The primary focus of KY-MOMS MATR (Formaly KIDS NOW Plus) case management is to engage high risk pregnant women in needed services such as substance abuse treatment, mental health counseling, and domestic violence services. In particular, the Department of Behavioral Health, Developmental, and Intellectual Disabilities (DBHDID) collaborates with UK CDAR in collecting and analyzing data regarding birth outcomes of women receiving KY-MOMS MATR case management services. KY-MOMS MATR specifically targets pregnant women with substance use, mental health problems, and partner violence victimization for case management services.

Over the past several years, DBHDID and UK CDAR have worked together to implement the KY-MOMS MATR data system which includes data collected from clients at prenatal intake and postnatal follow-up (about 6 months after the baby is born). The structured assessment is based on current research literature which indicates salient factors related to birth outcomes among a population of women who also experienced substance use and co-occurring disorders before and during pregnancy. The assessments were developed in collaboration with the DBHDID and include measures of substance use, mental health status, intimate partner violence victimization, pregnancy health, and other health indicators as well as birth outcomes. Follow-up interviews are conducted by the UK CDAR BHOS research team and are independent of the treatment agency in order to confidentially examine client progress in treatment.

What is the CIS?
The Client Information System (CIS) is a secure website that was developed and tailored for each project to provide users with easier and intuitive access to the baseline or intake data collection system, secure data entry, and data management display features.

What can I do with the CIS?
The CIS has several important functions. Users can:

• Enter intake information for each client. Users can manage their intake or baselines through the CIS by first entering information about active clients. The CIS allows users to organize the client lists by status such as those needing baselines and those who have been discharged. Users can also search the client list. Users can track how many clients they did intake or baseline assessments on and, for some users, how many were discharged from the program within a user selected timeframe. After entering information for a client, users can then enter intake or baseline information through the CIS.

• Download a client narrative. After completing an intake interview, users can download a client narrative which summarizes, in narrative form, responses from the client. This narrative can be placed in the client’s file for future reference. Some of these narratives contain more clinical information as well. For example, some narratives also include the ASAM level of care recommendations consistent with the American Association of Addiction Medicine Patient Placement Criteria (PPC2-R), but also accommodate the more psychosocially-oriented models of care used by the CMHCs. Some narratives are tailored by site.

• Mid-level Reporting. Users can request a mid-level report which shows how many intakes have been submitted. Some of the mid-level reports display how many clients have entered the user’s facility and how many discharges have been made within a user selected timeframe.

For more information on the features and capabilities of the CIS, please visit (https://cdar.uky.edu/bhos/Data_Management.html).

What happens to the data after I enter the intake information online?
After intake or baseline and follow-up interviews are completed for a fiscal year, the data is analyzed by UK CDAR BHOS and the results are described in an annual report. Although the annual reports vary from year to year, there are five main risk factors that are examined for change over time: (1) substance use and abuse, (2) mental health status, (3) criminal justice system involvement, (4) employment, and (5) recovery supports. Some reports highlight additional risk factors. Many of the reports also describe the cost and cost-benefit of the services.

What else can I look at to assess the success of our program?
Based on the results in the annual reports, several other shorter and more user friendly reports are created including a one page fact sheet, a Findings-at-a-Glance report, and an In Focus report.