Table 1.
Moms Do Care Program Model — Sites, Staffing, and Services
| Moms Do Care site name | Medical providers | Behavioral health providers | Dedicated admin/data management staff | Perinatal recovery coach(es) | Medications for opioid use disorder (MOUD) prescriber(s) onsite, or off site with priority access | Staff size |
|---|---|---|---|---|---|---|
|
COHORT 1. (Funded 2015–2019) Eligibility: Pregnant people meeting DSM-V criteria for opioid use disorder; Service window: through 6 months postpartum | ||||||
| University of Massachusetts Memorial Medical Center (Central MA) | OB/GYN | Social work/therapy, psychiatry | Yes | Yes | Onsite | 10 to 13 |
| Cape Cod Hospital (Southeastern MA) | OB/GYN, addictions nursing | N/A | No | Yes | Off-site | 10 to 15 |
|
COHORT 2. (Funded 2017–2019) Eligibility: Pregnant people meeting DSM-V criteria for opioid use disorder; Service window: through 6 months postpartum | ||||||
| Beverly Hospital (Northeastern MA) | OB/GYN, midwifery, neonatology | Social work/therapy | No | Yes | Onsite | 8 to 11 |
| Lowell General Hospitala (Northeastern MA) | OB/GYN, maternal and child health, pediatrics | Social work/therapy | Yes | Yes | Onsite | 8 to 10 |
|
COHORT 3. (Funded 2018–2022) Eligibility: Pregnant or parenting people with a child 36 months or younger and any history of opioid use disorder (2018–2020), history of opioid use disorder and/or stimulant use disorder (2020–2021); any history of substance use disorder (2021–2022); Service window: through 12 months after enrollment | ||||||
| Duffy Health Centerb (Southeastern MA) | Addiction Nursing, Primary Care | Social work/therapy, psychiatry | No | Yes | Onsite and Offsite | 5 to 10 |
| Massachusetts General Hospital (Boston/Metrowest) | OB/GYN, pediatrics, midwifery, family medicine | Social work/therapy, psychiatry | Yes | Yes | Onsite | 10 to 15 |
| Whittier Street Community Health Center (Boston/Metrowest) | N/A | Social work/therapy, psychiatry, outreach worker | No | Yes | Onsite | 3 to 6 |
| Brockton Neighborhood Health Center (Southeastern MA) | OB/GYN, addictions nursing, midwifery, primary care, dietetics | Social work/therapy, psychiatry | No | Yes | Onsite and Offsite | 8 to 12 |
| Lynn Community Health Center (Northeastern MA) | OB/GYN, addictions nursing, family medicine | Social work/therapy, psychiatry, psychology, community health worker | No | Yes | Onsite | 18 to 20 |
| Lahey–Beverly Hospital (Northeastern MA) | OB/GYN, midwifery, neonatology | Social work/therapy | Yes | Yes | Onsite | 8 to 11 |
| Baystate-Franklin Medical Center (Western MA) | OB/GYN, addictions nursing, pediatrics, midwifery, cDoula | Social work/therapy | Yes | Yesc | Onsite | 12 to 15 |
aThe Lowell General Hospital MDC Program was sustained through a partnership with a community health center, so it was only funded 2017–2019 under the mechanisms described in this article
bWith the onset of new funding in 2018, the Cape Cod MDC program transitioned from Cape Cod Hospital to Duffy Health Center
cBaystate-Franklin Medical Center employed a unique model that utilized peer recovery coaches with standard training and peer recovery coaches trained as doulas