Clinical Tools

The following resources are a selection of public domain, evidence-based practices that may be of use to PPW programs. Many of them are listed on SAMHSA’s National Registry of Evidence-based Programs and Practices (NREPP). You can search for additional evidence-based practices on the NREPP site.

  • Active Parenting (4th Edition)
    Active Parenting (4th Edition) is a video-based education program targeted to parents of 2- to 12-year-olds who want to improve their parenting skills. It is based on the application of Adlerian parenting theory, which is defined by mutual respect among family members within an authoritatively run family. The program teaches parents how to raise a child by using encouragement, building the child's self-esteem, and creating a relationship with the child based upon active listening, effective communication, and problem solving. It also teaches parents to use natural and logical consequences and other positive discipline skills to reduce irresponsible and unacceptable behaviors.
  • Recommendations for Use of Antiretroviral Drugs in Pregnant HIV-1-Infected Women
    The Recommendations for the Use of Antiretroviral Drugs in Pregnant HIV-1-Infected Women and Interventions to Reduce Perinatal HIV Transmission in the United States guidelines are published in an electronic format that can be updated as relevant changes in prevention and treatment recommendations occur. The Panel on Treatment of HIV-Infected Pregnant Women and Prevention of Perinatal Transmission is committed to timely changes in this document because so many health care providers, patients, and policy experts rely on this source for vital clinical information.
  • 5Ps Institute for Health and Recovery Screening Tool
    The 5PS Screening Tool is based on Dr. Hope Ewing’s 4 P’s (Parents, Partner, Past and Pregnancy), and was designed specifically for pregnant women. The tool is quick, easy, and non-threatening. In order to capture risk among women at risk for use or not ready to report their own use, the tool asks about substance use among other people important in the patient’s life, including her parents and partner. This report includes guidance about how to use the tool and conduct a brief intervention with pregnant patients based on the tool's results.
  • 5Ps Screening Tool for Pregnant Women
    The 5PS Screening Tool is based on Dr. Hope Ewing’s 4 P’s (Parents, Partner, Past and Pregnancy), and was designed specifically for pregnant women. The tool is quick, easy, and non-threatening. In order to capture risk among women at risk for use or not ready to report their own use, the tool asks about substance use among other people important in the patient’s life, including her parents and partner.
  • A Collaborative Approach to the Treatment of Pregnant Women with Opioid Use Disorders
    The overarching message of this guide is that a coordinated, multi-system approach best serves the needs of pregnant women with opioid use disorders and their infants. 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. Advance planning for the treatment of pregnant women with opioid use disorders that addresses safe care for mothers and their newborns can help prevent unexpected crises at the time of delivery. This guidance document provides background information on the treatment of pregnant women with opioid use disorders, summarizes key aspects of guidelines that have been adopted by professional organizations across many of the disciplines, presents a comprehensive framework to organize these efforts in communities, and provides a collaborative practice guide for community planning to improve outcomes for these families.
  • ACNM's Position Statement on Screening and Brief Intervention to Prevent Alcohol-Exposed Pregnancy
    In this position statement from May 2017, the American College of Nurse-Midwives (ACNM) affirms the use of alcohol screening and brief intervention to prevent alcohol-exposed pregnancy.
  • Active Parenting of Teens: Families in Action
    Active Parenting of Teens: Families in Action is a school- and community-based intervention for middle school-aged youth designed to increase protective factors that prevent and reduce alcohol, tobacco, and other drug use; irresponsible sexual behavior; and violence. Family, school, and peer bonding are important objectives. The program includes a parent and teen component. The parent component uses the curriculum from Active Parenting of Teens. This curriculum is based on Adlerian parenting theory, which advocates mutual respect among family members, parental guidance, and use of an authoritative (or democratic) style of parental leadership that facilitates behavioral correction. A teen component was developed to complement the parent component.
  • Advancing the Care of PPW with Opioid Use Disorder & Their Infants: Foundation for Clinical Guidance
    SAMHSA, with oversight by a steering committee of 13 other federal agencies and offices, has undertaken to develop a critically needed document: a clinical guide (hereafter referred to as the guide) that will inform health providers’ decisions regarding the evaluation, care, and treatment of pregnant and parenting women with opioid use disorder and their opioid-exposed infants.
  • Alcohol abuse and other substance use disorders: Ethical issues in Obstetric and Gynecologic Practic
    Alcohol abuse and other substance use disorders are major, often underdiagnosed health problems for women, regardless of age, race, ethnicity, and socioeconomic status, and have resulting high costs for individuals and society. In order to optimize care of patients with substance use disorder, obstetrician-gynecologists are encouraged to learn and appropriately use routine screening techniques, clinical laboratory tests, brief interventions, and treatment referrals. The purpose of this Committee Opinion is to propose an ethical framework for incorporating such care into obstetric and gynecologic practice and for resolving common ethical dilemmas related to substance use disorder.
  • Alternatives for Families: A Cognitive Behavioral Therapy (AF-CBT)
    Alternatives for Families: A Cognitive-Behavioral Therapy (AF-CBT) is an intervention for families who exhibit or are at risk for problems with anger, aggression, and/or child physical abuse. AF-CBT seeks to improve relationships between school-aged children and their parents/caregivers using a comprehensive family-centered approach that targets the risks for and clinical consequences of exposure to conflict and coercion.
  • Behavioral couples therapy for alcoholism and drug abuse
    This article explores behavioral couples therapy and its outcomes, i.e. abstinence from substances, domestic violence, and cost outcomes.
  • Brief Strategic Family Therapy Versus Treatment as Usual
    This article discusses the results of a multisite randomized trial for substance using adolescents.
  • Child Welfare Trauma Training Toolkit
    The Child Welfare Trauma Training Toolkit course assists those in the field of child welfare who wish to learn more about child welfare and trauma. The backbone of the course is the newly released second edition of the Child Welfare Trauma Training Toolkit which teaches basic knowledge, skills, and values about working with children who have experienced traumatic stress and who are in the child welfare system. The toolkit guides practitioners and others in supporting children’s safety, permanency, and well-being through case analysis and corresponding interventions tailored to them and to their biological and resource families. This comprehensive training curriculum is twice the size of the first edition and includes a Trainer’s Guide, Appendices, Slidekit, Participant Manual, Supplemental Handouts, recommended reading and resources, Comprehensive Guide, and an accompanying CD-Rom.
  • CHOICES: A Program for Women About Choosing Healthy Behaviors
    CHOICES: A Program for Women About Choosing Healthy Behaviors is a brief intervention designed to help women lower their risk of alcohol-exposed pregnancy (AEP) by reducing risky drinking, using effective contraception, or both. The primary audience for CHOICES is non-pregnant women of childbearing age who are at risk for AEP because they are sexually active with a male partner, do not use contraception consistently or effectively, and drink at levels known to carry an increased risk for reproductive and fetal outcomes.
  • Choosing Wisely
    This organization aims to promote conversations between clinicians and their patients. Their goal is that these conversations not only occur regularly, but are also supported by evidence, are free from harm, and are not repetitive.
  • Clinical Practice Guidelines for the Use in Treating Pain Patients
    The American Academy of Pain Medicine and its board of directors has, over the years, researched and approved certain evidence-based clinical practice guidelines for the use in treating pain patients. These guidelines are based on a complete review of the relevant literature by a diverse group of highly trained clinicians and prepared by weighing evidence from rigorous double-blind clinical trials and expert opinion. They continue to be reviewed on a regular basis, and when necessary, re-published.
  • Core Curriculum on Childhood Trauma (CCCT)
    The Core Curriculum on Childhood Trauma™ (CCCT) is a tool developed by the National Child Traumatic Stress Network to promote the development of a national trauma-informed mental health workforce by providing a sound foundational understanding of psychological trauma. The CCCT can be used to train both graduate students, as well as practicing professionals who wish to increase their expertise in psychological trauma, and in foundational concepts of trauma-informed assessment and intervention. The CCCT has been successfully used as a foundation for preparing learners for further training in the implementation of trauma-focused evidence-based treatments. The CCCT consists of case-based, instructor-facilitated modules that draw on problem-based learning (PBL) principles to provide learners with a foundational understanding of “core” trauma-related concepts, and to enhance clinical judgment in relation to work with youth and families exposed to trauma and traumatic loss. The CCCT is specifically designed to strengthen clinical knowledge and clinical reasoning skills while encouraging the integration of cultural, developmental, strength-based, and systems perspectives in work with trauma-exposed youth and families.
  • Crib Card for Babies
    Downloadable and printable crib card from the Ohio Perinatal Quality Collaborative. Crib card states: Shhhh…Remember this baby likes it to be extra quiet and loves to be held and soothed.
  • Decision Support to Enhance Prenatal Care Using the SBIRT Model
    Timely and adequate prenatal care and associated health screenings contribute to optimal health for the woman and her developing fetus. Prenatal screening is crucial for the nurse practitioner, who may be the only provider of care. This article provides the nurse practitioner with an adaptation of the Screening, Brief Intervention, and Referral to Treatment model with realistic standard-of-care screening tools, interpretation of scores, and referral resources for scores warranting intervention. Early differentiation of risk levels can help promote positive health outcomes for the woman and her baby.
  • Depression in Mothers: More Than the Blues
    Equips providers with information and strategies for use in working with mothers who may be depressed. Includes facts about depression; screening tools for more serious depression; and referrals, resources, and handouts for mothers who are depressed.
  • DHHS Administration for Children and Families: Office of Planning, Research, and Evaluation
    This resource library has many resources for family planning. Resources include topics on Abuse, Neglect, Adoption & Foster Care, Child Care, Family & Youth Services, Self-Sufficiency, Strengthening Families, Healthy Marriage and Responsible Fatherhood.
  • Filial Family Therapy
    Filial Family Therapy is a parent–child play therapy for children aged 2–12, and their parents, in which trained mental health professionals teach parents skills for fostering relationships with their children and supervise parent–child play therapy sessions. The central goals of the therapy are to reduce emotional distress and problem behaviors in children, improve competence and self-esteem in children, strengthen the parent–child relationship, and improve parenting skills.
  • Finnegan Neonatal Abstinence Scoring Tool (FNAST)
    Downloadable form for the FNAST
  • Finnegan Sleeping Record
    Downloadable form with Finnegan Sleeping Record
  • Finnegan Yawning and Sleeping Record
    Downloadable form to capture Finnegan Yawning and Sleeping record
  • Guide for Engaging & Supporting Parents Affected by Domestic Violence
    This guide is designed for staff in domestic violence programs and provides practical guidance for supporting parents affected by domestic violence in their parenting. We offer core principles and strategies for supportive engagement with parents and ways to enhance parenting capacities, while working through issues and concerns. All of these strategies are designed to strengthen the relationships we have with parents. In turn, these strategies may also be useful for parents as they respond to their children’s needs and help support healing and resilience for their children and themselves. We also include suggestions about how to work with strong feelings and reactions that might arise for parents and children and ourselves that could be barriers to addressing concerns.
  • Guidelines for Testing and Reporting Drug Exposed Newborns in Washington State, 2014.
    This document provides guidance to hospitals, health care providers and affiliated professionals about maternal drug screening, laboratory testing and reporting of drug-exposed newborns delivered in Washington State.
  • HIV Prevention Toolkit: A Gender-Responsive Approach
    The Toolkit is designed for health departments, clinical staff, academics, program planners, managers, and community providers who are involved in HIV prevention programs for women and adolescent girls.
  • Infant and Early Childhood Mental Health Consultation (IECMHC) Toolbox
    "The Infant and Early Childhood Mental Health Consultation (IECMHC) Toolbox offers free interactive planning tools, guides, videos, and other resources to support IECMHC efforts in your state, tribe, or community. Adults who work with young children can broadly support children’s healthy development, from infancy through the transition to school, by incorporating IECMHC and the resources in the Toolbox into all early childhood programs. A first-of-its-kind resource for the field of IECMHC, the Toolbox comprises nearly 60 original resources, including PDFs, interactive products, and videos. The Toolbox offers: •Information about the latest research and best practices for IECMHC in infant and early childhood settings where consultation occurs, such as home visiting, early care, and education •Resources and strategies on best practices to help fill the gap in areas where additional guidance is needed to advance the field of IECMHC The contents of the Toolbox will be piloted in 14 states and tribal communities through intensive training and technical assistance provided by the Center of Excellence for IECMHC. The Center will leverage pilot sites’ successes, challenges, and innovations in the coming years to continue moving the field forward. Ultimately, the Center will use the Toolbox to develop products and webinars that share lessons learned and case examples."
  • Inter-Rater Reliability Scoring Sheet
    Downloadable inter-rater reliability scoring and reliability table sheet produced by the Ohio Perinatal Quality Collaborative.
  • Marijuana Use During Pregnancy and Lactation
    Cannabis sativa (marijuana) is the illicit drug most commonly used during pregnancy. The self-reported prevalence of marijuana use during pregnancy ranges from 2% to 5% in most studies. A growing number of states are legalizing marijuana for medicinal or recreational purposes, and its use by pregnant women could increase even further as a result. Because of concerns regarding impaired neurodevelopment, as well as maternal and fetal exposure to the adverse effects of smoking, women who are pregnant or contemplating pregnancy should be encouraged to discontinue marijuana use. Obstetrician–gynecologists should be discouraged from prescribing or suggesting the use of marijuana for medicinal purposes during preconception, pregnancy, and lactation. Pregnant women or women contemplating pregnancy should be encouraged to discontinue use of marijuana for medicinal purposes in favor of an alternative therapy for which there are better pregnancy-specific safety data. There are insufficient data to evaluate the effects of marijuana use on infants during lactation and breastfeeding, and in the absence of such data, marijuana use is discouraged.
  • Measurement of neonatal abstinence syndrome: Evaluation of short forms
    Abstract OBJECTIVES: 1) How well do the short forms previously developed from the Maternal Opioid Treatment: Human Experimental Research (MOTHER) neonatal abstinence syndrome (NAS) scale (MNS) discriminate between neonates untreated and treated for NAS? (2) Can a short form be developed that is superior to other short forms in discriminating between the two groups? DESIGN/PARTICIPANTS: This secondary analysis study used data from 131 delivered neonates in the MOTHER study, a randomized controlled trial comparing neonatal and maternal outcomes in opioid-dependent pregnant women administered buprenorphine or methadone. SETTING: Comprehensive care was provided at seven university hospitals. OUTCOME MEASURES: A 19-item instrument measuring neonatal abstinence signs. RESULTS: A five-item index proved superior to the previous indices (ps < 0.01) and discriminated between the treated and untreated NAS groups as well as did the MNS total score (p=0.09). CONCLUSIONS: A short form developed from the MNS shows promise as a possible screening measure.
  • Medication for the Treatment of Alcohol Use Disorder: A Brief Guide
    Current evidence shows that medications are underused in the treatment of alcohol use disorder, including alcohol abuse and dependence. *This is of concern because of the high prevalence of alcohol problems in the general population.1,2 For example, data show that an estimated 10 percent to 20 percent of patients seen in primary care or hospital settings have a diagnosable alcohol use disorder.3,4 People who engage in risky drinking often have physical and social problems related to their alcohol use. Problems with alcohol influence the incidence, course, and treatment of many other medical and psychiatric conditions.
  • Mothering from the Inside Out
    This article provides an in-depth look at mentalization-based therapy for mothers who use substances.
  • Mothers and Babies Course
    The Mothers and Babies Course is a preventive, mood-management course for pregnant women and mothers in the first 12 months postpartum who are at high risk for perinatal depression. The course teaches perinatal women cognitive-behavioral mood regulation strategies, in which their thoughts, behaviors, and social contacts affect their mood and vice versa. It also explains the benefits of strengthening mother–infant bonds. The overall goals are to prevent perinatal depression, strengthen the mother–infant relationship, and enhance both the mother’s and the infant’s mental and physical health.
  • National Family Preservation Network
    According to their Website, The National Family Preservation Network (NFPN) is at the forefront of the father involvement movement in the child welfare system. NFPN has published the first-of-its-kind Basic Fatherhood Training Curriculum. The "Training Curriculum Package" consisting of the curriculum, training guide, accompanying overheads and handouts, and video, may be purchased online. An Advanced Fatherhood Training Curriculum training package, focusing on best practice and the actual skills needed to engage fathers, is also available
  • National Fatherhood Initiative
    This website claims to have "Everything you need to serve Fathers". It has resources to train staff and give them skills, knowledge and resources to better serve fathers.
  • Neonatal Abstinence Syndrome Project Level I Webinar: Legalities and Practicalities
    The objectives of this webinar are to describe diagnostic tests that are used prenatally and postnatally to identify NAS, and discuss practice based implications of legalities in drug screening and testing for prenatal drug exposure. Refer to the Ohio Perinatal Quality Collaborative for more information and a link to this recording:
  • Neonatal Abstinence Syndrome Project Level I Webinar: Simplified Screening & Non-Pharmacologic Manag
    Produced by the Ohio Perinatal Quality Collaborative in 2014, the objectives of this webinar are to implement a standardized process for identification and evaluation of an infant with NAS, and discuss Non-medication based protocols for environmental support of infant with NAS. See OPQC's website for more information and access webinar recording:
  • Neonatal Abstinence Syndrome: A Guide for Families (booklet for patients and families)
    A booklet for patients and families on Neonatal Abstinence Syndrome produced by the Ohio Perinatal Quality Collaborative.
  • Opioid Prescribing Guidelines
    If you prescribe opiates to patients, please refer to the resources below for guidelines and best practices. This is focused on Ohio, but might be useful for prescribers in other states.
  • Opioid Use and Opioid Use Disorder in Pregnancy
    This article discusses how screening should be a universal part of comprehensive care for pregnant women. In general, a coordinated multidisciplinary approach without criminal sanctions has the best chance of helping infants and families.
  • Parental substance use and the child welfare system
    This bulletin touches on the relationship between substance use disorders and child maltreatment. It discusses the impact of parental substance use on children, child welfare laws related to parental substance use, and service delivery challenges. The bulletin also shares innovative prevention and treatment approaches, as well as promising child welfare casework practices.
  • Parenting from Prison
    Parenting from Prison is a parent education program for inmates. The program curriculum teaches inmates skills to strengthen family functioning, increase positive behaviors, decrease substance use, and increase their knowledge of risk and resilience factors. The 20-session curriculum includes topics such as self-esteem, risk and resilience factors, communication, discipline, problem solving, decision making, and substance abuse.
  • Parents Under Pressure
    The PuP program is intended to be delivered on a one to one basis, preferably in the family's home. A Therapist Manual provides the theoretical overview behind the PuP program and the Parents Workbook is given to the family and forms the basis of the treatment program. Modules contain many different exercises that help the parent work towards their own parenting goals. The Parent Workbook is seen as a buffet of options to choose from rather than a recipe to follow.
  • Pause Before you Prescribe
    A brochure for clinicians who prescribe to women of reproductive age.
  • Recovering Together Program Curriculum Guide: Substance Abuse Treatment for Women and their Families
    This document is for substance abuse treatment providers and their child welfare colleagues. It describes the Recovering Together Program (RTP), a program that treats families (mothers and their children) in which the mothers are receiving substance abuse services and the family is receiving child welfare services. The first section describes issues associated with collaboration between the two service systems and practical implications for replicating or developing a program like RTP as part of such a collaboration. The second section contains a detailed guide in the form of a curriculum for conducting the adult group in Phase 1 of the Recovering Together Program. A detailed curriculum for the children’s group that is conducted concurrently in Phase 1 of RTP can be found in a separate document.
  • Reinforcement-Based Treatment (RBT)
    Reinforcement-Based Treatment (RBT) for substance use disorders is an intensive, behavioral treatment model that reinforces non-substance–using behaviors and teaches avoidance of substance use triggers. Treatment strategies include contingency management, motivational interviewing, and community reinforcement. RBT has been implemented with patients in a community-based, substance use treatment center and with pregnant women with substance use disorders.
  • Resource Parent Curriculum (RPC) Training Modules
    The Online Training Modules were developed as a complimentary resource to the RPC. These modules can be used by resource families and RPC facilitators in a variety of ways. For example, families who are considering attending a RPC group may complete a module to determine whether it would be worth their time to attend an entire workshop. Families or facilitators can also complete the modules after a face-to-face workshop to reinforce their learning. We also imagine families sharing these modules with those on their child’s service teams – such as educators, extended family, or daycare providers – to help them understand the impact of trauma and the behaviors they may be seeing. Finally, RPC Facilitators may use these modules as pre-work for RPC sessions so that more in-person time can be spent on applying these concepts.
  • Screening and Assessment for Family Engagement, Retention, and Recovery (SAFERR)
    Offers screening tools and principles to help child welfare staff screen parents for potential substance abuse and make decisions about children's safety. Gives guidelines for collaborating with substance abuse and court systems to improve family outcomes.
  • Snuggle ME Webinar Series
    In Maine, the number of infants treated for prenatal drug exposure has risen dramatically from 165 to over 927 infants a year from 2005 to 2013. In response to this growing crisis affecting our state's youngest children and families, the Family Health Division of the Maine CDC and the Maine Chapter of the AAP identified this as a priority area in the spring of 2010 and partnered to create the “Snuggle ME” project. This is an effort to improve care coordination for affected families with the goal of providing appropriate counseling and care prenatally, in the hospital setting, and post-discharge through early intervention services. The Snuggle ME project is an integrated effort of the Maine Chapter of the AAP and Maine CDC, maternity care providers including high risk maternal fetal medicine, OB/GYN, family medicine, nurse midwives, nurse practitioners, pediatricians and neonatologists with representatives from EMMC, MMC, and CMMC, MaineGeneral, Penobscot Bay Medical Center, Franklin Memorial, Mayo Regional, ACOG, Office of Substance Abuse, WIC and lactation consultants that came together to create recommendations for care. Click here to view the Snuggle ME guidelines now posted on the Maine CDC website.
  • Substance Abuse and Mental Health Services Administration: Federal Guidelines for Opioid Treatment P
    Provides updated guidelines for the operation of opioid treatment programs (OTPs). Covers patient assessment, treatment planning, medication-assisted treatment (methadone and buprenorphine), overdose and relapse prevention, and recovery care.
  • Substance Use Screening and Reproductive Education and Counseling for Substance Using Women
    The intersection of reproductive health and addictions present numerous opportunities for improving women’s health. We will review the importance of screening for substance problems during prenatal care with particular attention given to validated instruments. We will discuss reproductive education and counseling content that can be integrated into substance treatment. Finally, we will discuss the epidemiology of unintended pregnancy as well as strategies for preventing unintended pregnancies.
  • Substance-Exposed Infants: State Responses to the Problem
    In 2005–2006, the National Center on Substance Abuse and Child Welfare (NCSACW) undertook a review and analysis of States’ policies regarding prenatal exposure to alcohol and other drugs, in order to help local, State, and Tribal governments: 1. Gain a better understanding of current policy and practice in place at the State level that address substance-exposed infants (SEIs); and 2. Identify opportunities for strengthening interagency efforts in this area.
  • Supporting Father Involvement
    This website is filled with resources for supporting the involvement of fathers. This website discusses what father engagement is and why it is important. There are also tools to help support fathers. Some tools include: engagement and communication tools, planning tools, training and coaching tools and many more.
  • Systematic Development of an Evidence-Based Website on Preconception Care.
    INTRODUCTION: In February 2015, the Flemish Minister of Welfare, Public Health and Family launched a website on preconception care: ''. The website was developed in response to the lack of comprehensive communication on preconception care and the inadequate intake of folic acid among Flemish women. Despite the international recommendation to take 400?µg folic acid on a daily basis one month before conception until 12 weeks of pregnancy, studies show a lack of compliance in women wanting to become pregnant. PROCEDURE: A compilation of evidence was made through reviewing well-established guidelines on preconception and prenatal care. The quality of guidelines was assessed by means of AGREE II. The topics included in the website were selected by an internal committee of 5 experts and an external committee of 16 experts. Content validation was carried out by 40 experts in preconception care or related topics. RESULTS: The above-described procedure resulted in an evidence-based website with a selection of relevant, validated information for both women and men who plan a pregnancy and professionals who are consulted by these people. Evaluation and recommendation: The website is currently attracting a constant number of 100 to 200 visitors a day. The information on folic acid is among the most requested, which is an important finding with regard to the policy objectives on preconception care. More research is needed in order to evaluate the use and effect of the website more thoroughly.
  • The 4 Rs and 2 Ss for Strengthening Families Program
    The 4 Rs and 2 Ss for Strengthening Families is a manualized, multiple family group therapy program designed for families who have a child between 7–11 years old diagnosed with a disruptive behavior disorder. The goals of the program are to 1) provide family time to develop and practice communication and togetherness, 2) reduce stigma of mental health issues by normalizing the family’s experience within a group, and 3) promote continued learning outside the group.
  • The Cannabis Youth Treatment (CYT) Study: main findings from two randomized trials
    From the Abstract: This article presents the main outcome findings from two inter-related randomized trials conducted at four sites to evaluate the effectiveness and cost-effectiveness of five short-term outpatient interventions for adolescents with cannabis use disorders.
  • The Nurturing Program for Families in Substance Abuse Treatment and Recovery
    The National Center on Substance Abuse and Child Welfare hosted a webinar series on evidence-based practices (EBP) for child welfare involved families affected by substance use disorders. The series will provide information on implementation of EBPs with respect to fidelity, provide a forum to learn and share experiences about implementation drivers, and establish a learning community among sites across the country. This webinar discusses practical issues around the implementation of the Nurturing Program for Families in Substance Abuse Treatment and Recovery. The Nurturing Program for Families in Substance Abuse Treatment and Recovery curriculum was first published in 1995 and was adapted from the Nurturing Program for Parents and Children Birth to 5 Years (Bavolek 1999) to address the specific needs of families affected by parental substance abuse. The curriculum focuses on the effects of substance abuse on families, parenting, and the parent-child relationship. The webinar features Terri Bogage, MSW, LICSW, the Director of Family and Children’s Services and Dianna Christmas, MPH, Parent-Child Services Coordinator at the Institute for Health and Recovery (IHR). The webinar will discuss: implementation considerations and challenges; issues related to adaptation of the model; implementation drivers and challenges; and fidelity monitoring.
  • The Treatment of Opioid Dependence in Pregnancy: Vermont Guidelines
    These best practice guidelines were written as a collaborative effort between the division of Alcohol and Drug Abuse Programming at the Vermont Department of Health, the Maternal Fetal Medicine Department at Fletcher Allen Health Care and the Neomedical Follow-up Department at Fletcher Allen Health Care. The obstetrical and pediatric guidelines were written for use in Vermont after a decade of work with the population of substance dependent pregnant women and their children. They are intended for clinical providers to review and use as a template, if desired.
  • Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
    Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is a psychosocial treatment model designed to treat posttraumatic stress and related emotional and behavioral problems in children and adolescents ages 3 to18 years. Initially developed to address problems associated with childhood sexual abuse, TF-CBT has been modified and tested with children who have experienced a wide array of traumas, including domestic violence, traumatic loss, war, commercial sexual exploitation, and the often multiple and complex traumas experienced by children who are placed in foster care. TF-CBT is appropriate for use with children exposed to trauma whose parents or caregivers did not participate in the abuse.
  • Treating for Two: Safer Medication Use in Pregnancy Initiative
    Women and healthcare providers don’t have enough information to answer questions about medications and pregnancy. Treating for Two is CDC’s prescription for this problem. Treating for Two aims to improve the health of women and babies by working to identify the safest treatment options for the management of common conditions before and during pregnancy.
  • U.S. Medical Eligibility Criteria for Contraceptive Use, 2016
    This report includes recommendations for using specific contraceptive methods by women and men who have certain characteristics or medical conditions. The recommendations in this report are intended to assist health care providers when they counsel women, men, and couples about contraceptive method choice.
  • Updated Clinical Guidelines for Diagnosing Fetal Alcohol Spectrum Disorders
    Abstract: The adverse effects of prenatal alcohol exposure constitute a continuum of disabilities (fetal alcohol spectrum disorders [FASD]). In 1996, the Institute of Medicine established diagnostic categories delineating the spectrum but not specifying clinical criteria by which diagnoses could be assigned. In 2005, the authors published practical guidelines operationalizing the Institute of Medicine categories, allowing for standardization of FASD diagnoses in clinical settings. The purpose of the current report is to present updated diagnostic guidelines based on a thorough review of the literature and the authors' combined expertise based on the evaluation of >10?000 children for potential FASD in clinical settings and in epidemiologic studies in conjunction with National Institute on Alcohol Abuse and Alcoholism-funded studies, the Collaborative Initiative on Fetal Alcohol Spectrum Disorders, and the Collaboration on FASD Prevalence. The guidelines were formulated through conference calls and meetings held at National Institute on Alcohol Abuse and Alcoholism offices in Rockville, MD. Specific areas addressed include the following: precise definition of documented prenatal alcohol exposure; neurobehavioral criteria for diagnosis of fetal alcohol syndrome, partial fetal alcohol syndrome, and alcohol-related neurodevelopmental disorder; revised diagnostic criteria for alcohol-related birth defects; an updated comprehensive research dysmorphology scoring system; and a new lip/philtrum guide for the white population, incorporating a 45-degree view. The guidelines reflect consensus among a large and experienced cadre of FASD investigators in the fields of dysmorphology, epidemiology, neurology, psychology, developmental/behavioral pediatrics, and educational diagnostics. Their improved clarity and specificity will guide clinicians in accurate diagnosis of infants and children prenatally exposed to alcohol.
  • Washington Department of Health — Substance Abuse During Pregnancy: Guidelines for Screening and Man
    This resource offers guidelines and sample tools for screening pregnant women for substance use and provides recommendations on drug testing protocols for pregnant women and newborns.
  • Webinar: Prenatal Exposure to Substances and Trauma: Fostering Parent and Child Well-being
  • Wellness Worksheets (Twelfth Addition)
    Emotional health refers to a positive self-concept, which includes dealing with feelings constructively and developing positive qualities such as optimism, trust, self-confidence, and determination. The 126 Wellness Worksheets in this package are designed to help students become more involved in their own wellness and better prepared to implement behavior change programs. They include the following types of activities: assessment tools that help students learn more about their wellness-related attitudes and behaviors; internet activities that guide the students in finding and using wellness-related information on the Web; knowledge-based reviews that increase students’ comprehension of key concepts.