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Improving Outcomes of Mothers With Opioid Use Disorder Using a Community Collaborative Model.

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Summary

The Tides, Inc. program offers coordinated care for pregnant women with Opioid Use Disorder (OUD). This model improved maternal and infant outcomes, with 73% of participants reporting no opiate use and 100% retaining infant custody.

Keywords:
access to carebehavioral healthcommunity collaborative modelcommunity healthcost-effectivenesshealth outcomesimpact evaluationobstetricsopioid use disorderpregnancyprogram evaluation

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Area of Science:

  • Public Health
  • Maternal Health
  • Substance Use Disorders

Background:

  • Rising rates of Opioid Use Disorder (OUD) in pregnant women present a significant public health challenge.
  • Existing care models for these women are fragmented, facing numerous barriers to access and effective treatment.
  • The Tides, Inc. program aims to provide integrated, comprehensive care from pregnancy through postpartum.

Purpose of the Study:

  • To evaluate the effectiveness of a coordinated care model for pregnant women with Opioid Use Disorder (OUD).
  • To assess improvements in maternal and infant outcomes.
  • To determine the program's impact on reducing community burdens.

Main Methods:

  • A collaborative model was employed, coordinating care across multiple existing agencies to reduce barriers.
  • Funding was secured through county resources and existing payer sources, including insurance and Medicaid.
  • Program outcomes were evaluated annually, with qualitative surveys collected from participants.

Main Results:

  • Participant outcomes demonstrated significant improvements by the end of the program's first year.
  • 73% of participants successfully achieved no opiate use.
  • 100% of participants maintained full custody of their infants.

Conclusions:

  • The Tides, Inc. program effectively uses existing resources to deliver coordinated, comprehensive care for pregnant women with OUD.
  • The program shows promise in improving maternal and infant health outcomes.
  • This model can reduce costs and burdens on community systems like justice and foster care, serving as a replicable framework for other communities.