The Center for Addiction Recovery in Pregnancy and Parenting (CARPP) is a multidisciplinary network of experienced clinicians and 研究ers working together to support recovery from addiction for women who are pregnant and parenting, and to promote healthy growth and development in their children.
CARPP's work informs clinical services, 研究, 教育, and advocacy in the treatment of pregnant and parenting women and their young children who are impacted by substance use disorders. We support providers who care for these families with resources and guidance for program implementation, with a particular focus on the impact of opioid use disorders.
供应商 with a question about caring for a pregnant or parenting woman with an SUD (or for her newborn/child) can contact the CARPP Q&A line using the contact information at the top of this page.
We gratefully acknowledge the support of New Hampshire Charitable Foundation, whose generous grants were instrumental in the formation of the Center and the ongoing work of the CARPP team.
See the online resources for providers
CARPP问答服务
CARPP providers are available to answer questions from providers about the care of pregnant and parenting women with substance use disorders, as well as their newborns and children. This provider-to-provider service offers 教育 and guidance by phone or email with the goal of increasing our collective capacity to care for this population in the community. CARPP员工, who include women’s health providers, 成瘾的提供者, 精神科医生, 儿科医生, 还有社会工作者, 回答以下问题:
- Best practices in caring for women and infants/children with perinatal substance exposure
- Dealing with common clinical dilemmas
- Strategies for engaging women in treatment
- Management of opioid-exposed pregnancies
- Management of neonatal abstinence syndrome
- Management of co-occurring psychiatric disorders
- Other topics related to the care of pregnant and parenting women with SUD
Access the question and answer service
临床项目
Screening, Brief Intervention, and Referral to Treatment (SBIRT) in Obstetrics and Gynecology
- All pregnant women are screened for substance use disorders and other behavioral health needs as part of their 产前 care
Dedicated recovery-friendly clinic teams (“Purple Pods”) in Obstetrics and Pediatrics.
- These teams provide continuity of care, 支持社会心理需要, and care-coordination with external community providers
Moms in Recovery outpatient and intensive outpatient programs
- Provide specialty integrated care for pregnant and parenting women with substance use disorders
- Offer group and individual addiction treatment, 产前, 产后, 女人的照顾, 精神科护理, and pediatric care concurrently in the same location
- 提供案例管理, 帮助获取社区资源, 食品货架, 尿布银行, and family support (supervision for children) while moms are in treatment
- Co-located hepatitis C treatment clinic will soon be piloted
Neonatal Opioid Withdrawal Syndrome (NOWS) management initiatives
- Provide family-centered care for opioid-exposed newborns using the Eating, 睡觉, 安慰型关怀, an evidence-based approach that has demonstrated efficacy in significantly decreasing need for pharmacologic treatment and hospital length of stay for infants, 同时增加父级 & 员工满意度
Regional quality improvement initiatives
- CARPP 研究ers lead two regional initiatives via Northern New England Perinatal Quality Improvement Network to improve quality and safety in the perinatal care of women with opioid use disorders and their newborns:
- Perinatal Opioid Use Disorder Improvement Collaborative
- Regional initiative to facilitate best practice and reduce harmful variation in maternity care for women with OUD
- Presented at National Institutes of 健康’s National Conference on Dissemination and Implementation
- Partnership with National Center for Patient Safety in Women’s 健康
- NAS/NOWS改进协作
- Regional initiative to improve management of infants with opioid withdrawal
- Collaboration with Yale New Haven Children’s Hospital and Boston Medical Center in testing new therapeutic approaches (Eating, 睡觉, 安慰, “ESC”)