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Evidence-based practices—have been rigorously evaluated and shown to be effective by MCH experts. Mothers and Babies MB is a program that promotes healthy mood management by teaching pregnant women and new moms how to effectively respond to stress in their lives through increasing the frequency of thoughts and behaviors that lead to positive mood states. Designed as a perinatal depression prevention, the Mothers and Babies targets three specific risk factors: limited social support, lack of pleasant activities, and harmful thought patterns.

Based on principles of cognitive-behavioral therapy CBT , attachment theory, and psychoeducation, the Mothers and Babies Course is designed to be delivered by clinic- or community-based providers from a variety of educational and professional backgrounds, and can be delivered as a group intervention or as a one-on-one intervention in various settings where pregnant women access services e. MotherWoman promotes the resilience and empowerment of mothers and their communities by building community capacity and advocating for just policies through evidence based research and grassroots organizing.

MotherWoman hosts support groups for postpartum women in MA, CA and NY , provides training for healthcare and social service providers, supports communities in creating coalitions to address the issue of perinatal emotional complications and perinatal mood disorders on the community level, and works to raise awareness about social and economic justice issues and promote policies that positively impact mothers, children and families on the regional and national levels. The MotherWoman Support Group Model is replicable and has been successful with a broad diversity of postpartum mothers in a wide variety of settings.

Depression Health Equity Mental Health. Evidence Rating: II. Promising practices—Innovative practices employed in the field, based on state-of-science knowledge about what works to improve outcomes, and gathering evidence of effectiveness. During this period, skill gaps between socioeconomic, racial, and ethnic groups become clearly apparent, but this does not need to be.

Everyday interactions between children, their parents, and other caregivers provide abundant opportunities to give children from every background a more equal start in life. The Basics are five, fun, simple, and powerful ways that every family can give every child a strong start beginning from birth: 1 maximize love, manage stress, 2 talk, sing and point, 3 count, group and compare, 4 explore through movement and play, and 5 read and discuss stories.

The Basics Community Toolkit provides multi-media resources that healthcare and community-based organizations can use to engage and support parents and other caregivers in practicing these basics. The Boston Basics website and materials are also available in Spanish. Parenting Education Socio-emotional Development for Children. This comprehensive toolkit, with an introduction by Dr.

Haywood Brown, includes extensive resources on the key components of postpartum care, including support for new mothers, reproductive life planning, infant care, counseling for substance use, long-term weight management, and many more pertinent topics. It also features a sample postpartum checklist for women to complete. This resource from the CDC defines and discusses the importance of preconception health. It features a link to 10 important steps and considerations for women planning to become pregnant.

Another link for women not planning a pregnancy discusses 10 healthy habits of benefit should she become pregnant in the future, or even if she decides not to have children. A third link provides similar guidance for men with 10 recommendations for healthy living. This colorful and easy-to-read patient brochure can be downloaded or ordered for free from the CDC. It reviews the preventive measures women can take to avoid contracting an STD before or during pregnancy and emphasizes the importance of being treated during pregnancy if required.

Improve Women's Health Promote Quality. The incidence of syphilis in American women doubled between and , and the incidence of congenital syphilis rose concomitantly. Congenital syphilis can lead to stillbirth, neonatal death, and lasting effects such as bone deformities and neurologic impairment in the newborn. Because of this, the USPSTF has reiterated its guidance that all pregnant women be tested for syphilis at their first prenatal visit. They also point out that many organizations recommend repeat testing of high-risk women in the third trimester and at delivery. This patient handout in the form of questions and answers is designed to inform pregnant women and women planning a pregnancy about the risks of HIV infection during pregnancy.

It covers the basics of HIV infection, its potential risks to pregnant women and their babies, and how these risks can be minimized with early diagnosis, certain preventive measures, and HIV treatment. It explains how test results can be used to guide treatment for HIV in pregnancy in order to optimize outcomes for both mother and baby. Because one half of all pregnancy-related maternal deaths occur postpartum, the weeks following childbirth are a critical period for a woman and her infant. In addition, health issues that arise in pregnancy can persist and presage long-term medical problems.

The document includes practical advice on postpartum care as well as useful charts including a Timeline for Postpartum Care, a listing of The Components of Postpartum Care, and a table identifying Members of the Postpartum Care Team. This toolkit is a practical, hands-on resource designed to promote culturally effective services for children and families. Each of the brief narratives is accompanied by a list of resources, including links to supplemental reading, patient education materials in multiple languages, checklists, assessments, and more. Safe Sleep Well Child Visits.

This toolkit presents a compilation of resources that highlight the challenges and key issues associated with launching and sustaining a successful fatherhood program. It covers topics such as: building an effective fatherhood program,effectively engaging fathers, cultivating community partners, recruiting and training staff, serving fathers with specific barriers, and promoting sustainability.

The toolkit provides tips and suggestions from experienced practitioners, activities for use with fathers in one-to-one or group sessions, tools from model programs to use and share with fathers, and other helpful resources. It is accessible on any computer or mobile device, and can be used a stand-alone, self-paced resource or to complement an existing group-based fatherhood program. Each topic follows the same framework using text written at 5th-6th grade reading level, along with short videos and interactive graphics to engage fathers in learning.

This brief looks at common acceptability, availability, and accessibility barriers to mental and substance use disorder behavioral health treatment and services in rural communities and presents ways telehealth can help surmount some of these barriers. The term telehealth refers to using internet and communications technologies, such as videoconferencing, chat, and text messaging, to provide health information and treatments in real time.

Screening and brief intervention SBI is a structured set of questions designed to identify individuals at risk for alcohol use problems, followed by a brief discussion between an individual and a service provider, with referral to specialized treatment as needed. This manual is designed to provide public health professionals, such as health educators and community health workers, with the information, skills, and tools needed to conduct SBI so that they can help at-risk drinkers reduce their alcohol use to a safe amount or stop drinking. The manual offers background information and practical steps for conducting SBI in a variety of public health settings, including trauma centers, emergency departments, other clinical settings, home visits, and public events.

Improve Women's Health. Well Woman Visits. The Alliance for Innovation on Maternal Health AIM is a national data-driven maternal safety and quality improvement initiative based on proven implementation approaches to improving maternal safety and outcomes in the U. The AIM supported safety bundles are collections of evidence based protocols and best practices for improving safety in maternity care, and handling obstetric complications and emergencies in hospital and outpatient settings. Postpartum Visit. This toolkit provides a foundation, framework and resources for advancing maternal health in the U.

It provides a research overview of maternal morbidity and mortality, focusing on trends, health disparities and inequities. Based on the deliberations of a cross-sectoral convening of stakeholders it offers a state policy framework for upholding the right to safe and respectful maternal health care, which offers recommendations in six key areas: improving access to reproductive health care, improving quality of maternal health care, ensuring acceptability of maternal health care for women most at risk, ensuring widespread availability of maternal health services, ensuring non-discrimination in access to care and social determinants of health, and fostering accountability to human rights standards for maternal health care.

This guidance presents data, recommendations, and links to best and promising practices and resources to help anti-violence organizations and culturally-specific community organizations effectively address intimate partner violence affecting women and communities of color. The recommendations emphasize developing culturally specific programming, broad-based community engagement, strengthening social and economic safety nets, and increasing access to services and supports for women of color and their communities. Intimate Partner Violence. This technical package represents a select group of evidence-based strategies and approaches to help programs, communities and states sharpen their focus on prevention activities with the greatest potential to prevent intimate partner violence IPV and its consequences across the lifespan.

This guide provides information and resources for family members and friends on specific ways to support pregnant women with opioid use disorders, and help them to get the prenatal care, substance use treatment and other supports they need during pregnancy and postpartum. This culture-based program uses sources of strength such as spirituality, humor, and healing to assist Native men and their family members address the impact of colonization, trauma, racism and other challenges that threaten the well-being of children and families.

The curriculum for Native men is designed to assist Native men reclaim their roles as brave warriors, fathers, and husbands who provide for and protect their families and communities. The curriculum for Native families is designed to assist Native men, women, and their children to address unresolved conflicts in relationships, improve communication skills, and keep Native families together. The document includes advice in four areas: Readiness educating patients and staff , Recognition and Prevention, Response, and Reporting and Systems Learning.

Note: Scroll to the bottom of the page to find links to access the app. Parenting Education Partner Involvement.

It is designed to serve as a resource for healthcare providers, family members, and other stakeholders trying to address the myriad problems faced by patients in need of treatment for drug abuse or addiction. It provides an overview of principles of effective treatment and evidence-based approaches to treatment, including behavioral therapies, pharmacotherapies and comprehensive approached. It discusses the unique needs of different groups including women, pregnant women and adolescents.

Smoking Abstinence. This guide is intended to support the efforts of states, tribes, and local communities in addressing the needs of pregnant women with opioid use disorders and their infants and families, through a coordinated, multi-sytem approach. The guide is designed to assist healthcare providers, SUD treatment providers, child welfare programs and judicial systems to improve their collaborative practice, and to offer information about additional resources that will strengthen their capacity to provide coordinated, best-practice care and services Collaborative planning and implementation of services that reflect best practices for treating opioid use disorders during pregnancy are yielding promising results in communities across the country.

This research-to-practice brief summarizes several promising practices from the Strengthening Families Evidence Review SFER on recruitment and retention. It provides guidance on on how to plan for recruitment, engage fathers in services, and maintain high rates of participation. The strategies can be tailored to meet the needs of specific programs and fathers. Regardless of the strategies used, all programs should be prepared for an intensive effort to recruit and enroll fathers.

Participant Recruitment and Retention Partner Involvement. This prevention resource guide offers information, strategies, and resources to support community service providers as they work with parents, caregivers, and children to prevent child maltreatment and promote social and emotional well-being. The guide focuses on protective factors that build on family strengths and promote optimal child and youth development.

Information about protective factors is augmented with tools and strategies that help providers, advocates and policymakers integrate the factors into community programs and systems. The guide includes tip sheets for parents in English and Spanish on a range of parenting and child development topics.

This series of learning modules is designed for a range of health professionals, human service providers, community health workers, home visitors, and peer supporters who interact with families on topics of safe sleep and breastfeeding. The modules are designed to help users understand the Conversations Approach and gain the knowledge and skills needed to implement it to promote breastfeeding and safe sleep practices.

Breastfeeding Parenting Education Safe Sleep. This webpage offers resources for providers and families on safe sleep practices. Resources for families include a videos, posters and infographics on safe sleep practices. Parenting Education Safe Sleep. Safe Sleep. The resource is organized by topics from the initiative, including social determinants of health, pre- and interconception care, risk-appropriate prenatal care, pre- and early- term births, smoking cessation, and safe sleep practices.

Links to Women's Health, Women's Spirituality, Wise Women Teachers, Goddess Art - Susun Weed

It features change ideas, model programs, videos, and key insights from teams who are working to reduce infant mortality throughout the country. Safe Sleep Smoking Abstinence.

Pre Pregnancy & Pre Natal Health and Wellness

It includes tools to aid in creating open spaces for men in the clinic setting, detailed guidance on providing gender-transformative group education for men, and advice on encouraging community mobilization around fatherhood, child protection, maternal and child health and gender equality. It is available in 5 languages. This page publication contains detailed guidelines and recommendations on the identification and management of women who are pregnant or postpartum and use alcohol or drugs or have a substance use disorder.

It includes extensive information on screening and brief interventions, psychosocial interventions, detoxification and quitting programs, pharmacological treatment, breastfeeding and maternal substance use, and management of infants exposed to alcohol and other psychoactive substances. The document also features a comprehensive review of the evidence behind the recommendations. The CRAFFT is a short, validated behavioral health tool developed to screen adolescents under age 21 for high risk alcohol and drug use.

It is available in 13 languages. This set of 9 fact sheets for programs that serve families makes the case and provides implementation tips for fully and effectively engaging fathers. This policy report highlights the need to support young fathers by providing recommendations for child welfare system policy and practice change.

Research shows that the relationship between fathers and their children is essential to the well-being of families and the healthy development of children, however little attention is paid to the importance of engaging young fathers under age 26, particularly young fathers who are involved with child welfare systems. This report provides recommendations on how systems can better focus on father involvement to increase positive outcomes for fathers, their children and families.

Smoking is the one of the most important modifiable causes of poor pregnancy outcomes in the United States, and is associated with maternal, fetal, and infant morbidity and mortality. The potential effects on pregnancy and lactation of alternative forms of nicotine, such as e-cigarettes and vaping, as well as medications used to help with smoking cessation, are also discussed. Prenatal Care and Education Tobacco Cessation. Marijuana is the most common mood-altering drug used during pregnancy, and with legalization occurring in several states, there is concern that its use may increase.

This ACOG Committee Opinion provides a comprehensive summary of current evidence regarding risks of recreational or medicinal marijuana use during pregnancy and lactation to both the mother and the fetus. Moms2B provides weekly education and support sessions for expectant mothers to promote healthy lifestyle choices and link women with support services. Topics covered include: breastfeeding, child development, family planning, goal setting, prenatal labor and delivery, maternal-infant health, positive parenting, reproductive health, and safe sleep. Moms2B is provided free of charge, with transportation assistance, on-site childcare and a hot, healthy meal.

Ohio State University and community social service organizations support Moms2B participants with ongoing access to healthcare providers, lactation counselors, social workers, parenting educators and community health workers. The Moms2B program is based on an evidence-based pilot curriculum shown to increase breastfeeding and improve infant health.

ACNM encourages CNMs, CMs, and other professionals who provide care for reproductive-aged women to routinely use evidence-based strategies to prevent alcohol exposed pregnancy, including: —Conduct universal alcohol screening and appropriate follow-up at least annually for all adults. For pregnant women, screen at the initial prenatal visit and during each trimester thereafter. In addition,CNMs and CMs should seek information and training to enhance their knowledge and build theclinical skills needed to address alcohol use with women, especially those of reproductive age.

Pregnancy provides an important opportunity to identify and treat women with substance use disorders, Universal screening for substance use should be a part of comprehensive obstetric care and should be done at the first prenatal visit in partnership with the pregnant woman.

Multidisciplinary long-term follow-up should include medical, developmental, and social support. Infants born to women who used opioids during pregnancy should be monitored for neonatal abstinence syndrome by a pediatric care provider. Early universal screening, brief intervention such as engaging a patient in a short conversation, providing feedback and advice , and referral for treatment of pregnant women with opioid use and opioid use disorder improve maternal and infant outcomes.

Through five essential steps, health centers and social service partners can build partnerships, adopt evidence-based interventions, promote patient education around IPV, and enhance practice policies, procedures, and capacities to improve long-term health and safety outcomes for women and their families.

One third of the program is devoted to infants and toddlers, and contains suggested anticipatory guidance, a counseling schedule, and recommended educational brochures. Covered issues include handling parental frustration, disciplining toddlers, safety in the home, and a discussion of firearms.

Although the program is designed for pediatricians, it could be useful to anyone working with parents of young children. Safe Homes, Safe Babies is a safety card for women that perinatal health care providers can distribute to patients. In addition to providing safety resources for women, this tool also functions as a prompt for perinatal health care providers by providing quick phrases to improve discussions with women about the impact of domestic violence on their parenting and children.

The safety card outlines questions women may ask themselves about their relationships, birth control use and parenting, while offering supportive messages and referrals to national support services for help. The American College of Obstetricians and Gynecologists developed this comprehensive and practical guide to dealing with intimate partner violence and reproductive and sexual coercion in any setting involving reproductive healthcare.

The program includes evidence-based ACOG Committee Opinions regarding ethics, alcohol use in pregnancy, and motivational interviewing techniques, as well as videos and free downloadable materials for both providers and patients. Moving Beyond Depression MBD is a comprehensive, evidence-based and integrated approach to identifying and treating depression in mothers participating in home visitation programs. When new mothers are depressed, home visitation programs face challenges in helping them.

MBD equips home visiting programs with a complete package that helps them identify, treat, and provide ongoing support to mothers experiencing depression. The program works to establish strong working relationships between home visitors and therapists, who collaborate closely through treatment. By treating moms in their own homes, it overcomes many barriers to treatment, such as lack of access to mental health care, transportation and childcare, among others.

Perinatal Depression Follow Up. Failure to address IPV among women who use alcohol or other drugs has been found to increase the likelihood of continued drug use, relapse, attrition from drug treatment and a host of other negative physical and mental health consequences. WINGS is a single-session intervention that aims to address a critical gap in IPV services for women by identifying women in the community at risk of IPV, enabling them to develop social support and safety planning skills to reduce their risks for IPV and linking them to IPV-related services and substance use treatment.

The intervention may be delivered in-person or via a computerized self-paced version. This policy statement from the AAP advocates a public health response to the opioid epidemic and substance use during pregnancy, and recommends: a focus on preventing unintended pregnancies and improving access to contraception; universal screening for alcohol and other drug use in women of childbearing age; knowledge and informed consent of maternal drug testing and reporting practices;improved access to prenatal care, including opioid replacement therapy; gender-specific substance use treatment programs;and improved funding for social services and child welfare systems.

This manual is designed for training community health workers on how to support expecting and new mothers with depression, using evidence-based cognitive behavioral techniques. Community Health Workers can assist depressed mothers to change their unhealthy patterns of thinking and behavior, leading to an improvement in their mood and functioning, and prevention of later problems in their infants.

This manual is a generic version for global use of a manual originally developed in Pakistan and later used in many other countries. Depression Parenting Education. This child safety web site was developed by the ACLS Training Center, noted for its experience in emergency situations. Additional sections are devoted to prevention of choking, drowning, poisoning, and travel-related injuries, and outdoor and neighborhood safety. All are user-friendly, easily accessible and readable. Parenting Education. This is a comprehensive source of information on the risks of exposure to lead during pregnancy and lactation.


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It contains detailed information on sources of lead exposure in adults, and known risks of lead on the mother, developing fetus, and infant. Sample screening tools for assessing possible exposure, and information on management of women found to have elevated lead levels are also included. This CDC website provides concise information on risks for lead poisoning in children and evidence-based recommendations for decreasing those risks. It features both tips for parents and guidelines for providers to prevent childhood lead poisoning, along with info graphics and educational recommendations for children affected by lead.

Parenting Education Risk Assessment. This brief, self-administered Social Support Survey instrument was developed for patients in the Medical Outcomes Study MOS , a two-year study of patients with chronic conditions. It is thought to also be appropriate for use with other populations. It is easy to administer and the items are short, simple, and easy to understand.

Life Course Model Risk Assessment. There is convincing research evidence that people experiencing greater discrimination in day-to-day life tend to have poorer physical and mental health outcomes than their counterparts. An original version of the EDS consists of nine items on a 6-point Likert-type response format, and a short version has been modified to five items. The screen simply inquires whether a participant has used drugs mood-altering, illegal, or prescription for nonmedical reasons , alcohol, or tobacco products within the past year and how often these substances have been used.

SmokefreeMOM is a mobile text messaging service designed for pregnant women across the United States to help them quit smoking. The frequency of messages will vary depending on smoking status. Users can receive additional quit support by texting one of the SmokefreeMOM keywords. Tobacco Cessation. Promoting First Relationships PFR is an evidence-based curriculum for service providers who work with families of young children Through this training, participants learn consultation and intervention strategies that they can integrate into their work with families and young children.

The approach can be used one-on-one with parents, in the clinic or in home, and also with child care providers and early childhood teachers responsible for group care. The training incorporates various learning approaches including video case studies, role-playing, and reflective dialogue. These approaches allow participants to apply the framework directly to issues faced in their work environment. Family Spirit is an evidence-based early childhood home-visiting program designed for and by American Indian communities.

Family Spirit combines the use of paraprofessionals from the community as home visitors and a culturally focused, strengths-based curriculum as a core strategy to support young families.

Inventory of Evidence-Based Practices (EBPs) for Healthy Start Programs

Family Spirit addresses intergenerational behavioral health problems, optimizes local cultural assets, and overcomes deficits in the professional health care workforce in low resource communities. Evidence from three randomized controlled trials has documented important results including: increased parenting knowledge and involvement; decreased maternal depression; increased home safety; decreased emotional and behavioral problems of mothers; and decreased emotional and behavioral problems of children. This webpage provides basic information on a variety of contraceptive methods, including a link to a poster comparing typical effectiveness of contraceptive methods.

The poster can be used to show women and men the range of contraception choices available to them, and which methods work best at preventing pregnancy. The webpage also provides additional resources on contraception for health care providers and consumers. Reproductive Life Plan. Our goal is to provide helpful information and guidance to parents if their child was born with a birth injury.

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Visit our site for information on acne, acne treatments, daily routines and more. Includes Rosacea do's and don'ts, contributing factors and daily routines. Shop from a selection of natural nutritional health supplements, herbal remedies for optimal health and holistic healing. This toolkit is a practical, hands-on resource designed to promote culturally effective services for children and families. Each of the brief narratives is accompanied by a list of resources, including links to supplemental reading, patient education materials in multiple languages, checklists, assessments, and more.

Safe Sleep Well Child Visits. This toolkit presents a compilation of resources that highlight the challenges and key issues associated with launching and sustaining a successful fatherhood program. It covers topics such as: building an effective fatherhood program,effectively engaging fathers, cultivating community partners, recruiting and training staff, serving fathers with specific barriers, and promoting sustainability.

The toolkit provides tips and suggestions from experienced practitioners, activities for use with fathers in one-to-one or group sessions, tools from model programs to use and share with fathers, and other helpful resources. It is accessible on any computer or mobile device, and can be used a stand-alone, self-paced resource or to complement an existing group-based fatherhood program.

Each topic follows the same framework using text written at 5th-6th grade reading level, along with short videos and interactive graphics to engage fathers in learning. This brief looks at common acceptability, availability, and accessibility barriers to mental and substance use disorder behavioral health treatment and services in rural communities and presents ways telehealth can help surmount some of these barriers.

The term telehealth refers to using internet and communications technologies, such as videoconferencing, chat, and text messaging, to provide health information and treatments in real time. Screening and brief intervention SBI is a structured set of questions designed to identify individuals at risk for alcohol use problems, followed by a brief discussion between an individual and a service provider, with referral to specialized treatment as needed. This manual is designed to provide public health professionals, such as health educators and community health workers, with the information, skills, and tools needed to conduct SBI so that they can help at-risk drinkers reduce their alcohol use to a safe amount or stop drinking.

The manual offers background information and practical steps for conducting SBI in a variety of public health settings, including trauma centers, emergency departments, other clinical settings, home visits, and public events. Improve Women's Health. Well Woman Visits. The Alliance for Innovation on Maternal Health AIM is a national data-driven maternal safety and quality improvement initiative based on proven implementation approaches to improving maternal safety and outcomes in the U.

The AIM supported safety bundles are collections of evidence based protocols and best practices for improving safety in maternity care, and handling obstetric complications and emergencies in hospital and outpatient settings. Postpartum Visit. This toolkit provides a foundation, framework and resources for advancing maternal health in the U. It provides a research overview of maternal morbidity and mortality, focusing on trends, health disparities and inequities. Based on the deliberations of a cross-sectoral convening of stakeholders it offers a state policy framework for upholding the right to safe and respectful maternal health care, which offers recommendations in six key areas: improving access to reproductive health care, improving quality of maternal health care, ensuring acceptability of maternal health care for women most at risk, ensuring widespread availability of maternal health services, ensuring non-discrimination in access to care and social determinants of health, and fostering accountability to human rights standards for maternal health care.

This guidance presents data, recommendations, and links to best and promising practices and resources to help anti-violence organizations and culturally-specific community organizations effectively address intimate partner violence affecting women and communities of color. The recommendations emphasize developing culturally specific programming, broad-based community engagement, strengthening social and economic safety nets, and increasing access to services and supports for women of color and their communities.

Intimate Partner Violence. This technical package represents a select group of evidence-based strategies and approaches to help programs, communities and states sharpen their focus on prevention activities with the greatest potential to prevent intimate partner violence IPV and its consequences across the lifespan. This guide provides information and resources for family members and friends on specific ways to support pregnant women with opioid use disorders, and help them to get the prenatal care, substance use treatment and other supports they need during pregnancy and postpartum.

This culture-based program uses sources of strength such as spirituality, humor, and healing to assist Native men and their family members address the impact of colonization, trauma, racism and other challenges that threaten the well-being of children and families. The curriculum for Native men is designed to assist Native men reclaim their roles as brave warriors, fathers, and husbands who provide for and protect their families and communities.

The curriculum for Native families is designed to assist Native men, women, and their children to address unresolved conflicts in relationships, improve communication skills, and keep Native families together. The document includes advice in four areas: Readiness educating patients and staff , Recognition and Prevention, Response, and Reporting and Systems Learning. Note: Scroll to the bottom of the page to find links to access the app. Parenting Education Partner Involvement. It is designed to serve as a resource for healthcare providers, family members, and other stakeholders trying to address the myriad problems faced by patients in need of treatment for drug abuse or addiction.

It provides an overview of principles of effective treatment and evidence-based approaches to treatment, including behavioral therapies, pharmacotherapies and comprehensive approached. It discusses the unique needs of different groups including women, pregnant women and adolescents. Smoking Abstinence. This guide is intended to support the efforts of states, tribes, and local communities in addressing the needs of pregnant women with opioid use disorders and their infants and families, through a coordinated, multi-sytem approach.

The guide is designed to assist healthcare providers, SUD treatment providers, child welfare programs and judicial systems to improve their collaborative practice, and to offer information about additional resources that will strengthen their capacity to provide coordinated, best-practice care and services Collaborative planning and implementation of services that reflect best practices for treating opioid use disorders during pregnancy are yielding promising results in communities across the country.

This research-to-practice brief summarizes several promising practices from the Strengthening Families Evidence Review SFER on recruitment and retention. It provides guidance on on how to plan for recruitment, engage fathers in services, and maintain high rates of participation. The strategies can be tailored to meet the needs of specific programs and fathers. Regardless of the strategies used, all programs should be prepared for an intensive effort to recruit and enroll fathers.

Participant Recruitment and Retention Partner Involvement. This prevention resource guide offers information, strategies, and resources to support community service providers as they work with parents, caregivers, and children to prevent child maltreatment and promote social and emotional well-being. The guide focuses on protective factors that build on family strengths and promote optimal child and youth development.

Information about protective factors is augmented with tools and strategies that help providers, advocates and policymakers integrate the factors into community programs and systems. The guide includes tip sheets for parents in English and Spanish on a range of parenting and child development topics. This series of learning modules is designed for a range of health professionals, human service providers, community health workers, home visitors, and peer supporters who interact with families on topics of safe sleep and breastfeeding.

The modules are designed to help users understand the Conversations Approach and gain the knowledge and skills needed to implement it to promote breastfeeding and safe sleep practices. Breastfeeding Parenting Education Safe Sleep. This webpage offers resources for providers and families on safe sleep practices. Resources for families include a videos, posters and infographics on safe sleep practices. Parenting Education Safe Sleep. Safe Sleep. The resource is organized by topics from the initiative, including social determinants of health, pre- and interconception care, risk-appropriate prenatal care, pre- and early- term births, smoking cessation, and safe sleep practices.

It features change ideas, model programs, videos, and key insights from teams who are working to reduce infant mortality throughout the country. Safe Sleep Smoking Abstinence. It includes tools to aid in creating open spaces for men in the clinic setting, detailed guidance on providing gender-transformative group education for men, and advice on encouraging community mobilization around fatherhood, child protection, maternal and child health and gender equality.

It is available in 5 languages. This page publication contains detailed guidelines and recommendations on the identification and management of women who are pregnant or postpartum and use alcohol or drugs or have a substance use disorder. It includes extensive information on screening and brief interventions, psychosocial interventions, detoxification and quitting programs, pharmacological treatment, breastfeeding and maternal substance use, and management of infants exposed to alcohol and other psychoactive substances.

The document also features a comprehensive review of the evidence behind the recommendations. The CRAFFT is a short, validated behavioral health tool developed to screen adolescents under age 21 for high risk alcohol and drug use. It is available in 13 languages. This set of 9 fact sheets for programs that serve families makes the case and provides implementation tips for fully and effectively engaging fathers.

This policy report highlights the need to support young fathers by providing recommendations for child welfare system policy and practice change. Research shows that the relationship between fathers and their children is essential to the well-being of families and the healthy development of children, however little attention is paid to the importance of engaging young fathers under age 26, particularly young fathers who are involved with child welfare systems.

This report provides recommendations on how systems can better focus on father involvement to increase positive outcomes for fathers, their children and families. Smoking is the one of the most important modifiable causes of poor pregnancy outcomes in the United States, and is associated with maternal, fetal, and infant morbidity and mortality. The potential effects on pregnancy and lactation of alternative forms of nicotine, such as e-cigarettes and vaping, as well as medications used to help with smoking cessation, are also discussed.

Prenatal Care and Education Tobacco Cessation. Marijuana is the most common mood-altering drug used during pregnancy, and with legalization occurring in several states, there is concern that its use may increase. This ACOG Committee Opinion provides a comprehensive summary of current evidence regarding risks of recreational or medicinal marijuana use during pregnancy and lactation to both the mother and the fetus.

Moms2B provides weekly education and support sessions for expectant mothers to promote healthy lifestyle choices and link women with support services. Topics covered include: breastfeeding, child development, family planning, goal setting, prenatal labor and delivery, maternal-infant health, positive parenting, reproductive health, and safe sleep. Moms2B is provided free of charge, with transportation assistance, on-site childcare and a hot, healthy meal.

Ohio State University and community social service organizations support Moms2B participants with ongoing access to healthcare providers, lactation counselors, social workers, parenting educators and community health workers. The Moms2B program is based on an evidence-based pilot curriculum shown to increase breastfeeding and improve infant health. ACNM encourages CNMs, CMs, and other professionals who provide care for reproductive-aged women to routinely use evidence-based strategies to prevent alcohol exposed pregnancy, including: —Conduct universal alcohol screening and appropriate follow-up at least annually for all adults.

For pregnant women, screen at the initial prenatal visit and during each trimester thereafter. In addition,CNMs and CMs should seek information and training to enhance their knowledge and build theclinical skills needed to address alcohol use with women, especially those of reproductive age. Pregnancy provides an important opportunity to identify and treat women with substance use disorders, Universal screening for substance use should be a part of comprehensive obstetric care and should be done at the first prenatal visit in partnership with the pregnant woman.

Multidisciplinary long-term follow-up should include medical, developmental, and social support. Infants born to women who used opioids during pregnancy should be monitored for neonatal abstinence syndrome by a pediatric care provider. Early universal screening, brief intervention such as engaging a patient in a short conversation, providing feedback and advice , and referral for treatment of pregnant women with opioid use and opioid use disorder improve maternal and infant outcomes.

Through five essential steps, health centers and social service partners can build partnerships, adopt evidence-based interventions, promote patient education around IPV, and enhance practice policies, procedures, and capacities to improve long-term health and safety outcomes for women and their families.

One third of the program is devoted to infants and toddlers, and contains suggested anticipatory guidance, a counseling schedule, and recommended educational brochures. Covered issues include handling parental frustration, disciplining toddlers, safety in the home, and a discussion of firearms. Although the program is designed for pediatricians, it could be useful to anyone working with parents of young children. Safe Homes, Safe Babies is a safety card for women that perinatal health care providers can distribute to patients. In addition to providing safety resources for women, this tool also functions as a prompt for perinatal health care providers by providing quick phrases to improve discussions with women about the impact of domestic violence on their parenting and children.

The safety card outlines questions women may ask themselves about their relationships, birth control use and parenting, while offering supportive messages and referrals to national support services for help. The American College of Obstetricians and Gynecologists developed this comprehensive and practical guide to dealing with intimate partner violence and reproductive and sexual coercion in any setting involving reproductive healthcare.

The program includes evidence-based ACOG Committee Opinions regarding ethics, alcohol use in pregnancy, and motivational interviewing techniques, as well as videos and free downloadable materials for both providers and patients. Moving Beyond Depression MBD is a comprehensive, evidence-based and integrated approach to identifying and treating depression in mothers participating in home visitation programs. When new mothers are depressed, home visitation programs face challenges in helping them.

Evidence-Based Practices

MBD equips home visiting programs with a complete package that helps them identify, treat, and provide ongoing support to mothers experiencing depression. The program works to establish strong working relationships between home visitors and therapists, who collaborate closely through treatment. By treating moms in their own homes, it overcomes many barriers to treatment, such as lack of access to mental health care, transportation and childcare, among others.

Perinatal Depression Follow Up. Failure to address IPV among women who use alcohol or other drugs has been found to increase the likelihood of continued drug use, relapse, attrition from drug treatment and a host of other negative physical and mental health consequences.

WINGS is a single-session intervention that aims to address a critical gap in IPV services for women by identifying women in the community at risk of IPV, enabling them to develop social support and safety planning skills to reduce their risks for IPV and linking them to IPV-related services and substance use treatment. The intervention may be delivered in-person or via a computerized self-paced version.

This policy statement from the AAP advocates a public health response to the opioid epidemic and substance use during pregnancy, and recommends: a focus on preventing unintended pregnancies and improving access to contraception; universal screening for alcohol and other drug use in women of childbearing age; knowledge and informed consent of maternal drug testing and reporting practices;improved access to prenatal care, including opioid replacement therapy; gender-specific substance use treatment programs;and improved funding for social services and child welfare systems.

This manual is designed for training community health workers on how to support expecting and new mothers with depression, using evidence-based cognitive behavioral techniques. Community Health Workers can assist depressed mothers to change their unhealthy patterns of thinking and behavior, leading to an improvement in their mood and functioning, and prevention of later problems in their infants. This manual is a generic version for global use of a manual originally developed in Pakistan and later used in many other countries.

Depression Parenting Education. This child safety web site was developed by the ACLS Training Center, noted for its experience in emergency situations. Additional sections are devoted to prevention of choking, drowning, poisoning, and travel-related injuries, and outdoor and neighborhood safety. All are user-friendly, easily accessible and readable. Parenting Education. This is a comprehensive source of information on the risks of exposure to lead during pregnancy and lactation. It contains detailed information on sources of lead exposure in adults, and known risks of lead on the mother, developing fetus, and infant.

Sample screening tools for assessing possible exposure, and information on management of women found to have elevated lead levels are also included. This CDC website provides concise information on risks for lead poisoning in children and evidence-based recommendations for decreasing those risks. It features both tips for parents and guidelines for providers to prevent childhood lead poisoning, along with info graphics and educational recommendations for children affected by lead.

Parenting Education Risk Assessment. This brief, self-administered Social Support Survey instrument was developed for patients in the Medical Outcomes Study MOS , a two-year study of patients with chronic conditions. It is thought to also be appropriate for use with other populations. It is easy to administer and the items are short, simple, and easy to understand. Life Course Model Risk Assessment. There is convincing research evidence that people experiencing greater discrimination in day-to-day life tend to have poorer physical and mental health outcomes than their counterparts.

An original version of the EDS consists of nine items on a 6-point Likert-type response format, and a short version has been modified to five items. The screen simply inquires whether a participant has used drugs mood-altering, illegal, or prescription for nonmedical reasons , alcohol, or tobacco products within the past year and how often these substances have been used. SmokefreeMOM is a mobile text messaging service designed for pregnant women across the United States to help them quit smoking. The frequency of messages will vary depending on smoking status.

Users can receive additional quit support by texting one of the SmokefreeMOM keywords. Tobacco Cessation. Promoting First Relationships PFR is an evidence-based curriculum for service providers who work with families of young children Through this training, participants learn consultation and intervention strategies that they can integrate into their work with families and young children. The approach can be used one-on-one with parents, in the clinic or in home, and also with child care providers and early childhood teachers responsible for group care. The training incorporates various learning approaches including video case studies, role-playing, and reflective dialogue.

These approaches allow participants to apply the framework directly to issues faced in their work environment. Family Spirit is an evidence-based early childhood home-visiting program designed for and by American Indian communities.

Women's Wisdom

Family Spirit combines the use of paraprofessionals from the community as home visitors and a culturally focused, strengths-based curriculum as a core strategy to support young families. Family Spirit addresses intergenerational behavioral health problems, optimizes local cultural assets, and overcomes deficits in the professional health care workforce in low resource communities.

Evidence from three randomized controlled trials has documented important results including: increased parenting knowledge and involvement; decreased maternal depression; increased home safety; decreased emotional and behavioral problems of mothers; and decreased emotional and behavioral problems of children. This webpage provides basic information on a variety of contraceptive methods, including a link to a poster comparing typical effectiveness of contraceptive methods.

The poster can be used to show women and men the range of contraception choices available to them, and which methods work best at preventing pregnancy. The webpage also provides additional resources on contraception for health care providers and consumers. Reproductive Life Plan. Mental Health First Aid is an 8-hour course that gives people the skills to help someone who is developing a mental health problem or experiencing a mental health crisis.

The evidence behind the program demonstrates that it does build mental health literacy, helping the public identify, understand, and respond to signs of mental illness. Mental Health First Aiders learn a 5-step action plan that guides them through the process of reaching out and offering appropriate support.

This new initiative is designed to educate consumers and health care providers about perinatal mood disorders, emphasizing the newly-appreciated fact that they include both depression and anxiety and can occur both during and after pregnancy. In addition to education, the site provides action plans, referrals, and advice for partners, family, and friends of affected women.

Related materials including posters, tear sheets, and postcards, all in both English and Spanish, can be downloaded or ordered for free. Depression Prenatal Care and Education. This component of the Child Development section of the CDC website provides information for parents on developmental milestones and positive parenting tips by age group, covering children years of age.

Age-specific injury prevention and safety advice as well as guidelines for promoting healthy bodies are also given. Parents or service providers for parents can download Positive Parenting Tip Sheets for use as take-home handouts. Promote Quality Strengthen Family Resilience. For nearly all infants, breastfeeding is the best source of nutrition and immunologic protection, and it provides remarkable health benefits to mothers as well.

Yet within only three months after giving birth, more than two thirds of breastfeeding mothers have already begun using formula. By six months postpartum, more than half of mothers have given up on breastfeeding. This Call to Action describes specific steps people can take to participate in a society-wide approach to support mothers and babies who are breastfeeding. It provides recommendations for women and families, communities, health care providers, employers, public health agencies, and researchers.

Breastfeeding Prenatal Care and Education. Initiating Breastfeeding Sustaining Breastfeeding. The recommended immunization schedule is designed to protect infants and children early in life, when they are most vulnerable and before they are exposed to potentially life-threatening diseases.

This web page contains immunization schedules that parents can view or print showing the age or age range when each vaccine or series of shots is recommended. Available in English and Spanish. Counseling parents and children about the prevention of common childhood injuries is an important contribution toward preventing the major cause of childhood morbidity and mortality. TIPP is designed to provide a systematic method for pediatricians to counsel parents and children about adopting behaviors to prevent injuries—behaviors that are effective and capable of being accomplished by most families.

This Guide includes a table showing the major safety issues and injury hazards for each age group for children years old, and provides counseling guidelines for educating parents about injury prevention tailored to the age of their child. MothertoBaby is the leading authority providing up-to-date, evidence-based information to mothers, healthcare professionals, and the general public regarding the effects of medications and other exposures on pregnancy and breastfeeding.

The website contains fact sheets in English and Spanish covering the risks of over 50 pharmaceuticals listed alphabetically , herbal products, and other common lifestyle and occupational exposures. Excellent sections on tobacco, alcohol, and mood-altering drugs are included, as well as information on the safety of vaccines during pregnancy and breastfeeding. Experts are also available to answer individual questions confidentially by telephone, email, or text. Initiating Breastfeeding Smoking Abstinence. Annual well-woman visits provide an excellent opportunity for health maintenance and preventive care, including preconception and interconception counseling.

Under the Affordable Care Act of , Medicaid and most private insurance plans cover these visits without copay. The American College of Obstetricians and Gynecologists released these guidelines on recommended components of the annual visit based on previous evidence-based guidelines, current expert opinion, and the recommendations of a multidisciplinary task force. In addition, brief intervention strategies, grounded in motivational interviewing techniques, are integrated into the screening process.

The National Resource Center for Healthy Marriage and Families Resource Center helps agencies develop the capacity to promote healthy relationship skills in a way that meets both their needs and those of the families they serve. As a service of the Office of Family Assistance, Administration for Children and Families, HHS, the Resource Center supports the integration of healthy marriage and relationship education into safety-net service delivery systems as part of a comprehensive strategy to strengthen families and promote family self-sufficiency.

Partner Involvement.