GunderKids: Design of a Clinical Care Management Program for Parents With Substance Abuse and Their Newborn Children with a Focus on Preventing Child Abuse (WMJ volume 117, no. 1)
Release date (enduring material): April 5, 2018Expiration date: December 31, 2020
Authors: Ann E. Budzak-Garza, MD; Allison L. Allmon Dixson, PhD; Renee A. Holzer, RN; Kaitlin E. Lillard-Pierce, RN; Carolynn J. Devine, CSW
Background: In response to an increased need to care for babies born to mothers with substance abuse issues, we developed GunderKids, a care management program that provides integrated medical care beyond standard-of-care, well-child appointments for these socially complex families.
Methods: The program incorporates frequent visits to the pediatrician and the care team, which includes pediatric nurses, a pediatric social worker, and a child psychologist. Enrollment is voluntary. Each visit addresses parenting challenges, home environment, basic needs, safety issues, and maintenance of sobriety, as well as child development and health issues.
Results/Discussion: We found that mothers and fathers (or parents) welcome intense support following delivery, appreciate the relationship that is built with the care team, and prefer frequent visits at the medical center over in-home visits, which they perceive as potentially intrusive. We describe here the planning and implementation of the program, as well as insights gained in our first year.
At the end of this educational activity, participants should be able to:
Method of Participation
- Describe potential short- and long-term effects of maternal substance abuse on newborn children.
- Identify tools and strategies that can be utilized to increase access and effectiveness of care for this population.
Learners must read the article and complete an evaluation and post-test in which they must answer at least 75% of the answers correctly in order to receive AMA PRA Category 1 Credit™. The participant cannot proceed to request credit until this score is achieved.
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This activity is designed for Primary Care Physicians, Allied Health Professionals, and Nurses.
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Per the WMJ policy, authors disclose using the International Committee of Medical Journal Editors Disclosure Form for Potential Conflicts of Interest and those disclosures are listed in the article. The authors of this article have not disclosed any relevant financial relationships.
The editors, reviewers and CME staff are required to make disclosure of any relevant financial relationships that may be related to the subject matter discussed. The editors, reviewers and CME staff for this educational activity have made proper disclosure and have no relevant financial relationships that exist now or in the past 12 months.
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|1 AMA PRA Category 1 Credit(s)™ (Journal CME) The Wisconsin Medical Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The Wisconsin Medical Society designates this journal-based CME for a maximum of 1 AMA PRA Category 1 Credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.