Back

Mother & Baby Substance Exposure Toolkit

The Mother & Baby Substance Exposure Initiative Toolkit was developed, as part of the California Medication Assisted Treatment Expansion Project, by a group of maternal and newborn health care providers from across California and the United States who volunteered their time and expertise to create this resource for hospitals caring for mothers and newborns affected by substance exposure. The California Maternal Quality Care Collaborative (CMQCC), the California Perinatal Quality Care Collaborative (CPQCC), and Health Management Associates (HMA) collectively express our deep gratitude to the following individuals for their contributions to this product.

Funding

Funding for this publication was made possible (in part) by H79TI081686 from SAMHSA. The views expressed in this website, written event materials or publications and by facilitators and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.

Suggested citation

Copyright information

© 2020 California Maternal Quality Care Collaborative and California Perinatal Quality Care Collaborative. The material in this toolkit may be freely reproduced and disseminated for informational, educational and non-commercial purposes only.

Contact information

Clinical Editors

Anjali Chowfla, MPA, California Perinatal Quality Care Collaborative

Christina Oldini, MBA, RN, CPHQ, California Maternal Quality Care Collaborative

Corey Waller, MD, MS, FACEP, DFASAM, Health Management Associates

Elliott Main, MD, FACOG, Stanford University School of Medicine, California Maternal Quality Care Collaborative

Emily McCormick, MPH, BSN, RN, California Maternal Quality Care Collaborative

Erin Crew, MPH, California Maternal Quality Care Collaborative

Helen DuPlessis, MD, MPH, Health Management Associates

Holly Smith, MPH, MSN, CNM, California Maternal Quality Care Collaborative

Henry C. Lee, MD, MS, Stanford University School of Medicine, California Perinatal Quality Care Collaborative

Jadene Wong, MD, Stanford University School of Medicine

Rebecca Robinson, MFA, California Perinatal Quality Care Collaborative

Newborn Writing Group

Alexandra Iacob, MD, University of California, Irvine

Angela Huang, RNC-NIC, Santa Clara Valley Medical Center

David C. Kim, MD, CHOC Children's at Mission Hospital

David Golembeski, MD, FAAP, Rady Children's Hospital-San Diego

Helen DuPlessis, MD, MPH, Health Management Associates

Henry C. Lee, MD, MS, Stanford University School of Medicine, California Perinatal Quality Care Collaborative

Jadene Wong, MD, Stanford University School of Medicine

Kara Kuhn-Riordon, MD, University of California, Davis

Katherine Weiss, MD, Rady Children's Hospital-San Diego

Kathryn Ponder, MD, John Muir Walnut Creek Medical Center, UCSF Benioff Children’s Hospital Oakland, Alta Bates Summit Medical Center

Lisa Chyi, MD, Kaiser Permanente Walnut Creek Medical Center

Pam Aron Johnson, RN, University of California, Irvine

Priya Jegatheesan, MD, Santa Clara Valley Medical Center

Robert Castro, MD, Salinas Valley Memorial Hospital, Stanford University

Vaneet Kalra, MD, University of California, Davis

Maternal Writing Group

Candy Stockton, MD, Humboldt Independent Practice Association

Carrie Griffin, DO, With Open Arms Reproductive Healthcare

Diana Ramos, MD, MPH, California Department of Public Health, Maternal Child Adolescent Health Division

Dorothy DeGuzman, MD, MPH, Ventura County Medical Center

Elliott Main, MD, Stanford University School of Medicine, California Maternal Quality Care Collaborative

Emillie Feenan, RN, PHN, Lake County Department of Public Health, Maternal Child and Adolescent Health Program

Heather Briscoe, MD, University of California, San Francisco

Helen DuPlessis, MD, MPH, Health Management Associates

Holly Smith, MPH, MSN, CNM, California Maternal Quality Care Collaborative

Jacqueline Rad, MSN, RN, Sutter Lakeside Hospital

Jennifer Carraher, MS, RNC-OB, PHN, Alta Bates Summit Medical Center

Kelly Brandon, MSN, RNC, CNS, IBCLC, Zuckerberg San Francisco General Hospital

Lauren Caton, MPH, Stanford University School of Medicine

Lorena Watson, RN, FNP, Sutter Lakeside Hospital and Community Clinic

Margaret Lynn Yonekura, MD, Dignity Health

Mark Zakowski, MD, FASA Cedars-Sinai Medical Center

Martha Tesfalul, MD, University of California, San Francisco

Mimi Leza, BSN, RN, PHN, IBCLC, Ventura County Public Health

Pamela Flood, MD, Stanford University

Scott Haga, MPAS, PA-C, Health Management Associates

Tipu V. Khan, MD, FAAFP, FASAM Ventura County Medical Center

Expert Reviewers

Christine Morton, PhD, California Maternal Quality Care Collaborative

Courtney Nisbet, MS, RN, California Perinatal Quality Care Collaborative

Diana Ramos, MD, MPH, California Department of Public Health, Maternal Child Adolescent Health Division

Jochen Profit, MD, MPH, Stanford University School of Medicine, California Perinatal Quality Care Collaborative

John Wachtel, MD, Stanford University

Lisa Chyi, MD, Kaiser Walnut Creek

Marjorie Meyer, MD, University of Vermont Medical Center

Munish Gupta, MD, Harvard Medical School

Patricia A. Lee King, PhD, MSW, Illinois Perinatal Quality Collaborative

Susan Hintz, MD, MS Epi., Stanford University School of Medicine, California Perinatal Quality Care Collaborative

Tipu V. Khan, MD, FAAFP, FASAM Ventura County Medical Center

Mother & Baby Substance Exposure Task Force

Angela Huang, RNC-Nic, Santa Clara Valley Medical Center

Anjali Chowfla, MPA, California Perinatal Quality Care Collaborative

Candy Stockton, MD, Humboldt Independent Practice Association

Carolyn Pham, BS, California Perinatal Quality Care Collaborative

Carrie Griffin, DO, With Open Arms Reproductive Healthcare

Cathie Markow, BSN, MBA, California Maternal Quality Care Collaborative

Christina Oldini, MBA, RN, CPHQ, California Maternal Quality Care Collaborative

Diana Ramos, MD, MPH, California Department of Public Health, Maternal Child Adolescent Health Division

Elliott Main, MD, Stanford University School of Medicine, California Maternal Quality Care Collaborative

Emillie Feenan, RN, PHN, Lake County Department of Public Health, Maternal Child and Adolescent Health Program

Erin Crew, MPH, California Maternal Quality Care Collaborative

Grace V. Dueñas, MPH, California Perinatal Quality Care Collaborative

Helen DuPlessis, MD, MPH, Health Management Associates

Henry C.Lee, MD, MS, Stanford University School of Medicine, California Perinatal Quality Care Collaborative

Jacqueline Rad, RN, MSN, Sutter Lakeside Hospital

Jadene Wong, MD, Stanford University School of Medicine

Jennifer Carraher, MS, RNC-OB, PHN, Alta Bates Summit Medical Center

Lauren Caton, MPH, Stanford University School of Medicine

Lisa Chyi, MD, Kaiser Permanente Walnut Creek Medical Center

Lorena Watson, RN, NP, Sutter Lakeside Hospital and Community Clinic

Margaret Lynn Yonekura, MD, Dignity Health

Marjorie Meyer, MD, University of Vermont Medical Center

Mark Zakowski, MD, FASA Cedars-Sinai Medical Center

Martha Tesfalul, MD, University of California, San Francisco

Pamela Flood, MD, Stanford University

Rebecca Robinson, MFA, California Perinatal Quality Care Collaborative

Rebecca Schwartz, LCSW, UCSF Positive Health Program at Zuckerberg San Francisco General

Robert Castro, MD, Salinas Valley Memorial Hospital, Stanford University

Steve Gwiazdowski, MD, North Bay Medical Center

HMA Mother & Baby Substance Exposure Initiative Project Team

Corey Waller, MD, MS, FACEP, DFASAM, Project Co-director

Helen DuPlessis, MD, MPH, Project Co-director

Charles Robbins, MBA, Project Manager

Julia Elitzer, DrPH, MPH, TA Coordinator

Nayely Chavez, MPH, TA Coordinator

Special thanks for the video narration to:

Barry J. Jacobs, Psy.D.

Laquisha Grant, MPA

Shannon Robinson, MD, FASAM

Shelly Virva, LCSW, FNAP

Uma Ahluwalia, MSW, MHA

Helen DuPlessis, MD, MPH, FAAP

About the Mother & Baby Substance Exposure Initiative

The Mother & Baby Substance Exposure Initiative (MBSEI) is a partnership between Health Management Associates (HMA), the California Maternal Quality Care Collaborative (CMQCC), and the California Perinatal Quality Care Collaborative (CPQCC) that aims to decrease neonatal abstinence syndrome (NAS) severity and length of stay in the hospital and increase the number of mothers with substance use disorder in long-term recovery.