Interdisciplinary Strategies for Managing Maternal Opioid Use Disorder

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Interdiscipinary Strategies for Managing Maternal Opioid Use Disorder

Questions? Contact Doris Titus-Glover, PhD, RN, assistant professor, at dtitus-glover@umaryland.edu.

An Interprofessional Education Project

The overall aim of Interdisciplinary Education Awareness for Maternal Opioid Use Disorder (IDEA for MOUD) is to build a sustainable workforce of health professionals who will apply integrated skills, knowledge, and targeted strategies to manage the care of pregnant women with opioid use disorder and ultimately promote healthy maternal and neonatal outcomes.

Intended attendees include students, faculty, researchers, practitioners, and clinicians interested in the treatment of maternal opioid use disorder in pregnant women.

Read a white paper based on proceedings from the 2019 Workshop, published by the IDEA for MOUD team, led by Titus-Glover. We convened experts and stakeholders from a broad-based arena of addiction specialists; mental health experts; clinical practitioners; state representatives and professionals from the child welfare, social work, and family preservation services; community leaders; and students and faculty from the UMB campus. Our goal was to present current stakeholder collaboration efforts, integrative partnerships and services, effective and ongoing community-based interventions as well as barriers and challenges to treatment and prevention. Bringing together an interdisciplinary group will promote awareness, elevate the discussion about optimal treatment, reduce stigma, and improve the care of pregnant women with OUD.

IPE 2020 Seed Grant Final Report, December 2020

Past Events

2020 Brown Bag Seminars

Brown Bag Seminar 1:
Neonatal Abstinence Syndrome, Coordinated Care, and the Role of Social Determinants in Treating Maternal Opioid Use Disorder

Monday, Feb. 17, 2020
1 - 2 p.m.
University of Maryland School of Nursing, Room 670

This seminar aims to provide an overview of neonatal abstinence syndrome (NAS) diagnosis, predictors, and social determinants of health that affect NAS expression in neonates. The session will use an interactive case study format to discuss interdisciplinary strategies that can improve outcomes for infants affected by maternal opioid use disorders.

Brown Bag Seminar 2:
Interdisciplinary Care Models to Address the Stigma of Opioid Use Disorder in Pregnancy

Monday, Feb. 24, 2020
1 - 2 p.m.
University of Maryland School of Nursing, Room 211

Stigma has been identified as a patient-specific barrier to treatment. Stigma from health care providers can result in treatment delays and lack of adherence and program retention.

Presenters aim to improve understanding of perceived stigma and to identify interdisciplinary strategies for managing patients with maternal opioid use disorder.

2019 Workshop

Tuesday, Oct. 1, 2019
8 a.m.-3:30 p.m.

University of Maryland Medical Center
R Adams Cowley Shock Trauma Center
Auditorium Room #T1R18
22 S. Greene St.
Baltimore, MD 21201

Registration for this event is closed.

REGISTRATION WAS OFFERED AT NO COST
thanks to funding from the University of Maryland, Baltimore Center for Interprofessional Education Seed Grant.

Treating maternal opioid use disorder (MOUD) in pregnant women requires integration of provider, patient, and health system needs and fostering collaboration among intersecting disciplines for comprehensive management of pregnant and parenting women, often beyond the skillset of any one healthcare provider.

This one-day workshop was hosted by an interdisciplinary team from the University of Maryland, schools of Pharmacy, Medicine, Nursing, Social Work, and Law.

The workshop:

taught integrative and interdisciplinary approaches for the evidence-based care of pregnant and parenting women with OUD
provided participants opportunities to learn through interactive teaching strategies, case studies, spotlight presentations, and patient stories.

The workshop is a project of the Interdisciplinary Education Awareness for Maternal Opioid Use Disorder (IDEA for MOUD) campaign that aims to provide a forum for interdisciplinary cross-sector learning and sharing of best practices and strategies for managing MOUD among pregnant women.

Keynote Speaker:
Carlo DiClemente, PhD, ABPP
Emeritus Professor of Psychology
University of Maryland, Baltimore County

Carlo DiClemente is an emeritus professor of psychology at the University of Maryland, Baltimore County (UMBC) and director of several training centers at UMBC. He is co-developer of the Transtheoretical Model of behavior change and author of numerous scientific publications on motivation and behavior change with a variety of health and addictive behaviors. He published the second edition Addiction and Change: How Addictions Develop and Addicted People Recover in 2018 and has co-authored several professional books, The Transtheoretical Model, Substance Abuse Treatment and the Stages of Change (second edition), Group Treatment for Substance Abuse: A Stages of Change Therapy Manual (Second Edition), and a self-help book, Changing for Good.

Students, faculty, researchers, practitioners, and clinicians interested in MOUD are invited to attend.

Agenda

Time	Topic
8 a.m.	Registration and Breakfast
8:30	Welcome, Introductions, and Opening Remarks Doris Titus-Glover, PhD, RN Assistant Professor, UMSON at Universities at Shady Grove, University of Maryland School of Nursing Jane Kirschling, PhD, RN, FAAN Dean and Professor, University of Maryland School of Nursing Director, Interprofessional Education, University of Maryland, Baltimore Watch a video of the Welcome, Introductions, and Opening Remarks. Prevention Frameworks of Opioid Misuse and Impact of Treatment Ecosystems Fadia T. Shaya, PhD, MPH Professor and Executive Director, Behavioral Health Research Program, Pharmaceutical Health Services Research Department, University of Maryland School of Pharmacy Watch a video of Shaya's presentation.
9:10	Framing the Opioid Crisis: Evaluation, Implications, and National Policies Katrina S. Mark, MD, FACOG Assistant Professor, University of Maryland School of Medicine Medical Director, University of Maryland Obstetrics and Gynecological Associates Watch a video of Mark's presentation.
9:30	Opioid Epidemic in Maryland: Impact, Practice, and Policy Brooke Holmes, MA Administrator II, Maryland Department of Health, Office of Population Health Improvement Watch a video of Holmes' presentation.
9:50	Implications for Practice: Challenges and Barriers in Rural Communities Laurence Polsky, MD Calvert County (Maryland) Health Commissioner Watch a video of Polsky's presentation.
10:15	Break
10:30	Keynote: Interdisciplinary Collaboration and Transforming Opioid Use Disorder (OUD) Management in Pregnant and Parenting Women Carlo DiClemente, PhD, ABPP Emeritus Professor of Psychology, University of Maryland, Baltimore County Watch a video of DiClemente's presentation.
11	Case Study and Expert Panel Discussion: Treatment, Access, Education, and Effective Programs for Maternal Substance Use Disorder Moderator: Rebecca Vivrette, PhD Assistant Professor and Clinical Psychologist, Department of Psychiatry Associate Director for Clinical Research, Center for Epigenetic Research in Child Health and Brain Development University of Maryland School of Medicine Panelists: Kellie Dress, LCSW-C Social Worker, OB/GYN University of Maryland Medical Center (UMMC) Katrina S. Mark, MD, FACOG Dina El Metwally, MD, PhD Associate Professor of Pediatrics, University of Maryland School of Medicine Medical Director Neonatal Intensive Care Unit, UMMC Lorraine Anne Milio, MD Co-Director, HALO program Obstetrical Director, Center for Addiction and Pregnancy Assistant Professor of Gynecology and Obstetrics, Department of Obstetrics and Gynecology, Johns Hopkins Medicine Christopher Welsh, MD Associate Professor, Department of Psychiatry, University of Maryland School of Medicine Medical Director, UMMC Substance Abuse Consultation Service and Comprehensive Recovery Program Watch a video of the Case Study and Expert Panel Discussion.
12:30 p.m.	Lunch and Video Presentation: OUD and Anti-Stigma George Jay Unick, PhD, MSW Associate Professor, University of Maryland School of Social Work Watch a video of Unick's presentation.
1:35	Spotlight Topics: Maternal Opioid Use Disorder Neonatal Opioid Withdrawal Syndrome: A 10-Year UMMC Experience and Future Directions Dina El Metwally, MD, PhD Ethical Issues and Regulatory Reporting in Treating Pregnant Women with Medication-Assisted Treatment Kathleen Hoke, JD Professor and Director, Legal Resource Center for Public Health Policy, University of Maryland Carey School of Law Opioid Use Disorder and Pain Management During Labor and Postpartum Jamie E. Swietlikowski, MS, CNM, WHNP Faculty Instructor, Division of Midwifery, Department of Obstetrics, Gynecology and Reproductive Sciences, University of Maryland School of Medicine Engaging Patients and Forming Therapeutic Relationships Katherine Fornili, DNP, MPH, RN, CARN, FIAAN Assistant Professor, Department of Family and Community Health, University of Maryland School of Nursing President, International Nurses Society on Addictions Watch a video of the Spotlight Topics.
2:40	Break
2:50	Community Partnerships, Collaboration, and Policy Implications Jocelyn Gainers, EdD, CAC-AD, AS Executive Director, The Family Recovery Program Watch a video of Gaines' presentation.
3:20	Round-Up and Call to Action Rebecca Wiseman, PhD, RN Associate Professor and Chair, University of Maryland School of Nursing at Universities at Shady Grove Director, Maryland Nursing Workforce Center Closing Remarks and Adjourn Doris Titus-Glover Watch a video of the Round-Up and Call to Action and the Closing Remarks and Adjourn.

Presentation Slides

Keynote: Interdisciplinary Collaboration and Transforming Opioid Use Disorder (OUD) Management in Pregnant and Parenting Women
Carlo DiClemente, PhD, ABPP
Emeritus Professor of Psychology, University of Maryland, Baltimore County

Engaging Patients and Forming Therapeutic Relationships
Katherine Fornili, DNP, MPH, RN, CARN, FIAAN
Assistant Professor, Department of Family and Community Health, University of Maryland School of Nursing
President, International Nurses Society on Addictions

Ethical Issues and Regulatory Reporting in Treating Pregnant Women with Medication-Assisted Treatment
Kathleen Hoke, JD
Professor and Director, Legal Resource Center for Public Health Policy, University of Maryland Carey School of Law

Opioid Epidemic in Maryland: Impact, Practice, and Policy
Brooke Holmes, MA
Administrator II, Maryland Department of Health, Office of Population Health Improvement

Prevention Frameworks of Opioid Misuse and Impact of Treatment Ecosystems
Fadia T. Shaya, PhD, MPH
Professor and Executive Director, Behavioral Health Research Program, Pharmaceutical Health Services Research Department, University of Maryland School of Pharmacy

Opioid Use Disorder and Pain Management During Labor and Postpartum
Jamie E. Swietlikowski, MS, CNM, WHNP
Faculty Instructor, Division of Midwifery, Department of Obstetrics, Gynecology and Reproductive Sciences, University of Maryland School of Medicine

Continuing Education

Nursing

Accredited Provider with Distinction from the American Nurses Credentialing Center Nurses may receive 7.5 contact hours upon successful completion of this educational activity. Successful completion of this activity for Continuing Education (CE) requires attending the entire activity, completion of the online CE evaluation, and verification of attendance form. Partial credit is not provided. Participants receive a CE certificate via email from the University of Maryland School of Nursing approximately two to four weeks after submitting their request and required documentation. All requests must be received within 30 days of the conference.

The University of Maryland School of Nursing is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Pharmacy

The University of Maryland School of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This knowledge-based activity (UAN: 0025-0000-19-103-L01-P) is approved for 7.5 hours (0.75 CEU) of continuing education credit. Statements of credit will be posted to CPE Monitor within three weeks for all participants who successfully complete the activity. Successful completion of this activity requires your signature on the sign-in sheet, participation in the entire activity, and completion of an online activity evaluation.

Social Work

The University of Maryland School of Social Work Office of Continuing Professional Education is authorized by the Board of Social Work Examiners in Maryland to sponsor social work continuing education programs and maintains full responsibility for this program. This training qualifies for 5.5 Category 1 Continuing Education Units (CEUs). Successful completion of this activity requires your signature on the sign-in sheet, participation in the entire activity, and completion of an evaluation form.