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Maternal Opioid use Disorder Management
and Care Resources in Custody

Providing clinical and implementation guidance for jails to provide evidence-based, patient-centered
care for pregnant and postpartum people with opioid use disorder.

Our Mission

Our mission is to ensure pregnant and postpartum people in custody with opioid use disorder (OUD) have access to medications for OUD (MOUD, also known as “MAT”) and other services to promote the best outcomes possible for them and their infants.

We create and curate easy-to-use resources at the intersection of pregnancy  OUD care and jails. MOMCARE provides jail leaders and staff with the tools to counsel, deliver clinical care, and implement systems specific to pregnant patients with OUD—including access to methadone and buprenorphine in custody and at re-entry. We hope MOMCARE makes it easier for jails to deliver evidence-based, life-saving care to pregnant and postpartum people with OUD.

MOMCARE allows jails to tailor these pregnancy-specific services to their local jail environment– whether they see 1 pregnant patient a year or 100.

Our Mission

Who is this site for?

This site is for anyone who works in a jail that houses females. Your jail is likely to see pregnant patients, even if not that often. And we know that OUD is common in pregnancy.

If you are a jail administrator, Sheriff, correctional health provider (clinician, nurse, nursing assistant), health administrator, security/custody officer, social worker, behavioral health staff, reentry staff, or anyone else interacting with pregnant people with OUD in jail, then this site is for you!

How to use this site

If you are a clinical or mental health care provider, custody officer, case manager, or re-entry worker, you will mostly use the tools under “Pregnancy OUD Care.”  This section of MOMCARE contains quick-reference algorithms and information you can use in real-time to know what to do when you identify such a patient who has arrived at your jail.  You can also use this section to learn more about these topics in general. Information includes pregnancy-specific steps from intake, labor/childbirth, postpartum care, to discharge. MOMCARE will help you determine things like when to transport a pregnant patient to the hospital, avoiding withdrawal in pregnancy, basic counseling points like the effects of MOUD on infants, and linking pregnant patients to care in the community. You can learn about “Why” each step is important, or you can skip straight to “How” to do it!

If you are a jail health or security administrator or leader who writes policies or designs programs, you will mostly use the tools under “Implementation.” This section of MOMCARE contains a menu of options so jails can choose what approach works best in their setting– whether you are a small or large jail, whether you do not currently provide MOUD in pregnancy, or whether you are enhancing pregnancy MOUD care. This includes things like how to get funding to provide MOUD, logistics of MOUD dosing in pregnancy, security concerns like restraints in pregnancy, and staff education around stigma towards pregnant people who use drugs. We provide how-to guides that we’ve created, model policies, technical assistance links, and resources that we have vetted so you don’t have to go through a 200-page toolkit to find what you need.

Each section has a drop-down menu so you can find the information you need in the moment. You can also print out and post content for quick reference if you don’t have ready access to the internet.

Contact Us

    A project of the Johns Hopkins group Advocacy and Research on Reproductive Wellness of Incarcerated People.