State pilot program for treatment for pregnant and postpartum women (PPW-PLT) - in alignment with samhsa's strategic priorities and the requirements of the PPW-PLT nofo, the missouri department of…

SAMHSA awarded the Missouri Department of Mental Health $1.08 million on September 30, 2026, under the Center for Substance Abuse Treatment Projects of Regional and National Significance program (CFDA 93.490) to expand access to recovery housing, integrated evidence-based substance use disorder and maternal health services, and family supports for pregnant and postpartum women in Missouri.

The recipient will operate the State Pilot Program for Treatment for Pregnant and Postpartum Women (PPW-PLT) in partnership with two behavioral health providers certified by the Missouri DMH as Women and Children's Comprehensive Substance Treatment and Rehabilitation programs: Compass Health Network and Family Self Help Center Inc. The pilot targets adult women who are pregnant or up to twelve months postpartum, diagnosed with substance use disorder and/or co-occurring mental health conditions, and experiencing social and environmental stressors. Service delivery focuses on rural counties classified as health professional shortage areas: Jasper, McDonald, and Newton counties (Family Self Help Center's service area) and Johnson and Henry counties (Compass Health Network's service area). These counties comprise the second-highest region for pregnancy-related deaths in Missouri; from 2018 through 2022, the region recorded a pregnancy-related mortality rate of 35.75 per 100,000 live births. The pilot aims to reach 250 women in year one, 275 in year two, and 300 in year three, for a three-year total of 825 women.

The award runs through September 29, 2029, with place of performance in Jefferson City, Missouri.

State pilot program for treatment for pregnant and postpartum women (PPW-PLT) - in alignment with samhsa's strategic priorities and the requirements of the PPW-PLT nofo, the missouri department of mental health (DMH), missouri's (MO) single state agency for substance use, will utilize the state pilot program for treatment for pregnant and postpartum women (PPW-PLT) to expand access to recovery housing; integrated, evidence-based, substance use disorder (SUD) and maternal health services; and family supports for pregnant and postpartum women (PPW). The DMH will collaborate with two behavioral health providers certified through the DMH as women and children's (W & C) comprehensive substance treatment and rehabilitation (CSTAR) programs: compass health network (CHN) and family self help center INC (FSH). The population of focus is adult women who are pregnant or up to 12 months postpartum, who are diagnosed with a substance use disorder (SUD) and/or CO-occurring mental health conditions, who also experience social and environmental stressors. The counties of focus are rural and classified as health professional shortage areas (HPSA). This includes FSH's service area of jasper, mcdonald, newton, and CHN's service area of johnson, henry. These counties make up the second highest region of pregnancy-related deaths identified through the MO 2018-2022 pregnancy-associated mortality review (PAMR), with the rate reaching 35.75 per 100,000 live births. From 2018-2022, MO recorded 350 pregnancy-related deaths and a pregnancy related mortality ratio of 32.3 deaths per 100,000 live births (PAMR). Mental health and substance use conditions were the leading causes of pregnancy-related deaths, and the pamrr board determined that all these deaths were preventable. Missouri's pilot aims to reduce deaths by reaching 250 women across the catchment area during the first year, 275 during the second, and 300 during the third year of the pilot, for a total of 825 women this effort will leverage established women's & children's (W & C) comprehensive substance treatment and recovery (CSTAR) providers who will partner with local recovery support services (RSS) providers for housing and wraparound support. In addition to these services, the providers will offer the full continuum of care including residential treatment; universal screenings for SUD, mental health, tobacco use, and intimate partner violence; care coordination; overdose prevention; and family-based supports. These partnerships will ensure rapid linkage to safe, sober housing; childcare; peer support; transportation; vocational and educational assistance; and health services navigation, consistent with required recovery support and wrap-around activities. Project goals include: 1) expand integrated and family-centered treatment access for PPW in high-need regions; 2) strengthen family-support services in missouri; 3) access wraparound and recovery support services. 4) retain medicaid coverage through 12 months postpartum, and 5) utilize medications for opioid and alcohol use disorders (MOUD/MAUD). The DMH will track the number of PPW served by these providers; help develop parenting curricula; track wraparound services; monitor medicaid eligibility through 12 months postpartum; and track the percent of PPW who were started on MOUD/MAUD.