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Resources for Working With<br />

Pregnant Women<br />

American Congress of Obstetricians<br />

and Gynecologists: http://www.acog.org<br />

CDC Guidelines: http://jama.jamanetwork.com/article.aspx?articleid=2503508<br />

MAT/SAMHSA: http://www.samhsa.<br />

gov/medication-assisted-treatment<br />

National Advocates for Pregnant<br />

Women: http://www.advocatesforpregnantwomen.org<br />

Screening, Brief <strong>In</strong>tervention, and Referral<br />

to Treatment: http://www.integration.<br />

samhsa.gov/clinical-practice/SBIRT<br />

References<br />

American Congress of Obstetricians and Gynecologists<br />

(ACOG). (2012). Opioid abuse,<br />

dependence, and addiction in pregnancy.<br />

Committee Opinion No. 524. 19, 1070-6.<br />

American Congress of Obstetricians and<br />

Gynecologists (ACOG). (2011). Substance<br />

abuse reporting and pregnancy: The role<br />

of the obstetrician–gynecologist. Committee<br />

Opinion No. 473. 117, 200-1.<br />

Association of State and Territorial Health<br />

Officials (ASTHO). (2014). Neonatal<br />

abstinence syndrome: How states can help<br />

advance the knowledge base for primary<br />

prevention and best practices of care. [PDF<br />

Document]. Retrieved from: http://www.astho.<br />

org/prevention/nas-neonatal-abstinence-report/.<br />

Bell, J., Towers, C. V., Hennessy, M. D.,<br />

Heitzmen, C., Smith, B. , & Chattin, K.<br />

(2016) Detoxification from opiate drugs during<br />

pregnancy. American Journal of Obstetrics<br />

Gynecology, 215, 374. e1-6.<br />

Centers for Disease Control and Prevention<br />

(CDC). (2015). Press release: Opioid painkillers<br />

widely prescribed among reproductive age<br />

women. Retrieved from: http://www.cdc.gov/<br />

media/releases/2015/p0122-pregnancy-opioids.<br />

html.<br />

Centers for Disease Control and Prevention<br />

(CDC). (2013). Prescription painkiller overdose<br />

<strong>In</strong>fographic. Retrieved from: http://www.cdc.<br />

gov/vitalsigns/prescriptionpainkilleroverdoses/<br />

infographic.html.<br />

Jones, H. E., Martin, P. R., Heil, S. H.,<br />

Kaltenbach, K., Selby, P., Coyle, M. G.,<br />

Stine, S. M., O'Grady, K. .E, Arria, A. M.,<br />

& Fischer G. (2008). Treatment of opioid<br />

dependent pregnant women: Clinical and<br />

research issues. Journal of Substance Abuse<br />

Treatment (35) 3, 245-259.<br />

16 The New Social Worker Winter 2017<br />

Newman, R. (2013). Open letter to the media<br />

and policy makers regarding alarmist and inaccurate<br />

reporting on prescription opioid use by<br />

pregnant women. [PDF Document]. Retrieved<br />

from: http://advocatesforpregnantwomen.org/<br />

Opioid%20Open%20Letter%20-%20March%20<br />

2013%20-%20FINAL.pdf.<br />

Saiki, T., Lee, S., Hannam, S., & Greenough,<br />

A. (2010). Neonatal abstinence syndrome–<br />

postnatal ward vs. neonatal management.<br />

European Journal of Pediatrics 169, 95-98.<br />

Salter, M., Ridley, N., & Cumings, B. (2015).<br />

Tennessee Association of Alcohol, Drug, and Other<br />

Addiction Services white paper on implementation<br />

of Chapter 820 opportunities to address<br />

pregnancy, drug use and the law. [PDF Document].<br />

Retrieved from: http://taadas.org/<br />

TAADAS%20White%20Paper%202015.pdf.<br />

Substance Abuse and Mental Health Services<br />

Administration Center for Substance<br />

Abuse Treatment (SAMHSA). (2008).<br />

Medication-assisted treatment for opioid addiction<br />

in opioid treatment programs. Treatment<br />

Improvement Protocol (TIP) Series 43.<br />

HHS Publication No. (SMA) 12-4214.<br />

Substance Abuse and Mental Health Services<br />

Administration (SAMHSA). (2016).<br />

A collaborative approach to the treatment of<br />

pregnant women with opioid use disorders. HHS<br />

Publication No. (SMA) 16-4978. Rockville,<br />

MD: Substance Abuse and Mental Health<br />

Services Administration. Available at: http://<br />

store.samhsa.gov/.<br />

Terplan, M., Kennedy-Hendricks, A., &<br />

Chisolm, M. (2015). Prenatal substance use:<br />

Exploring assumptions of maternal unfitness.<br />

Substance Abuse: Research and Treatment<br />

9 (S2) 1-4.<br />

Cayce M. Watson is a Licensed Advanced<br />

Practice Social Worker and Master Addiction<br />

Counselor. Her practice experience is in<br />

mental health and addictions treatment. She<br />

is an assistant professor and Field Coordinator<br />

in the Social Work Department at<br />

Lipscomb University in Nashville, TN. She<br />

has also served as Research Coordinator of<br />

a NIH and NIDA funded study concerning<br />

opiate use among pregnant women.<br />

April Mallory, MSW, LCSW, is a social<br />

worker with many years of experience<br />

working within the psychiatric and criminal<br />

justice systems. She evaluates impaired physicians<br />

as part of the team at Vanderbilt’s<br />

Comprehensive Assessment Program and is<br />

an assistant professor of practice at the University<br />

of Tennessee College of Social Work.<br />

Bowman—continued from page 3<br />

child advocacy specialist intern, resource<br />

unit/foster care intern, community<br />

development intern, and a houseparent<br />

in a crisis nursery.<br />

Yet she remains to some degree<br />

a reluctant leader. “One of the things<br />

about leadership that almost always<br />

comes to mind is the responsibility to<br />

the people following behind me that it<br />

implies. I think that is why I have such<br />

a hard time being considered a leader,”<br />

Bowman says. “I dread people following<br />

my lead so much that I hesitate to<br />

even recommend a movie to people—<br />

what if they hate it and I have steered<br />

them wrong?”<br />

But then there is the acknowledged<br />

ability. “I know people consider me a<br />

leader,” Bowman continues. “I hear it<br />

in my classes, at my job, on the board...<br />

and perhaps it is just a bad case of impostor<br />

syndrome, but I just do not want<br />

to disappoint anyone or make them<br />

regret listening to me. Having said that,<br />

I do feel a confidence in myself that I<br />

have never felt in the past. Social work<br />

was waiting for me, and I am so glad I<br />

found it. What I need to get used to is<br />

that I may have found myself to be a<br />

leader, as well.”<br />

Bowman will further display her<br />

leadership qualities when Advocacy<br />

Day takes place on campus in the<br />

spring. She will invite all the social<br />

work students to come in groups to<br />

speak with legislators.<br />

One quality Bowman embraces is<br />

authenticity. “I’m very big on honesty,”<br />

she says. “The person I put out is the<br />

real one.”<br />

She speaks candidly about her<br />

interracial marriage and about being<br />

diagnosed right before community<br />

college—the first time in her life she was<br />

struggling in school—with ADHD. She<br />

isn’t worried about the “stigma” of the<br />

diagnosis or of the medications she was<br />

prescribed. At the same time, Bowman<br />

laughs as she admits, “I feel more normal<br />

when a lot is going on in my life.”<br />

Wherever she chooses to go or<br />

whatever she decides to focus on in<br />

her career, Huguley says, “She’ll be<br />

outstanding. She’s a very impressive<br />

person.”<br />

Freelance writer Barbara Trainin Blank,<br />

formerly of Harrisburg, PA, lives in the<br />

greater Washington, DC, area. She writes<br />

regularly for The New Social Worker.

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