Data and Trend Overview

• 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

• 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.

• 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

Year
2011
2010
2009
2008
2007
Total
Number of Newborns Diagnosed
Annually from 2007 - 2011
# of Newborns
Diagnosed
2,019
1,673
2,196
1,492
640
8,020
# of Live
Births
213,237
214,519
221,391
231,417
239,120
1,097,590

Rates of Florida Newborns with NAS
Figure 1: Rates of Florida Newborns
Diagnosed with Selected Fetal/Newborn Drug
Exposure

• Newborn Patient Discharges from 2007-2011 reviewed by State Attorney Generals Task
Force.
NAS
Broward
Florida
Rate
Total Births
86,044
880,564
9.7%
311
7,380
4.2%

• 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!