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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Strengthening the System Supporting Perinatal People with Substance Use Disorder in the Midwest Using Group Model

Jessica Simon1,2, Isabella Guynn3,4, Meagan Thompson5

  • 1Association of Maternal and Child Health Programs, 1825 K Street NW, Suite 250, Washington, DC, 20006, USA. jsimon@amchp.org.

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|July 21, 2023
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Summary

This study used group model building to improve care for pregnant individuals with substance use disorders (SUD). The process enhanced collaboration and strategic planning, focusing on reducing stigma and expanding the reach of care networks.

Keywords:
Causal loopGroup model buildingMental modelsPerinatal substance useStrategic planning

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Area of Science:

  • Maternal and Child Health
  • Public Health
  • Substance Use Disorders

Background:

  • Comprehensive care for perinatal individuals with substance use disorders (SUD) necessitates multi-stakeholder collaboration.
  • The National Maternal and Child Health Workforce Development Center supported the Midwest substance use in pregnancy (SUPper) club, a regional collaborative, in a system-strengthening initiative.

Purpose of the Study:

  • To facilitate a system-strengthening process for the Midwest SUPper Club using group model building (GMB).
  • To identify priorities for improving care for perinatal individuals with SUD and enhance regional collaboration.

Main Methods:

  • A 2-day group model building (GMB) workshop was conducted with 20 participants.
  • Two semi-structured interviews were performed, and participants completed an evaluation.

Main Results:

  • Key priorities identified were reducing birthing people's experience of stigma and expanding the Midwest SUPper Club's reach.
  • Three causal loop diagrams (CLDs) were developed to illustrate system dynamics related to stigma, policy, and workforce education.
  • Four action priorities emerged: aligning mental models, expanding workforce education, strengthening care navigation infrastructure, and identifying regional evidence-based practices.

Conclusions:

  • The GMB process effectively strengthened collaboration and advanced strategic planning for the SUPper Club.
  • GMB is a valuable tool for diverse stakeholders in maternal and child health (MCH) systems to build shared mental models and accelerate collaborative planning.