Community midwives identified increasing numbers of babies displaying signs of withdrawal from maternal substance misuse. Many of the mothers had not been in contact previously with addiction services and their substance misuse was not known to staff during pregnancy. Child protection enquiries or assessment of risk did not take place until after the baby was born.
VIP was developed from the drug liaison midwifery service in partnership with addiction and social work staff. Families for whom there was concern were identified at an early stage of pregnancy. Staff worked closely together to share information about vulnerable women. They assessed risks and needs of families. Staff planned well together and women had an individualised pregnancy plan to support them.
Women and their families were supported intensively by specialist health staff, addiction nurses and social work staff from ante-natal registration until the baby was 12 weeks old. This support was extended for longer periods if required.
Families had a named worker who met with them individually, got to know them well and coordinated support from other services. Women were helped to manage their substance abuse. They were supported to take advantage of effective post birth medical advice and screening.
Support in parenting skills helped to improve the relationship between mothers and babies promoting better outcomes for children.
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