Michigan Toolkit | APHR

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Vision for the toolkit from the MICHIGAN contributors

This toolkit is dedicated to parents, their children, caregivers, and families across Michigan who navigate pregnancy, birth, and early parenting while facing the challenges of substance use. Your courage, love for each other, and persistence inspire the work we do.

It is also dedicated to those who accompany families with compassion and dignity along all the pathways to recovery. We adapted this toolkit so that you would be better able to serve our community, whether you come from healthcare, family advocacy, harm reduction and/or abstinence-based recovery.

The Michigan collaborators and funders of this project were honored to build this resource so that every community in Michigan is supported in creating safer, healthier beginnings for all families. Together, we commit to reducing stigma and providing education so that pregnant people have the individual, community, and systems level support and knowledge they need to make fully informed decisions for themselves and their families.

Michigan Toolkit: Released November 16, 2025

with Community Recovery Alliance

go directly to the full toolkit

Do You have questions about this toolkit? Interested in creating a toolkit for your community?
Email Joelle - joelle@perinatalharmreduction.org

DOWNLOAD the toolkit by sections

How to Use These Materials

This information is intended for use by pregnant and parenting people who use drugs, their loved ones, and
their service providers.

Our goal is to promote the overall health and wellbeing
of pregnant people who use substances and their families.

Build Your Care Team

My Medical Providers
My Doula
My Peer Recovery Coach/Peer Navigator

Quality Perinatal Care is Your Right

Substance Use and Substance Use Disorders
Unconditional Positive Regard
Motivational Interviewing
Respectful Language
Stigma versus Pride
Trauma-Informed Care
Gender-Inclusive Care
Continuing a Pregnancy
Ending a Pregnancy

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Supplemental Resources:

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Harm Reduction

Tips for a Healthy Pregnancy
Harm Reduction Strategies for Parents
Tips for Safer Use
Safe Storage
Harm Reduction Resources in Your Community

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PRINT Section 2

PRINT Introduction only

Supplemental Resources:

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6 classes of substances: Alcohol, Benzodiazepines, Cannabis, Opioids, Stimulants, and Tobacco/nicotine

Alcohol

Alcohol and Pregnancy
Alcohol and Lactation
Treatments for Alcohol Use Disorder
Alcohol Withdrawal
Resources and Tools

Benzodiazepines

Benzodiazepines and Pregnancy
Benzodiazepines and Lactation
Treatments for Benzodiazepines Dependence

Cannabis

Cannabis and Pregnancy
Cannabis and Lactation
Treatments for Cannabis Use Disorder
Cannabis Laws in Michigan
Resources and Tools

Opioids

Opioids and Pregnancy
Opioids and Lactation
Treatments for Opioid Use Disorder
Naltrexone
Neonatal Opioid Withdrawal
Detox
Overdose and Pregnancy
Contamination of the Opioid Supply
Resources and Tools

Supplemental Resources:

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Stimulants

Stimulants and Pregnancy
Stimulants and Lactation
High Blood Pressure
Treatments for Stimulant Use Disorder
Resources and Tools

Tobacco & Nicotine

Tobacco & Nicotine and Pregnancy
Tobacco & Nicotine and Lactation
Children and Smoke Exposure
Treatments for Nicotine Dependence and Smoking Cessation
Vaping and e-Cigarettes as Harm Reduction
Resources and Tools

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Navigating the Health Care and Legal Systems

Building a Relationship with Providers
Drug Testing and Informed Consent
Types of Drug Testing
Disclosure
Making a Plan
After Your Baby is Born
If There are Problems
Federal Legislation that May Affect You - CAPTA
Advocating for Yourself
Plan of Safe Care - Michigan's Template
Michigan Laws and Statutes
Finding Help Where You Live
If You are Accused of Abuse or Neglect

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Supplemental Resource:

Urine Drug Testing - What Does Pee Tell You? Not a Lot
Welcome poster (version 1)
Welcome poster (version 2)

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Prenatal Care

Getting Insurance
My Pregnancy worksheets
Types of Pregnancy Providers
The Role of Doulas
Care Coordination
Nutrition
Routine Prenatal Care
Warning Signs
Emergency Complications
Routine Tests

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Supplemental Resource:

When Making Important Healthcare Decisions - Use Your BRAIN

My Pregnancy worksheets

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Labor and Childbirth

My Birth Plan
Addressing Bias and Stigma
Pros and Cons of Various Forms of Pain Management
Medication-Induced Nausea
Complementary and Alternative Medicine Interventions
Low Tech Interventions
Postpartum Pain Management
Nonpharmacological Pain Management

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My Birth Plan and My Pain Management Plan worksheets

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Postpartum Care

The Risks of Overdose
Medical Racism
Breast/Chestfeeding and Human Milk
Drug Use and Human Milk - Legal and Child Welfare Considerations
Contraception Options
Contraception Coverage
Family Leave in Michigan
Pregnancy Rights in Michigan
Psychosocial Support and Perinatal Mood and Anxiety Disorders (PMADs)
Resources and Tools

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Check the references:

DOWNLOAD

"Pregnancy and Substance Use: A Harm Reduction Toolkit" was originally created in collaboration with the National Harm Reduction Coalition and featured resources for those living in New York state.

Executive Summary

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