Shared Roots:

Where Clinical Evidence Meets Reality in Perinatal Opioid and Other Substance Use Disorder Care After you listen, please complete SAMHSA’s required [Training and Technical Assistance (TTA) GPRA Post-Event Form](https://lanitek.com/P?s=260512). This form will gather satisfaction with the event to help improve future episodes. This episode explores the real-world gap between evidence-based perinatal substance use disorder (PSUD) care and what many clinicians are able to deliver in practice. Through a candid, clinically grounded conversation, presenters examine where care breaks down, how stigma and systems shape outcomes, and what it takes to move from theory to implementation. Listeners will gain practical, trauma-informed strategies that can be applied immediately—including language shifts, screening approaches, documentation practices, and pathways to buprenorphine access. The episode addresses critical implementation gaps and offers actionable tools to strengthen care during pregnancy and the postpartum period. Timestamps: [00:00:00] Welcome and Series Intro [00:02:45] Host Sets the Agenda [00:04:38] Why Care Breaks Down [00:06:08] Progress and Remaining Gaps [00:10:09] Screening That Leads to Care [00:13:18] Consent and Workflow Follow Through [00:16:20] Trust Building Language [00:19:09] Stigma Free Documentation [00:24:37] Medications for OUD in Pregnancy [00:30:42] Beyond Opioids and Finding Help [00:35:34] Compassionate Care Wrap Up Links [AMERSA](https://amersa.org/)