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CONFERENCE BOOKING FORM Page 1 of 2Consequences for Children Affected by Maternal Drug & Alcohol UsagePLEASE EMAIL THIS COMPLETED FORM BACK TO charlotte@parentsforchildren.org.uk OR KEEP APHOTOCOPY
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How to fill out beyond maternal substance use

01
Gather all relevant information regarding the maternal substance use including type of substance, frequency of use, duration of use, and any treatment history
02
Complete all required forms accurately and truthfully
03
Attend all scheduled appointments and provide all requested information to healthcare providers
04
Participate in any recommended counseling or treatment programs

Who needs beyond maternal substance use?

01
Healthcare providers working with pregnant women
02
Pregnant women who have a history of substance use

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Beyond maternal substance use refers to the impact of substance abuse on the child and family beyond just the pregnancy.
Healthcare providers and social workers involved in the care of the mother and child are required to file beyond maternal substance use.
To fill out beyond maternal substance use, you need to gather information on the mother's substance abuse history, the impact on the child, and any interventions or treatment plans.
The purpose of beyond maternal substance use is to assess the long-term effects of substance abuse on the child and family, and to provide appropriate support and interventions.
Information such as the type of substances used, duration of use, impact on child development, and any interventions or treatments provided must be reported on beyond maternal substance use.
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