Online Program

Preventing substance exposed pregnancies across the life course: A collaborative approach in baltimore city

Tuesday, November 5, 2013

Jennifer R. Epstein, MS, Bureau of Maternal and Child Health, Baltimore City Health Department, Baltimore, MD
Rebecca S. Dineen, MS, Maternal and Child Health, Baltimore City Health Department, Baltimore, MD
Christine Trenton, LCSW-C, CAC-AD, Baltimore Substance Abuse Systems, Baltimore, MD
Paula Stauffer, MHS, Johns Hopkins Bloomberg School of Public Health Center for Communication Programs, Baltimore, MD
Elizabeth Salisbury-Afshar, MD, MPH, Baltimore Substance Abuse Systems, Baltimore, MD
Tobacco smoke—including maternal exposure to secondhand smoke during pregnancy—accounts for 10 – 12% of prematurity, low birth weight, and fetal death (DHHS 2004). B'more for Healthy Babies, Baltimore's citywide strategy to improve birth outcomes, identified substance abuse as one of 11 high-impact areas that adversely affects birth outcomes. In 2011, the Baltimore City Health Department and Baltimore Substance Abuse Systems formed a collaborative on preventing substance exposed pregnancies (PSEP). The PSEP Collaborative consists of city agencies, treatment programs, medical systems, and academic institutions who had never worked together before. The Collaborative developed a strategic vision; reviewed the literature; examined existing programs, resources, and policies; assessed feasibility and impact of interventions; and wrote a strategic plan. The vision of the PSEP Collaborative is for all women in Baltimore City to have healthy, substance-free pregnancies. The PSEP strategy applies a life course model that intervenes on four levels: policy, provider systems, community, and individual. Key objectives include integrating substance Screening Brief Intervention Referral to Treatment (SBIRT) into family planning clinics and OB practices; preventing unplanned pregnancy among substance-abusing women through access to contraception and reproductive counseling at substance treatment facilities; preventing secondhand household exposure to tobacco smoke during pregnancy and the infant's first year of life; and addressing gaps in data collection for PSEP strategies. This work brought together non-traditional partners to develop a cross-sector strategy. The process used demonstrates how a cross-agency public/private collaborative can define a problem and develop a joint strategy.

Learning Areas:

Administration, management, leadership
Program planning
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Discuss the opportunities and challenges associated with building a cross-agency collaborative. List the four levels of interventions used to design a program plan. Define the process used to develop a collaborative approach between public and private entities

Keyword(s): Collaboration, Maternal and Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have coordinated multiple cross agency coalitions focused on the social determinants of maternal and child health. My interests are in engaging non-traditional partners in strategic and comprehensive program planning.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.