NH AIM/ERASE Maternal Mortality Webinar Series - Supporting Pregnant and Postpartum Patients with SUD in High-Risk Settings

This session will provide an overview of a street medicine program in Maine that provides trauma-informed care for pregnant and postpartum women with substance use disorder (SUD). Our AIM implementation team and the NHPQC will briefly share administrative updates and relevant data from New Hampshire's implementation of the SUD-focused AIM Patient Safety Bundle. We will then hear from Alane O'Connor, DNP, Director of Perinatal Addiction Medicine at MaineHealth Maine Medical Center, who will speak to best practices and learnings from her work with patients of street medicine teams and within the U.S. Correctional system. We will end the hour with a Q&A session.

Presenter

Alane O’Connor, DNP
Director of Perinatal Addiction Medicine
MaineHealth Maine Medical Center

1. Describe best practices for providing trauma-informed care to pregnant and postpartum people with SUD in high-risk settings.
2. Identify two or more concrete resources for supporting patients with SUD that can be used in practice.

In support of improving patient care, Dartmouth Health is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

American Medical Association (AMA)
Dartmouth Health designates this Enduring Material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

American Nurses Credentialing Center (ANCC)
Dartmouth Health designates this Enduring Material for a maximum of 1.00 ANCC contact hours.

Association of Social Work Boards (ASWB)
As a Jointly Accredited Organization, Dartmouth Health is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.00 general continuing education credits.

Social Worker Account Setup
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1. Log in to Dartmouth Health's CE portal (https://dh.cloud-cme.com).

2. From the My Account Menu, select Profile.

3. Ensure your degree and profession are accurately reflected.

4. Enter the state license type, License #, and Expiration date.

5. Scroll down to the bottom of the screen and click Submit.

All other learners may claim CME-designated participation credit. Consult your professional licensing board regarding the applicability and acceptance of CME-designated participation credit for programs certified for credit by organizations accredited by Joint Accreditation for Interprofessional Education.

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You may claim credit for successful completion of this online course. In order to claim credit, you must follow these steps:

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2. Register for the activity.

3. Click the Content/Tests tab and then View Content to view the recording. View the entire presentation.

4. Complete the Post-Test (attestation - return to the Content/Tests tab to find it).

5. Click the Complete Evaluation button, or click My Account in the menu bar; then click Evaluations.

6. Complete and Submit the Evaluation.

Bibliographic Material

• Alirezaei S, Latifnejad Roudsari R. The Needs of Incarcerated Pregnant Women: A Systematic Review of Literature. Int J Community Based Nurs Midwifery. 2022 Jan;10(1):2-17. https://doi.org/10.30476/IJCBNM.2021.89508.1613. PMID: 35005037; PMCID: PMC8724729.

• Cohen S, Nielsen T, Chou JH, Hoeppner B, Koenigs KJ, Bernstein SN, Smith NA, Perlman N, Sarathy L, Wilens T, Terplan M, Schiff DM. Disparities in Maternal-Infant Drug Testing, Social Work Assessment, and Custody at 5 Hospitals. Acad Pediatr. 2023 Aug;23(6):1268-1275. https://doi.org/10.1016/j.acap.2023.01.012. Epub 2023 Feb 7. PMID: 36754165.

• Currie CL, Tough SC. Adverse childhood experiences are associated with illicit drug use among pregnant women with middle to high socioeconomic status: findings from the All Our Families Cohort. BMC Pregnancy Childbirth. 2021 Feb 13;21(1):133. https://doi.org/10.1186/s12884-021-03591-1. PMID: 33583407; PMCID: PMC7882074.

• Dudley J, Gabrielson SMB, O'Connor AB, Ahrens KA. Trends in maternal opioid use disorder and neonatal abstinence syndrome in Maine, 2016-2022. J Perinatol. 2024 Aug;44(8):1104-1110. https://doi.org/10.1038/s41372-024-01882-x. Epub 2024 Jan 24. PMID: 38267636.

• Haiman, M. D., Witte, T. H., & Lamont, C. N. (2024). Attitudes toward pregnancy and opioid use disorder among preprofessional trainees in behavioral health and health care. Stigma and Health. Advance online publication.

• Khazanchi R, Wachman EM, Schiff DM, Modest A, Saia KA, Hsu HE. Mandatory Child Protective Services Reporting for Substance-Exposed Newborns and Peripartum Outcomes: A Difference-in-Differences Analysis. JAMA Pediatr. 2024 Jul 1;178(7):719-722. https://doi.org/10.1001/jamapediatrics.2024.0903. PMID: 38709513; PMCID: PMC11074925.

• Rajagopal K, Landis-Lewis D, Haven K, Sufrin C. Reproductive Health Care for Incarcerated People: Advancing Health Equity in Unequitable Settings. Clin Obstet Gynecol. 2023 Mar 1;66(1):73-85. https://doi.org/10.1097/GRF.0000000000000746. Epub 2022 Aug 31. PMID: 36044632; PMCID: PMC9851923.

• Shlafer RJ, Stang J, Dallaire D, Forestell CA, Hellerstedt W. Best Practices for Nutrition Care of Pregnant Women in Prison. J Correct Health Care. 2017 Jul;23(3):297-304. https://doi.org/10.1177/1078345817716567. Epub 2017 Jun 28. PMID: 28656820; PMCID: PMC6671683.

• Sufrin C, Kolbi-Molinas A, Roth R. Reproductive Justice, Health Disparities And Incarcerated Women in the United States. Perspect Sex Reprod Health. 2015 Dec;47(4):213-9. https://doi.org/10.1363/47e3115. Epub 2015 Jun 22. PMID: 26098183.

Provider Contact Information
Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
ACE Office
Dartmouth Health
[email protected]

Mitigation of Relevant Financial Relationships

Dartmouth Health adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education.  Any individuals in a position to control the content of a CE activity, including planners, faculty, authors, or others are required to disclose all financial relationships with ineligible companies^.  All relevant financial relationships have been mitigated prior to the commencement of the activity.

^Ineligible Company is any entity whose primary business purpose is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients.