Skip Navigation Links
May/June 2019Expand May/June 2019
March/April 2019Expand March/April 2019
January/February 2019Expand January/February 2019
November/December 2018Expand November/December 2018
September/October 2018Expand September/October 2018
July/August 2018Expand July/August 2018
May/June 2018Expand May/June 2018
March/April 2018Expand March/April 2018
January/February 2018Expand January/February 2018
July/August 2017Expand July/August 2017
May/June 2017Expand May/June 2017
March/April 2017Expand March/April 2017
January/February 2017Expand January/February 2017
November/December 2016Expand November/December 2016
July/August 2016Expand July/August 2016
May/June 2016Expand May/June 2016
March/April 2016Expand March/April 2016
January/February 2016Expand January/February 2016
November/December 2015Expand November/December 2015
July/August 2015Expand July/August 2015
May/June 2015Expand May/June 2015
March/April 2015Expand March/April 2015
January/February 2015Expand January/February 2015
ArchiveExpand Archive
November/December 2017Expand November/December 2017
PulseTemplate
September/October 2015Expand September/October 2015
September/October 2016Expand September/October 2016
September/October 2017Expand September/October 2017
Special Edition - EPRExpand Special Edition - EPR
Special Edition: Title V Technical Assistance MeetingExpand Special Edition: Title V Technical Assistance Meeting
Title V Technical Assistance Meeting

 Look at Policymaking through a New PRISM

Cultivating the policymaking potential of state Title V programs to address substance misuse and mental health in MCH populations

By Stacy Collins
Associate Director, Health Systems Transformation
AMCHP

Reflecting a troubling national trend, state Title V programs have identified women's mental health and substance misuse as enormous — and often intractable — challenges. Statistics bear witness: Women are the fastest-growing segment of alcohol and drug users in the United States Up to 4.5 million women and adolescent girls in the U.S. have a substance use disorder, 3.5 million misuse prescription drugs, and 3.1 million regularly use illicit drugs. (NCADD, 2018).  Thirteen percent of women in the U.S. smoke cigarettes. One in five U.S. women experiences a mental health condition each year; prevention efforts are lacking, and treatment availability has not kept pace with demand.

Many states are overwhelmed by these challenges and are searching for effective solutions. One solution might be developed through a new federally funded initiative: Promoting Innovation in State MCH Policymaking, known as PRISM.

PRISM is a technical assistance and peer-learning initiative to assist maternal and child health (MCH) leaders and Title V staff in building their capacity to develop and implement state-level policy solutions that address substance misuse and mental health disorders in women. The U.S. Health Resources and Services Administration's Maternal and Child Health Bureau recently awarded PRISM cooperative agreements to four organizations, including to the Association of Maternal & Child Health Programs (AMCHP) and the Association of State and Territorial Health Officials (ASTHO) to form an innovative partnership. Each $2 million award spans five years  (2018-2023.)

AMCHP and ASTHO each bring distinct knowledge and skills to PRISM. AMCHP will provide MCH-focused government relations expertise, and ASTHO will provide expertise in quality improvement and evaluation. Both organizations offer expertise in substance misuse and mental health. The partnership is a response to feedback from AMCHP members regarding the need for coordination and streamlining of technical assistance opportunities available to state public health departments in the MCH arena.

AMCHP and ASTHO will also work collaboratively with four national association sub-awardees, whose members reflect the coordinated approach needed to advance effective policy solutions at the state level: the National Association of State Alcohol and Drug Abuse Directors, the National Association of County and City Health Officials, the National Association of Medicaid Directors, and CityMatCH, the association of urban MCH professionals.

Four, one-year cohorts of six to eight state teams — with diverse compositions representing state and local public health, behavioral health and health care finance — will participate in PRISM. States can choose a legislative, regulatory, or administrative policy activity as the focus of their project. During the application process, states can receive assistance crafting a project proposal that best meets their state's unique needs.

Participating states will benefit from virtual learning events, and in-state technical assistance will be available upon request. The capstone event for each cohort will be the PRISM "policy academy" held in conjunction with the AMCHP Annual Conference, each year from 2019- 2023. Travel support for policy academy attendance will be provided to state teams.

For additional information about the project, contact Stacy Collins (scollins@amchp.org).