Overview of Substance Exposed Newborns
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Transcript of Overview of Substance Exposed Newborns
Overview of Substance Exposed Newborns
Data and Trend Overview
National Scope
• Annually 400,000 – 440,000 infants are born substance exposed (10-11% of total births)
• Substance use causes a wide spectrum of difficulties – Perinatal– Birth– Infancy– Early childhood development
History
• 1990’s reflected the “crack” epidemic.• Neonatal Abstinence Syndrome was not yet
clearly defined/understood throughout the human services community.
• Dr. Ira Chasnoff completed one of the first longevity studies.
• Fetal Alcohol Syndrome and FAE (now FASD) not recognized broadly for its damaging effects.
Scope of the Problem - Florida• 2007 - 2012 an escalating trend of narcotics use
began to emerge – Pill Mills, Methadone Maintenance, increased of use of hydrocodone, opiates/opioids.
• Stabilization of endocrine system in women of reproductive age through opioid management increases pregnancy potential.
• Aggressive state and municipality action resulted in reduction of Pill Mill activities.
• Consequently, street narcotics use increased.
Deaths, Sales, Treatment Admissions
State of Florida Rates vs. Treatment Capacity
• Insert Map
Number of Newborns Diagnosed Annually from 2007 - 2011
Year# of Newborns
Diagnosed
# of LiveBirths
2011 2,019 213,2372010 1,673 214,5192009 2,196 221,3912008 1,492 231,4172007 640 239,120
Total 8,020 1,097,590
Rates of Florida Newborns with NAS
Figure 1: Rates of Florida Newborns Diagnosed with Selected Fetal/Newborn Drug Exposure
Broward County
• Newborn Patient Discharges from 2007-2011 reviewed by State Attorney Generals Task Force.
Total Births NAS
Broward 86,044 311
Florida 880,564 7,380
Rate 9.7% 4.2%
Moving Forward
• Prevention – Awareness Campaigns • Screening – 4 P’s• Assessment - Biopsychosocial • Intervention – prenatal, birth, interconception• Follow-up of infants and toddlers• Best Practices – Safe Baby Court Teams• Staff Development• Key Stakeholder Coordination
Let’s work together to keep them ALL safe, healthy, and happy!
Thank You!