SEN-Overview-Presentation-by-D.

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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 Live
Births
2011
2,019
213,237
2010
2009
2007
1,673
2,196
1,492
640
214,519
221,391
231,417
239,120
Total
8,020
1,097,590
2008
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
Broward
Florida
Rate
NAS
86,044
311
880,564
7,380
9.7%
4.2%
Moving Forward
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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!
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