Alcohol and Substance-Exposed Pregnancy Prevention (AStEPP) Initiative
HRSA's Maternal and Child Health Bureau's Alcohol and Substance-Exposed Pregnancy Prevention (AStEPP) Initiative aims to address social, environmental and broader behavioral health factors as they contribute to substance use before, during and after pregnancy. This initiative takes a health equity approach by focusing efforts on populations at higher risk, including Native American and tribal communities, as well as building upon community strengths and resiliency factors.
AStEPP materials can be used by staff in women-focused social or health service organizations, and are designed to help such staff learn more about prevention and early identification of fetal exposure to alcohol or other drugs. Materials include:
Staff development resources for groups, including six Staff Meeting Training Packages and a discussion guide on opioid use in pregnant women.
Self-Study resources, such as an e-learning course on Alcohol and Substance-Exposed Pregnancies, and a self-study Guide on State Legislation on Substance Use During Pregnancy.
Resources on Substance Use During Pregnancy in Tribal Communities, including a Compendium of Tribal Behavioral Health Resources, an Infographic on the Social Determinants of Substance Use During Pregnancy in Tribal Communities, and two videos.