1. Substance Use in Pregnancy: Luna County, NM September 2008 – June 2013 Ira J. Chasnoff, MD ichasnoff@cr-triangle.org

2. Population N 2,395 N 2,395 Mean age22.8 years (12 – 49) Mean age22.8 years (12 – 49) Payment Payment Medicaid60% Medicaid60% Self-pay24% Self-pay24% DoH11% DoH11% Commercial 6% Commercial 6% Race/ethnicity Race/ethnicity Hispanic84% Hispanic84% Caucasian/non-Hispanic14% Caucasian/non-Hispanic14% Other 2% Other 2% (C) NTI Upstream, 2013

3. Screening Results (N = 2,395) Positive Screen: 35% (C) NTI Upstream, 2013

4. Polydrug Use Patterns Among Women with a Positive Screen (C) NTI Upstream, 2013

5. Assessment Results (C) NTI Upstream, 2013

6. Assessment Results: Alcohol (C) NTI Upstream, 2013

7. Alcohol Use Patterns After Knowledge of Pregnancy (N=380) (C) NTI Upstream, 2013

8. Substance Use Rates by Provider Site (C) NTI Upstream, 2013

9. Substance Use by Insurance (C) NTI Upstream, 2013

10. Substance Use by Age (C) NTI Upstream, 2013

11. Depression 16% Domestic Violence 8% (C) NTI Upstream, 2013

12. Substance Use by DV and Depression (C) NTI Upstream, 2013

13. State Data (C) NTI Upstream, 2013

14. Substance Use Rates by Race/Ethnicity p<.0001 (C) NTI Upstream, 2013

15. Hispanic Women: A National View (C) NTI Upstream, 2013

16. Substance Use Rates by Primary Language among Hispanic Women (N = 2,000) p<.001 (C) NTI Upstream, 2013

17. Substance Use Rates Among Hispanic Women by Primary Language: LC vs. Other Sites (C) NTI Upstream, 2013