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Pregnancy and Substance Use: A Harm Reduction Toolkit

UPDATED in October 2022

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We want to promote the overall health and wellbeing 
of pregnant people who use substances and their families.
We created this resource for pregnant and parenting people who use drugs, their loved ones, and their service providers.
You can use this information to understand your rights, access services, and find high-quality, evidence-based care.

This toolkit was a special collaboration with National Harm Reduction Coalition.

If you are an agency or provider who is interested in creating a toolkit for your community, email Erika at
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¡Ahora en español!

Nuestro objetivo es promover la salud y el bienestar generales de las personas embarazadas que consumen sustancias y sus familias. 

Estos materiales pueden compartirse con miembros de la familia y proveedores de servicio para comenzar a tener conversaciones importantes acerca de sus planes, esperanzas, objetivos y sueños.  

Si usted es una agencia o proveedor que está interesado en crear un conjunto de herramientas para su comunidad, envíe un correo electrónico a Erika a
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See how this toolkit can be adapted for your community:
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These sections consist of content that was originally created in collaboration with the National Harm Reduction Coalition for those living in New York state. We have adapted this material for a national audience. 
See the original toolkit here

Table of Contents
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Section I:
How to Use
These Materials
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Section II:
Quality Perinatal Care is Your Right
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Section III:
Harm Reduction
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Tobacco and Nicotine
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Opioid Overdose
and Pregnancy
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Harm Reduction Strategies for Parents
These resources were created by Academy of Perinatal Harm Reduction and are free for our community.

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Principles of Perinatal Harm Reduction
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UDT: What Does Pee Tell You? Not A Lot
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Making Healthcare Decisions
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Know Your Rights
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My Pregnancy worksheet
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Your Rights as a Pregnant Patient and PWUD
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My Birth Plan worksheet
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Drug Interactions
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Welcome poster
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Welcome poster
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What Good Providers Believe
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Using Harm Reduction with Clients
Pregnancy and Substance Use: A Harm Reduction Toolkit webinars
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Introduction to the Toolkit

An introduction to  Pregnancy and Substance Use: A Harm Reduction Toolkit with:

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Birth Workers

How Pregnancy and Substance Use: A Harm Reduction Toolkit can enhance the work of birth workers, including the doula community.

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Programs On the Ground

Join us to hear from the badass harm reductionists on the ground working with (and as) parenting and pregnant people who people who use drugs. We'll highlight folks centering the health and dignity of people who use drugs and discuss how the toolkit can be used at your program.


Reckoning with the Drug War: A Healing Circle

We are joined by parents and advocates who have experienced and witnessed the depth of harm created by the racist War on Drugs. This will be a space for attendees to share and heal with our panelists.

  • Kelly Knight, UCSF

  • Kacey Byczek

  • Nathalia Gibbs

  • Dinah Ortiz-Adames

  • Megan McKenzie

  • Marilyn Reyes

  • Monique Tula, National Harm Reduction Coalition

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