Article 35 - Special Services For Pregnant Women And Mothers


      (20 ILCS 301/Art. 35 heading)
ARTICLE 35. SPECIAL SERVICES FOR
PREGNANT WOMEN AND MOTHERS

    (20 ILCS 301/35‑5)
    Sec. 35‑5. Services for pregnant women and mothers.
    (a) In order to promote a comprehensive, statewide and multidisciplinary approach to serving addicted pregnant women and mothers, including those who are minors, and their children who are affected by alcoholism and other drug abuse or dependency, the Department shall have responsibility for an ongoing exchange of referral information, as set forth in subsections (b) and (c) of this Section, among the following:
        (1) those who provide medical and social services to
     pregnant women, mothers and their children, whether or not there exists evidence of alcoholism or other drug abuse or dependency. These include providers in the Healthy Moms/Healthy Kids program, the Drug Free Families With a Future program, the Parents Too Soon program, and any other State‑funded medical or social service programs which provide services to pregnant women.
        (2) providers of treatment services to women
     affected by alcoholism or other drug abuse or dependency.
    (b) The Department may, in conjunction with the Departments of Children and Family Services, Public Health and Public Aid, develop and maintain an updated and comprehensive list of medical and social service providers by geographic region. The Department may periodically send this comprehensive list of medical and social service providers to all providers of treatment for alcoholism and other drug abuse and dependency, identified under subsection (f) of this Section, so that appropriate referrals can be made. The Department shall obtain the specific consent of each provider of services before publishing, distributing, verbally making information available for purposes of referral, or otherwise publicizing the availability of services from a provider. The Department may make information concerning availability of services available to recipients, but may not require recipients to specific sources of care.
    (c) The Department may, on an ongoing basis, keep all medical and social service providers identified under subsection (b) of this Section informed about any relevant changes in any laws relating to alcoholism and other drug abuse and dependency, about services that are available from any State agencies for addicted pregnant women and addicted mothers and their children, and about any other developments that the Department finds to be informative.
    (d) All providers of treatment for alcoholism and other drug abuse and dependency may receive information from the Department on the availability of services under the Drug Free Families with a Future or any comparable program providing case management services for alcoholic or addicted women, including information on appropriate referrals for other services that may be needed in addition to treatment.
    (e) The Department may implement the policies and programs set forth in this Section with the advice of the Committee on Women's Alcohol and Substance Abuse Treatment created under Section 10‑20 of this Act.
    (f) The Department shall develop and maintain an updated and comprehensive directory of service providers that provide treatment services to pregnant women, mothers, and their children in this State. The Department shall disseminate an updated directory as often as is necessary to the list of medical and social service providers compiled under subsection (b) of this Section. The Department shall obtain the specific consent of each provider of services before publishing, distributing, verbally making information available for purposes of referral or otherwise using or publicizing the availability of services from a provider. The Department may make information concerning availability of services available to recipients, but may not require recipients to use specific sources of care.
    (g) As a condition of any State grant or contract, the Department shall require that any treatment program for addicted women provide services, either by its own staff or by agreement with other agencies or individuals, which include but need not be limited to the following:
        (1) coordination with the Healthy Moms/Healthy Kids
     program, the Drug Free Families with a Future program, or any comparable program providing case management services to assure ongoing monitoring and coordination of services after the addicted woman has returned home.
        (2) coordination with medical services for
     individual medical care of addicted pregnant women, including prenatal care under the supervision of a physician.
        (3) coordination with child care services under any
     State plan developed pursuant to subsection (e) of Section 10‑25 of this Act.
    (h) As a condition of any State grant or contract, the Department shall require that any nonresidential program receiving any funding for treatment services accept women who are pregnant, provided that such services are clinically appropriate. Failure to comply with this subsection shall result in termination of the grant or contract and loss of State funding.
    (i)(1) From funds appropriated expressly for the purposes of this Section, the Department shall create or contract with licensed, certified agencies to develop a program for the care and treatment of addicted pregnant women, addicted mothers and their children. The program shall be in Cook County in an area of high density population having a disproportionate number of addicted women and a high infant mortality rate.
    (2) From funds appropriated expressly for the purposes of this Section, the Department shall create or contract with licensed, certified agencies to develop a program for the care and treatment of low income pregnant women. The program shall be located anywhere in the State outside of Cook County in an area of high density population having a disproportionate number of low income pregnant women.
    (3) In implementing the programs established under this subsection, the Department shall contract with existing residencies or recovery homes in areas having a disproportionate number of women who abuse alcohol or other drugs and need residential treatment and counseling. Priority shall be given to addicted and abusing women who:
        (A) are pregnant,
        (B) have minor children,
        (C) are both pregnant and have minor children, or
        (D) are referred by medical personnel because they
     either have given birth to a baby addicted to a controlled substance, or will give birth to a baby addicted to a controlled substance.
    (4) The services provided by the programs shall include but not be limited to:
        (A) individual medical care, including prenatal
     care, under the supervision of a physician.
        (B) temporary, residential shelter for pregnant
     women, mothers and children when necessary.
        (C) a range of educational or counseling services.
        (D) comprehensive and coordinated social services,
     including substance abuse therapy groups for the treatment of alcoholism and other drug abuse and dependency; family therapy groups; programs to develop positive self‑awareness; parent‑child therapy; and residential support groups.
    (5) No services that require a license shall be provided until and unless the recovery home or other residence obtains and maintains the requisite license.
(Source: P.A. 88‑80.)

    (20 ILCS 301/35‑10)
    Sec. 35‑10. Adolescent Family Life Program.
    (a) The General Assembly finds and declares the following:
        (1) In Illinois, a substantial number of babies are
     born each year to adolescent mothers between 12 and 19 years of age.
        (2) A substantial percentage of pregnant adolescents
     either abuse substances by experimenting with alcohol and drugs or live in an environment in which substance abuse occurs and thus are at risk of exposing their infants to dangerous and harmful substances.
        (3) It is difficult to provide substance abuse
     counseling for adolescents in settings designed to serve adults.
    (b) To address the findings set forth in subsection (a), the Department of Human Services as successor to the Department of Alcoholism and Substance Abuse may establish a 3‑year demonstration program in Cook County to be known as the Adolescent Family Life Program. The program shall be designed specifically to meet the developmental, social, and educational needs of high‑risk pregnant adolescents and shall do the following:
        (1) To the maximum extent feasible and appropriate,
     utilize existing programs and funding rather than create new, duplicative programs and services.
        (2) Include plans for coordination and collaboration
     with existing perinatal substance abuse programs.
        (3) Include goals and objectives for reducing the
     incidence of high‑risk pregnant adolescents.
        (4) Be culturally and linguistically appropriate to
     the population being served.
        (5) Include staff development training by substance
     abuse counselors.
    As used in this Section, "high‑risk pregnant adolescent" means a person at least 12 but not more than 18 years of age who uses alcohol to excess, is addicted to a controlled substance, or habitually uses cannabis and is pregnant.
    (c) If the Department establishes a program under this Section, the Department shall report the following to the General Assembly on or before the first day of the thirty‑first month following the month in which the program is initiated:
        (1) An accounting of the incidence of high‑risk
     pregnant adolescents who are abusing alcohol or drugs or a combination of alcohol and drugs.
        (2) An accounting of the health outcomes of infants
     of high‑risk pregnant adolescents, including infant morbidity, rehospitalization, low birth weight, premature birth, developmental delay, and other related areas.
        (3) An accounting of school enrollment among
     high‑risk pregnant adolescents.
        (4) An assessment of the effectiveness of the
     counseling services in reducing the incidence of high‑risk pregnant adolescents who are abusing alcohol or drugs or a combination of alcohol and drugs.
        (5) The effectiveness of the component of other
     health programs aimed at reducing substance use among pregnant adolescents.
        (6) The need for an availability of substance abuse
     treatment programs in the program areas that are appropriate, acceptable, and accessible to adolescents.
(Source: P.A. 90‑238, eff. 1‑1‑98.)