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Substance Exposed Newborn Task Force 1-27-15

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Agenda 1.Welcome and Introductions 2.Infant Mental Health Chapter Update 3.Women & Infants Substance Abuse Services Update 4.Prenatal Care Update 5.Committee Reports/Status 6.Adjourn

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Infant Mental Health Chapter Update Statewide Events Court Team Pilot Program State RFP submitted Next Meeting of the IMH Workgroup Monday, 3-23-15 @ 3:00 P.M. at Healthy Start Professional Development Resource Guide & Website Page Other

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Windward Recovery Center Update Havens new name is WINDWARD Residential services relocated to DeLand Dr. Carbiener will continue to support as able Partnership with ORCA/Pioneer for pharmaceutical management Staff Changes Marilyn Heck new contact person Other

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WARM (Women Assisting Recovering Mothers) Update Capacity moms & children waiting list Training SF Continuing Circle of Security ACES Other Updates?

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Child Abuse Prevention Plan Update Presented to the Community Alliance at January meeting. Draft due to Governors Office February 20 th Next meeting Wednesday, January 28 th at 3:00 PM at Healthy Start 109 Executive Circle Developed 3 priority areas and now need objectives/strategies. Need input from SEN Task Force

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Child Maltreatment County 2008-20092009-20102010-20112011-20122012-20132013-2014 Flagler 9.2010.8816.9517.4811.187.96 Putnam 9.7813.6417.0125.7518.1313.54 St. Johns 7.2610.5211.3613.1212.219.97 Volusia 12.0913.5914.5715.3013.7012.19 Total Circuit 7 10.4912.6214.3115.9713.4511.25 Statewide 10.9412.0612.5113.2312.27 11.42 Rate of Children with verified maltreatment per 1,000 Children in the General Population

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Substance Exposed Newborns Rates of NAS Cases per 1,000 Live Births in Florida and Volusia County from 2008-2012

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Levels of Primary Prevention Floridas Socio-Ecological Continuum of Primary/Universal Prevention Strategies Accessible by the General Public Prior to the Occurrence of Child Abuse and Neglect RELATIONSHIP LEVEL Information and Referral and Help lines, Family Supportive Programs/Services COMMUNITY LEVEL Community Support for Families, Public Awareness and Education Campaigns INDIVIDUAL LEVEL Family Supportive Programs/Services SOCIETAL LEVEL Community Development, Public Awareness and Education Campaigns, Workforce

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Socio-Ecological Continuum of Secondary/Selected Prevention Strategies SOCIETAL LEVEL Community Development, Workforce COMMUNITY LEVEL Community Support for Families RELATIONSHIP LEVEL Family Supportive Programs/Services INDIVIDUAL LEVEL Adult Education, Concrete Services, Family Supportive Programs/Services Levels of Secondary Prevention

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Reference to Protective Factors Nurturing & Attachment Knowledge of Child Development Parental Resilience Social Connections Concrete Support in Times of Need Social & Emotional Competence of Children

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3 Priority Areas Priority 1 Reduce preventable child injury and fatality. Priority 2 Improved access to information and/or services for all parents and caregivers of children under age 18. Priority 3 Increase trauma-informed awareness, education and response using the protective factors framework.

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Strategy Discussion Priority 1: Safe Sleep, Proper use of car seats, drowning prevention, overheating in cars as well as coordinated review of death cases through the child death review and the Fetal Infant Mortality Review (for children under 1 year of age) Priority 2: Marketing and enhancement of 2-1-1 system and other available information and referral systems, Help Me Grow initiative, Coordinating circuit-wide. Priority 3: Setting achievable objectives related to staff development of employees within systems with high risk families and means of more effective screening and response circuit-wide.

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Training Availability Safe Sleep Neonatal Abstinence Syndrome Cultural Diversity Bereavement Parent Leadership Parent Involvement Strengthening Families Overview Living the Protective Factors Futures Without Violence ACES and Trauma- Informed Response Interconception Education (10 Modules) Risk Appropriate Care

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Pediatric Subcommittee Goal Statement: All caregivers will be trained on handling an infant diagnosed with NAS before discharge Bio-parents, foster parents, relative caregivers, and other caregivers of substance exposed newborns will be trained at the hospital on handling of newborns and Best Practices - training for Florida Hospital DeLand staff 2-5-15 CPC placement/foster care resources are trained in special handling - Integration of NAS/signs and symptoms/handling into foster care training - Dixie will reach out to Peggy Fleming/CPC. Neighborhood Center staff and consumers trained. Substance exposed LBW and VLBW infants will be referred to CMS, Early Steps for follow-up and Child Find activities CMS Referral form being used, Dr. Thorpe will accept all infants at Keech for coordination need coordination in DeLand and Flagler

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Pediatric Sub-committee (contd) Substance Exposed Newborns will have early follow-up with pediatrician. NOS is actively working with NICU for follow up with Dr. Thorpe on East side. SEN Staffing form updated. Need status on staffings at Halifax NICU and Florida Hospital (Level II status?). Need support for babies at tx sites. Explore research regarding sensitivity of toxicology screens used with newborn sensitivity - completed Support Court Team Model and training activities for health and human service agencies about maltreatment prevention and response Circle of Security training available through A Helping Hand and Lisa Benitez Provide information to Circuit 7 to assist with updating of Child Abuse Prevention Plan need specific objectives based on 3 priority areas.

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OB/Prenatal Subcommittee Any updates? Need to set new objectives that align with treatment changes and closure of prenatal services at health department invite FQHC, send info to OBs, other Screening process and new algorithm needed Power Point available Florida Hospital DeLand being trained 2-5-15

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Other Updates/Areas for Follow-Up Resource Guide status please add additional information and give to Peggy Deltona City Commission approved space in Deltona CAPP Plan next meeting 1/28/15 @ 3:00 PM After Care Committee needs a chairperson Discuss pediatric follow-up DeLand and Bunnell transition to babys residence/Early Steps Other?

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Additional Updates Chadwick Supercommunity findings and recommendations Child Death Review responsibility will now be with the health departments. We have asked for support from the state CPT to pilot joint review activities for birth to 1 year. CAPP priorities secondary prevention target population substance using parents.

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Upcoming Events Committee meeting dates What tools/activities can Healthy Start assist with to support committee activities? Haven/WINWARD and WARM Updates for Post Partum and Pediatric. Any needs from partners? Next Meeting March 24 th, 2015 short meeting Dr. Sorensens retirement at the Health Department

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Questions?

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Lets work together to keep them ALL safe, healthy, and happy!

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Thank You!