Upper Peninsula Maternal Opioid Misuse Model (UP MOM)
The Upper Peninsula Maternal Opioid Misuse (UP MOM) program supports the needs of the whole person, allowing pregnant people to focus on a healthy pregnancy and wellbeing for themselves and their infant after birth.

The UP MOM Program utilizes a Community Health Worker (CHW) Model to provide support for people who are pregnant and up to 12 months postpartum and who have had a history of, or are currently experiencing, opioid use disorder (OUD) or substance use disorder (SUD). Each UP MOM Program enrollee is screened for Social Determinants of Health (SDoH) by their CHW to identify needs, refer to assistance, and follow the enrollee to remove barriers to health. This allows enrollees to focus on a healthy pregnancy and well-being after birth and on, for the whole family.

Research evaluating the impact of CHW’s during pregnancy has demonstrated potential benefits such as; reduced Emergency Room utilization, reduced NICU stay, increased breastfeeding initiation, and improved access to preventative and social services targeting maternal and infant health outcomes.

Social Determinants
All UP MOM enrollees are screened for SDoH needs. The three most common needs identified are:

1. Transportation
2. Housing
3. Communication (phone/internet)

UP MOM Model Consortium
The program is guided by a consortium of stakeholders and partners including:

• • Upper Peninsula Health Plan (UPHP)
  • Marquette County Health Department
  • Michigan Opioid Collaborative (MOC)
  • Delta Menominee Public Health
  • LMAS District Health Department
  • Lutheran Social Services of Wisconsin and Upper Michigan
  • OSF St. Francis Hospital
  • Chippewa County Health Department
  • MyMichigan Health Center Sault
  • Western U.P. Health Department
  • Northcare Network
  • Great Lakes Recovery Center (GLRC)
  • UP Health System – Marquette
  • Housing organizations
  • Local parenting groups

Results & Expansion
Marquette County was the first region in which the UP MOM Model services became available. In less than a year, the program already demonstrated an impact on a number of key health metrics:

• • Improved timeliness of obstetrics (OB) care
  • Increased compliance with medication-assisted treatment (MAT) for opioid use disorder
  • Increased participation and engagement in home visiting programs
  • Decreased NICU admission for symptoms of neonatal abstinence syndrome (NAS)
  • Reductions in aggregate risk scoring
  • Reduced health care costs

The UP MOM Model has expanded and is now available in 12 UP counties! Persons residing in Alger, Baraga, Chippewa, Delta, Gogebic, Houghton, Keweenaw, Luce, Mackinac, Menominee, Marquette, Ontonagon, or Schoolcraft County are now eligible to participate.

Perinatal Substance Use Disorder (PSUD) Workgroup
Individuals are invited to the Regional 1 Perinatal Quality Collaborative PSUD Workgroup meetings, hosted bi-monthly. Workgroup meetings are held virtually. To learn more or join, email info@uphcs.org.