MEND: Maternal Engagement, Navigation, & Development
Program.
Strengthening Maternal Behavioral Health and Substance Use Systems
MEND is ENVIVE’s systems implementation model for maternal behavioral health and substance use coordination. The program helps public agencies, managed care organizations, health systems, provider networks, and community partners strengthen no-wrong-door access, referral pathways, warm handoffs, and coordinated support for pregnant and postpartum people by improving how existing services connect.
Maternal Systems Coordination Model
MEND can be implemented across a healthcare system, provider network, community-based system of care, county or city initiative, regional collaborative, or statewide strategy. The model may include:
Systems Mapping and Partner Alignment
Identification of existing maternal health, behavioral health, substance use, referral, navigation, and community-based supports.
No-Wrong-Door Pathway Development
Development of practical pathways that help multiple entry points identify needs, respond appropriately, and connect pregnant and postpartum people to support.
Warm Handoff and Referral Workflow Support
Support for referral expectations, follow-up processes, partner roles, and coordination practices across participating organizations.
Training and Technical Assistance
Role-specific training and technical assistance for providers, community partners, navigators, care coordinators, and system partners.
Data, Learning, and Sustainability Support
Support for implementation tracking, performance measures, quality improvement, and sustainability planning.
System and Organizational Value
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No-wrong-door access for pregnant and postpartum people
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Maternal behavioral health and substance use referral pathways
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Warm handoff and follow-up processes
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Alignment across healthcare, behavioral health, SUD, and community partners
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Earlier identification of behavioral health and substance use needs
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Partner readiness, role clarity, and coordination practices
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Use of existing referral infrastructure and community resources
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A more connected maternal system of care
Provider and Partner Outcomes
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Confidence identifying maternal behavioral health and substance use needs
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Understanding of referral pathways and partner roles
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Warm handoff and follow-up practices
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Coordination across clinical and community-based supports
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Culturally responsive, person-centered engagement
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Readiness to support pregnant and postpartum people through existing systems
Scoping and Investment
MEND is scoped based on geography, number of participating partners, pathway complexity, training needs, implementation support, reporting expectations, and sustainability goals. Pricing varies based on scale, duration, delivery model, and final scope.