Implementing SBIRT to Address Maternal Marijuana Use

Emily Latiolais, Courtney Morse, Keleigh Warnke, Sharron Forest

Research output: Contribution to journalArticlepeer-review


A quality improvement project conducted at 3 Texas hospitals to implement a new systematic process to address maternal marijuana use among breastfeeding mothers. The new process was created using the evidence-based Screening, Brief Intervention, Referral to Treatment (SBIRT) model to address maternal marijuana use. Nurses screened all postpartum mothers for marijuana use at each of the 3 hospitals. Mothers who reported ever using marijuana were advised to abstain while breastfeeding and given educational materials and a treatment referral card. Among all 3 hospitals, the mean nurses’ adherence to the SBIRT process was 69 percent, exceeding the project aim of 50 percent adherence. SBIRT, which has been used extensively with other populations and settings, was easily translated into practice for use with postpartum mothers who reported using marijuana. A systematic process using SBIRT may help mitigate the risk of harm for infants of mothers who use marijuana.

Original languageEnglish (US)
Pages (from-to)263-272
Number of pages10
JournalNeonatal Network
Issue number5
StatePublished - 2022


  • NICU
  • breastfeeding
  • marijuana
  • postpartum
  • quality improvement

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Critical Care
  • Critical Care and Intensive Care Medicine


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