Medication Assisted Treatment
Prescription Drug and Opioid Addiction
Pregnant/Post-Partum and Women w/Children
The proposed MAT PDOA project is designed to serve 600 pregnant/post-partum women and women with dependent children (PWWC) in Medication Assisted Treatment (MAT) over 3 years in the high-risk community of Anne Arundel County, Maryland by utilizing Family Peer Support Specialists (FPSS) and Care Coordinators (CC). FPSS will assist the PWWC with acquiring wrap-around and recovery support services, and MAT and overdose prevention education. The CC will work as the case manager providing referrals for HIV/Hep C testing and facilitate outreach while they navigate various human service agencies. The PWWC population will receive referrals for OB/GYN services if they are not already linked or be encouraged to continue with scheduled prenatal visits. The combined support of the FPS, CC and support services is expected to help decrease illicit drug use and misuse of prescription opioids of PWWC in MAT by 30%. A 70% retention rate of PWWC continuing in MAT for at least 6 months is another goal of this project. The PWWC in need will be identified through three points of entry: The Anne Arundel County Local Department of Social Services (TCA); State funded Women with Children Residential Treatment programs, and a local MAT provider with Outpatient (OP) and jail-based services.
The first point of entry for this project will be through the AA Co. local DSS. In the State of Maryland when a woman applies for TCA and is believed to have a substance use problem, she will receive a Substance Use Disorder (SUD) assessment by a certified/licensed counselor located within DSS. If the assessment indicates an Opioid Use Disorder (OUD), she will be referred to a FPSS and CC.
The second point of entry for this project is through a Behavioral Health Administration (BHA) funded residential treatment program. Approximately 85%-90% of women referred to residential treatment have an OUD. The FPSS will work with PWWC to help manage barriers and challenges that she may experience during residential treatment. The extensive outreach and education strategy will help to increase the length of stay in residential treatment.
The third and final point of entry for this project will be at a local MAT outpatient and jail-based program. The FPSS will provide education on how MAT can support individual and family stabilization that can potentially help to break the cycle of recidivism.
At all points of entry, The FPSS will begin the engagement process, provide education on MAT, overdose prevention, and assist with navigating various human service agencies. The FPSS will utilize motivational interviewing and other specialized training to help increase retention of PWWC in MAT programs. The FPSS will also seek to address expressed concerns regarding myths and stigmas associated with MAT, and help clients navigate the recovery process. The CC will provide prenatal care education, referrals for HIV/Hep C testing, and participate in coordinated outreach efforts to the PWWC community.