Presented by: Christopher Innes, MD Angie Phillips, RNC-OB Erlanger Health System

Download handout below.

This video is a discussion about how opioid use disorder (OUD) affected a patient’s life through pregnancy and how she was able to overcome opioid dependency with the help of medically assisted treatment (MAT). The discussion describes her path from using prescription opioids to opioid use disorder. The patient shares how MAT has impacted not only her life, but those around her, and the barriers she overcame to regain her wellbeing, as well as her family’s.

Dr. Mishka Terplan presents an overview of stigma in the context of pregnancy and identifies strategies to give evidence based and person-centered care to patients with substance use disorder.

Subject matter experts on Opioid Use Disorder (OUD) treatment options discuss Medication Assisted Treatment and Medication Assisted Withdrawal/Tapering and how they intersect in patient care.

Social workers in both the maternal and infant setting describe their work and how it can be translated to all levels of care in Tennessee hospitals. Resources are discussed for social workers. Department of Children’s Services also discuss the state requirements as well as resources for the OUD mom and OEN/ NOWS infant.

Caring for the patient with opioid use disorder or the opioid exposed newborn takes compassion. In this module, you will learn about motivational interviewing and destigmatizing addiction in addressing a patient with opioid use disorder with a goal of creating an environment of non-judgmental care.

Destigmatizing Addiction Video: This presentation discusses stigma and its deleterious effects on individual patient care and society. It calls attention to the language that we use and how word choice impacts patient care. We are called to deliver care that keeps patients engaged rather than discouraging treatment.

Motivational Interviewing Video: This presentation defines MI skills and how to use them to foster a collaborative partnership with patients.

Various techniques for determining the level of pharmacological and non-pharmacological interventions have been used over the last 20 years. The presenter discusses current screening and treatment trends and how the Eat, Sleep, Console (ESC) approach is used to potentially reduce the need for pharmacologic treatment and may reduce the length of stay in Opioid Exposed Newborns (OEN) and Neonatal Abstinence Syndrome (NAS)/Neonatal Opioid Withdrawal Syndrome (NOWS) infants.

The 4th trimester is an important period in the cycle of pregnancy for the new mom and her infant. This video defines what the 4th trimester is and what practitioners can do to assist mothers with opioid use disorder during this often challenging time.

Tennessee is in an opioid epidemic which mirrors much of the national epidemic. Leading expert, Dr. Stephen Patrick, discusses the history and current trends in Tennessee regarding OUD and OEN.

Opioid use disorder (OUD) is the umbrella term that encompasses varying levels of misuse. Dr. Raymond discusses the effects of OUD and strategies to address pain in women on chronic opioids.

Hospital support services can help support families and infants affected by opioids during the hospital stay. Child Life Specialists, Occupational Therapists and Lactation Consultants can teach skills and techniques to help calm the baby and support the parents caring for their Opioid Exposed Newborn.

Director Tate discusses the innovations and collaboration of the TN courts in improving outcomes and supporting families with Opioid Use Disorder seeking to regain custody of their child/ren. Examples include implementing resources from the National Judicial Opioid Task Force, utilizing the TB Baby Courts where available, collaborative partnerships, and promising state programs responding to this epidemic.

Various techniques for determining the level of pharmacological and non-pharmacological interventions have been used over the last 20 years. Dr. Matt Grossman and Dr. Stephen Patrick discuss current trends in the care of the Opioid Exposed Newborn (OEN) and the varying methods to scoring, including the Eat, Sleep, and Console assessment approach and treatment options.