Title of Presentation

Impacts of Enhanced Prenatal Care on Cost, Substance Use Engagement and Foster Care Outcomes among Pregnant Women with Substance Use Disorder

Presenter Information

Menolly R. KaufmanFollow

Presenter Biography

Menolly Kaufman is an epidemiology doctoral student at the OHSU-PSU School of Public Health and a research associate at OHSU's Center for Health Systems Effectiveness. Her research focuses on how health system and policy exposures impact maternal health.

Institution

OHSU

Program/Major

Epidemiology

Degree

PhD

Presentation Type

Presentation

Room Location

Smith Memorial Student Union, Room 294

Start Date

April 2019

End Date

April 2019

Abstract

Impacts of Enhanced Prenatal Care on Cost, Substance Use Engagement and Foster Care Outcomes among Pregnant Women with Substance Use Disorder

Menolly Kaufman MPH, Jenny Grunditz MS, Stephanie Renfro MS, John McConnell PhD

Background:

Pregnant women with substance use disorders represent a unique challenge to the health care system. In the absence of treatment, their children are at risk for neonatal abstinence syndrome, a condition that is correlated with poor childhood outcomes and high health care costs. However, these women may be reluctant to engage in traditional treatment out of a fear of legal repercussions, potentially leading to placement of their children in foster care. In response to these challenges, one of Oregon’s Coordinated Care Organization created a center of excellence model – Project Nurture - that integrated maternity care and substance use treatment at three sites in the Portland Metro area.

Objectives:

We aim to assess if participants receiving care through Project Nurture site exhibit (1) lower hospital expenditures (2) increased substance use treatment engagement and (3) decreased foster care placement within the first year of birth.

Methods:

We will conduct difference-in-difference analysis to estimate the impact of Project Nurture, comparing outcomes in 2012-2014 to outcomes in 2016-2017, after the Project Nurture implementation. Our treatment group consists of women receiving any prenatal care from a Project Nurture provider before birth. They will be compared to a matched cohort who do not receive care through Project Nurture. We will link Medicaid claims, vital records and foster care data for our analyses.

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Apr 3rd, 3:28 PM Apr 3rd, 3:41 PM

Impacts of Enhanced Prenatal Care on Cost, Substance Use Engagement and Foster Care Outcomes among Pregnant Women with Substance Use Disorder

Smith Memorial Student Union, Room 294

Impacts of Enhanced Prenatal Care on Cost, Substance Use Engagement and Foster Care Outcomes among Pregnant Women with Substance Use Disorder

Menolly Kaufman MPH, Jenny Grunditz MS, Stephanie Renfro MS, John McConnell PhD

Background:

Pregnant women with substance use disorders represent a unique challenge to the health care system. In the absence of treatment, their children are at risk for neonatal abstinence syndrome, a condition that is correlated with poor childhood outcomes and high health care costs. However, these women may be reluctant to engage in traditional treatment out of a fear of legal repercussions, potentially leading to placement of their children in foster care. In response to these challenges, one of Oregon’s Coordinated Care Organization created a center of excellence model – Project Nurture - that integrated maternity care and substance use treatment at three sites in the Portland Metro area.

Objectives:

We aim to assess if participants receiving care through Project Nurture site exhibit (1) lower hospital expenditures (2) increased substance use treatment engagement and (3) decreased foster care placement within the first year of birth.

Methods:

We will conduct difference-in-difference analysis to estimate the impact of Project Nurture, comparing outcomes in 2012-2014 to outcomes in 2016-2017, after the Project Nurture implementation. Our treatment group consists of women receiving any prenatal care from a Project Nurture provider before birth. They will be compared to a matched cohort who do not receive care through Project Nurture. We will link Medicaid claims, vital records and foster care data for our analyses.