Universal Screening for Substance Use
• SBIRT NH: Perinatal Playbook
• SBIRT: 5Ps Screening Tool
• SAMHSA: Screening, Brief Intervention, Referral for Treatment

Screening and Treatment for Infectious Disease
• PATHS – Peer Assisted Telemedicine for Hepatitis C and Syphilis Very effective, low barrier strategy working to eliminate Hep C across Oregon
• OHA: Congenital Syphilis
• OHA: Viral Hepatitis in Oregon
• Oregon Hepatitis Elimination Room
• OHA: HIV Prevention (PrEP and PEP)

Screening for Behavioral Health & Social Drivers of Health Needs
• Oregon Family Care Plan Form
• OHA Social Needs Screening Tools
• Mental Health Screening Tools: Policy Center for Maternal Mental Health

Warm Hand-off & Community-based Resources
• CMQCC Best Practice N.30: Warm Hand-Off
• Oregon 211

Response Resources

Consult Lines
• OHSU Addiction Consult Line
• National Clinical Consultation for Substance Use (UCSF)

Oregon Perinatal SUDs Programs
• Nurture Oregon
• Project Nurture

Treating Opioid Use Disorder in Pregnancy
• Oregon Pregnancy and Opioids Workgroup Recommendations (coming soon!)
• SAMHSA: Clinical Guidance for Treating Pregnant Women with Opioid Use Disorder and Their Infants

Accessing Medication for Opioid Use Disorder
• Harm Reduction and Bridges to Care Clinic OHSU (HRBR) Telehealth medication for opioid use disorder
• Boulder Care Telehealth Addiction Treatment
• Recovery Now: Oregon Treatment Access Line (Lines for Life): Search tool to locate treatment services, including medication for opioid use disorder and other substance use disorders, as well as peer support services
• SAMHSA Advisory: Low Barrier Models of Care for Substance Use Disorder

Starting Medication for Opioid Use Disorder at the Hospital
• Asante Example OB Opioid Use Disorder and Withdrawal Order Set
• OHSU MOUD Policy 2022

Methadone Dispensing at Hospital Discharge
• Dispensing Methadone at Hospital Discharge Article: Article outlining OHSUs approach to implementing the “72-hour rule” change, including steps/
recommendations.
• Sample Guideline for Methadone Dispensing and Discharge Procedure

Naloxone
• OHA Naloxone Discharge Requirements for Hospitals : OHA guidance and frequently asked questions on OAR 333-505-0055 outlining requirements for hospitals.
• Oregon Perinatal Naloxone Toolkit

Perinatal Mental Health
• Postpartum Support International (PSI): Helpline 5am-8pm PST and other resources in English and Spanish.
• Oregon Psychiatric Access Line (OPAL): For co-occurring psychiatric consultation
• National Maternal Mental Health Hotline: 24/7 free hotline with call/ text options available in English and Spanish.

Recovery Hotlines
• Oregon Hope Line (Judgement-free support for people struggling with substance use)
• David Romprey Oregon Warmline 1-800-698-2392 (24-7 non-judgmental and confidential peer support line)

Family Planning
• Reproductive Health Screening Tool Options

Reporting and Systems Learning Resources
• Oregon Overdose Prevention Dashboard
• AIM Data Collection Plan: Substance Use Disorder

Respectful, Equitable and Supportive Care Resources

Supportive, patient-centered care
• KARNA: Building a Culture of Support

Opportunities for Patient Feedback Outside Formal Surveys
• MoMMAs Voices Patient Family Partners
• Example Hospital Patient Bill of Rights
• Massachusetts General Nondiscrimination Statement

Example Programs with Culturally & Linguistically Aligned Services (not exhaustive)
• Lines for Life: Culturally Specific Mental Health Resources: Culturally specific mental health resources, including addiction/ recovery. (Statewide)
• Project Network – Lifeworks NW: Residential mental health and recovery services for women 18 and up with or without children; culturally focused for African American women, but all cultural background welcome. (Portland)
• Great Circle Opioid Treatment Program: Opioid treatment program of the
Confederated Tribes of Grande Ronde for native and non-native clients. (Salem & Portland)
• Ko-Kwel Wellness Opioid Treatment Program: Opioid treatment program serving indigenous people from federally recognized tribes. (Eugene)

Birth Doula: A birth companion who provides personal, non-medical support to birthing people and families throughout a person’s pregnancy, childbirth and postpartum experience. A doula may receive additional education/ training specific to support pregnant and postpartum people with SUD and/or also have specific education/ training as a peer support specialist and may be referred to as a “specialized doula” in these situations. 

Family care plan (Oregon Family Care Plans): CAPTA and CARA legislation requires states to develop Family Care Plans for infants with prenatal substance exposure and their families “to ensure the safety and well-being of such infant following release from the care of healthcare providers including through addressing the health and substance use disorder treatment needs of the infant and affected family or caregiver”. The Oregon Family Care Plan is a document that providers and patients can use together to fulfill this requirement.

Harm reduction: A set of practical, evidence-based strategies aimed at reducing negative consequences associated with drug use. Harm reduction is also a movement for social justice built on the belief in, and respect for, the rights of people who use drugs. (National Harm Reduction Coalition)

Medications for opioid use disorder (MOUD): Medications used to treat opioid use disorder. Methadone and buprenorphine are first line medication options to treat pregnant women with OUD. (CDC)

Opioid use disorder (OUD): A chronic, treatable disease that involves a pattern of opioid use characterized by tolerance, craving, inability to control use, and continued use despite adverse consequences. (ACOG)

Peer support specialist: A person in active recovery from an SUD and has had training to provide professional peer services to another individual with similar life experience. Some peers have additional training and certification specifically related to perinatal health, such as doula training. Note that this role title is designated by the Oregon Health Authority (OHA) and other certifying bodies may use different terms for similar role (e.g. certified
recovery mentor, etc.).

Person with lived experience: An individual who has experienced a substance use disorder during pregnancy or postpartum periods.

Postpartum: The first 12 months following the end of a pregnancy, regardless of pregnancy outcome.

Screening for SUD: The first component of SBIRT (Screening, Brief Intervention, and Referral to Treatment), screening is the first step in identifying risky substance use and connecting women with substance use disorders to care. During pregnancy verbal screening tools, such as the 5 Ps, can help identify people who might benefit from more in-depth assessment of their substance use and care needs. (AMCHP)

Stigma: In the context of substance use disorders, stigma is a set of negative attitudes and stereotypes that lead to discrimination and can create barriers to treatment and health care and make these conditions worse. (NIDA) Types of stigma include individual/ internalized, interpersonal/ enacted, and organizational/ institutional.

Substance use disorder (SUD)/ addiction: A treatable chronic medical disease involving complex interactions among brain circuits, genetics, the environment and an individual’s life experiences. People with addiction use substances or engage in behaviors that become compulsive and often continue despite harmful consequences. (ASAM)

Traditional health workers (THW): Trusted individuals from their local communities who may also share socioeconomic ties and life experiences with the people they work with. This term, used by the Oregon Health Authority (OHA), refers to multiple worker types including peer support specialist and birth doula defined above.