TABLE 1. Defined areas of focus targeting pregnant and postpartum women with opioid use disorder and infants prenatally exposed to substances, by state — Opioid Use Disorder, Maternal Outcomes, and Neonatal Abstinence Syndrome Initiative Learning Community, 2018.
| Focus area | Definition | State |
|||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AK | FL | IL | KY | NV | OH | PA | RI | TN | VT | WA | WV | ||
| Access to and coordination of quality services |
Assessment of eligibility and availability of services to aid in treatment, referral, or recovery efforts (e.g., mental health services, child care, and transportation services), coordination of quality care, and integration of ancillary services |
Yes* |
Yes |
—† |
Yes |
Yes |
Yes |
Yes |
— |
Yes |
Yes |
Yes |
Yes |
| Provider awareness and training |
Guidance, training, and education for providers on treatment protocols and guidelines to standardize care, screen and refer for treatment, and increase familiarity with additional clinical or social service resources and relevant state-specific laws and policies (e.g., plans of safe care) |
Yes |
— |
Yes |
Yes |
Yes |
Yes |
Yes |
Yes |
— |
Yes |
— |
Yes |
| Data, monitoring, and evaluation |
Monitoring the burden of substance use or misuse through analysis of surveillance data, evaluation of programs, and policy or quality improvement initiatives |
Yes |
— |
— |
— |
— |
— |
Yes |
— |
— |
Yes |
— |
Yes |
| Financing and coverage |
Medical coverage, reimbursement, and billing strategies for treatment of opioid use disorder during and after pregnancy, for prevention efforts, and to sustain long-term care provision |
— |
Yes |
— |
— |
— |
— |
— |
— |
Yes |
— |
Yes |
— |
| Ethical, legal, and social considerations | Programs, policies, or policy amendments to address social stigma and legal considerations (e.g., mandatory reporting) that affect uptake, access to, and provision of clinical, substance use, and mental health services | — | — | Yes | — | — | — | — | Yes | — | — | — | — |
Abbreviations: AK = Alaska; FL = Florida; IL = Illinois; KY = Kentucky; NV = Nevada; OH = Ohio; PA = Pennsylvania; RI = Rhode Island; TN = Tennessee; VT = Vermont; WA = Washington; WV = West Virginia.
* “Yes” indicates a state is working on strategies within the area of focus.
† Dash indicates a state is not working on strategies within the area of focus.