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1
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- Nancy Poole, MA, Amy Salmon, PhD &
- Cristine Urquhart, MSW, RSW
- UBC Collaboration for Maternal and Newborn Health
Creating Synergy: Collaboration for Better Care
May 5, 2006, Vancouver, BC
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2
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- Problematic substance use and addictions
- Poverty and malnutrition
- Homelessness
- Violence and Trauma
- Survival sex work
- Criminal/legal problems
- Loss of custody
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3
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4
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5
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- Study: On-going three-year longitudinal study of mother/ infant dyads
accessing YWCA/Crabtree Corner in Vancouver’s Downtown Eastside.
- Purpose: To document and analyze long-term outcome of supportive housing
for substance-using pregnant women, mothers, and their children.
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6
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- Age: 17-33
- Number of children: 1 to 6
- Ages of children: 6 months to 15 years old
- Education: most have some high school
- Witnessed violence as a child: 100%
- Physically/sexually abused as a child: 88%
- Sexual assault as an adult: 40%
- Relationship violence as an adult:
75%
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7
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8
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9
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- Study Purpose: To follow-up with mothers and mother/child dyads
discharged from the Fir Square Combined Care Unit to identify key
health, housing, custody and other social issues mothers face in the 3
month period following discharge
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10
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- What health, social, and economic issues (including harm reduction
needs) face substance-using mothers in the first year postnatally? How
do these change over three years?
- What kinds of supports are substance-using mothers and their children
connecting to over 3 years?
- What is the role of supportive housing in building a comprehensive
support strategy for women and their children?
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11
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12
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13
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- Healthy Choices in Pregnancy is part of a government platform to promote
healthy lifestyles and prevent illness among British Columbians
- Two targets have been set to support the reduction of alcohol use in
pregnancy:
- A 50% increase in women counseled on alcohol use during pregnancy
- By Sept 2006, all Health Authorities are to have focused FASD
prevention strategies
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14
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- Level 1 Building public awareness and community action
- Key Strategy: Resource development
- Goal: To development of supportive and accurate resources for service
providers, women, their partners/family/friends and the general public
- Initiatives:
- Liquor Distribution Branch marketing campaign for alcohol and pregnancy
- Information sheet on alcohol and pregnancy for BC Health Files
- Focus groups on current alcohol and pregnancy resources, with the goal
of determining the types of materials that will effectively support
community level work
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15
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16
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- Level 2 Discussion of alcohol use by health care providers with all
- women of childbearing years including pregnant women.
- Key Strategy: Provincial and regional training of health care providers
- Initial target groups: physicians, doulas, midwives, public health
nurses,
- pregnancy outreach program providers and addiction service providers
- Areas of focus for training include:
- Application of the new BCRCP Guidelines for Alcohol Use in the Perinatal
Period and Fetal Alcohol Spectrum Disorder
- Share updated research and resources
- Application of pragmatic, evidence-based, brief motivational
interventions
- Concrete strategies to assist women in cutting down or stopping drinking
during pregnancy and while breastfeeding
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17
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18
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19
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20
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21
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- Level 3 Comprehensive services designed for women at the highest
- level of risk
- Key Strategy: synthesize current evidence on provision of services to
- high risk women, supporting evaluation initiatives and assisting with
the
- translation of research into practice
- Goal: Support service providers
- Initiative: Best practices review underway
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22
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- In your opinion, what are the most effective
- approaches to training health care providers
- on this subject?
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23
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Notes