PI Unit
Who in the PI unit has cats?
Mary, Bridget, Julie, Teresa
How does policy define a "newborn infant" and an "infant?"
Newborn Infant - under 30 days of age
Infant - from birth up to one year of age
What should be asked for from parents who are qualified patients under the Arizona Medical Marijuana Act, as outlined by policy?
To sign a release of information with their provider or an Authorization to Disclose Health Information.
What, other than a positive toxicology report or positive meconium report, must be obtained when determining prenatal substance exposure?
Birth Records, as a positive toxicology report or meconium report alone are not sufficient evidence to support an SEN substantiated finding.
Name 3 Halloween traditions.
- Carving Pumpkins
- Costumes
- Trick-or-Treating
- Pumpkin Patch
- Corn Maze
- Haunted Houses
- Bobbing for Apples
Which PI Specialist has been with the unit the longest?
Gina
What is a substance exposed infant?
An infant that is demonstrably adversely affected by the mother's use of a dangerous drug, narcotic drug or alcohol during pregnancy.
In addition to the release of information, what other information should be gathered from parents who are qualified patients under the Arizona Medical Marijuana Act?
- copy of their Medical Marijuana Registry Identification Card
- copy of the Medical Marijuana Certification Form completed by their physician
- the debilitating medical condition and medical records documenting the debilitating medical condition
- the mother's obstetrics medical records documenting the recommended marijuana dosing and usage during pregnancy
- parents' report of usage
What is required by statue to substantiate SEN allegations?
(1) A determination made by a health professional that the newborn infant was exposed prenatally to a dangerous drug or substance, and (2) that exposure was not the result of a medical treatment administered to the mother or the newborn infant by a health professional.
What costume is illegal to wear in Alabama?
A nun or a priest.
What is each PI unit member's birth month?
February: Crystal, Gina, Daniella
June: Clara
July: Mary, Julie
September: Christie, Bridget
October: Teresa
November: Amanda
Which case types with an SEN qualify for SENSE (Substance Exposed Newborn Safe Environment) services?
- In-Home Dependency
- In-Home Intervention
- Voluntary In-Home Services
Is medical marijuana considered a "medical treatment administered by a health professional" which can exempt a mother from exposing a newborn to marijuana in utero?
Yes
*But just because they have a medical marijuana card, does not mean we can't substantiate against them. It depends on the all the circumstances.
Per policy, who qualifies as a "health professional" who is able to determine prenatal substance exposure? (Hint: 3 types of professionals are identified.)
- Physicians/ Surgeons
- Physician Assistants acting under the direction of a physician/ surgeon
- Licensed Social Workers
What was Candy Corn originally called?
Chicken Feed because corn is what is fed to chickens.
Which PI members are very similar to each other, according to the Predictive Index results? [The answer should include 5 groups of 2.]
Clara and Crystal
Julie and Daniella
Mary and Teresa
Bridget and Christie
Amanda and Gina
Who does the SENSE team include? [Hint: There are 5 components.]
- DCS Specialist
- Family Connections
- Arizona Families F.I.R.S.T. (AFF)
- A home visitor program (i.e. Healthy Families Arizona, Parents as Teachers, Healthy Start Arizona)
- A registered nurse to monitor the development and overall health of the infant.
When can allegations due to an SEN be substantiated against a mother with a medical marijuana card and debilitating medical condition?
- The card has expired and is not valid.
- The card was received shortly before the mother gave birth.
- The mother was using more than prescribed.
Basically, the date the card was issued and the expiration date factor into when these allegations can be substantiated, but the Department is still figuring out how to handle these situations. Per Salina Moreno, PSRT, this is a gray area, but policy changed due to a litigation matter regarding a PSRT case.
What is the determination by the health professional based on? [Name at least 2 of the 4 outlined.]
- clinical indicators in the prenatal period including maternal or newborn infant presentation
- history of substance use or abuse
- medical history
- results of a toxicology or other laboratory test on the mother or the newborn infant
What vegetable did people used to carve before pumpkins?
Turnips
What were the topics of the previous PI member presentations?
September - Incarcerated Parents (Mary)
August - Compelling Reasons (Julie)
July - Service Array NPP and FC (Crystal)
June - SSA Benefits (Clara)
May - Psychological Safety (Bridget)
April - Presenting Professionally via Video (Amanda)
March - Hotline Policy/ Info Sharing (Gina)
Per policy, what must be developed for newborn infants who are alleged to be prenatally exposed to substances by the mother, and name at least three items it must address?
An Infant Care Plan:
- substance abuse treatment needs of the parents
- medical care for the infant
- safe sleep practices
- knowledge of parenting and infant development
- living arrangements in the infant's home
- child care
- social connections
What evidence is needed to substantiate neglect based on prenatal substance exposure of an infant?
- The child is age one or younger.
- There is documentation the mother used a dangerous substance during pregnancy. (i.e. medical diagnosis, written reliable documentation of a mother's use, reliable information from other person with knowledge of the mother's use of substances)
- Identification of the adverse effects (symptoms) of the prenatal exposure
- A medical interpretation that the infant's symptoms are the result of prenatal exposure
What is the name for the fear of Halloween?
Samhainophobia [sa.mine.o.phobia] is the fear of Halloween.