Improving Outcomes for Mothers & Infants Affected by Substance Use Disorder, Especially Opioids

University of Missouri’s telehealth network and the Missouri Hospital Association have created a Mothers, Infants & NAS (Neonatal Abstinence Syndrome) ECHO. The ECHO will support providers to improve outcomes for the mother-infant dyad affected by substance use disorder, especially opioids. Participants will learn about evidence-based practices, collaboration, innovation and enhanced support systems. Click here to download ECHO flyer. Click below to register.


How Does it Work?

Participants will join an interactive Zoom video conference from 12 to 1 p.m. the first and third Thursdays of the month. An interdisciplinary team of experts will help providers develop advanced skills and best practices that improve health care access, quality and efficiency.

Goals & Objectives

  • Improve identification of mother-infant dyads affected by substance use disorder (SUD) by implementing validated screening techniques, guidelines and referrals.
  • Support implementation of the Eat, Sleep, Console (ESC) non-pharmacologic care model for optimal health and psychosocial outcomes.
  • Provide guidance for use of pharmacologic interventions for infants with in-utero exposure from maternal substance use.
  • Identify a framework to connect hospitals with internal and external support/resources for the mother-infant dyad.
  • Ensure mothers with SUD receive appropriate pain and withdrawal assessment and treatment after delivery to stabilize symptoms, promote recovery, and support optimal family function.

What Does This ECHO Offer?

  • No cost CME for health care professionals
  • Collaboration, support and ongoing learning with specialist physicians and other experts
  • Patients get better care in their community
  • No cost to participating sites or individuals

Topics for Case-Based Learning & Discussion

  • Addiction as a Disease
  • Myth Busters: Confronting Stigma and Bias
  • Recognizing NAS/NOWS (Neonatal Opioid Withdrawal Syndrome)
  • Promoting Environments that Facilitate Patient Care
  • Maternal Screening Tools
  • Functional Assessment of NAS Introducing ESC (Eat, Sleep, Console)
  • Education for Moms and Families: Mom is the Treatment
  • Non-Pharmacologic Bundle
  • Breastfeeding/Feeding
  • Treating Maternal Pain and Withdrawal Symptoms
  • Pharmacologic Treatment Using ESC
  • Resource Mapping
  • Social Worker Bundle
  • Mothers Self-Care Moving Forward: Plan for Discharge

Click here for complete curriculum schedule.

Meet the Expert Team

Kimberly Spence, MD, Neonatologist, Saint Louis University School of Medicine

Elizabeth Simpson, MD, Pediatrician, Children’s Mercy, Kansas City

Mary Hope, RN, BSN, Neonatal Outreach Educator, SSM Health Cardinal Glennon Children’s Hospital

Alan Barnette, MD, Neonatologist, Saint Francis Health System, Cape Girardeau

Becky Boedeker, DNP, RN, IBCLC, Lactation Consultant, SSM St. Mary’s

Melissa Odegard, PhD, LPC, NCC, CCH, Licensed Professional Counselor, Southeast Missouri State University

Alison Williams, MBA-HCM, RN, BSN, CPHQ, LSSGB, Vice President of Clinical Quality Improvement, Missouri Hospital Association

Jaye Shyken, MD, Maternal-Fetal Medicine, Saint Louis University School of Medicine

Kelsey Hussey, RN, MSN, Director of Maternal Child Health, Missouri Hospital Association

Katie Althoff-Moore, BSN, RN, Nurse Manager, Mother/Baby’s Unit, SSM Health, St. Mary’s Hospital

Tara Goins, MSW, Child Welfare Specialist, Missouri Department of Social Services, Children’s Division, Safety and Prevention Unit, Central Office



Continuing Education

The Office of Continuing Education, School of Medicine, University of Missouri is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The Office of Continuing Education, School of Medicine, University of Missouri designates this live educational activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim the credit commensurate with the extent of their participation in the activity.