University of Pittsburgh
The investigators seek to adapt a collaborative care model (CCM) for community-based, low-resource obstetric settings and to test the effects of this adapted CCM on health outcomes among Pregnant, postpartum, and parenting person (PPPP) with Opioid use disorder (OUD) and their families. To achieve this goal, investigators will conduct a nonrandomized, Type 1 hybrid implementation-effectiveness study across 3 community-based, low-resource obstetric sites in Northwest PA, a region with rates of maternal opioid-related diagnoses 4 times higher than national averages.
Our central hypothesis is that person-centered, recovery supports, provided in the CCM will increase medication for OUD (MOUD) initiation and continuation, decrease overdose and reduce child removal rates among PPPP with OUD. Specifically, investigators will: 1. Conduct an intervention adaptation project to adapt the Pregnancy and Women's Recovery Center (PWRC) CCM for rural and low-resource obstetric settings; and 2. Create a common data model to harmonize variables across data sources and data collection processes across study sites. Investigators will also: 1. Evaluate the effects of th…
Inclusion Criteria: (Stakeholder Participant) 1. 18 years or older 2. Providing care at participating obstetric site 3. English speaking (Patient Participant) 1. 18 years or older 2. Receiving care at participating obstetric site 3. English speaking Exclusion Criteria: 1\. Unwillingness to have participation audio recorded.
Usual, referral-based, care.
Person-centered, recovery supports.
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