The goal of this initiative is to reduce the adverse outcomes of perinatal (during and after pregnancy) drug and alcohol use for newborns and families.
Perinatal drug and alcohol use has serious impacts on the health and well-being of children and families around Montana: the problem is on the rise, and affected families are not adequately served by Montana’s current health care system and social services. The number of Montana children in foster care more than doubled since 2011; out of more than 3,200 children in foster care in 2016, 64% were removed from the home for reasons related to parental substance abuse. Among Medicaid patients, the percentage of infants with perinatal drug exposure increased from 3.7% in 2010 to 12.3% in 2016. In a 2017 report, we found that only 6% of Montana’s state-licensed substance use disorder treatment programs serve pregnant women or young families.
There is strong evidence that a few simple interventions can help Montana make a big difference in the lives and health outcomes of families affected by this serious problem. For 2018, we are pleased to announce a major, multi-year commitment to solving perinatal drug and alcohol use.
Early work by our grantees and our review of the literature on programs that address perinatal drug and alcohol use show that supportive, team-based care and better coordination between health care providers and social service agencies offer a powerful way to improve these outcomes.
Grant opportunities are for hospitals and clinics that provide prenatal care, deliver babies, and provide inpatient newborn care. Required grant elements include:
- Clinical Team: Establish a care team that includes prenatal and post-delivery care with care coordination and “warm hand-offs” to a licensed behavioral health clinician.
- Community-Wide Reach: Develop partnerships and a defined referral pattern among practices in the community so that most prenatal patients are screened for substance use disorders and those that need care are cared for by the clinical team.
- Multidisciplinary Collaboration: Develop collaborations among the clinical team, child protective services, public health and home visiting programs, criminal justice, and other agencies as appropriate.
- Unmet Social Needs: Screen for social needs and use care coordination and collaboration with local organizations to address needs such as transportation, housing, and additional intensive treatment.
- Culture Change and Communications: Develop and promote (both in the hospital and community) a supportive approach that engages women and increases participation in prenatal care and substance use disorder treatment.
- SBIRT: Implement screening, brief intervention, and referral to treatment for pregnant women.
- Collaboration with Tribes or Urban Indian Health Centers: Develop a strong collaboration with the appropriate tribal or urban Indian health centers if caring for a substantial number of American Indian families.
If you are interested in applying for a grant under this initiative, please contact MHCF Senior Program Officer Tressie White.
Grant decisions will be based on our general selection criteria (which can be found in our 2018 Call for Proposals) and the specific requirements for this initiative.
Solving Perinatal Drug and Alcohol Use Grantees
Bridge to Hope Project
Project Term: 12 months; Dec 2017 – Nov 2018
Grant Amount: $42,600
This project will provide support for mothers whose newborns are experiencing Neonatal Abstinence Syndrome (NAS) on the Flathead Reservation. The project builds on a previous MHCF’s grant that helped create the Wrapped in Hope Project which addressed perinatal drug use in the region, and will now extend care to families after delivery. This project is designed to 1) reduce the rate of maternal-infant separation in the hospital setting as a result of NAS treatment; 2) engage addicted mothers in the care of their infant through support group sessions, and 3) increase addicted mothers’ voluntary participation in area drug treatment programs by the time of their infants’ discharge. An ongoing series of 10 maternal support group sessions will be conducted by a licensed addiction counselor in partnership with a pediatrician and nursing staff while the newborns are hospitalized for NAS treatment, and mothers will receive materials and modeling related to the holistic care of their infants aimed at facilitating mother-infant bonding. The project will be conducted in partnership with the CSKT Tribal Government and Wrapped in Hope staff at St. Joseph Medical Center.
Residential Treatment for Pregnant American Indian Women
Project Term: 24 months; Dec 2017 – Nov 2019
Grant Amount: $63,135
This project will help create Elm House, a residential treatment home for pregnant women struggling with addiction that will incorporate perinatal care with addiction treatment throughout the duration of the pregnancy. In partnership with St. Vincent Healthcare’s Provider Network’s Midwives, this treatment modality will promote long-term recovery, while the women receive the necessary obstetric care to decrease the occurrence of perinatal drug exposure and neonatal abstinence syndrome. Priority admission will be given to Northern Cheyenne and Crow patients referred through the work of previous MHCF grants to St. Vincent’s. In addition to treatment, women will receive case management services to ease into the transition to a safe sober living environment with their baby after delivery.
Substance Abuse Treatment for Pregnant and Parenting Women
Project Term: 18 months; 2017-2018
Grant Amount: $75,000
This project will plan for and begin implementation of outpatient substance abuse services for Florence Crittenton’s clientele, and will explore residential treatment options for pregnant and parenting women and their children. Florence Crittenton provides comprehensive services to pregnant and parenting teens, and although many of their clients have substance use disorders, currently they are only able to address this problem through referrals and contracts with outside providers. This project will look at ways to build capacity, conduct research, and develop a comprehensive treatment model to best serve this population while developing collaborative partnerships and improving outcome tracking. A main goal is developing cohesive partnerships with healthcare and other service providers. Expanding services will allow Florence Crittenton to blend trauma and mental health treatment with substance abuse treatment which will improve outcomes for families, as well as improve efficiencies in program service delivery.
Prevention and Support for Pregnant Blackfeet Women Using Opioids
Project Term: 12 months; Apr 2017 – Mar 2018
Grant Amount: $75,000
This project will support RMTLC and their Boston University-based partners to work with the Blackfeet tribe and the Indian Health Service Blackfeet Community Hospital to address opioid prevention among pregnant women on the Blackfeet reservation. Funds will be used to conduct focus group/key informant interviews with clinicians and substance-using pregnant women; produce a gap analysis to determine treatment shortfalls; and work with the tribe to create a feasibility analysis and protocol for medication-assisted treatment to include integrated behavioral health, assessing the accuracy of prenatal screening, analyzing reimbursable billing, and helping to establish a referral system for care. The grant will also be used to foster relationships between the Lummi and Blackfeet tribes, as well as organizations working on similar issues in the Flathead region.
WINGS Reentry Transitional Housing Program
Project Term: 12 months; Apr 2017 – Mar 2018
Grant Amount: $50,000
This project will fund an onsite Licensed Clinical Social Worker/Licensed Addictions Counselor (LCSW/LAC) for transitional women’s housing program. The program currently serves women with co-occurring substance abuse and mental disorders who have been released from incarceration and/or treatment and are at moderate-to-high risk for re-incarceration. The applicant currently serves 26 women and their children in a dorm-style, trauma-informed, sober-living transitional housing program. Funding will allow the applicant to apply for Montana’s first licensed, level three sober living group home serving women and their children, which will allow them to bill for and provide a range of behavioral and substance use disorder treatment services.
2018 Call for Proposals
Find out about this year’s available grants.