Preventing Alcohol Exposed Pregnancies Toolkit

Preventing Alcohol Exposed Pregnancies Toolkit

Introduction to the Toolkit

The CHOICES/Alcohol Screening and Brief Intervention (aSBI) toolkit was developed as a guide for clinics, communities, or those working within Native populations to help reduce the incidence of harm from risk drinking and an alcohol-exposed pregnancy (AEP). Using trainings, resources, and technical assistance for clinic staff, this toolkit enhances the community’s knowledge, skills, and abilities to provide and promote interventions to reduce AEPs and risk drinking within their population.

Fetal alcohol spectrum disorders (FASDs) are a group of conditions that can occur in a person whose mother drank alcohol during pregnancy. AEPs can result in a range of birth defects, as well as neurodevelopmental and behavioral effects, collectively known as FASDs. FASDs are an important public health issue throughout the United States. Clinicians serving women of child bearing age can support the prevention of AEPs by using recommended screening and brief intervention resources with their patients.

This toolkit provides a variety of tools that have been used within both clinical and public health settings, which included having public health nurses work in the community, providing phone intervention, and working with Native communities on a Native CHOICES/aSBI project. Alcohol SBI has a set of validated screening questions to identify patients’ drinking patterns and initiate a short conversation with those who are drinking at risky levels and/or a referral to treatment for those with severe risk. CHOICES identifies non-pregnant women who are at-risk of an AEP, and focuses on increasing contraception use and reducing risky drinking using motivational interviewing techniques.

Moreover, this toolkit will help providers identify key stakeholders within a practice setting, their community, and Native communities to develop strategies and goals for the work. The toolkit also provides examples of CHOICES adaptations in different communities and modalities, and implementation and sustainability resources. Using this toolkit along with the recommended trainings and technical assistance will help increase the likelihood of successfully implementing these tools into practice settings, populations, and Native communities with the ultimate goal to reduce AEPs.