Wisconsin Fetal Alcohol Spectrum Disorders (FASD) Prevention Initiative

1. Wisconsin Fetal Alcohol Spectrum Disorders (FASD) Prevention Initiative Sue Gadacz, Women’s AODA Treatment CoordinatorDepartment of Health and Family Services Lisa Tiedemann, Program Coordinator Wisconsin Women’s Health Foundation

3. Wisconsin Women and Alcohol Consumption • Wisconsin leads the nation in alcohol consumption by women aged 18-44 at 68% • Frequent alcohol consumption among women aged 18-44 at 25.26%. • Binge Drinking by women aged 18-44 at 24% • In a 1998 Wisconsin survey, 32% of pregnant women reported using alcohol during pregnancy • In Wisconsin, approximately 150-200 babies born each year can be identified as being negatively affected by prenatal alcohol exposure BRFSS 2001

5. Goal of Our Initiative • The goal of our Initiative is to prevent FASD by identifying and applying prevention activities that increase the number of women who do not drink alcohol while pregnant.

6. Organization Structure

7. Family-Centered Strength Based Consumer Involvement in All Aspects of the Project Team Approach Across Agencies Collaboration Across Systems Self-Sufficiency Unconditional Care Gender/Age/Culturally Responsive Treatment Ensuring Safety Education/Work Focus Builds on Natural and Community Supports Outcome-Oriented Belief in Growth, Learning, and Recovery Systems of Care in WisconsinCore Values Developed 1999

8. Building on Existing SystemsSustainability • Review of Focus Groups Held Last Year • Women in AODA Treatment, Women in Prison, Women in Child Welfare, Native American Women • Informal polling – 75% of women in the Focus Groups received PNCC and Healthy Start • Target a Service Delivery System to intervene with each High-Risk Group

9. Building on Existing SystemsSustainability • Enhance Prenatal Care Coordination (PNCC) • Maximize Healthy Start Reimbursement • Identify Key Community Partners • Women-specific AODA Programs • Wisconsin Women’s Health Foundation, Inc. • Overlap of 60% smoking and alcohol consumption during pregnancy • Replicate First Breath Program • Smoking Cessation Program for Pregnant Women

10. First Breath ProgramWisconsin Women’s Health Foundation, Inc. • Best-practices for Smoking Cessation • Non-Judgmental/Client-Centered Approach • Strength-Based • 5A’s Counseling Techniques • Contingency Management • Motivational Interviewing • Offered at PNCC clinics, WIC clinics, and other Maternal/Child Health Provider clinics

11. My Baby & MeSimilarities • Mirrors First Breath Philosophy • At Existing First Breath Sites • Integrates the Intervention

12. My Baby & MeUnique • Relational/Cultural Model • Informal Supports • Community Resources • Piloting the Intervention

13. My Baby & MeFocus on a Healthy Pregnancy • Workbook Emphasis • Why Stay Alcohol Free? • Identifying High Risk Situations • Handling Especially Difficult Situations • Stress, Anxiety, and Depression • Anger and Fear • Tips & Techniques • Journal Writing • Post-partum Concerns • What If I’m Having Trouble?

14. My Baby & MeFocus on a Healthy Pregnancy • Next Steps • Assess Effectiveness of the Intervention • Feedback from Prenatal Care Coordinators and the Moms • Modify as Needed • Expand My Baby & Me Sites • Branch out from Existing My Baby & Me Pilot Locations • At Existing First Breath Sites • Women-specific AODA Treatment Programs