Michigan NAS Policy Academy Team

Transcription

1 Michigan NAS Policy Academy Team

2 Team Members Angie Smith-Butterwick, Women's Services Coordinator* Dr. Colleen Barry, Office of Medical Affairs Stacie Bladen, Children's Services Agency Brenda Fink, Maternal and Infant Health Eva Petoskey, Inter-Tribal Council of Michigan Dr. Debra Pinals, Behavioral Health and Developmental Disabilities Dave Schneider, Medicaid Care Management and Quality Assurance Dawn Shanafelt, Maternal and Infant Health Kelly Wagner, State Court Administrative Office - Child Welfare Services Division Jared Welehodsky, Policy and Strategic Initiatives *Project Liaison

3 Vision and Values Statement We will secure the healthiest possible start for babies and the best possible health and wellbeing outcomes for families, by realigning resources to build a sustainable, equitable system of care supported by effective partnerships that promote a flexible approach to ensuring that quality services are available throughout Michigan, whenever and wherever they are needed. TEXT PAGE

4 Shared Priorities Across Systems Prevention Indicator SUBSTANCE-EXPOSED BIRTHS OPIOID MISUSE AMONG WOMEN OF CHILD-BEARING AGE CHILD MALTREATMENT FAMILY DISRUPTION (CHILD REMOVAL) UNINTENDED/ HIGH RISK PREGNANCIES (RELATED TO SUBSTANCE USE) BEHAVIORAL HEALTH TREATMENT Applies to these Systems: HEALTH CHILD WELFARE JUSTICE MEDICAID TEXT PAGE

5 Policy Team Action Plan Goals

6 A. PREVENTION AND WELLNESS 1. Promote Opioid Use Disorder Prevention for pregnant and parenting women, and women of childbearing age. 2. Increase Screening and Identification of women for opioid use disorder.

7 B. CAPACITY 1. Enhance Capacity among Cross-Sector Partnerships to work together for improving outcomes in opioid use disorder among pregnant and parenting women. 2. Increase Capacity to Monitor Health and Risk Indicators by assuring appropriate human and financial resources to improve and maintain data collection, analysis, interpretation and reporting an opioid use disorder. 3. Optimize Resource Allocation to assure adequate resources are targeted to those with greatest need.

8 C. QUALITY 1. Develop a Quality Improvement System by incorporating strategies to improve systems of care. 2. Improve Workforce Development and Training Programs to improve professional education and training in opioid use disorders and substance use disorders.

9 System-Specific Perspectives, Responsibilities, and Updates

10 Challenges Availability of data and accuracy of data Universal knowledge of the problem Conquering Stigma

11 Opportunities Children s Services Agency Infant Plans of Safe Care Child Welfare data collection & Children s Protective Services policy development to comply with new CAPTA requirements, cross-system collaboration to build effective responses to NAS

12 Opportunities Behavioral Health Through the Substance Abuse Block Grant, each Prepaid Inpatient Health Plan has begun an initiative to support pregnant women in treatment for Opioid Use Disorder through pregnancy, labor and delivery, and the post-partum period. Training targeted to home visiting initiatives to improve knowledge of Substance Use Disorders.

13 Opportunities Maternal and Infant Health Evidence-Based Home Visiting Maternal Infant Health Program (MIHP) Regional Perinatal Care System Quality Improvement Initiatives Michigan Collaborative Quality Initiative NAS Management Guidelines Bundle Upstream Healthcare Professional Education: Wayne State University Michigan Area Health Education (AHEC): Curriculum Initiative

14 Opportunities Health Initiatives Vermont Oxford Collaborative to improve care for neonatal abstinence syndrome and shorten length of hospital stay. Expansion of the number of patients Office Based Opioid Treatment practitioners can serve (Medication Assisted Treatment) Change in the rules so that Physician Assistants and Nurse Practitioners can also prescribe Suboxone Length of MAT no longer has an artificial limit with a forced tapering period.

15 What s on the Horizon Explore, identify and improve opportunities for better linkage between services and various service systems The Inter-Tribal Council of Michigan s joint project with MDHHS on the Opioid STR grant provides treatment for tribal citizens. Since July, 171 individuals with an OUD were enrolled. 107 or 63% were women 55% were between the ages of 18-34, 86% had children and of those with children 20% had children in out of home placement. 60% report experiencing serious depression in the past month, and 75% have experienced trauma.

16 What s on the Horizon Child Welfare System: 1) Collaboration 2) Child Permanency vs. Recovery Clocks 3) Stigma reduction 4) Training 5) Treatment: prevent removal; speed reunification 6) Non-punitive approach

17 Questions/Discussion