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Indiana State Department of Health

Prenatal Substance Use Prevention > PSUPP Program Information PSUPP Program Information

Goal:

Prevention of poor birth outcomes, by assuring that babies born in Indiana are born to women who decrease or eliminate alcohol, tobacco, and other drug use during pregnancy.

Extent of Problem:

Indiana data indicate poor pregnancy outcomes due to maternal use of alcohol, tobacco, and drugs. These poor outcomes include preterm labor, low birth weight, prematurity, congenital anomalies, fetal distress, stillbirth, cerebral infarction, mental retardation and other neuro-behavioral effects.

  • In fiscal year 2005, 3894 pregnant women were screened. At enrollment, fifty-three percent were determined to be high risk pregnancies based on their use of tobacco, alcohol or drugs.
  • Screening results from fiscal year 2005 indicate the percent of women that terminated substance use before delivery as follows: alcohol 92.3%, tobacco 50.7%, street drugs 69.0% and over the counter and prescription drugs 100%.
  • Data from 84,847 birth certificates in calendar year 2002 indicate that babies were exposed to: Alcohol-0.75%; Tobacco-19.1%; Drugs-1.04%.
  • Indiana Youth Risk Behavior Survey (2005) A survey completed in 53 high schools, ages 9 – 12, total of 1,528 students. Results: Tobacco use 21.9%; Currently using Marijuana 18.9%; Tried Methamphetamine 7.0%, heroine 2.3%, cocaine 6.8%, inhalants 14.1%, injected illegal drugs 2.1%; Currently using alcohol 41.4%, and binge drinking 24.6%.

Objectives:

  • Identify high risk, chemically dependent pregnant women, provide perinatal addiction education, promote abstinence, provide referrals to treatment services, and follow-up.
  • Provide public education on the hazards to a fetus when alcohol, tobacco and other drugs are used during pregnancy.
  • Facilitate training and education for professionals and paraprofessionals who do not provide substance abuse treatment, but who work with women of childbearing age, on how to identify high risk, chemically dependent women.

Funding:

  • In 1984, the Prenatal Substance Use Prevention Program was established and funded by the Title V Maternal and Child Health Block Grant funds along Children's Special Health Care Services State funds.
  • From 1988-2005, the Division of Mental Health (DMH) through the Center for Substance Abuse Prevention (CSAP) has funded PSUPP. In 2002, funding was also received from the Indiana Tobacco Prevention Cessation (ITPC) Agency and in 2003 from Maternal and Child Health Services (MCH).
  • The PSUPP program services are available in the following counties. The clinic sites and counties served are indicated by funding sources. Sites funded by DMH are Allen, Clark, Dubois (Pike, Spencer & Warrick), Lake, Marion, Vigo and Vanderburgh. The sites funded by MCH and ITPC are Elkhart, Delaware, Grant, LaPorte, Madison, Owen/Putnam, Tippecanoe and the Ripley group (Dearborn, Franklin, Jennings, Ohio, Switzerland).

Indiana State Department of Health, 2 N Meridian St, Indianapolis, IN 46204, 317.233.1325