Women in Recovery Program Overview
Women in Recovery Program by April R. Vince MSSA, LSW & Brittani Flory BSN, RN at Cuyahoga County Board of Health focuses on educating women with opioid and drug addiction on reproductive health and birth control options. The program addresses misconceptions, offers education sessions, STI testing, birth control options, and promotes healthy relationships to reduce unintended pregnancies and improve overall reproductive health outcomes.
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Presentation Transcript
Women in Recovery April R. Vince MSSA, LSW & Brittani Flory BSN, RN Cuyahoga County Board of Health September 2020
History Pilot Project started in 2016 Established relationship with recovery house Partnered with our Title X clinic at The Cuyahoga County Board of Health
Facts Women with opioid and other drug addiction often have misconceptions about birth control options and other reproductive health options This can lead to: o Higher rate of unintended pregnancies o Higher rate of STI s o Higher rates of cervical cancer
How the program works Initial group education session occurs in the residential facility. This addresses: o Birth rates and outcomes for women and addiction o Birth control options o Education on STI s o Healthy relationships Immediately after the session, the women are given the option for STI testing, WWE, and Birth Control at CCBH
What happens at the group sessions at CCBH? Education sessions and CCBH appointment typically occur monthly. o Education we tried to do every Thursday before the testing day. o Meant to be very informal! Everyone is ages 18-60. o At the beginning of every session the staff introduce themselves, give a brief overview about CCBH and Title X and describe our program. o Sign in sheet o 3 part session Session 1: Intro discusses the program why women are at risk, then overview when to get Paps and mammograms and STDs overview Session 2: Birth control: LARC first Session 3: HIV/Hep C o At end of every session Sheet for the ladies to sign up for appointments if they want one for any reproductive health reason Appointments Tuesday AM 9:30 o Usually try for 6 women
Continued At our Parma location we are able to offer group appointments where they are able to obtain all of their desired Title X services Group support for each other One on One discussion of lab results Referral services if needed
Overview of 2018 65 women educated, 35 came in for an office visit 25 received rapid HIV screening 33 received Chlamydia/Gonorrhea screening 32 opted to come in for a well visit, which included Pap smear 37% reported history of sexual assault 70% sought long acting reversible contraceptive (IUD or implant) Also screened for Hep C, referrals for mammograms, HPV vaccines, Hep A & B vaccines, preconception counseling and prenatal vitamins
2019 & 2020 We were able to expand a similar model to another recovery facility in Cuyahoga County. Expanded education services to recovery facilities. Have seen many returning clients in office from previous facilities. Total to date we have seen 187 patients through this model.
Future steps Continue to provide education, testing and appointment referrals for the women at facilities Continue to grow and adapt to the needs of the women Continue to gather data about reproductive health, stigma, health care barriers, and empowerment of women experiencing addiction and in recovery Expand to other women s recovery centers around the Greater Cleveland area Possible future support through CDC funding
Questions? April R. Vince MSSA, LSW avince@ccbh.net 216-201-2001, ext. 1538 Brittani Flory BSN, RN bflory@ccbh.net 216-201-2001, ext. 1316
