New brief: Lessons from our maternal health care management pilot

Michelle Adyniec, RN, BSN, and Jessica Cordero, MA, CHW
April 1, 2021
July 28, 2021
Consumer Spotlight: Camden’s COVID Community Ambassadors
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Maritza Gomez, Program Manager, Community Engagement & Evelyne Kane, Program Manager, Community Engagement
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2021 conference overview: Learning from trauma, building trust, and nurturing community healing
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Teri Willard, Administrative Coordinator, Field Building and Resources
Camden Coalition staff and partners pose together at COVID-19 vaccine event
July 15, 2021
Being the bridge: Ensuring access to care and information through the pandemic and beyond
Under-served communities like Camden were hit hardest by COVID-19. We're linking community members & providers to the info and services they need.
Hannah Mogul-Adlin, Senior Communications Manager
July 12, 2021
Student homelessness trends in Camden and the looming impacts of the COVID-19 pandemic
A new report based on our integrated data shows student homelessness is rising in Camden.
Krystin Sinclair, Americorps Vista Data Analyst, and Aaron Truchil, Director of Analytics
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New toolkit for developing complex care programs
The Complex Care Startup Toolkit is a compendium of over 200 best practice tools and resources for new and developing complex care programs.
Rebecca Koppel, Program Manager for Field Building and Resources
Camden Coalition nurse leaves patient's home after a home visit
June 2, 2021
What does the future of nursing look like? According to the National Academy of Medicine, a lot like our Camden Core Model
Our signature care management model was highlighted as an "exemplar" in the "Future of Nursing: 2020-2030" report.
Hannah Mogul-Adlin

In this newly published brief, two Camden Coalition care team members – Michelle Adyniec, RN, BSN and Jessica Cordero, MA, CHW — share their lessons learned from Camden Delivers,our maternal health care management pilot that worked with pregnant people who have a substance use disorder (SUD). We are so grateful that the forward to this piece was penned by Christine Beyer, Commissioner, New Jersey Department of Children and Families.

For people with substance use disorders (SUDs), pregnancy and early parenthood can make an already difficult struggle even more complex. Pregnancy can mean dealing with new or exacerbated chronic health conditions, significant financial strain, increased risk of domestic violence and abuse, and interaction with a host of new medical and social services. And chronic illness, including substance use disorders, can increase the risk of maternal and infant mortality.

We launched Camden Delivers in the fall of 2017 to better understand the experience and needs of pregnant people who have SUDs and are at risk for maternal mortality and other adverse maternal health outcomes. Maternal mortality in the U.S. has more than doubled in the last ten years; NJ ranks 35th in the nation in terms of pregnancy-related deaths. In communities of color these rates are even higher. In Camden, NJ, for every 100,000 women, over 30 women die in childbirth, one of the highest maternal mortality rates in the country. What we quickly learned as we began working with pregnant women and new mothers in Camden was that even more than their substance use or physical health conditions, the major barrier to wellness for participants was their involvement in the child welfare and court systems.

This brief outlines five lessons learned through this pilot and our key recommendations for how to better support pregnant and post-partum people who also have complex health and social needs and are involved with health systems, child welfare, the courts and other social services.

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