Thursday, April 18, 2024
4/18/2024
KBIC Opioid Response Project Summary A Multidisciplinary, Cultural Based Approach to Treat Pregnant and Parenting Women with Opioid Use Disorder and the Management of Opioid Use Disorder and their Infants at a Tribal Health Center in Baraga, MI. Women with Opioid Use Disorder (OUD) and their infants face critical barriers and stigma to obtaining optimal care. These significant barriers drive women away from available care, seeking care, or continuing to engage in care thereby potentially leading to worse outcomes for mother and fetus. This project features an integrated approach, combining Medication Assisted Treatment (MAT), traditional approaches, patient advocacy, and behavioral counseling to improve health outcomes and reduce harms. OUD rates at delivery more than quadrupled nationally from 1999 to 2014, according to research published in the August 10, 2018 issue of U.S. Centers for Disease Control and Prevention’s Morbidity and Mortality Weekly Report. Additionally, Baraga County ranked highest among 29 Michigan counties for Neonatal Abstinence Syndrome among infants at 4,056 per 100,000 live births between 2014 and 2016 . At the Donald A. LaPointe Health and Education Center, there were 37 positive human chorionic gonadotropin (hCG) tests between 2016 and 2017. Out of those 37 cases, 15 (or 41%) tested positive for an illicit substance . These data collectively point to the impact of the opioid epidemic on families in the immediate community where each case represents a mother, a child, and a family in need of treatment and support. The project seeks to implement comprehensive, national guidelines for the optimal management of pregnant women with OUD and their infants based on the recommendations presented in the SAMHSA publication “Clinical Guidance for Treating Pregnant and Parenting Women with Opioid Use Disorder and their Infants”. Additionally, the project emphasizes a Patient Advocate role, behavioral counseling, and traditional approaches to treatment in addition to MAT. Other critical components include community education, peer group support, and a comprehensive Naloxone distribution program. The patient load will initially include 5 pregnant women with diagnosed OUD during the 1st year and expand to a wider population with diagnosed OUD in year 2. Patients prioritized for year 1 will be referred for mandatory treatment from the Tribal Healing to Wellness Court and will be closely followed by the current Tribal Court Health and Wellness Coordinator. With the implementation of an evidence based MAT program that integrates patient advocacy, behavioral, and traditional components, we hope to increase the number of pregnant women receiving essential care close at home in the community, reduce the community risk of overdose deaths, and lessen the stigma and misinformation that results in barriers to obtaining care.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
