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FASD in Review

Screening and Intervention Programs

South Dakota Department of Human Services Division of Alcohol and Drug Abuse (WIC)

Intervention Type

FASD Prevention Subcontractors
(Brief Intervention)

Project Contact Information

South Dakota Department of Human Services Division of Alcohol and Drug Abuse (WIC)
Gib Sudbeck, M.A., Prevention Program Manager
Hillsview Properties Plaza
3800 East Highway 34
c/o 500 East Capitol Avenue
Pierre, SD 57501
Phone: 605-773-3123
Fax: 605-773-7076
E-mail: gib.sudbeck@state.sd.us

Project Summary Statement

The goal of the South Dakota (SD) initiative is to provide screening and brief intervention in targeted state WIC clinics in order to reduce the number of pregnant women who use alcohol and/or have behavioral risk factors for alcohol use while pregnant. The project s is designed to integrate and adapt a screening and brief intervention strategy into the WIC clinic process for pregnant women applying for WIC services. Pregnant women applying for WIC services complete a screening assessment as part of the application process, women screening at-risk are then engaged in a brief intervention providing education on the harmful effects of alcohol while pregnant and strategies for avoiding alcohol use.

The project is jointly implemented by the South Dakota Division of Alcohol and Drug Abuse and the South Dakota ct Department of Health. The project began in 2008 and has screened over 3,000 pregnant women applying for WIC services as of September 2010. This report covers the latest reporting period of July 21, 2009 to July 31, 2010 during this period the project was active in the five (5) original WIC pilot clinics for the entire reporting period. The original clinic sites are located in Aberdeen, Mobridge, Pierre, Rapid City, and Sioux Falls.

The project expanded to an additional five (5) site in June of 2010 and data for the period of June 1, 2010 to July 31, 2010 is included. The five expansion clinics are located in Belle Fourche, Huron, Watertown, Winner, and Yankton. During the reporting period of July 21, 2009 to July 31, 2010 there were a total of 1,859 pregnant women screened across all ten sites.

The total number of pregnant women applying for WIC services during the reporting period was 2,148. The project attained a screening rate of 86.5% for this reporting period. The projects goal is to screen 100% of all pregnant women applying for services and efforts continue to enhance the screening rate.

Of the 1,859 pregnant women screened, 651 or 35% of the women were identified as at-risk for drinking while pregnant based on the screening assessment. The majority of women (85%), qualified based on their historical use of alcohol and did not report alcohol use during the past 30 days or while they had knowledge of their pregnancy. The project was able to engage 294 women (45%) in brief intervention services. Note, once a woman screens as eligible or at-risk they are offered the brief intervention services. Since many of the women qualify based historical or prior to pregnancy alcohol use the WIC staff report many of these women decline to participate because they had already stopped drinking.

The project has demonstrated that through a collaborative effort and training an evidence based program can be integrated into the WIC clinics. The project has identified and is addressing a number of challenges related to implementation of the project. These include training of new staff members; maintaining project activities during busy periods at WIC clinics; reviewing procedures for screening pregnant women applying for WIC services; enhance process for engaging at-risk women in services; continued training on the brief intervention process and follow-up procedures.