I-PPOSS

The I-PPOSS Project has been developed to initiate a systematic response to the crisis of perinatal SUD in Idaho by developing a nursing and peer support consultation service for rural and frontier primary care sites across the state, creating a rural primary care/critical access learning collaborative focused on perinatal OUD, and more.

Idaho Pregnant and Perinatal Opioid Support System

what are we up to

Key Initiatives

Rural Peer Support

Develop a Peer Support consultation service for rural and frontier primary care sites across the state.

Housing Security

Provide bridge funding to increase housing security in Perinatal/Early Parenting Mothers with substance use within our consortium member catchment areas.

Learning Collaborative

Create a rural primary care/critical access learning collaborative focused on perinatal OUD/SUD.

Care Coordination

Pilot care coordination huddle for perinatal OUD/SUD cases between clinical providers, social services, and local law enforcement agencies.

OUD/SUD in Pregnancy

A Growing Problem

SUD in Pregnancy

0 %

Rise in the US neonatal abstinence syndrome (NAS) diagnosis from 2004 to 2020

The estimated maternal opioid-related diagnosis rate per 1000 deliveries rose from 3.5 to 8.2.

Cost

$ 0 K

Hospital stay for a newborn with NAS compared to $1.1k for other newborns

Opioid Use Disorder (OUD) in pregnancy is associated with preterm delivery, low birth weight, and need for ICU care. The length of stay is nearly 7x longer than that of other newborns.

Healthcare Challenges

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of pregnant women feared being identified with Substance Use Disorder (SUD) in healthcare.

A study of pregnant women identified with SUD and a treatment need found only ~12.8% received treatment.

Whole Care Challenges

State systems are highly fragmented. No agency has taken on responsibility for addressing the full range of needs of pregnant or postpartum women with SUDs.

In addition to healthcare services, this range of needs includes food, housing, and transportation.

Many SUD treatment facilities do not offer special programs for pregnant women or beds for their children.

Access to Care Obstacles

As of 2020, much of Idaho is considered a healthcare “Maternity Care Desert.”

Relatively few pregnant women with SUD seek treatment due to barriers such as the fear of losing custody of their newborns as a result of reporting their substance use to Child Protective Services (CPS).

Stigma, judgment, and misconceptions about the role of medication-assisted therapy (MAT) during pregnancy and breastfeeding remain significant barriers to accessing care for pregnant women with SUD.

What can you do?

Join the Cause!

Help us create a better model of care for pregnant & postpartum women with SUD.

Progress is being made through new approaches; improving access to well-coordinated care for pregnant and postpartum women.

Current Consortium Members

This presentation was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $499,514.00 with 0% percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.