Risk-appropriate care is a key strategy to improve maternal and neonatal morbidity and mortality rates by ensuring high-risk pregnant people and infants receive care at a birth facility that is best prepared to meet their needs. ASTHO brings together experts to address gaps in knowledge and advance neonatal and maternal levels of care. ASTHO works with state and territorial health agencies, neonatologists, obstetricians, and other experts to examine existing research, implement tools like the CDC Levels of Care Assessment Tool (LOCATe), and develop policy and regulation.

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Evidence-Informed Substance Use Disorder Policies for Maternal and Child Populations

Discusses the gendered and racialized impacts of substance use and child maltreatment policies and offers four considerations to policymakers as they look to create effective, meaningful policy to improve outcomes for women and families impacted by substance use disorders.

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COVID-19 and the Fourth Trimester

ASTHO’s podcast on COVID-19’s impact on overdose-related deaths during the postpartum period, also known as the fourth trimester.

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Latest Resources

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Risk-Appropriate Care Stakeholder Convenings

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Building Capacity and Dedicating Field Staff to Address Substance Use Disorders During COVID-19

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Neonatal Abstinence Syndrome: State Considerations for 2021

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Public Health Policy Issues to Watch in 2021

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Using Data to Combat Opioid-Related Harms

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Beyond Opioids: Tobacco and Other Substance Use Among Pregnant Women

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Adverse Childhood Experiences: Primary Prevention

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The Role of State Health Leaders in Addressing Substance Use Disorders Among Women, Infants, and Families

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