NOFAS has published Implementing CHOICES in Clinical Settings that Serve American Indian and Alaska Native Women of Childbearing Age: Report, Implementation Plan, and Resources. The report describes the considerations for implementing CHOICES—a prevention program that targets women at risk of having an alcohol-exposed pregnancy before they become pregnant—in clinical settings serving American Indian and Alaska Native (AI/AN) women of childbearing age.
The report was informed by stakeholders, known as Informers, with experience implementing interventions in clinical settings or working with AI/AN women. NOFAS and its partners are now disseminating the report and will encourage tribes and clinical settings that serve Native American women to consider implementing CHOICES.
CHOICES is a program for women that addresses choosing healthy behaviors in order to prevent alcohol-exposed pregnancies. It has been found to be effective at reducing the risk for an alcohol-exposed pregnancy among high risk preconceptional women of childbearing age (18-44 years). The intervention was developed by the Fetal Alcohol Syndrome Prevention Team at the Centers for Disease Control and Prevention and collaborators with expertise in working with women drinking at risky levels.
At the heart of the CHOICES intervention is the use of motivational interviewing, a form of counseling that relies upon collaboration with the client. It starts with building trust between the counselor and client and moves to identifying, looking at, and resolving uncertainty about changing certain behaviors. The behaviors discussed/addressed in CHOICES are risky drinking and ineffective or no contraceptive use. CHOICES is unique in that it focuses not only on drinking behavior before pregnancy, but also addresses use of contraception. Visit the CDC to learn more