Cross-disciplinary specialist care for substance-abusing pregnant women and their infants – Team Haga Maternity and Child Health Care in Primary Care.

Slides:

Advertisements

Similar presentations

Pregnancy and complex social factors

Advertisements

General Practitioner Training Antenatal Care 26th May 2004 Geraldine Black Community Midwifery Manager.

Psychologists within Maternity and Child Health Care Infant and Child Mental Health in Primary Care.

CHILD HEALTH NURSING.

LOCAL DIALOGUE IN MIDWIFERY CARE THE FAMILY: OUR PRIORITY.

Fact sheet Policies and Programs to Address Drug-Exposed Newborns The use or abuse of either illegal or prescription drugs during pregnancy can have serious.

Brenda Dawley M.D.. Why high –risk? Unplanned Unwanted Substance abuse Lack prenatal care Increased risk certain pregnancy complications.

EFFORTS TO PREVENT MATERNAL AND NEWBORN MORBIDITY AND MORTALITY IN KISARAWE DR. M.O. KISANGA KISARAWE INTRODUCTION Kisarawe District is among the seven.

Fetal alcohol syndrome

Conception to age 2 - the age of opportunity Key Conclusions and Recommendations.

Identifying the Prevalence of Perinatal Substance Abuse in Santa Clara County September 2004 Karen Miyamoto, PHN Maternal, Child & Adolescent Health Program.

FAMILY MEDICINE PRACTICE EXPERIENCES FROM TURKEY Dokuz Eylül University Medicine Faculty Family Medicine Department December 2014, Zagreb.

COMING UP ROSES: CULTIVATING A CONTINUUM OF SERVICES FOR PREVENTION, DIAGNOSIS AND TREATMENT OF FETAL ALCOHOL SPECTRUM DISORDERS IN THE GARDEN STATE Susan.

Nebraska Early Development Network (EDN) or Iowa Early Access EDN and Early Access provide early intervention services that: Supports children birth to.

University of Hawai’i Integrated Pediatric Residency Program Continuity Care Program Medical Home Module Case 3.

Preparing for Birth Chapter #5.

Ms. Mariyam Nazviya Ministry of Health & Family Republic of Maldives ESA/STAT/AC.219/21.

+ MIDWIFERY. + What does a midwife do? A midwife is a registered health care professional who provides primary care to women during pregnancy, labour.

Maryland Perinatal System Standards, Revised 2004 Summary of Efforts by the Perinatal Clinical Advisory Committee, Department of Health & Mental Hygiene.

Perinatal HIV Testing in Utah Lois Blobaum, BSN, Theresa Garrett, MSN and Nan Streeter, RN, MS Utah Department of Health.

Healthy Pregnancy Monica Riccomini, RN, MSN Lisa Lottritz RN, BSN.

Baby Extra: “The birth of a baby is a unique moment in the life of parents. It makes parents more capable than they ever thought they would be.”

NUMBER OF MENTALLY DISORDERED PERSONS ( POPULATION) Data of State Mental Health Centre of Lithuania.

HOPE FOUNDATION FOR WOMEN AND CHILDREN OF BANGLADESH From Home to Hospital: a Project to Drive Down Maternal Mortality.

Framework and Recommendations for a National Strategy to Reduce Infant Mortality July 9, 2012.

The Comprehensive Perinatal Services Program

The Role of the Midwife in Public Health Julie Foster Senior Lecturer University of Cumbria.

Welcome to Mifumi Health Centre. Mifumi Health Centre Modern type IV clinic Nursing Sister, Clinical Officer, Midwife, nursing aids and support staff.

Hertfordshire Health & Wellbeing Conference: Starting Well Dr SJ Louise Smith Sue Beck Public Health, Hertfordshire County Council.

Medical Coding II Seminar 6.

Key priorities for 2012/2013 ACCELERATED REDUCTION OF MATERNAL AND CHILD MORBIDITY AND MORTALITY ‘CARMMA – CH’ THE ROAD MAP TO 2014.

Maternity & Women’s Health CARE.  Maternity nursing focuses on the care of childbearing women and their families through all stages of pregnancy childbirth,

1 Breastfeeding Promotion in NICU Z. Mosayebi Neonatologist, Tehran University of Medical Sciences.

Mother and child health in Kosovo MOH/Office for MCRH Prishtina, Republika e Kosovës Kosova-Republic of Kosovo Qeveria –Vlada-Government Ministria.

DOING PRECONCEPTIONAL HEALTH: LOCAL REALITIES Marjorie Angert, D.O., MPH, Director of Medical Affairs, Division of Maternal, Child and Family Health, Philadelphia.

CRSI Conference Perinatal Mental Health Care Workshop Brigid Arkins

We have no relevant financial relationships with the manufacturers of any commercial products and/or provider of commercial services discussed in this.

A Clinical Outcome Study of Meth Exposed Infants Rizwan Z, Shah, M.D., FAAP Blank Children’s Hospital Des Moines, Iowa, USA.

TEMPLATE DESIGN © ATTITUDES TO OBESITY IN PREGNANCY AISHA ALZOUEBI, PENELOPE LAW AND SOTIRIOS SARAVELOS HILLINGDON HOSPITAL.

Strategic assessment of policy, quality and access to contraception and abortion services in Macedonia Main findings 2007/08.

SMOKING FREQUENCY AND LIFESTYLE IN A GROUP OF NEWBORN MOMS FROM MURES HOSPITALS Georgescu Ion Mihai Barmou Amani Diana Coordinator: Assoc.prof. Tarcea.

Incorporating Preconception Health into MCH Services

Preventing Pre-Natal Exposure: A Collaborative Effort Toward “Superior Babies”

Indicators Review of key indicators to be measured in the baseline assessment.

Innovations and new initiatives to prevent obesity NSW Health Innovation & Health Symposium – November 2015 Louise A Baur University of Sydney: Discipline.

MDG 4 Target: Reduce by two- thirds, between 1990 & 2015, the mortality rate of children under five years.

Detroit Department of Health and Wellness Promotion Fetal and Infant Mortality Review/Fetal Alcohol Syndrome Pilot Project September 21, 2006.

Perinatal Mental Health Sue Atherton, Specialist Midwife for Drugs, Alcohol and Mental Health Manchester Specialist Midwifery Service.

DOCTORS FOR SEVA A project of “Youth For Seva”. Doctors For Seva(DFS) is a project of “Youth For Seva”, an NGO which has been active in over 50 government.

The Comprehensive Perinatal Services Program (CPSP) CPSP Insert name of PSC Insert date.

.. an Ohio State University community program, empowers pregnant women in high risk neighborhoods to deliver healthy babies and reduce racial disparities.

CPQC-HI MOM (Helping Infants with Mother’s Own Milk) Antenatal Platform Presentation November 10, 2015 Jodi Palmieri BSN, IBCLC St. Vincent’s Medical Center.

Childbirth Choices Chapter 6 Section 3 Child Development.

September 2015 PREGNANCY.  Awareness of the range of substance use disorders in pregnancy  Understand how different substances affect the fetus  Identification.

LANARKSHIRE’S ADDITIONAL MIDWIFERY SERVICE (LAMS).

Ethiopia Demographic and Health Survey 2011 Maternal Health.

Primary health care. Outpatient physician visits in primary health care per 1000 inhabitants.

Chapter 5-3 Childbirth Options.

How Centerstone can help Improve Outcomes For Mothers and Babies

Working Strategies of Chinese Newborn Healthcare

Mary Beth Sutter, MD Hannah Watson, MD Sherry Weitzen, MD PhD

Screening for Congenital Anomalies in Rural and Urban Mongolia

Your unborn baby has been diagnosed with a heart problem

Pre-Birth Planning Service

Obstetric / Specialist / Mother & Baby Care

Intro to Maternity Nursing

Estonian Perinatal Society Main current goals and challenges

Copyright Notice This presentation is copyrighted by the Psychopharmacology Institute. Subscribers can download it and use it for professional use. The.

Croatian Association for Perinatal Medicine

Presentation transcript:

Cross-disciplinary specialist care for substance-abusing pregnant women and their infants – Team Haga Maternity and Child Health Care in Primary Care

The Future of Primary Care in Europe IV, Gothenburg 3-4 sept 2012 Primary Care Dept of Substance Abuse, Sahlgrenska University Hospital Team Haga- Cross-disciplinary care

The Future of Primary Care in Europe IV, Gothenburg 3-4 sept 2012 Antenatal Health Care in Sweden 100% attendance and very high credibility among population Free of charge Standardized nationwide Midwife-centered (teamwork with physicians) Total abstention from alcohol recommended during pregnancy Motivational interview on alcohol (incl. AUDIT), drugs, medications and tobacco with midwife, within one week of positive pregnancy test Extremely low maternal and perinatal mortality and morbidity

The Future of Primary Care in Europe IV, Gothenburg 3-4 sept 2012 Child Health Care in Sweden 100% attendance and very high credibility among population Free of charge Standardized nationwide From birth to age 6 Nurse-centered (teamwork w physician) Restraint with alcohol recommended during breastfeeding and in relation to parenting

The Future of Primary Care in Europe IV, Gothenburg 3-4 sept 2012 Team Haga Cross-disciplinary specialist unit run by Primary Health Care System in Gothenburg, established in April, 2007 Close collaboration with, and located in, Dept of Substance Abuse, Sahlgrenska University Hospital Target group: pregnant women/new mothers with substance abuse (current or up to one year previously) and their babies

The Future of Primary Care in Europe IV, Gothenburg 3-4 sept 2012 Goals Protect the fetus from substance-abuse effects, support women to stop abuse during pregnancy and to stay substance-free after delivery

The Future of Primary Care in Europe IV, Gothenburg 3-4 sept 2012 Team members 2 Midwives 2 Child Health nurses Social worker Psychiatric nurse Team assistant/nurse Obstetrician Pediatrician Psychiatrist Manager

The Future of Primary Care in Europe IV, Gothenburg 3-4 sept 2012 How to contact Team Haga? The majority of the women are referred by antenatal care centers. Some are referred from substance abuse clinics, a small number referred from social services or criminal justice system and some come on their own initiative. Some repeat pregnancies

The Future of Primary Care in Europe IV, Gothenburg 3-4 sept 2012 Specialist Health Care during pregnancy and infancy Liberal exploration of ambivalence in many cases; good professional network with abortion services If pregnancy is continued, standard antenatal care plus: At least weekly midwife appointments All women see obstetrician, liberal use of ultrasound to envisage fetus Regular monitored urine tests in almost all cases Appointment with the child health nurse around week 25

The Future of Primary Care in Europe IV, Gothenburg 3-4 sept 2012 Contact with psychiatric nurse or psychiatrist in selected cases Team conferences determine individualized care and support for each women, postpartum follow-up for mothers and individualized child health care according to infant´s and family’s needs Repeated home visits beginning shortly after birth All infants are seen and assessed by pediatrician Networking with local child health care centers to which babies are eventually referred

The Future of Primary Care in Europe IV, Gothenburg 3-4 sept 2012 Continued teamwork and extensive collaboration with social services, psychiatry and the local child health care system is essential Long-term follow-up is often required Social worker often involved in order to collaborate with social services and investigate woman’s and the family requirements for support

The Future of Primary Care in Europe IV, Gothenburg 3-4 sept 2012 Challenges Psychiatric morbidity complicates many cases, resources for care/support of fathers-to-be (majority are substance abusers), some substance-abusers are unmotivated to attend the specialist care, social services with diverging policies/knowledge/time perspectives/resources regarding substance abuse, psychiatric ill-health and parenting

The Future of Primary Care in Europe IV, Gothenburg 3-4 sept 2012 Results A majority of the patients stay substance-free during pregnancy, and no cases of FASD or other serious neonatal effects of substance abuse have been diagnosed so far An evaluation of the unit is in progress. The evaluation shows the benefical effects of the multidisciplinary team, continuity, treatment and the individualised, structured but at the same time flexible support for the women

The Future of Primary Care in Europe IV, Gothenburg 3-4 sept 2012 Thank You Team Haga- Cross-disciplinary specialist care for substance- abusing pregnant women and their infants Gothenburg Sweden Antonia Reuter Manager E-post: