Addressing Gaps in Care
- Gaps in care for pregnant people with OUD/SUD
- Building Programs
- Firefly program and data
Objectives:
- Understand the epidemiology and outcomes of OUD in pregnancy.
- Review treatment options and their risk-benefit profiles
- Identify gaps in care and strategies for improvement
Jessica Young, CV
Dr. Jessica Young is an Obstetrician-Gynecologist and Addiction Medicine specialist and an Associate Professor at Vanderbilt University Medical Center. She got her medical degree, MPH and completed residency in Obstetrics and Gynecology at VUMC. She pioneered and is the medical director for the VUMC program called Firefly which is an outpatient addiction treatment program for pregnant people that integrates substance use disorder treatment with prenatal, postpartum care, and primary care. Board-Certified in both Obstetrics-Gynecology and Addiction Medicine, she has spoken nationally on the issue of substance use disorder in pregnancy and is an advocate for pregnant people and their families.
Education:
College:
University of Chicago (Chicago, IL), BA, 1995, General Studies in Humanities
Goucher College Post-Baccalaureate Premedical Program (Towson, Maryland)2002
Graduate:
Vanderbilt University School of Medicine (Nashville, TN), MD, 2007
Vanderbilt University School of Medicine (Nashville, TN, MPH, 2013
Postgraduate Training:
Vanderbilt University Medical Center (Nashville, TN), Obstetrics and Gynecology Residency, 2011
Licensure and Certification:
Tennessee 2011, 47482
Specialty Boards:
American Board of Obstetrics and Gynecology, Obstetrics and Gynecology, 2014
American Board of Preventive Medicine, Addiction Medicine, 2017
Academic Appointments:
Assistant Professor, Department of Obstetrics and Gynecology, Vanderbilt University School of Medicine, 2011-2017
Associate Professor, Department of Obstetrics and Gynecology, Vanderbilt University School of Medicine, 2017-present
Associate Professor, Psychiatry and Behavioral Health Sciences, Vanderbilt University School of Medicine, 2024-present
Hospital Appointments:
House Staff, Vanderbilt University Medical Center, 2007-2011
Physician, Department of Obstetrics and Gynecology, VUMC, 2011-present
Employment:
Co-director, Summer Enrichment Camp, Appalachian Institute for Creative Learning, 2013-present
Medical Director, Planned Parenthood of Middle and East Tennessee, 2014-2018
Associate Medical Director, Planned Parenthood of Tennessee and North Mississippi, 2018
Physician, Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, 2011-present
Professional Organizations:
American Congress of Obstetricians and Gynecologists, Fellow
American Society of Addiction Medicine
Tennessee Society of Addiction Medicine
Tennessee Medical Association
Professional Activities
Intramural:
Representative, House Staff Advisory Council, Vanderbilt University Medical Center (2009-2011)
Resident Champion, Postpartum Depression Screening, VUMC Quality Improvement Project (2010-2012)
Implemented routine postpartum screening for obstetric population at VUMC
Faculty Advisor, VUSM Medical Students for Choice (2012-2018)
Director, Vanderbilt Maternal Addiction Recovery Program (2011-2021)
Founded innovative program for treatment of drug dependency in pregnancy integrating prenatal care and addiction treatment
Director, Ryan Program for Resident Training in Family Planning (2013-2017)
Founded grant funded program for training of residents and medical students
Created family planning curriculum
Family Planning rotation director
Site Director, family planning rotation (2017-2018)
Physician Champion, VUMC TIPQC OUD in Pregnancy QI Project (2018-2022)
Vanderbilt Mid-Career Leadership Development Program, 2020-21
Medical Director, Firefly Program, VUMC (2021-present)
Member, Physician Council, VUMC (2023-present)
Extramural:
Board President, Appalachian Institute for Creative Learning (2001-2002)
Board Member, Appalachian Institute for Creative Learning (2001-2004 and 2010-2013)
Resident Reporter, District VII, ACOG Annual Meeting (2010)
Member, Middle Tennessee NAS Collaborative (2015-2017)
Board Member, A Step Ahead Foundation of Middle Tennessee (2015-2018)
Fellow, Leadership Training Academy, Physicians for Reproductive Health (2016-2017)
Co-chair, Opioid Use Disorder in Pregnancy Community Engagement Committee, Alliance for Innovation on Maternal Health (2017-2018)
State Physician Lead for Opioid Use Disorder in Pregnancy Quality Improvement Project, Tennessee Initiative for Perinatal Quality Care (2017-present)
Grant Challenge Mentor, HRSA, 2018-present
Maternal Medical Director Elect, Tennessee Initiative for Perinatal Quality Care (2019-2020)
Faculty, Buprenorphine Waiver Training, American Society for Addiction Medicine (2019-present)
Grant reviewer, Foundation for Opioid Response Efforts, 2019
Mentor/Expert Faculty, Louisiana Perinatal Quality Collaborative, 2019-present
Maternal Medical Director, Tennessee Initiative for Perinatal Quality Care (2020-2022)
Board Member, ONE Tennessee (2022-present)
Medical Lead, Tennessee OUD in Pregnancy buprenorphine training, TIPQC, 2023-2024
Member, Fetal Newborn mortality Committee, Davidson County, 2023-present
Member, strategic planning committee, TN Maternal Health Task Force, 2023
Awards:
Goldberger Scholarship, 2011; Vanderbilt School of Public Health
MITTEN Award, 2011; Division of Advanced Practice Nursing
Lonnie S. Burnett Award in Obstetrics and Gynecology, 2007; VUMS
Dr. Elizabeth Karlin Campus Organizing Award, 2005; Medical Students for Choice
Teaching Activities:
Medical School Courses:
OBGN 5020: ObGyn Core Clerkship – Lecturer
IDIS 5015: Interprofessional Continuity Clinic, Vanderbilt Program for Interprofessional Learning Preceptor
IDIS 5016: Interprofessional Continuity Clinic, Vanderbilt Program for Interprofessional Learning Preceptor
IDIS 5629: Sexual Health and Medicine- Lecturer
Postgraduate Teaching:
Resident family planning rotation director, Department of Obstetrics and Gynecology, VUMC, 2012-2017
Developed course, curriculum and course requirements
Opioid Dependence and Pregnancy,Vanderbilt Anesthesia Pain Management Fellowship Didactics, Nashville, TN, 2012
MFM Fellow Lecture series: Substance Use Disorder in Pregnancy, VUMC
Obstetrics and Gynecology Resident Lecturer: Substance Use Disorder in Pregnancy, VUMC
Ob-Gyn Intern Orientation: Options Counseling and Shared Decision Making, VUMC
Addiction Medicine and Psychiatry Fellowship lecture/SUD in pregnancy, VUMC
Continuing Medical Education:
Opioid Dependence and Pregnancy,Vanderbilt Anesthesia Pain Management Fellowship Didactics, Nashville, TN, 2012
Speaker, The Treatment of Opioid Dependence in Pregnancy, Vanderbilt 38th Annual High Risk Obstetrics Conference, Franklin, TN, 2012
Speaker, The Management of Opioid Dependence in Pregnancy, Obstetrics and Gynecology Grand Rounds, Vanderbilt University Medical Center, 2013
Speaker, The Management of Opioid Dependence in Pregnancy, AWHONN Regional Conference, Franklin, TN 2013
Speaker, The Management of Opioid Dependence in Pregnancy,National Perinatal Association Conference, Nashville, TN 2014
Speaker, The Management of Opioid Dependence in Pregnancy, Tennessee Initiative for Perinatal Quality Care Annual Meeting, Franklin, TN, 2015
Speaker, The Management of Opioid Dependence in Pregnancy, Tennessee Osteopathic Medicine Association Annual Conference, Nashville, TN, 2015
Speaker, Common Sexually Transmitted Infections, Blanchfield Army Community Hospital CME Day, Clarksville, TN, 2015
Speaker, Practical Management of Opioid Dependence in Pregnancy, Ob-gyn Grand Rounds, Vanderbilt University Medical Center, 2015
Speaker, Caring for the Drug Dependent Pregnant Patient, Learning for Babies, March of Dimes, Franklin, TN,2015
Speaker, The Management of Opioid Dependence in Pregnancy, Ob-gyn Grand Rounds, Wake Forest School of Medicine, 2016
Speaker, Prenatal Management of Opioid Dependent Pregnant Patients, “Equipping a Village: Tools for Helping the Family with Middle Tennessee NAS Collaborative, Nashville, TN 2016
Speaker, Long Acting Reversible Contraception: Updates on Implants and Intrauterine Devices, Vanderbilt Issues in Pelvic Surgery Conference, Nashville, TN,2016
Speaker, Treatment of Pregnant Women with A Chemical Dependency, Association of Neonatal Nursing Annual Meeting, 2016
Speaker, The Management of Opioid Dependence in Pregnancy, VUMC 42nd Annual High Risk Obstetric Conference, TN, 2016
Instructor, IPP LARC Workshop, Tennessee Initiative for Perinatal Quality Care Annual Meeting, Franklin, TN, 2018
Panelist, IPP LARC Panel, Tennessee Initiative for Perinatal Quality Care Annual Meeting, Franklin, TN, 2018
Speaker, AIM OUD in Pregnancy Project, Tennessee Initiative for Perinatal Quality Care Annual Meeting, 2018
Speaker, Postpartum LARC: Immediate, Interval, and Beyond A Step Ahead Foundation Regional Meeting, 2018
Speaker, Postpartum LARC: Immediate, Interval, and Beyond, March of Dimes Regional Meeting, Nashville 2018
Director and Speaker, Trauma Informed Care Workshop, Tennessee Initiative for Perinatal Quality Care Annual Meeting, March 2019
Panelist, OUD affecting Pregnancy and Neonatal Care Panel, Tennessee Initiative for Perinatal Quality Care Annual Meeting, March 2019
Director and Panelist, Opioid Use Disorder in Pregnancy Project Kickoff, Tennessee Initiative for Perinatal Quality Care Annual Meeting, March 2019
Speaker, Screening for SUD in Pregnancy, TIPQC Learning Session, Nashville, TN ,June 2019
Speaker, Substance Use Disorder in Pregnancy, Women’s Foundation Ob/Gyn Conference, Lafayette, LA; August 2019
Speaker, OUD Management in Pregnancy, Tennessee Initiative for Perinatal Quality Care, Learning Session, August 2019
Speaker, Opioid Use Disorder in Pregnancy: Improving Outcomes, Grand Rounds, Department of Obstetrics and Gynecology, University of Tennessee at Memphis/ Regional One, 2019
Speaker, Opioid Use Disorder in Pregnancy, TIPQC Fall State Learning Session 2019
Speaker, Opioid Use Disorder in Pregnancy: Optimizing Care, QSource Tenncare MCO annual meeting, 2020
Speaker, Opioid Use Disorder in Pregnancy Project, TIPQC annual meeting, 2020
Speaker, Opioid Use Disorder in Pregnancy: Optimizing Care, Opioid Crisis and Child Welfare Conference, Alabama A&M 2020
Speaker, Opioid Use Disorder in Pregnancy, TIPQC learning session 6/2020
Speaker, Opioid Use Disorder in Pregnancy, TMO Lecture Series, Vanderbilt University Medical Center, 2021
Speaker, OUD in Pregnancy: Effective Pain Management, Louisianan Perinatal Quality Collaborative Learning Session, 2021
Speaker, Opioid Use Disorder in Pregnancy: Optimizing Care, MAT Provider Conference, TAADAS, 2021
Speaker, Ob-gyn Grand Rounds, Meharry Medical College, Opioid Use Disorder in Pregnancy: Optimizing Care, 2021
Speaker, OUD in the Perinatal Period, VUMC 47th Annual High Risk Ob Conference, TN 2021
Speaker, OUD in Pregnancy, Tennessee Association of Recovery Court Professionals Conference, 2022
Speaker, Substance Use Disorder in Pregnancy, IABLE Conference, 2023
Session Leader/ Panelist, Substance Use Disorder in Pregnancy: Creating a Therapeutic Alliance, American College of Obstetricians and Gynecologists Annual Clinical Meeting, CA 2024
Clinical Teaching:
Gynecology inpatient attending (2012-2017)
Obstetric inpatient attending (2012-present)
Outpatient clinic ob-gyn attending (2012-present)
Family Planning Rotation Faculty, VUMC Ob-gyn residency, (2012-present) Vanderbilt Interprofessional Learning Clinic Preceptor (2015-present)
Ob-gyn Resident Elective, Clinic preceptor (2016-present)
MFM student elective, Clinic preceptor (2019-present)
Community Health Elective, Preceptor (2019-present)
Opioid Elective, Preceptor (2019-present)
Addiction Medicine Fellowship, Faculty (2020-present)
Addiction Psychiatry Fellowship, Faculty (2021-present)
Research Supervision:
Dr. Deepti Pruthi, “ Completion of HPV Vaccination Series Among Tenncare patients”, VUMC Obstetrics and Gynecology Research Forum, 2013
Dr. Luke Chatburn, “ Impact of a 48 hour waiting period on abortion access in Tennessee”, Resident
Research award winner, VUMC Obstetrics and Gynecology Research Forum, 2016
Dr. Joseph Harmon, “Perceptions on Barriers to Contraceptive Access for Women with Unintended Pregnancy”, VUMC Obstetrics and Gynecology Research Forum, 2017
Ashley Leech, PHD, K01 Mentor
Other Significant Activities:
Speaker, Opioid Dependence in Pregnancy, United States Congressional Briefing, Washington, D.C.,2014
Speaker, Opioid Dependence in Pregnancy,Tennessee Public Defenders Conference, Nashville, TN, 2015
Panel Speaker, Healthy and Free Tennessee: Pregnancy, Drug Use, and The Law, Nashville, TN, 2015
Speaker, National Perinatal Association Symposium on Women, Drug Abuse, and NAS, Nashville, TN,2015
Storyteller, Through Hell and Back – stories of addiction and recovery, The Tennessean: Nashville Storytellers Project, 2016
Webinar 6/2018 NIRH
Panelist, Birthcontrol Access Panel, Sisterreach, Nashville, TN, 2019
Panelist, Opioid Use Disorder in Pregnancy, The Next Door, Community panel, Nashville, TN,2019
Panelist, Supporting Families Impacted by Substance Use Disorder, Head Start National Webinar 2020
Mentor, LAPQC
Media: PBS news hour
MSNBC
Tennessean
Nashville Public Radio
National Public Radio, All things considered
The Nation
Research Program:
“Developing an evidence map of the global impact of family planning” Gates Foundation
Grant, Vanderbilt Evidence Based Practice Center, 2013, 0.10
Vanderbilt Ryan Residency Training Program, Kenneth J. Ryan Residency Training Program in Family Planning, $600,000; 2013-2017, 0.50
Long Acting Reversible Contraceptive Advocacy in Tennessee Project National Institute for Reproductive Health, $50,000; 2016-present, 0.10
Medication Assisted Treatment Grant, Tennessee State Department of Mental Health and Substance Abuse Services, $200,000; 2018-present
CTN-0800, National Institute on Drug Abuse, $462,327 annually; 2019-present; 0.40 site PI on multi-site RCT comparing two formulations of buprenorphine in pregnancy
Maternal Opioid Misuse (MOM) Model, Center for Medicare & Medicaid Innovation, $5,000,000; 2020
Firefly Synchronicity, Community Grant, Tennessee Opioid Abatement Council, $5,400,000; 2024
Publications and Presentations:
Articles in refereed journals:
Young JL, Martin PR. Treatment of Opioid Dependence in the Setting of Pregnancy. Psychiatric Clinics of North America. 35 (2012); 441-460
Young JL,Lockhart EM, Baysinger CL. Anesthetic and Obstetric Management of the Opioid dependent Parturient. International Anesthesiology Clinics: Spring 2014 – Volume 52 – Issue 2 – p 67–85
Likis FE, Sathe NA, Morgans AK, Hartmann KE, Young JL, Carlson-Bremer D, Schorn M,
Surawicz T, Andrews J. Management of Postpartum Hemorrhage. Comparative Contract No. 290- 012-00009-I.) AHRQ Publication No. 15-EHC013-EF. Rockville, MD.www.effectivehealthcare.ahrq.gov/reports/final.cfm.
Sathe NA, Likis FE, Young JL, Morgans A, Carlson-Bremer D, Andrews J. Procedures and Uterine- Sparing Surgeries for Managing Postpartum Hemorrhage: A Systematic Review. Obstet Gynecol Surv – 2016 Feb;71(2):99-113
Osmundson, Sarah S. MD, MS; Schornack, Leslie A. MD; Grasch, Jennifer L. BS; Zuckerwise, Lisa
- MD; Young, Jessica L. MD; Richardson, Michael G. MD Postdischarge Opioid Use After Cesarean Delivery,Obstetrics & Gynecology: July 2017 – Volume 130 – Issue 1 – p 36–41
Lofwall MR, Young JL, Hansen Z, Wachman EM, Wilder C, Guille C, Charles JE, Leeman L, Gray JR, Winhusen TJ. What to Expect With Pregnant or Postpartum Prescribing of Extended-Release Buprenorphine (CAM2038). J Clin Gynecol Obstet. 2023 Dec;12(3):110-116. doi: 10.14740/jcgo919. Epub 2023 Dec 28. PMID: 38435674; PMCID: PMC10906993.
Book Chapters:
Young, JL.Elective Termination of Pregnancy. Blueprints: Obstetrics & Gynecology. Editors: Callahan T, Caughey A. United States: Lippincott, Williams and Wilkins; 2013
Young JL, Lockhart E, Baysinger CL. The Opiate Dependent Parturient. A Practical Approach to Obstetric Anesthesia. Editors: Bucklin B, Baysinger CL, Gambling D. United States: Lippincott, Williams and Wilkins; 2016 May.
Young, JL, Termination of Pregnancy. Blue Prints: Obstetrics & Gynecology. Editors: Callahan T, Caughey A. United States: Lippincott, Williams and Wilkins; 2018
Abstracts:
Young JL, Walker JL, Gold MA. Patient Preference for Gynecologic Providers and Impediments to
Routine Screening Among Women Attending a Colposcopy Clinic. Journal for Lower Genital Tract Disease, July 2010 (Abstract)
Presentations at Scientific Meetings:
Patient Preference for Gynecologic Providers and Impediments to Routine Screening Among
Women Attending a Colposcopy Clinic, The American Society for Colposcopy and Cervical Pathology 2010 Biennial Meeting, Las Vegas, NV, 2010, peer-reviewed
LARC Advocacy and Reproductive Justice, APHA Conference 2017, panelist
Integrating pregnancy, postpartum, and birth outcomes into economic evaluations: A discrete event simulation model of opioid use disorder treatment. Ashley Leech, Shawn Garbett, Hanxuan A Yu, Elizabeth McNeer, Benjamin P. Linas, Rashmi Bharadwaj, Lisa Su, Jessica Young, John Graves, Stephen W. Patrick; Society for Medical Decision Making Annual Meeting, 2023
Substance Use Disorder in Pregnancy: Creating a Therapeutic Alliance, American College of Obstetricians and Gynecologists Annual Clinical Meeting, CA 2024, Session Leader/Panelist
Posters at Scientific Meetings:
Naloxone and Overdose Prevention Postpartum after Delivery, Desantis L, Cain L, Dillehay A, Young J, Tennessee Initiative for Perinatal Quality Care Annual Meeting, 2021
Naloxone Education and Prescription for Opioid Dependent Pregnant Patients, Hoang K,
Gonzalez Pina T, Young JL, Tennessee Initiative for Perinatal Quality Care Annual Meeting, 2020
Implementation of Screening for Substance Use Disorder in Pregnancy, Young JL, Rodriguez, E, Dillehay A, Cain L, TIPQC annual meeting, 2020
CTN poster, 2023