Preventing Alcohol, Tobacco, and Other Substance-exposed Pregnancies: a community Affair Hosted by: Interagency Coordinating Committee on Fetal Alcohol Syndrome Work Group on Women,
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Preventing Alcohol, Tobacco, and Other Substance-exposed Pregnancies: A Community Affair Hosted by: Interagency Coordinating Committee on Fetal Alcohol Syndrome Work Group on Women, Drinking, and Pregnancy Sponsored by: National Institute on Alcohol Abuse and Alcoholism, NIH and American Legacy Foundation September 23-24, 2008 Rockville, Maryland Report from the Conference  
This report is based on the proceedings of the September 23 and 24, 2008, symposium hosted by the Women, Drinking, and Pregnancy Work Group of the Interagency Coordinating Committee on Fetal Alcohol Syndrome. The symposium: Preventing Alcohol, Tobacco, and Other Substance-exposed Pregnancies was held in Rockville, Maryland, and sponsored by the National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, and American Legacy Foundation. About the development of the report: The initial draft of the report, based on verbatim transcripts from the symposium, was written by Linda Richardson, a science writer for Lewis-Williams Conference and Logistics Management, LLC, who attended the symposium. Each formal symposium participant was invited to correct errors in the text describing his/her presentation. The final report was edited by Dr. Deidra Roach, Division of Treatment and Recovery Research, NIAAA, and Leader of the Women, Drinking, and Pregnancy Work Group of the Interagency Coordinating Committee on Fetal Alcohol Syndrome and by Dr. Sally M. Anderson, Coordinator and Executive Secretary of the Interagency Coordinating Committee on Fetal Alcohol Syndrome. The U.S. Government does not endorse or favor any specific commercial products (or commodity, service, or company). Trade or proprietary names (or company names) appearing in this publication are used only because they are considered essential in the context of the presentation reported herein. The opinions expressed herein are those of the participants in the symposium and do not necessarily reflect an official position of NIAAA, NIH, any other part of the United States Government, or American Legacy Foundation. All material in this report is in the public domain and may be reproduced without permission from NIAAA, American Legacy Foundation, or the authors. Citation of the source is appreciated. Table of Contents Executive Summary 7 MEETING PROCEEDINGS 13 Welcome and Introductory Comments 13 Historical Background 14 The Evidence – Substance Use among Women of Childbearing Age 16 Prevalence of Substance Use among Women of Childbearing Age 16 Women and Substance Abuse: Risk Factors and Health Impacts 18 Prenatal Exposure: Effects of Commonly Used Substances 20 Panel Discussion on At-Risk Populations, and Treatment and Preventions 22 Some Federal Agency Activities on Identification of At-Risk Alcohol and other Substance Use and Intervening With Women of Childbearing Age 24 Centers for Disease Control and Prevention (CDC) 24 Substance Abuse and Mental Health Services Administration (SAMHSA) 25 Health Resources and Services Administration (HRSA) 27 National Institute on Alcohol Abuse and Alcoholism (NIAAA) 28 Intervention Research 29 Intervening in the Preconception Period 29 Intervening with Pregnant Women 32 Intervening with Women with/or At-Risk for HIV Infection 34 Reaching out to Special Populations 35 The Mississippi Experience 35 An Urban California Experience 36 The Cheyenne River and Turtle Mountain Chippewa Reservation Experience 37 Health Services Delivery and Marketing 38 Measuring the Cost-Effectiveness of Interventions in the Health Care System: Making the Business Case 38 Marketing the Message: Lessons Learned from the National Center for Health Marketing 40 Marketing the Message: Lessons Learned from the Office on Smoking and Health 41 Marketing the Message: American Legacy Foundation 43 Panel Discussion: the Role of the Media in Promoting and Reducing Tobacco Use 44 Reaching-out – Best Approaches and Global Strategies 45 Reaching out to Women at Risk: A Mother’s Perspective 45 Keynote Address I: Best Approaches to Marketing the Message “Drinking, Smoking, and Pregnancy Do Not Mix” 47 Keynote Address II: Global Strategies in Health Marketing 48 International Birth Mothers Network 50 Legislative Update 52 Future Directions and Framing an Action Agenda 53 Breakout Sessions: Future Directions 53 Framing an Action Agenda: Next Steps 54 Reports from Breakout Sessions 56 Preventing Prenatal Exposure to Alcohol, Tobacco, and other Substances of Abuse in (Universal and Selected) Populations 56 Intervening with Women with Problem Drinking and other Substances Misuse (Indicated Populations) 57 Engaging Partners, Parents, Peers, and Policymakers 58 Wrap-Up and Closing Remarks 59 References 61 Appendix 65 AGENDA 67 Speakers and Formal Discussants 71 List of other Participants 75 Abbreviation/Acronym List
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