Prevelance
Prenatal AOD is a factor in what
What is Removal from the home?
FASD
Refers to withdrawal symptoms resulting from exposure to a variety of substances including opioids, nicotine, benzodiazepines and certain serotonin reuptake inhibitors
What is Neonatal Abstinence Syndrome (NAS)?
results in improved outcomes for families including increased engagement and retention of parents in substance use treatment, fewer children removed from parental custody, increased family reunification post-removal and fewer children reentering the child welfare system and foster care.
What are the results of collaboration?
MAT
Medication Assisted Treatment
Birth Anomalies
Fetal Growth
Neurobehavioral
Withdrawal
What are short effects of Prenatal Substance Exposure.
·Issues in school
·Mental health problems
·Inappropriate sexual behavior
·Alcohol and drug use
·Involvement in the criminal justice system without early intervention and treatment (Benz et al., 2009)
What are secondary disabilities that can occur with FASD>
Withdrawal from opioid exposure
What is Neonatal Opioid Withdrawl Syndrome?
Meaningful collaboration across systems that includes agreement on common values, enhanced communication and information sharing, blended funding and data collection for shared outcomes…
What is why its necessary for collaboration?
Stability for pregnant woman and fetus including prevention of relapse
What are some benefits of MAT?
Mother: Altered responses, Stigma/negative sterotypes, Lifestyle changes related to drug seeking and use.
Infant: Developmental Harm, Neglect/Physical Harm, maltreatment, exposure to violence.
What are some of the challenges for the Mother-Infant DYAD affected by Substance Abuse
·Amount of alcohol
·Pattern and timing of exposure
·Genetics
·Mother’s use of tobacco and/or other substances
·Mother’s health and nutrition
·Mother’s level of stress and/or trauma
·Mother’s age
What are Factors that influence the effect that alcohol has on the developing fetus:
•Over/under medication
•Premature hospitalization discharge
•Re-hospitalization
What Lack of training and/or protocols among hospital staff can lead to?
•The neonatal period is an optimal time to begin interventions to optimize dyadic interaction
•Improving clinician attitudes positively impact dyadic interactions
•Nurses who demonstrated caring behaviors towards mothers were better able to help them recognize and interpret infant cues, thus enhancing mother-infant interactions
What is supporting Mothers-Infant Dyad?
What is Medication Assisted Treatment?
These two drugs have a STRONG EFFECT on Growth and Withdrawl
What is Alcohol and Opiates
Fetal Alcohol Syndrome (FAS)
Partial Fetal Alcohol Syndrome (pFAS)
Alcohol-Related Neurodevelopmental Disorder (ARND)
Static Encephalopathy/Alcohol-Exposed (SE/AE)
Neurobehavioral Disorder/Alcohol-Exposed (ND/AE)
•Escalation of neonatal abstinence syndrome display
•Use of medication
•Prolonged hospital stay
What are cues from babies that are difficult to interpet.?
Women who participated in programs that included a “high” level of family and children’s services were twice as likely to reunify with their children, as those who participated in programs with a “low” level of these services
What is one of the benefits of Family Centered Services?
Expectations based on experiences with grantees and knowledge of the benefits of collaboration:
•Healthier babies and families
•Improved collaboration and cost saving
What is why we should do plans of self care?
Achievement Behavior Cognition
Growth
Language
What are long term effects of Prenatal Subtance Exposure
perceived as a “low threat” substance, making prevention challenging
What is Alcohol?
occurs with notable variability, with 50-80% of exposed infants developing symptoms
What is Neonatal Abstinence Syndrome?
•Women who use opioids during pregnancy are at increased risk of depression, anxiety, and maternal death compared to those not using opioids
•Recent studies indicate that nearly half of maternal deaths in the postpartum period may be related to substance use and 1 in 5 specifically related to overdose
•Women with opioids use disorders are more susceptible to overdose between 7 and 12 months postpartum than any other time during pregnancy or the year after their infant’s birth
•Women are more likely to overdose during pregnancy and throughout the first year postpartum if they are not on pharmacotherapy to treat their opioid use disorder
What is the post pardum period for opioid mothers?
•Methadone (50-year research base)
•Buprenorphine (Subutex; 2010- MOTHER Study)
•Buprenorphine-Naloxone Combination (Suboxone®; Zubsolv)
•Naltrexone Extended-Release (Vivitrol®) – once per month injection
•Naloxone (Narcan®) – Reverses overdose
What are Medications used during pregnancy to treat opioid substance use disorders?