On February 3, 2022, the Department of Health and Human Services (HHS) announced a series of new reports from the Office of the Assistance Secretary for Planning and Evaluation (ASPE) that “highlight how pregnant and postpartum women who use substances and their children can benefit from evidence-based prevention and treatment strategies.” Based on a review of existing research and consultation with experts in this field, the reports identify strategies for reduce the negative impacts of substance use (including alcohol use) on families.
This project included an environmental scan of the policies and programs of selected states and technical expert panel comprised of national experts on FASD to better understand how states are addressing this complex problem. ASPE is publishing two briefs based on the findings from this project. The first brief synthesizes effective state and local level strategies for prevention, identification, and intervention. The second brief reviews the role of health and human service providers in preventing FASD.
For this project, a program scan and literature review identified 10 distinct models of care and a variety of methods for integrating OB/GYN and SUD care, including emerging and existing models of care, standalone and statewide efforts to integrate OB/GYN and SUD care, services addressing social determinants of health, and partnerships supporting integrated OB/GYN and SUD care. Technical experts and interviewees recommended expanding the definition of integrated care to include various types of providers, clinical and nonclinical support services, payment information, and family member support. Barriers such as stigma and shortage of SUD providers are reviewed with potential opportunities to address them in context of integrated OB/GYN and SUD care.