities that identified characteristics of an ideal perinatal substance use system and the resources needed to get there.

Data collection and synthesis

AMCHP synthesized data from stakeholder surveys, convening notes, grey literature, and existing research to identify sector-specific actions and broader policy and collaboration levers to improve conditions for families.

Stakeholder feedback

Draft materials were refined through two virtual feedback sessions with partners and an asynchronous feedback survey.

Center family perspectives

AMCHP consulted with individuals with personal experience of perinatal substance use to ensure that action map recommendations aligned with the visions of those most impacted.

Perinatal Substance Use Collaboration & Policy Action Map

The Perinatal Substance Use Collaboration & Policy Action Map shows what an ideal perinatal substance use system might look like. In addition to mapping out key system actors and guiding values, the map offers specific collaboration and policy recommendations to help system actors work together to advance effective perinatal substance use policies.

Watch the short video below that walks you through the map. You can also explore the map via this self-guided presentation.

 

Companion Resources

We created a series of companion resources that are complementary to the interactive map. These resources break down the policy and collaboration recommendations into formats that can be easily shared or serve as discussion starters in whatever role you play in the system.

Perinatal Substance Use Policy Recommendations: This resource summarizes the policy recommendations broken down by policy level (organizational, local, state, and federal).

Use the following resources to explore policies that specific sectors may be well-suited to advance. Each resource includes the policy recommendation, policy level, policy focus area, system actors to consider partnering with, and values advanced by that policy.

Policy Recommendations for Your Sector (COMING SOON!)
Policies for:
  • Capacity Building and Technical Assistance
  • Community
  • Early Childhood Education
  • Funders
  • Health
  • Legal and Public Safety Systems
  • Media and Communications
  • Medicaid and Payers
  • Policymakers
  • Research
  • Social Services
  • Tribal/State/Local Public Health

Getting Started with the Collaboration Recommendations – This resource is a “quick start” guide to the collaboration recommendations and includes each recommendation and suggestions on ways you could implement them in your role.

References and Additional Learning – This resource is intended to support further learning and implementation of the collaboration recommendations and includes:

  • Additional resources connected to each collaboration recommendation
  • Tools to measure collaboration
  • Systems thinking and collaboration science resources

Our team is available to support you in using this resource to advance collaboration and systems change. If you would like support navigating the map, applying its insights to your own context, or facilitating conversations with partners using the map, please reach out to us at PSUDActionMap@amchp.org.

Perinatal Substance Use Resource Library

This searchable resource library contains cross-sector resources related to improving systems of care for families impacted by perinatal substance use. You can search by type of resource and the primary intended audience(s) of the resource. If you have a resource you would like us to consider adding to the resource library, please email PSUDActionMap@amchp.org.

58 resources found

Article/Blog Development of a Clinical Decision-Making Framework to Address Parental Substance Use and Child Safety

Parenting Science and Practice

Health (Clinical) Social Services (CPS, housing, public benefits)
View Resource
Report Promoting Access to Care for Women of Reproductive Age with Mental Health and Substance Use Disorders in Rural Communities

AMCHP

Tribal/State/Local Public Health Social Services (CPS, housing, public benefits)
View Resource
Report Housing​ as Platform for Treatment and Recovery: Opportunities for Title V at the Intersection of Stable Housing, Mental Health, and Substance Use

AMCHP

Tribal/State/Local Public Health Social Services (CPS, housing, public benefits)
View Resource
Report Screening, Brief Intervention, and Referral to Treatment (SBIRT) for Pregnant and Postpartum Women: Opportunities for State MCH Programs

AMCHP & The National Association of State Alcohol and Druge Abuse Directors

Tribal/State/Local Public Health Capacity Building and Technical Assistance
View Resource
Guide/Toolkit State Harm Reduction Strategies: Improving Outcomes for Reproductive-Aged Women Who Use Substances

AMCHP

Tribal/State/Local Public Health Capacity Building and Technical Assistance
View Resource
Video/Webinar Implementing the “Care for Pregnant and Postpartum Women with Substance Use Disorder” Patient Safety Bundle: Opportunities for State Public Health

AMCHP

Tribal/State/Local Public Health Community
View Resource
Video/Webinar Perinatal Substance Use: National and State Public Health Strategies

AMCHP & ASTHO

Tribal/State/Local Public Health Capacity Building and Technical Assistance
View Resource
Article/Blog Special Issue: Public Health Approaches to Perinatal Substance Use

Maternal and Child Health Journal

Tribal/State/Local Public Health Health (Clinical)
View Resource
Guide/Toolkit How States Serve Infants and their families affected by prenatal substance exposure: Identification and Notification

National Center on Substance Abuse and Child Welfare

Social Services (CPS, housing, public benefits) Capacity Building and Technical Assistance
View Resource
Guide/Toolkit Perinatal Provider Toolkit

Addiction Technology Transfer Center (ATTC) Network

Health (Clinical) Social Services (CPS, housing, public benefits)
View Resource
Guide/Toolkit Perinatal and Infant Mental Health and Substance Use Provider Toolkit

OC Health Care Agency

Health (Clinical) Social Services (CPS, housing, public benefits)
View Resource
Article/Blog Addressing Overdose Through Collaboration and Opioid Settlement Funds

Association of State and Terrotorial Health Officials

Policy Social Services (CPS, housing, public benefits)
View Resource
Report National Strategy to Improve Maternal Mental Health Care

Task Force on Maternal Mental Health

Policy Medicaid and Payers
View Resource
Guide/Toolkit Healthy Starts: Postpartum OUD Care Transitions for Mother and Infant

Substance Abuse and Mental Health Services Administration

Health (Clinical) Tribal/State/Local Public Health
View Resource
Program Flyer Perinatal Peer Worker Programs

New Hampshire Perinatal Quality Collaborative

Social Services (CPS, housing, public benefits) Tribal/State/Local Public Health
View Resource
Report Voices of Families: Insights from Ohio State Listening Sessions

Safe Babies: A Program of Zero to Three

Policy Social Services (CPS, housing, public benefits)
View Resource
Report Voices of Families: Insights from Washington State Listening Sessions

Safe Babies: A Program of Zero to Three

Policy Social Services (CPS, housing, public benefits)
View Resource
Report A New Way: Reimagining Substance Use Poliices Policies to Support Families and Reduce Infant and Toddler Entry into Child Welfare

Zero to Three

Legal and Public Safety Systems Social Services (CPS, housing, public benefits)
View Resource
Module Doing Right at Birth

Doing Right at Birth

Health (Clinical) Social Services (CPS, housing, public benefits)
View Resource
Guide/Toolkit Field Guide to Addressing Perinatal Substance Use Disorder in Colorado: A Public Health Resource for Patients, Families, Healthcare Providers, and Hospitals

Colorado Perinatal Care Quality Collaborative

Capacity Building and Technical Assistance Social Services (CPS, housing, public benefits)
View Resource
Guide/Toolkit Engaging People with Lived Experience Toolkit

Community Commons

Capacity Building and Technical Assistance Social Services (CPS, housing, public benefits)
View Resource
Guide/Toolkit Comprehensive Famework to Improve Outcomes for Families Affected by Substance Use Disorders and Child Welfare Involvement

Child and Family Futures

Social Services (CPS, housing, public benefits) Policy
View Resource
Module Building Collaborative Capacity Series: Module 4; Establishing Administrative-Level Data Sharing to Monitor and Evaluate Program Success

National Center on Substance Abuse and Child Welfare; SAMHSA; Children's Bureau

Capacity Building and Technical Assistance Tribal/State/Local Public Health
View Resource
Module Building Collaborative Capacity Series: Module 3; Establishing Practice-Level Communication Pathways and Information Sharing Protocols

National Center on Substance Abuse and Child Welfare; SAMHSA; Children's Bureau

Social Services (CPS, housing, public benefits) Policy
View Resource
Module Building Collaborative Capacity Series: Module 2; Examining Values and Developing Shared Principles and Trust in Collaborative Teams

National Center on Substance Abuse and Child Welfare; SAMHSA; Children's Bureau

Social Services (CPS, housing, public benefits) Tribal/State/Local Public Health
View Resource
Module Building Collaborative Capacity Series: Module 1; Developing the Structure of Collaborative Teams to Serve Families Affected by Substance Use Disorders

National Center on Substance Abuse and Child Welfare; SAMHSA; Children's Bureau

Social Services (CPS, housing, public benefits) Tribal/State/Local Public Health
View Resource
Module Implementing a Family-Centered Approach (Companion Modules) Series; Module 3: Collaboration to Support Family-Centered Practices at the County and State Level

National Center on Substance Abuse and Child Welfare

Tribal/State/Local Public Health Social Services (CPS, housing, public benefits)
View Resource
Module Implementing a Family-Centered Approach (Companion Modules) Series; Module 2: On the Ground–Family-Centered Practice

National Center on Substance Abuse and Child Welfare

Social Services (CPS, housing, public benefits) Capacity Building and Technical Assistance
View Resource
Module Implementing a Family-Centered Approach (Companion Modules) Series; Module 1: Overview of a Family Centered Approach and Its Effectiveness

National Center on Substance Abuse and Child Welfare

Social Services (CPS, housing, public benefits) Capacity Building and Technical Assistance
View Resource
Guide/Toolkit Collaborating Across Systems: How to Develop a Comprehensive Data Approach for Families Affected by Prenatal Substance Exposure; Brief 2: Implementation Guidance for Developing a Comprehensive Data Approach for Infants and Families Affected by Prenatal Substance Use Exposure

National Center on Substance Abuse and Child Welfare

Tribal/State/Local Public Health Social Services (CPS, housing, public benefits)
View Resource
Guide/Toolkit Collaborating Across Systems: How to Develop a Comprehensive Data Approach for Families Affected by Prenatal Substance Exposure; Brief 1: State Data Collection and Reporting Approaches for Infants and Families Affected by Prenatal Substance Exposure

National Center on Substance Abuse and Child Welfare

Tribal/State/Local Public Health Social Services (CPS, housing, public benefits)
View Resource
Guide/Toolkit Brief 3: Technical Assistance Strategies to Create Systems-Level Change

National Center on Substance Abuse and Child Welfare

Capacity Building and Technical Assistance Policy
View Resource
Guide/Toolkit Brief 2: Technical Assistance Brief–Practice-Level Strategies to Create Systems- Level Change

National Center on Substance Abuse and Child Welfare

Capacity Building and Technical Assistance Social Services (CPS, housing, public benefits)
View Resource
Guide/Toolkit Sustainability Toolkit: Five Steps to Build a Sustainability Plan for Systems Change

National Center on Substance Abuse and Child Welfare

Capacity Building and Technical Assistance Community
View Resource
Report Building Hope for Families Affected by Substance Use and Mental Health Disorders: A Blueprint for an Effective System of Care to Promote Lasting Recovery and Family Well-Being; Part 3: Implementing and Sustaining the Essential Pillars of an Effective System of Care: Site Examples from Key Federal Initiatives

National Center on Substance Abuse and Child Welfare

Social Services (CPS, housing, public benefits) Tribal/State/Local Public Health
View Resource
Report Building Hope for Families Affected by Substance Use and Mental Health Disorders: A Blueprint for an Effective System of Care to Promote Lasting Recovery and Family Well-Being; Part 2: Summary and Lessons of the Regional Partnership Grants and In-Depth Technical Assistance Programs: Key Federal Initiatives to Improve Outcomes for Families Affected by Substance Use Disorders

National Center on Substance Abuse and Child Welfare

Medicaid and Payers Policy
View Resource
Report Building Hope for Families Affected by Substance Use and Mental Health Disorders: A Blueprint for an Effective System of Care to Promote Lasting Recovery and Family Well-Being; Part 1: The Essential Pillars of Care for Families Affected by Substance Use and Mental Health Disorders

National Center on Substance Abuse and Child Welfare

Capacity Building and Technical Assistance Social Services (CPS, housing, public benefits)
View Resource
Guide/Toolkit Sustainability Planning for Regional Partnerships

Children and Family Futures

Capacity Building and Technical Assistance Funders
View Resource
Report State Principles for Financing Substance Use Care, Treatment, and Support Services

Center for Health Care Strategies

Medicaid and Payers Policy
View Resource
Article/Blog Strengthening the System Supporting Perinatal People with Substance Use Disorder in the Midwest Using Group Model Building

MCH Journal

Tribal/State/Local Public Health Capacity Building and Technical Assistance
View Resource
Video/Webinar Supporting Recovery with People Living with SUD During the Prenatal, Perinatal, and Postpartum Periods

Brazelton Touchpoints Center

Social Services (CPS, housing, public benefits) Tribal/State/Local Public Health
View Resource
Multiple Formats Substance Use Disorder Resource Hub

MoMMAs Voices

Health (Clinical) Tribal/State/Local Public Health
View Resource
Article/Blog Criminalized for Surviving: Parenthood Under Surveillance

Health Affairs

Policy Legal and Public Safety Systems
View Resource
Guide/Toolkit Pregnancy and Substance Use: A Harm Reduction Toolkit

Academy of Perinatal Harm Reduction

Community Social Services (CPS, housing, public benefits)
View Resource
Report Prenatal Substance Use Laws Inadvertently Endanger Healthy Families: A Review of Laws Affecting Pregnant Women in Recovery and Their Children

R Street Institute

Legal and Public Safety Systems Policy
View Resource
Article/Blog Developmental implications of prenatal opioid exposure among school-aged childres: a mixed methods and community-initiated analysis

ChildTrends

Early Childhood Education Health (Clinical)
View Resource
Article/Blog What’s Working (or Not) in State Policies for Substance Use During Pregnancy

ChildTrends

Policy Legal and Public Safety Systems
View Resource
Article/Blog Working with Families to Support the Children of the Opioid Epidemic

ChildTrends

Social Services (CPS, housing, public benefits) Early Childhood Education
View Resource
Multiple Formats National Center on Substance Abuse and Child Welfare

National Center on Substance Abuse and Child Welfare

Capacity Building and Technical Assistance Social Services (CPS, housing, public benefits)
View Resource
Guide/Toolkit Interrupting Punitive Responses to Substance Use and Pregnancy

Pregnancy Justice

Legal and Public Safety Systems Policy
View Resource
Report Pregnancy as a Crime: An Interim Update on the First Two Years After Dobbs

Pregnancy Justice

Legal and Public Safety Systems Policy
View Resource
Article/Blog The Six Principles of Trauma-Informed Care
Health (Clinical) Capacity Building and Technical Assistance
View Resource
Guide/Toolkit Creating a Healthier Life: A Step-By-Step Guide to Wellness

SAMHSA

Community Health (Clinical)
View Resource
Infographic Supporting Pregnant and Postpartum Women with Opioid Use Disorder: An Infographic Series

ASTHO

Tribal/State/Local Public Health Capacity Building and Technical Assistance
View Resource
Policy Brief Legislative and Policy Blueprint: Challenging Pregnancy Criminalization and Moving Toward Dignity

Pregnancy Justice

Policy Legal and Public Safety Systems
View Resource
Multiple Formats State Policy Trends to Improve Perinatal Health Outcomes

Center for Health Care Strategies

Policy Medicaid and Payers
View Resource
Infographic Addressing Maternal Mental Health and SUDs: Exploring Medicaid Opportunities

Center for Health Care Strategies

Medicaid and Payers Health (Clinical)
View Resource
Report Building Health Futures: Addressing Mental Health and Substance Use Disorders During Pregnancy and Postpartum

Center for Health Care Strategies

Medicaid and Payers Health (Clinical)
View Resource

Partner Organizations

The following organizations participated in the in-person convening that informed the creation of the action map and/or participated in a virtual feedback session:

  • Academy for Perinatal Harm Reduction
  • American College of Nurse-Midwives
  • Barton Child Law and Policy Center
  • Brazelton Touchpoints Center
  • CDC Foundation
  • Center for Health Care Strategies
  • Centers for Disease Control & Prevention
  • Child Trends
  • Children and Family Futures
  • Community Health Acceleration Partnership
  • Cook County Health
  • Emory University Rollins School of Public Health
  • Friends Research Institute
  • KFF Health News
  • MaineCare
  • Massachusetts General Hospital

 

  • Meghann Perry Group
  • Moms in Recovery
  • National Association of State Alcohol and Drug Agency Directors
  • National Association of State Health Policy
  • PCC Community Wellness
  • Philadelphia Department of Health
  • Policy Center for Maternal Mental Health
  • Pregnancy Justice
  • R Street Institute
  • Renewal House
  • Swedish Health Services
  • Team Lily (University of California San Francisco)
  • UNC Gillings School of Public Health
  • UNC Horizons
  • Washington State Department of Health
  • Zero to Three

The Perinatal Substance Use Collaboration and Policy Action Map was developed by the Association of Maternal & Child Health Programs (AMCHP) with support from the Foundation for Opioid Response Efforts (FORE) and Perigee Fund. The content presented does not necessarily reflect the views of FORE, Perigee Fund, or AMCHP.