Culturally Engaged REcovery - MOms Connected Through Native communitY (CEREMONY)
University of Utah
Summary
Pregnant and postpartum American Indian and Alaska Native people (Native mothers) face a more than two-fold higher risk of maternal mortality compared to non-Hispanic White mothers. Deaths related to substance use (SU) and mental health conditions are a leading cause of preventable maternal mortality, including among Native mothers, making these conditions a strong target for reducing maternal mortality and morbidity. The objective of this study is to 1) adapt evidence-based perinatal care models that integrate pregnancy and postpartum care with SU treatment and care to meet the needs of Native mothers, and 2) assess the implementation and efficacy of that model for participants with substance use disorder who identify as Native receiving prenatal care at Sacred Circle Healthcare in Salt Lake City, Utah.
Description
Pregnant and postpartum American Indian and Alaska Native people (Native mothers) face a more than two-fold higher risk of maternal mortality compared to non-Hispanic White mothers. Deaths related to substance use (SU) and mental health conditions reflect a leading cause of preventable maternal mortality, including among Native mothers, making these conditions a strong target for reducing maternal mortality and morbidity. The Utah Maternal Mortality Review Committee (MMRC) has identified access to substance use disorder (SUD) treatment including medication for opioid use disorder (MOUD), menta…
Eligibility
- Age range
- 18+ years
- Sex
- Female
- Healthy volunteers
- No
CEREMONY Inclusion Criteria: * English or Spanish speaking * pregnant (verified by point of care urine pregnancy test) * plan to carry the fetus to delivery * identify as Indigenous, Native, Native American, American Indian or Alaska Native * willing to grant a release of information to allow study staff to contact other health care institutions and treatment centers and collect information from the medical record, e.g., date of delivery, infant admission etc. CEREMONY Exclusion Criteria: * have a documented psychotic episode in the last 30 days * be \>39 weeks of gestation * be unable prov…
Interventions
- BehavioralCradleboard Journey
Cradleboard Journey is an integrated perinatal substance use disorder group clinical program specifically created for Native mothers.
Location
- Sacred Circle HealthcareSalt Lake City, Utah