Establishing Essential Elements for Counseling on Harm Reduction in Perinatal Cannabis Use: Utilizing the CORE Framework - Report - MDSpire

Establishing Essential Elements for Counseling on Harm Reduction in Perinatal Cannabis Use: Utilizing the CORE Framework

  • By

  • Ariana M. Albanese

  • E. Ruby Cramer

  • Hannah E. Frank

  • Brooke G. Rogers

  • April 13, 2026

  • 0 min

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Clinical Report: Essential Elements for Counseling on Perinatal Cannabis Use

Overview

This report identifies five core components for harm reduction counseling in perinatal cannabis use, emphasizing the need for a nuanced approach beyond risk warnings. It highlights the importance of provider training and patient education to effectively support patients who continue to use cannabis during pregnancy or lactation.

Background

Perinatal cannabis use is increasingly prevalent, with associated risks for both maternal and infant health. Current guidelines recommend abstention, yet many patients persist in use, necessitating effective counseling strategies. Harm reduction approaches provide a framework that respects patient autonomy while promoting safer practices among those unable to abstain.

Data Highlights

No numerical data presented in the article.

Key Findings

  • Five core components for harm reduction counseling were identified: provider skills, cannabis education, patient education on safety, screening for cannabis use, and brief harm reduction interventions.
  • Provider training is essential for facilitating effective conversations about cannabis use.
  • Patients express a desire for harm reduction education, including information on safer consumption methods.
  • Harm reduction is recognized as an evidence-based practice for patients unable to completely cease cannabis use.
  • Future research should aim to achieve broader consensus on these core components for effective implementation.

Clinical Implications

Healthcare providers should adopt a harm reduction approach when counseling perinatal patients about cannabis use, focusing on education and support rather than solely discouraging use. This approach can help maintain trust and promote health among patients who may not be ready to abstain completely.

Conclusion

Identifying and implementing core components of harm reduction counseling is crucial for supporting perinatal patients using cannabis. This report serves as a foundational step towards enhancing clinical practices in this area.

References

  1. American College of Obstetricians and Gynecologists, ACOG, 2025 -- Cannabis Use During Pregnancy and Lactation
  2. JAMA Pediatrics, 2024 -- Prenatal Cannabis Use and Neonatal Outcomes: A Systematic Review and Meta-Analysis
  3. Frontiers in Psychiatry — Immediate Action Required to Tackle the Overdose Crisis Linked to Stimulants and Fentanyl
  4. Frontiers in Psychiatry — Efficacy of Health Professional-Led Psychological Interventions for Adult Cannabis Use in Community Environments: A Systematic Review and Meta-Analysis
  5. American Journal of Epidemiology — Addressing Methodological Issues and Providing Practical Guidance for Research on the Health Impacts of High-THC Cannabis Products
  6. BMC Psychiatry (Springer) — Organising housing and service provision for persons with co-occurring substance use and mental health problems: a scoping review in the ROP Municipal
  7. Cannabis Use During Pregnancy and Lactation | ACOG
  8. Prenatal Cannabis Use and Neonatal Outcomes: A Systematic Review and Meta-Analysis | Women's Health | JAMA Pediatrics | JAMA Network
  9. Human Milk Cannabinoid Concentrations and Associations with Maternal Factors: The Lactation and Cannabis (LAC) Study - PMC

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