# Presentation: 546026

## Wisconsin Fetal Alcohol Spectrum Disorders (FASD) Prevention Initiative

**Sue Gadacz, Women’s AODA Treatment Coordinator****Department of Health and Family Services**
**	****Lisa Tiedemann, Program Coordinator****	****Wisconsin Women’s Health Foundation**

## Slide 2

**Notes:**
Wisconsin’s population is 5.3 million ranking it the 16th most populous state.
The city of Milwaukee, population 597,000, is the 19th largest city in the U.S. and with its surrounding suburbs, the population of Milwaukee County is 940,200. 
Milwaukee is the only truly urban area in the entire State.
Wisconsin’s Native American population numbers 48,300 and is home to eleven tribal nations with a reservation population of 15,300. 
Wisconsin’s geography is largely rural.

## 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

**Notes:**
Very high-risk alcohol use/abuse patterns for women of childbearing age.
50% of all pregnancies are unplanned.

## Slide 4

**Notes:**
Alcohol and other drug abuse is a significant health, social, public safety and economic problem in Wisconsin. 
Each year in Wisconsin there are over 800 documented deaths, 10,000 traffic crashes resulting in 8,000 injuries and over 90,000 arrests all attributable to alcohol and other drug abuse. Each year in Wisconsin there are over 800 documented deaths, 10,000 traffic crashes resulting in 8,000 injuries and over 90,000 arrests all attributable to alcohol and other drug abuse. 
Alcohol and drug abuse is the fourth leading cause of death in Wisconsin behind heart disease, cancer, and stroke and it is the fourth leading cause for hospitalization behind mental illness, heart disease, and cancer. 
The economic impact in Wisconsin each year attributed to substance abuse is estimated to be well over $2.6 billion dollars. 

## 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.

**Notes:**
Support on the Department of Health and Family Services strategic plan.
On the Governor’s KidsFirst Agenda
Healthiest People 2010
Healthy Birth Outcomes Workgroup

## Organization Structure

**Notes:**
DDES is the grant recipient, yet the goal is truly the transformation of the public health system.

## Systems of Care in Wisconsin	Core Values

- 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

- Developed 1999

## Building on Existing SystemsSustainability

- 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

## Building on Existing SystemsSustainability

- 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

## First Breath ProgramWisconsin 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

## My Baby & MeSimilarities

**My Baby & Me***Similarities*

- Mirrors First Breath Philosophy
- At Existing First Breath Sites
- Integrates the Intervention

## My Baby & MeUnique

- Relational/Cultural Model
- Informal Supports
- Community Resources
- Piloting the Intervention

## My Baby & MeFocus 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?

## My Baby & MeFocus 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