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Spring 2021 CHoSEN Forum Hosted Virtually on April 15th

4/30/2021

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Multidisciplinary healthcare and human services professionals currently engaged in or hoping to learn more about Colorado Hospital Substance Exposed Newborns (CHoSEN) Collaborative’s work convened virtually on April 15, 2021 to engage in shared learning and receive updates on work happening across the collaborative.

Intentions for the day were set by honoring Dr. Annie Hall’s legacy, reflecting on the ongoing impacts of structural and historical racism on maternal and infant health, and centering on the experiences of those directly impacted by perinatal substance use through recorded stories shared by two Substance Exposed Newborns Family Advisory Board members. Dr. Susan Hwang also shared a preview of CHoSEN’s current and upcoming efforts to expand its focus beyond the birth hospitalization to the prenatal and postnatal periods.

CHoSEN was honored to be joined by attending neonatalogists Dr. Stephen Patrick, Director of the Center for Child Health Policy and Associate Professor of Pediatrics and Health Policy at Vanderbilt, and Dr. Elisha Wachman, Associate Professor of Pediatrics at Boston University School of Medicine, for the day’s keynote presentations.
Dr. Patrick’s keynote presentation reflected on how public health systems improve and impede optimal outcomes for pregnant women and infants affected by the opioid crisis, with a focus on barriers to treatment, the role of communities, and recent changes to the child welfare system. Dr. Elisha Wachman’s keynote presentation gave an overview of Boston Medical Center’s innovative approaches to engaging families in the prenatal, birth hospitalization, and postnatal periods.



In addition to the keynote presentations, attendees heard updates from CHoSEN’s leadership and from participating entities who are implementing exciting work:

  • CHoSEN’s leadership shared:
    • ​CHoSEN Policy, Multisystems, and Funding Update:
      • ​Colorado Perinatal Care Quality Collaborative (CPCQC)’s Jaime Cabrera shared updates on funding streams and information on the work happening through the Colorado Department for Public Health & Environment (CDPHE) Maternal Mortality Prevention Program and Maternal Mental Health Collaborative & Framework.
      • Illuminate Colorado’s Jade Woodard shared the updated set of Colorado SEN priorities developed by the SEN Steering Committee and Family Advisory Board, updates on the rulemaking processes for Plans of Safe Care and the revision to the Children’s Code, and information on bills relevant to substance use and pregnancy moving through Colorado’s legislative session.
  • Updates from participating entities included:
    • ​​Information on Kempe Center’s partnership with Denver Health to pilot a Perinatal Navigator Program, presented by Jennfier Koch-Zapfel
    • Centura Health System’s experience implementing the Eat Sleep Console model of care, presented by Dr. Bridget Buzzella
    • Denver Health’s integration of the Plans of Safe Care document into their electronic medical record system, presented by Dr. Lauren Bruns

Missed the event or looking to refresh your memory of the day? Find the materials, recordings, and related opportunities to engage below.

Materials and Recordings:
  • Slides from the day can be found here.
  • Recordings from the day can be found here.
  • Boston Medical Center's Prenatal Substance Use Breastfeeding Guidelines and a publication supporting use of these guidelines 
  • The first findings report from the Prenatal Substance Use and Improving Family Health study and more information about the project can be found here.

Opportunities to Engage: 

  • If you are interested in getting more involved in CHoSEN, need a presentation for your stakeholders, have specific data needs, or would like to schedule a virtual site visit, please reach out to Susan Hwang. 
  • Find information on the Colorado Alliance for Innovation on Maternal Health (AIM) Substance Use Disorder Learning Collaborative here.
  • New Colorado SEN priorities have been established for 2021-2022, and the work to advance them is underway! Learn more about the priorities and how you can get involved. To learn more about additional systems change efforts, including relevant bills currently moving through the legislative session, please contact Jillian Fabricius.
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In Case You Missed It Resources: April 2021

4/7/2021

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Please see below for a variety of resources recently shared by CHoSEN partners:
Nationwide Study Shows Continued Rise in Opioid Affected Births, January 2021

Postpartum Behavioral Health in Colorado, February 2021

Mothering and Opioids Toolkit: Addressing Stigma- Acting Collaboratively

Knowledge to Action: Care Equity for Black Moms: AWHONN - The Association of Women's Health, Obstetric and Neonatal Nurses is committed to bringing the truth about racial disparity in maternal care into the light. This video shares the journeys of two Black women whose lives were changed forever as they experienced bias, disrespectful care, and neglect during their hospital stay. The video also highlights the perspectives of a nurse and a nurse midwife who emphasize the need for change. Our hope is that this video will serve as a catalyst to challenge healthcare providers’ mindsets around racial disparity, and to transform knowledge into actions that will pave a pathway to equitable treatment for Black women and women of color.

Virtual Support Groups for Pregnant and Parenting Individuals:
  • The Postpartum Wellness Center/Boulder is offering a new support group for pregnant and expectant individuals to connect with and navigate parenting through a pandemic. Groups are on Wednesdays, 4:30-5:30pm MST. Donations between $5-$15 are accepted. To learn more and to register, contact marley@pwcboulder.com. Additional support groups are available through Postpartum Support International.
  • The Apart But Not Alone well-being group for perinatal women will be continuing virtually yet again! This group is offered for FREE by the University of Colorado Department of Psychiatry with the aim of fostering connection for perinatal women during the COVID-19 Pandemic. As this is not designed as a treatment group, participants do not need to have a mental health diagnosis to benefit. If a mental health need is identified during the group, the facilitators will make appropriate referrals for treatment. The group does require advance registration. Details and registration link can be found on this flyer. Please feel free to circulate widely to other groups who might find this resource helpful!
  • Circle of Parents is a nationally recognized model that is evidence-informed. Circle of Parents provides parents and other caregivers free, weekly support group meetings that are friendly and supportive. It is a safe space that allows anyone in a parenting role to openly ask questions and discuss the successes and challenges of raising children. Circle of Parents increases the awareness of the five Protective Factors to promote healthy and safe families. Those five Protective Factors are: social connections, parental resilience, concrete support in times of need, knowledge of parenting and child development, and social-emotional competence of children.
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Upcoming Events/Opportunities to Engage

4/7/2021

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Please see below for upcoming events and opportunities to engage recently shared by CHoSEN partners:
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Don’t miss the spring CHoSEN Forum! CHoSEN Collaborative will host its spring Forum virtually from 9 am-1:30 pm on April 15, 2021. The virtual forum will include a focus on prenatal engagement and safe discharge of families and two keynote presentations. Visit this page to learn more, see the agenda, and register for the event!

​Join a SEN Work/Advisory Group today! The Colorado SEN Steering Committee is recruiting participants for the work/advisory groups that will convene to advance its 2021-2022 priority areas. Visit this page to learn more about the Committee and its 2021-2022 priority areas and to sign up to join a work or advisory group. ​
Virtual Screening of "Community Voices": A Black Maternal Health Week in Colorado Event; Friday, April 16, 12 pm MT- In honor of Black Maternal Health Week 2021 (#BMHW21) occurring April 11-17, CPCQC invites you to attend a virtual documentary screening of "Community Voices." The infant mortality rate in Colorado is one of the lowest in the nation, so why is the death rate for Black babies over twice that of white babies? This short documentary depicts the experiences of the healthcare system by Black women in our community. The Addressing Infant and Maternal Mortality (AIMM) Medical Student Group at the CU School of Medicine will screen the film and facilitate a post-screening discussion about racism in the healthcare system. Register here.
Stigma, Equity and Trauma-Informed Care: Rebuilding Hospital Culture- Modeled on the CA Bridge implementation Blueprint, this “Boot Camp” series will provide specialized training and networking opportunities for hospital champions. Sessions will focus on changing the standard of care for substance use disorders, including clinical guidance for medication for addiction treatment (MAT), and health equity for underrepresented populations. You can join the webinars at any part in the series.
Colorado AIM: Substance Use Disorder Learning Collaborative Learning Opportunities- The Colorado AIM: Substance Use Disorder (CO AIM: SUD) Learning Collaborative, convened by CPCQC, focuses on establishing hospital guidelines and protocols for screening, brief intervention, and referral to treatment (SBIRT) for substance use disorder and perinatal mood and anxiety disorders at the time of admission for birth. Labor and Delivery units across the state are participating in the Collaborative, and CPCQC invites all who are interested to participate in related learning opportunities, even if their hospital is not participating in the Collaborative. For more information about the Collaborative and upcoming learning opportunities, visit CPCQC's project page or email info@cpcqc.org. 

​**Please note: While the learning opportunities are open to anyone who is interested, the last 30 minutes of each Monthly Coaching Call will be dedicated to sharing challenges, successes, and questions of participating hospital teams only. Additionally, portions of each quarterly Learning Session will be dedicated to group work for participating hospital teams only. Those who are not members of a participating hospital team can leave the call when this portion of each learning opportunity begins.**
Stigma of Addiction Summit: June 10, 2021 | 12 pm-  6pm ET: Join the National Academy of Medicine, Dell Medical School at The University of Texas at Austin, and Shatterproof on June 10, 2021 for the Stigma of Addiction Summit - a half-day, virtual, action-oriented summit entirely dedicated to understanding, addressing, and eliminating the harmful impacts of stigma on people who use drugs. 

The Summit will endeavor to elevate current efforts at reducing stigma, identify successes and gaps in the evidence base, and prioritize and identify areas for future research and funding with an explicit focus on stigma, which is often touched upon only marginally in broader conversations about addiction. 

The Summit is free to attend and will be recorded for viewing after the event concludes. Register to attend and/or submit an innovation abstract. ​
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