Improve Identification of Pregnant People at Risk - Revision history

BasilSavitsky: /* Sources */

2024-12-06T23:37:30Z

Sources

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	The content in this wiki has been moved to other wikis in SAFE Solutions.		The content in this wiki has been moved to other wikis in SAFE Solutions.

	~~= Sources =~~

BasilSavitsky: /* Relevant Research */

2024-12-06T23:37:15Z

Relevant Research

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	~~= Relevant Research =~~		The content in this wiki has been moved to other wikis in SAFE Solutions.

	~~'''Who is at Risk?'''~~

	Women who were exposed to adverse childhood experiences (ACEs) and are socioeconomically vulnerable have a greater risk of using illicit substances, tobacco, and alcohol. <ref>https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-021-03591-1</ref> White pregnant people are more likely to use tobacco when compared to black and Hispanic populations. <ref>https://www.samhsa.gov/data/sites/default/files/Spot062PregnantRaceEthnicity2012/Spot062PregnantRaceEthnicity2012.pdf</ref> During pregnancy, Black people are more likely to use illicit substances when compared to Hispanics and white people. This data shows that prenatal substance use is present among multiple races and ethnicities. Therefore, medical providers and public health professionals should intervene by identifying all people at risk for developing or continuing substance use during pregnancy.

	people with psychiatric comorbidities are at a higher risk of using multiple substances during pregnancy. A study on the results of the National Survey of Drug Use and Health (NSDUH) showed that people who experienced a major depressive episode within the last year were more likely to engage in alcohol and tobacco use during pregnancy when compared to pregnant people who abstained from substances. <ref>https://www.ncbi.nlm.nih.gov/books/NBK542330/</ref> The study also found that environmental stressors and lack of consistent prenatal care were correlated with worsening maternal and fetal outcomes. <ref>https://www.ncbi.nlm.nih.gov/books/NBK542330/</ref> The ~~World Health Organization (WHO) recommends engaging people~~ in prevention efforts to improve mental health before becoming pregnant since mental health issues are a risk factor for developing a substance use disorder. <ref>https://www.ncbi.nlm.nih.gov/books/NBK542330/</ref>

	~~'''Parent Impact and Involvement in Prevention'''~~

	Parents play a vital role in preventing teen girls from unplanned pregnancies. Because teens are more likely to not notice that they are pregnant and much more likely to engage in risky behaviors such as substance use and binge drinking, parents should aim to educate their teens early. Parents can begin to talk with their children about not only the risks of substance use, but the risks of becoming pregnant, and how to prevent unwanted pregnancy. SAMHSA reports that most pregnant teens used marijuana and drank alcohol more frequently than other substances before pregnancy. Experts believe that this ~~trend exists because teens have a misconception that there are fewer risks involved when choosing to use these substances compared~~ to other illicit drugs. <ref>https://www.samhsa.gov/data/sites/default/files/CharacteristicsOfPregnantTeenSubstanceAbuseTreatmentAdmissions/CharacteristicsOfPregnantTeenSubstanceAbuseTreatmentAdmissions/SR121-pregnant-teen-treatment.pdf</ref> It may be beneficial to increase prevention and intervention strategies for these particular substances among teens. Public health campaigns can begin to highlight the direct and indirect consequences of use, such as criminal justice involvement, unwanted pregnancy, addiction, and greater risk of exposure to sexually transmitted diseases. <ref>https://www.samhsa.gov/data/sites/default/files/CharacteristicsOfPregnantTeenSubstanceAbuseTreatmentAdmissions/CharacteristicsOfPregnantTeenSubstanceAbuseTreatmentAdmissions/SR121-pregnant-teen-treatment.~~pdf</ref>~~

	= Sources =		= Sources =

BasilSavitsky: /* Key Information */

2024-12-06T23:33:20Z

Key Information

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	~~==Key Information==~~

	~~'''Primary Prevention'''~~
	The implementation of thorough screening and education in primary care settings for all females of reproductive age, not just those who are currently pregnant, could drastically impact the occurrence of prenatal substance use. Since about half of all pregnancies are unplanned, many people could be using alcohol or other substances without knowing they are pregnant. Physicians can provide broad education on the risks of using substances and the possibility of unknowingly becoming pregnant while continuing to use. Early detection and intervention for substance use during childbearing age can offer an opportunity for people to take necessary precautions such as contraception or abstaining from substance use if there is a chance of becoming pregnant. Medical providers and public health officials can increase education about the effects of substances and the associated risks. Women, in general, have unique risks pertaining to alcohol, tobacco, and illicit substance use when compared to males. For example, the National Center for Addiction and Substance Abuse (CASA) reports the following facts for women when compared to men: <ref>https://ccsso.org/resource-library/national-center-addiction-and-substance-abuse-casa</ref>

	*Greater impairment after drinking the same amount of alcohol;
	*Accelerated development of alcohol-related problems;
	*Greater susceptibility to the development of alcohol-related medical disorders;
	*Increased asthma attacks;
	*Becoming addicted to nicotine at lower levels of use;
	*Greater impairment of lung functioning;
	*Greater difficulty quitting smoking;
	*Greater susceptibility to brain damage from heavy use of Ecstasy;
	*Greater likelihood of hospitalization from nonmedical use of pain medications;
	*Moderate to heavy alcohol consumption increases risks for breast cancer;
	*Increased risk of female infertility;

	Along with all of these harmful impacts of substance use on women in general, substance use also places women of reproductive age at a heightened risk for unplanned pregnancy. Medical provider training and improved local support for prevention in this area could potentially reduce the number of people who knowingly or unknowingly become pregnant and expose their unborn children to substances. Physicians can also screen and empower people who use substances to seek treatment or take precautions so as to not become pregnant through the use of contraceptives.

	'''Screening, Brief Intervention, and Referral to Treatment (SBIRT).''' <ref>https://www.councilsepa.org/programs/screening-brief-intervention-and-referral-to-treatment-sbirt/about-screening-brief-intervention-and-referral-to-treatment-sbirt/</ref>
	Brief Screening consists of the provider asking a series of questions that can help to identify where patients fall along a continuum of substance use, not merely just “addicted” or “non-addicted.” SBIRT’s model of substance use has six categories:
	*abstinence
	*experimental use
	*social use
	*binge use
	*abuse
	*substance use disorder

	The goal of SBIRT is to identify individuals who are unaware that their behaviors are putting them at risk for developing more serious issues. With feedback and support from medical providers, these individuals have the opportunity to make an informed decision and change their current behavior or to seek treatment if needed. If a patient is deemed “moderate” or “high risk” or having “problematic use” the provider can provide a brief intervention and referral for treatment. SBIRT can be implemented with minimal time and effort on behalf of the provider. The impact SBIRT has on the patient is invaluable and helps to connect patients who need education and referral to treatment. <ref>https://www.councilsepa.org/programs/screening-brief-intervention-and-referral-to-treatment-sbirt/about-screening-brief-intervention-and-referral-to-treatment-sbirt/</ref>

	= Relevant Research =		= Relevant Research =

BasilSavitsky: /* Impactful Federal, State, and Local Policies */

2024-12-06T23:26:54Z

Impactful Federal, State, and Local Policies

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	Parents play a vital role in preventing teen girls from unplanned pregnancies. Because teens are more likely to not notice that they are pregnant and much more likely to engage in risky behaviors such as substance use and binge drinking, parents should aim to educate their teens early. Parents can begin to talk with their children about not only the risks of substance use, but the risks of becoming pregnant, and how to prevent unwanted pregnancy. SAMHSA reports that most pregnant teens used marijuana and drank alcohol more frequently than other substances before pregnancy. Experts believe that this trend exists because teens have a misconception that there are fewer risks involved when choosing to use these substances compared to other illicit drugs. <ref>https://www.samhsa.gov/data/sites/default/files/CharacteristicsOfPregnantTeenSubstanceAbuseTreatmentAdmissions/CharacteristicsOfPregnantTeenSubstanceAbuseTreatmentAdmissions/SR121-pregnant-teen-treatment.pdf</ref> It may be beneficial to increase prevention and intervention strategies for these particular substances among teens. Public health campaigns can begin to highlight the direct and indirect consequences of use, such as criminal justice involvement, unwanted pregnancy, addiction, and greater risk of exposure to sexually transmitted diseases. <ref>https://www.samhsa.gov/data/sites/default/files/CharacteristicsOfPregnantTeenSubstanceAbuseTreatmentAdmissions/CharacteristicsOfPregnantTeenSubstanceAbuseTreatmentAdmissions/SR121-pregnant-teen-treatment.pdf</ref>		Parents play a vital role in preventing teen girls from unplanned pregnancies. Because teens are more likely to not notice that they are pregnant and much more likely to engage in risky behaviors such as substance use and binge drinking, parents should aim to educate their teens early. Parents can begin to talk with their children about not only the risks of substance use, but the risks of becoming pregnant, and how to prevent unwanted pregnancy. SAMHSA reports that most pregnant teens used marijuana and drank alcohol more frequently than other substances before pregnancy. Experts believe that this trend exists because teens have a misconception that there are fewer risks involved when choosing to use these substances compared to other illicit drugs. <ref>https://www.samhsa.gov/data/sites/default/files/CharacteristicsOfPregnantTeenSubstanceAbuseTreatmentAdmissions/CharacteristicsOfPregnantTeenSubstanceAbuseTreatmentAdmissions/SR121-pregnant-teen-treatment.pdf</ref> It may be beneficial to increase prevention and intervention strategies for these particular substances among teens. Public health campaigns can begin to highlight the direct and indirect consequences of use, such as criminal justice involvement, unwanted pregnancy, addiction, and greater risk of exposure to sexually transmitted diseases. <ref>https://www.samhsa.gov/data/sites/default/files/CharacteristicsOfPregnantTeenSubstanceAbuseTreatmentAdmissions/CharacteristicsOfPregnantTeenSubstanceAbuseTreatmentAdmissions/SR121-pregnant-teen-treatment.pdf</ref>

	~~= Impactful Federal, State, and Local Policies =~~

	SAFE Solutions is an ever-growing platform. Currently, limited information is readily available for this section. SAFE Project is dedicated to providing communities with the most relevant and innovative materials. We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration. Please check back soon.

	= Sources =		= Sources =

BasilSavitsky: /* Available Tools and Resources */

2024-12-06T23:26:39Z

Available Tools and Resources

← Older revision		Revision as of 16:26, 6 December 2024
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	SAFE Solutions is an ever-growing platform. Currently, limited information is readily available for this section. SAFE Project is dedicated to providing communities with the most relevant and innovative materials. We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration. Please check back soon.		SAFE Solutions is an ever-growing platform. Currently, limited information is readily available for this section. SAFE Project is dedicated to providing communities with the most relevant and innovative materials. We will continue to regularly monitor and make updates accordingly with community input and subject matter expert collaboration. Please check back soon.

	~~=Available Tools and Resources=~~

	'''SAMHSA''' holds an event called National Prevention Week (NPW) that aims to raise awareness about substance use and positive mental health. <ref>https://www.samhsa.gov/prevention-week/about</ref>. NPW showcases evidenced-based intervention programs, improves partnerships and collaborations with different agencies and organizations, and promotes quality prevention strategies and resources. The NPW website has webinars for various topics relating to substance use. These webinars contain valuable information about prevention and education. <ref>https://www.samhsa.gov/prevention-week/webinars</ref>

	'''Drugfree.Org''' has information for parents on how open communication can foster a strong bond with teens and can help to prevent future substance use. Since females of reproductive age can fall into this category (teens living at home), this is a great resource for parents who want to strengthen their relationships with their teens in order to prevent substance use and other harmful behaviors. <ref>https://drugfree.org/article/connecting-with-your-teen/</ref>

	'''Substance Use Risk Assessment for Teens''' is an online risk assessment for parents to help identify the risks associated with teen substance abuse. This is a great tool that provides important educational information as well as links to treatment resources. It should be noted that the risk assessment is not a diagnostic tool, but may be a first step in identifying if professional help is needed. <ref>https://drugfree.org/substance-use-risk-assessment/</ref>

	'''PowerToDecide.org''' has 10 tips to help parents engage in conversation about preventing teen pregnancy. <ref>https://powertodecide.org/sites/default/files/resources/primary-download/10tips_final.pdf</ref>

	= Sources =		= Sources =

BasilSavitsky: /* Promising Practices */

2024-12-06T23:16:14Z

Promising Practices

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	'''PowerToDecide.org''' has 10 tips to help parents engage in conversation about preventing teen pregnancy. <ref>https://powertodecide.org/sites/default/files/resources/primary-download/10tips_final.pdf</ref>		'''PowerToDecide.org''' has 10 tips to help parents engage in conversation about preventing teen pregnancy. <ref>https://powertodecide.org/sites/default/files/resources/primary-download/10tips_final.pdf</ref>

	~~= Promising Practices =~~

	The '''Prevention of Substance-Exposed Pregnancies Collaborative''' is a group of organizations that work together with the common goal of reducing the number of people who use substances during pregnancy. <ref>https://health.usf.edu/publichealth/chiles/fpqc/~/media/D61B2A15C6E54AAB85627A153D8DAF77.ashx</ref> Organizations from multiple states, including Oregon, California, Ohio, Colorado, Florida, and Maryland developed multiple strategies for medical and public health officials to implement in order to accomplish their mission of preventing substance exposure to those of reproductive age, pregnant people, and their unborn children.

	'''Colorado Department of Public Health''' developed an informational brief on the topic of substance use among women of reproductive age. The goal of the department is to identify women between the ages of 18 and 44 and provide interventions that prevent substance use, including prescription drugs and marijuana. <ref>https://www.tobaccofreeco.org/wp-content/uploads/2019/02/Substance-Use-Among-Women-of-Reproductive-Age-in-Colorado.pdf</ref>

	= Sources =		= Sources =

BasilSavitsky: /* Introductory Paragraph */

2024-12-06T21:58:11Z

Introductory Paragraph

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	~~==Introductory Paragraph==~~

	Drug, alcohol, and even tobacco use during pregnancy have lasting and sometimes detrimental effects on mothers and unborn babies. Prenatal use of substances cause the infant to be born with very serious health problems and can lead to stillbirths. In some cases, it can cause infant withdrawal symptoms, or dependency. Alcohol use during pregnancy can lead to what is known as Fetal Alcohol Syndrome (FAS), characterized by low birth weight, cognitive deficits, increased risk of birth defects, and behavioral problems later in life. In 2012, almost 6% of pregnant people used illicit substances, 15.9% endorsed using tobacco, and over 8% drank alcohol. <ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4870985/</ref> This accounted for well over a quarter of a million infants exposed to illicit substances in utero, over half a million exposed to alcohol, and one million exposed to tobacco. <ref>https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4870985/</ref> The detrimental impact of prenatal substance use continues to be a public health concern. Pregnant people who use substances are highly stigmatized by medical professionals, family members, and society. Stigmatization often leads to isolating and not getting proper prenatal care. <ref>https://www.samhsa.gov/data/sites/default/files/report_2724/ShortReport-2724.html</ref> Lack of prenatal care, or inconsistent care, can cause more health problems for the mother and unborn child. These facts call for increased interventions for those of childbearing age before they become pregnant in order to reduce the number who develop a substance use problem during pregnancy.

	==Key Information==		==Key Information==

BasilSavitsky: /* Promising Practices */

2024-11-30T20:20:02Z

Promising Practices

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	= Promising Practices =		= Promising Practices =

	The '''Prevention of Substance-Exposed Pregnancies Collaborative''' is a group of organizations that work together with the common goal of reducing the number of ~~women~~ who use substances during pregnancy. <ref>https://health.usf.edu/publichealth/chiles/fpqc/~/media/D61B2A15C6E54AAB85627A153D8DAF77.ashx</ref> Organizations from multiple states, including Oregon, California, Ohio, Colorado, Florida, and Maryland developed multiple strategies for medical and public health officials to implement in order to accomplish their mission of preventing substance exposure to ~~women~~ of reproductive age, pregnant ~~women~~, and their unborn children.		The '''Prevention of Substance-Exposed Pregnancies Collaborative''' is a group of organizations that work together with the common goal of reducing the number of people who use substances during pregnancy. <ref>https://health.usf.edu/publichealth/chiles/fpqc/~/media/D61B2A15C6E54AAB85627A153D8DAF77.ashx</ref> Organizations from multiple states, including Oregon, California, Ohio, Colorado, Florida, and Maryland developed multiple strategies for medical and public health officials to implement in order to accomplish their mission of preventing substance exposure to those of reproductive age, pregnant people, and their unborn children.

	'''Colorado Department of Public Health''' developed an informational brief on the topic of substance use among women of reproductive age. The goal of the department is to identify women between the ages of 18 and 44 and provide interventions that prevent substance use, including prescription drugs and marijuana. <ref>https://www.tobaccofreeco.org/wp-content/uploads/2019/02/Substance-Use-Among-Women-of-Reproductive-Age-in-Colorado.pdf</ref>		'''Colorado Department of Public Health''' developed an informational brief on the topic of substance use among women of reproductive age. The goal of the department is to identify women between the ages of 18 and 44 and provide interventions that prevent substance use, including prescription drugs and marijuana. <ref>https://www.tobaccofreeco.org/wp-content/uploads/2019/02/Substance-Use-Among-Women-of-Reproductive-Age-in-Colorado.pdf</ref>

	= Sources =		= Sources =

BasilSavitsky: /* Relevant Research */

2024-11-30T20:16:44Z

Relevant Research

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	'''Who is at Risk?'''		'''Who is at Risk?'''

	Women who were exposed to adverse childhood experiences (ACEs) and are socioeconomically vulnerable have a greater risk of using illicit substances, tobacco, and alcohol. <ref>https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-021-03591-1</ref> White pregnant ~~women~~ are more likely to use tobacco when compared to black and Hispanic populations. <ref>https://www.samhsa.gov/data/sites/default/files/Spot062PregnantRaceEthnicity2012/Spot062PregnantRaceEthnicity2012.pdf</ref> Black ~~women~~ are more likely to use illicit substances when compared to Hispanics and white ~~women during pregnancy~~. This data shows that prenatal substance use is present among multiple races and ethnicities. Therefore, medical providers and public health professionals should intervene by identifying all ~~mothers~~ at risk for developing or continuing substance use during pregnancy.		Women who were exposed to adverse childhood experiences (ACEs) and are socioeconomically vulnerable have a greater risk of using illicit substances, tobacco, and alcohol. <ref>https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-021-03591-1</ref> White pregnant people are more likely to use tobacco when compared to black and Hispanic populations. <ref>https://www.samhsa.gov/data/sites/default/files/Spot062PregnantRaceEthnicity2012/Spot062PregnantRaceEthnicity2012.pdf</ref> During pregnancy, Black people are more likely to use illicit substances when compared to Hispanics and white people. This data shows that prenatal substance use is present among multiple races and ethnicities. Therefore, medical providers and public health professionals should intervene by identifying all people at risk for developing or continuing substance use during pregnancy.

	~~Women~~ with psychiatric comorbidities are at a higher risk of using multiple substances during pregnancy. A study on the results of the National Survey of Drug Use and Health (NSDUH) showed that ~~women~~ who experienced a major depressive episode within the last year were more likely to engage in alcohol and tobacco use during pregnancy when compared to pregnant ~~women~~ who abstained from substances. <ref>https://www.ncbi.nlm.nih.gov/books/NBK542330/</ref> The study also found that environmental stressors and lack of consistent prenatal care were correlated with worsening maternal and fetal outcomes. <ref>https://www.ncbi.nlm.nih.gov/books/NBK542330/</ref> The World Health Organization (WHO) recommends engaging ~~women~~ in prevention efforts to improve mental health before becoming pregnant since mental health issues are a risk factor for developing a substance use disorder. <ref>https://www.ncbi.nlm.nih.gov/books/NBK542330/</ref>		people with psychiatric comorbidities are at a higher risk of using multiple substances during pregnancy. A study on the results of the National Survey of Drug Use and Health (NSDUH) showed that people who experienced a major depressive episode within the last year were more likely to engage in alcohol and tobacco use during pregnancy when compared to pregnant people who abstained from substances. <ref>https://www.ncbi.nlm.nih.gov/books/NBK542330/</ref> The study also found that environmental stressors and lack of consistent prenatal care were correlated with worsening maternal and fetal outcomes. <ref>https://www.ncbi.nlm.nih.gov/books/NBK542330/</ref> The World Health Organization (WHO) recommends engaging people in prevention efforts to improve mental health before becoming pregnant since mental health issues are a risk factor for developing a substance use disorder. <ref>https://www.ncbi.nlm.nih.gov/books/NBK542330/</ref>

	'''Parent Impact and Involvement in Prevention'''		'''Parent Impact and Involvement in Prevention'''

BasilSavitsky: /* Key Information */

2024-11-30T20:10:45Z

Key Information

← Older revision		Revision as of 13:10, 30 November 2024
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	'''Primary Prevention'''		'''Primary Prevention'''
	The implementation of thorough screening and education in primary care settings for all females of reproductive age, not just those who are currently pregnant, could drastically impact the occurrence of prenatal substance use. Since about half of all pregnancies are unplanned, many ~~women~~ could be using alcohol or other substances without knowing they are pregnant. Physicians can provide broad education on the risks of using substances and the possibility of unknowingly becoming pregnant while continuing to use. Early detection and intervention for substance use ~~in women of~~ childbearing age can offer an opportunity for ~~women~~ to take necessary precautions such as contraception or abstaining from substance use if there is a chance of becoming pregnant. Medical providers and public health officials can increase education about the effects of substances and the associated risks. Women, in general, have unique risks pertaining to alcohol, tobacco, and illicit substance use when compared to males. For example, the National Center for Addiction and Substance Abuse (CASA) reports the following facts for women when compared to men: <ref>https://ccsso.org/resource-library/national-center-addiction-and-substance-abuse-casa</ref>		The implementation of thorough screening and education in primary care settings for all females of reproductive age, not just those who are currently pregnant, could drastically impact the occurrence of prenatal substance use. Since about half of all pregnancies are unplanned, many people could be using alcohol or other substances without knowing they are pregnant. Physicians can provide broad education on the risks of using substances and the possibility of unknowingly becoming pregnant while continuing to use. Early detection and intervention for substance use during childbearing age can offer an opportunity for people to take necessary precautions such as contraception or abstaining from substance use if there is a chance of becoming pregnant. Medical providers and public health officials can increase education about the effects of substances and the associated risks. Women, in general, have unique risks pertaining to alcohol, tobacco, and illicit substance use when compared to males. For example, the National Center for Addiction and Substance Abuse (CASA) reports the following facts for women when compared to men: <ref>https://ccsso.org/resource-library/national-center-addiction-and-substance-abuse-casa</ref>

	*Greater impairment after drinking the same amount of alcohol;		*Greater impairment after drinking the same amount of alcohol;
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	*Increased risk of female infertility;		*Increased risk of female infertility;

	Along with all of these harmful impacts of substance use on women in general, substance use also places women of reproductive age at a heightened risk for unplanned pregnancy. Medical provider training and improved local support for prevention in this area could potentially reduce the number of ~~women~~ who knowingly or unknowingly become pregnant and expose their unborn children to substances. Physicians can also screen and empower ~~women~~ who use substances to seek treatment or take precautions so as to not become pregnant through the use of contraceptives.		Along with all of these harmful impacts of substance use on women in general, substance use also places women of reproductive age at a heightened risk for unplanned pregnancy. Medical provider training and improved local support for prevention in this area could potentially reduce the number of people who knowingly or unknowingly become pregnant and expose their unborn children to substances. Physicians can also screen and empower people who use substances to seek treatment or take precautions so as to not become pregnant through the use of contraceptives.

	'''Screening, Brief Intervention, and Referral to Treatment (SBIRT).''' <ref>https://www.councilsepa.org/programs/screening-brief-intervention-and-referral-to-treatment-sbirt/about-screening-brief-intervention-and-referral-to-treatment-sbirt/</ref>		'''Screening, Brief Intervention, and Referral to Treatment (SBIRT).''' <ref>https://www.councilsepa.org/programs/screening-brief-intervention-and-referral-to-treatment-sbirt/about-screening-brief-intervention-and-referral-to-treatment-sbirt/</ref>