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Substance Use Disorder

in Pregnancy

Summer 2025 Regional Trainings

During the summer of 2025, TIPQC traveled from the southwest tip of TN to the very northeast corner, sponsoring a regional series of simulation trainings on caring for some of the most at risk in our state. Led by Drs. Anna Morad, Jessica Young and Julia Wood, the training focused on treating pregnant women with substance use disorder, caring for infants with opioid exposure, and recognizing and referring pregnant and postpartum patients with mental health concerns. 

Throughout the five training courses, TIPQC trained 97 individuals from 52 different organizations or hospitals throughout the state. Attendees were made up of nurses, students, doulas, perinatal educators, lactation consultants, and public health professionals. The impact of the sessions was clear: every attendee rated the training as either “good” or “excellent,” praising the instructors’ deep knowledge in their fields. One attendee shared I liked that [the training] included mental health and the perspective of a psychiatrist and not just medical. I liked that it talked about all the spheres (health of mom, health of baby, and mental health). I liked the training materials provided with provider/pt facing resources.” Another reflectedthis was a great and helpful training.” At each location, attendees discussed the unique challenges their region faces, such as access to mental health resources, best practices for drug testing, and provider reluctance to change. Attendees connected with the instructors on ways to combat these challenges and now have resources to take back to their home institution to improve care for all moms and babies in TN based on national best practices. 

Provider

Resources

2025

TIPQC Regional Simulations Slide Deck

Identifying opportunities

TIPQC’s Key Opportunities for Improvement

Treatment

Buprenorphine Quick Start Guide

Screening

Drug Abuse Screening Test 10 (DAST- 10)

Screening

NIDA Drug Screening

Screening

the 5 Ps prenatal substance use Screening Tool

Screening

Interpretation of Opiate Urine Drug Screens

Screening

Interpretation of Urine Drug Test based on Opioid Prescribed

Screening

Ordering and Interpreting Urine Drug Tests

Overdose Prevention

Narcan Quick Start Guide

Overdose Prevention

Fentanyl Fact Sheet

Resources

What is Redline For help seekers

Treatment

Opioid Use Disorder Pregnancy Checklist

Tennessee Department of Health

BUP Treatment Guidance

Tennessee Department of Health

Public Guidance Regarding Removal of the DATA Waiver

Behavior Change

Motivational interviewing techniques

Treatment

Practical Guide for Implementing a Trauma-Informed Approach

Research

Prenatal Cannabis Exposure & The Risk of Subsequent Maltreatment

Resources

Words Matter: Preferred Language for Talking About Addiction

Resources

Adapting a Risk Prediction Tool for Neonatal Opioid Withdrawal Syndrome

Handout

Make Childhood a Positive Experience

AAP

Early Childhood Relational Health

Breastfeeding

MotherToBaby LactRx App

SUD & OUD Patient

Resources

Risk for mom and baby

Marijuana and Pregnancy

PSI

Perinatal Mood and Anxiety Disorders (PMADS)

Postpartum Mental Health

Postpartum Support International Informational Brochure

knowing your coverage

Tenncare pregnancy benefits

Maternal Mental Health

Crisis Line Flyer

Snapshot of services administered by TDHS

Resource Guide

Knowing your plan

Relapse Prevention Plan

For help seekers

Redline

MAT in Pregnancy

Buprenorphine Information

Recovery Groups in Your Region

Recovery Support Resources

reducing negative consequences

Principles of Harm Reduction

Convenience Vs. Caution

Kids and Medicine Safety

Statewide treatment resources

Treatment options

Provider Directory

Addiction Recovery Program Provider List

Guide

How to Use Narcan to Reverse an Opioid Overdose

Community Support

patient Resources

Community Food Resources

know the options

Post-pregnancy Contraception

Supplemental Nutrition Program

Women Infants and Children (WIC)

remember the ABC’s of Safe Sleep

Safe Sleep

adverse childhood experiences

parenting to prevent aces

Fact Sheet

Families First Program

Know the effectiveness

Family Planning Methods

TDHS financial assistance for eligible families

Childcare Assistance

Video

Resources

Maine’s Universal Postpartum Naloxone Project

March 2025

In this video, Dr. Jay Naliboff discusses the universal postpartum Naloxone project in Maine at the 2025 TIPQC Annual Meeting. 

Care of the Newborn with Opioid Exposure

May 2025

In this video, Dr. Anna Morad will provide information on better care practices, breastfeeding and early relational health for newborns with opioid exposure.

Fighting Maternal Mortality: Overdose Prevention

In this video, Dr. Jessica Young discusses the role that overdose plays in maternal mortality, naloxone provision and harm reduction principles,  SUD screening in pregnancy and relapse prevention. 

Fighting Maternal Mortality: Overdose Prevention

In this video, Dr. Jessica Young discusses the role that overdose plays in maternal mortality, naloxone provision and harm reduction principles,  SUD screening in pregnancy and relapse prevention. 

Lived Experience Panel Interview

In this video, Dr. Jessica Young talks to two individuals with lived experience in order to gain more insight on the resources and support needed for patients with substance use disorder during pregnancy. 

Medication Assisted Treatment: A Patient’s Journey to Recovery

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.

Maternal Mental Health Screening with Dr. Julia Wood

In this video, Dr. Julia Woods discusses they why and how of maternal mental health screening, what systems have been proven to work, and how providers can help their patients today.

The 4th Trimester and Postpartum Relapse

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.

Eat, Sleep, Console Approach

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.