| Understanding Addiction |
- Examine addictions within a chronic disease model
- Identify personal and societal costs associated with SUD
- Identify the neurobiological events that promote and maintain addiction
- Illustrate the trajectory of progression of alcohol/drug use from experimentation to the development of a substance use disorder (SUD)
- Know the major barriers to SUD treatment in the U.S.
- Recognize key characteristics and features of addiction
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| Overview of Substance Use During Pregnancy and the Postpartum Period |
- Define substance use disorder (SUD) in pregnancy
- Understand the prevalence of SUD in pregnancy
- Learn about risk factors for SUD in pregnancy
- Recognize the major barriers to the treatment of SUD’s during pregnancy.
- Understand the maternal, fetal, and neonatal consequences of SUD in pregnancy
- Know diagnostic criteria for SUD in pregnancy
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| Principles of Addictions Care |
- Use motivational interviewing techniques to build trust and promote adoption of healthier behaviors among the childbearing population
- Apply principles of harm reduction to minimize negative health, social and legal impacts associated with substance use during pregnancy and the postpartum period
- Reduce stigma surrounding perinatal substance use
- Adopt principles of trauma-informed perinatal care
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Tobacco Use During Pregnancy
and the Postpartum Period
|
- Explain maternal, fetal, and neonatal consequences of vaping and tobacco use during pregnancy
- Investigate the incidence/prevalence of vaping and tobacco use during pregnancy in the U.S.
- Conduct screening to identify Tobacco Use Disorder during pregnancy
- Gain understanding of how Tobacco Use Disorder is diagnosed and treated using pharmacological and behavioral interventions
- Examine barriers to treatment for Tobacco Use Disorder during pregnanc
- Educate clients regarding the potential risks of vaping and tobacco use during pregnancy and through the neonatal period
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Opioid Use During Pregnancy
and the Postpartum Period (Part 1) |
- Explain maternal, fetal, and neonatal consequences of opioid use during pregnancy
- Investigate the incidence/prevalence of opioid use during pregnancy in the U.S.
- Conduct screening to identify high-risk opioid use during pregnancy
- Gain understanding of how Opioid Use Disorder is diagnosed and treated using pharmacological and behavioral interventions
- Examine barriers to treatment for Opioid Use Disorder during pregnancy
- Educate clients regarding the potential risks of opioid use during pregnancy and through the neonatal period
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Opioid Use During Pregnancy
and the Postpartum Period (Part 2) |
- Differentiate between the different types of medication for addiction treatment (MAT) for patients with OUD who are pregnant or planning a pregnancy
- Review options for buprenorphine/naloxone induction, maintenance, and termination during pregnancy and the postpartum period
- Articulate the maternal, fetal, and neonatal benefits of MAT over abstinence and/or counseling alone
- Select the appropriate MAT based on maternal/fetal safety, patient preference, past treatment history, risk of overdose, and access to treatment setting
- Apply maintenance strategies for OUD to minimize the risk of return to active illness
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Alcohol Use During Pregnancy
and the Postpartum Period |
- Explain maternal, fetal, and neonatal consequences of alcohol use during pregnancy
- Identify physical, cognitive, and behavioral manifestations of Fetal Alcohol Spectrum Disorder
- Investigate the incidence/prevalence of alcohol use during pregnancy in the U.S.
- Conduct screening to identify high-risk alcohol use during pregnancy
- Gain understanding of how Alcohol Use Disorder is diagnosed and treated using pharmacological and behavioral interventions
- Examine barriers to treatment for Alcohol Use Disorder during pregnancy
- Educate clients regarding the potential risks of alcohol use during pregnancy and through the neonatal period
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Stimulant Use During Pregnancy
and the Postpartum Period |
- Explain maternal, fetal, and neonatal consequences of stimulant use during pregnancy
- Investigate the incidence/prevalence of stimulant use during pregnancy in the U.S.
- Conduct screening to identify high-risk stimulant use during pregnancy
- Gain understanding of how Stimulant Use Disorder is diagnosed and treated using pharmacological and behavioral interventions
- Examine barriers to treatment for Stimulant Use Disorder during pregnancy
- Educate clients regarding the potential risks of stimulant use during pregnancy and through the neonatal period
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Cannabis Use During Pregnancy
and the Postpartum Period |
- Explain maternal, fetal, and neonatal consequences of cannabis use during pregnancy
- Investigate the incidence/prevalence of cannabis use during pregnancy in the U.S.
- Conduct screening to identify cannabis use during pregnancy
- Gain understanding of how Cannabis Use Disorder is diagnosed and treated using pharmacological and behavioral interventions
- Examine barriers to treatment for Cannabis Use Disorder during pregnancy
- Educate clients regarding the potential risks of cannabis use during pregnancy and through the neonatal period
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Sedative Use During Pregnancy
and the Postpartum Period |
- Explain maternal, fetal, and neonatal consequences of sedative use during pregnancy
- Investigate the incidence/prevalence of sedative use during pregnancy in the U.S.
- Conduct screening to identify sedative use during pregnancy
- Gain understanding of how Sedative Use Disorder is diagnosed and treated using pharmacological and behavioral interventions
- Educate clients regarding the potential risks of sedative use during pregnancy and through the neonatal period
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| Understanding Neonatal Abstinence Syndrome (NAS) and Neonatal Opioid Withdrawal Syndrome (NOWS) |
- Define NAS and NOWS
- Understand the prevalence of NAS/NOWS in the U.S.
- Identify the clinical presentation of NAS/NOWS in the newborn
- Discuss both pharmacological and non-pharmacologic management of NAS/NOWS
- Implement best practices for discharge and follow-up of newborn with NAS/NOWS
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| The Recovery Journey |
- Develop an understanding of the unique motivating factors that support recovery during pregnancy and the postpartum period
- Identify factors that may trigger a return to active illness
- Collaboratively develop a relapse prevention plan
- Describe medications that are often used to reduce the severity and duration of a return to use
- Develop an understanding of common community-based support groups that are tailored to the needs of the childbearing family and how their philosophies, services, and supports may differ
- Discuss the integral role of Peer Recovery Supports in helping persons with substance use disorder maintain their recovery
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| Legal and Ethical Considerations of Substance Use During Pregnancy and the Postpartum Period |
- Identify state/federal laws surrounding perinatal substance use that promote stigma and interfere with treatment uptake/engagement
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Substance Use Within
the Family Context
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- Recognize the importance of providing family-centered treatment to improve individual, relational, and system/societal outcomes
- Develop an understanding of how the family context informs how SUDs develop, are maintained, and what can positively or negatively influence treatment
- Apply family systems theory and attachment theory as a framework for understanding how SUDs affect the family
- Tailor interventions to the current developmental stage a family
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