Establishing Essential Elements for Counseling on Harm Reduction in Perinatal Cannabis Use: Utilizing the CORE Framework
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By
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Ariana M. Albanese
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E. Ruby Cramer
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Hannah E. Frank
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Brooke G. Rogers
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April 13, 2026
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Clinical Scorecard: Establishing Essential Elements for Counseling on Harm Reduction in Perinatal Cannabis Use: Utilizing the CORE Framework
At a Glance
| Category | Detail |
|---|
| Condition | Perinatal Cannabis Use |
| Key Mechanisms | Harm reduction approach focusing on reducing risks associated with cannabis use during pregnancy and lactation. |
| Target Population | Pregnant and breastfeeding individuals using cannabis. |
| Care Setting | Healthcare settings providing perinatal care. |
Key Highlights
- Abstinence from cannabis use is recommended during pregnancy and lactation.
- Harm reduction is the best evidence-based practice for patients unable to abstain.
- Five core components for harm reduction counseling have been identified.
- Provider training and patient education are critical for effective counseling.
- There is a demand for harm reduction education among perinatal patients.
Guideline-Based Recommendations
Diagnosis
- Screen for cannabis use among pregnant and breastfeeding patients.
Management
- Educate patients about cannabis safety and recommendations.
- Provide brief harm reduction interventions.
Monitoring & Follow-up
- Facilitate ongoing conversations about cannabis use and its risks.
Risks
- Prenatal cannabis use is associated with adverse health effects.
Patient & Prescribing Data
Perinatal individuals using cannabis.
Patients may perceive benefits of cannabis use and may have difficulty discontinuing use.
Clinical Best Practices
- Providers should embody principles of humanism, pragmatism, and respect for autonomy.
- Utilize the Fischer guidelines for lower risk cannabis use.
References
