19MH033 - Project CARA Webinar Series: Building a Culture of Ethical Perinatal Substance Use Care (3-Part Webinar Series)

Feb 12–Feb 26, 2019 Closed Medicine Mental Health Nursing

19MH033 - Project CARA Webinar Series: Building a Culture of Ethical Perinatal Substance Use Care (3-Part Webinar Series)


In the past 15 years, the national prevalence of opioid use disorder in pregnant women jumped 333%, from 1.5 cases per 1,000 delivery hospitalizations to 6.5 per 1,000.9. Despite the clear need for appropriate substance use treatment, rural women in particular face barriers to receiving adequate substance use care including transportation, access, and stigma. Given the pervasiveness and alarming increase of this disease, perinatal substance use demands creative, gender specific care models to appropriately treat women impacted by substance use disorders.

Since its inception in 2014, Project CARA (Care that Advocates Respect, Resilience, and Recovery for All) has housed its hub site at MAHEC OB in Asheville, and has evolved to meet the needs of clients, providers, and the service delivery system across Western North Carolina (WNC). Project CARA’s foundation has been built on evidence based perinatal substance use care while also nurturing partnerships with local and regional agencies to best serve these women and their families. In this 3 part webinar series, participants will develop a specialty in the treatment of substance use disorders during the perinatal period.

Agencies completing all course work are eligible to receive a Project CARA certificate and be recognized as a perinatal substance use disorder service provider that is dedicated to maintaining education and training of staff on person centered, trauma-informed care.

Want to know more about Project CARA? Click HERE for more information!

Sessions in Series (3 one-hour webinars)

Tuesdays: February 12 | February 19 | February 26
Not sold separately, two chances to attend each day: 7-8 AM or 12-1 PM
Registration closes 48 hours prior to each session

Session 1 - What if We Treated Everyone as if They Have a Trauma History?

Participants will review trauma informed care and improve practical skills to screen pregnant women with substance use disorders.

1. Review the prevalence of trauma in the pregnant and parenting population affected by substance use disorders
2. Examine the ethics of delivering a trauma based approach in pregnancy care
3. Evaluate unconscious bias, language, and stigma affecting access and delivery of substance use care during pregnancy
4. Evaluate their physical space and its role in trauma-informed care

Session 2 - Medication Assisted Treatment (MAT) and Pregnant Women: Expertise in Evaluating the Client in Active Disease

Participants will develop expertise in evaluating the client in active disease.

1. Review current evidenced based recommendations for MAT in substance use disorders during pregnancy
2. Review common behaviors seen in active addiction and how to manage the disease state vs. the client
3. Integrate patient-centered decision making and evidence based recommendations for MAT
4. Formulate how to build a community that is receptive to and accepting of MAT in order to address social determinants of health

Session 3 - The Team Approach: Changing Generational Patterns of Substance Use Disorders One Pregnancy at a Time

Participants will learn collaborative team approach methods that affect the incidence of inter-generational substance use disorder.

1. Review the basics of attachment theory and early infant bonding
2. Review Adverse Childhood Experiences (ACEs) and their role in substance use disorders
3. Evaluate current evidence surrounding support of the "Mother Baby Dyad"
4. Develop a plan for building resilient communities through a collaborative model

Group Registrations

Registering several participants with one payment? Please use the paper registration form at the end of the brochure (coming soon). Completed paper registrations can then be faxed, scanned and emailed, or mailed to the MAHEC Registration Team.

Group Rate Available!

$25/person | Five or more from same agency, registering & paying at same time
(after Feb 3rd, group rate increases to $35/person)

Target Audience

Physicians, Nurses, Mental Health and Substance Use Professionals, Case Managers, Social Workers, Counselors and others interested in this topic


  • Examine the biological differences between men and women in relation to substance use disorders
  • Differentiate between different Medication Assisted Treatment (MAT) options available for pregnant and parenting women
  • Evaluate current research on Adverse Childhood Experiences (ACES), examine trauma informed care and how to implement it into practice
  • Integrate these new skills into their home communities to build perinatal substance use collaboratives


  • Erin R. Bowman, LCAS, LCSW, CCS
  • Tammy Cody, MSW, LCSW
  • Marie N. Gannon, LPC, LCAS, CSI
  • Elisabeth A. Johnson, FNP, PhD
  • Ashley L. McClary, MD, MPH
  • Dan Pizzo
  • Melinda Ramage, MSN, FNP-BC, CARN-AP
  • Connie Renz, MSW LCSW LCAS


Brochure / Registration Form