ABSTRACT
Project Title: Safe Mothers in Texas
Applicant Organization Name: Texas A&M Health Science Center, School of Nursing (TAMU SON)
Applicant Address: 400 Harvey Mitchell Parkway South College Station, Texas 77845-4375
Applicant Organization Type: Institution of Higher Learning, College of Nursing
Project Director: Stacey Mitchell, DNP, MBA, MEd, RN, AFN-C, SANE-A, SANE-P, DF-AFN, FAAN
Project Director Contact: Phone: 979-436-0283; email: samitchell@tamu.edu
Website Address: nursing.tamu.edu
Requested Amount: $611,000 (Year 1)
Texas A&M University School of Nursing responds to the Violence Against Women and Substance Use Preventative Initiative with plans to create and pilot a program, Safe Mothers in Texas, to train providers of substance use disorder (SUD) treatment on intimate partner violence (IPV) and address the intersections of IPV and SUD during the pregnancy and postpartum period. Accessibility to basic health care, much less focused programs, continues to be a challenge in Texas. Rural Texans are more likely to be diagnosed with SUD; to be in treatment or in recovery for SUD; or be in a family with or a caregiver for an individual with SUD. Lack of services and recovery capital leave minimal options. In 2015, the Texas Department of Public Safety (DPS) recorded 194,872 reports which culminated into 211,301 victims. Women are at substantial risk for IPV during pregnancy, especially those who have been diagnosed with SUD. Texas women who experience IPV are at high risk for homicide. There is a lack of providers to address the health care needs, including mental health, of pregnant and postpartum women who experience IPV and SUD. The purpose of the Safe Mothers in Texas project is to gather best practices and current evidence to develop training to educate IPV providers about SUD and SUD providers about IPV and the intersection of both during pregnancy and postpartum. Education will also be available for all medical providers, particularly those in rural and medically-underserved areas, to integrate protocols and information in practice. State coalitions and subject matter experts will form a consortium aimed at creating and disseminating education that will be placed into bundles based upon specialty need. Education bundles will contain lessons at various levels to accommodate those with different degrees of knowledge and experience. A range of methods of education such as podcasts, engaging online-on-demand, and in-person, will be used to meet diverse learning styles. Mentors
hip through Project ECHO offers providers a forum to network and discuss implementing protocols into practice. A robust evaluation program will yield feedback to ensure continuous quality improvement of all aspects of the project with the outcome of improved delivery of maternal care to those experiencing IPV and SUD.