[Clinicians] Region VIII Clinician Seeking Prenatal Program Information

[Shannon Kolman]

Hello CHAMPS Clinician Listserv Members,

We had a request from a Region VIII clinician that I thought may be a
good question for the members on this listserv.  Please see the
submission below and reply to this listserv address with any pertinent
information you have.

Thanks!

 

We are getting ready to start a program specific to our pregnant women.
It will involve universal screening, inhouse referral, and follow up.  A
recent large study in California performed urine tox screens on all
patients at their first visit in addition to validated questionnaire
screening.  Patients consented to the screens.  I am concerned about
offering the urine screens to all patients in that many patients will be
in the precontemplative or not ready to change stage and could be run
off prior to establishing a relationship with a provider.  I just read a
large book on Dual Diagnosis and it mentions that urine screens are
useful only after engaging the patient in a stage of readiness to
change.  I would like to pull on the experience of others in the CHAMPS
network in designing our program.  How do providers balance the need to
move quickly towards recovery with a fetus at risk versus running off
the patient?  Is universal urine screening worth it just to report these
families to DFS for further supervision and/or forced parenting plans?  

I would appreciate any information you can share.  Thanks 

Sharon Mulvehill MD

Assistant Professor

Montana Family Medicine Residency Program

123 S. 27th St

Billings, Mt  59101

406-651-6451

sharon.mul at riverstonehealth.org

 

 

Shannon Kolman, MBA

Clinical Programs Director

CHAMPS (Community Health Assoc. of Mountain Plains States)

600 Grant Street, Suite 800

Denver, CO 80203

Ph: 303-861-5165

Fax: 303-861-5315

Email: shannon at champsonline.org

www.champsonline.org

 

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