Overview of Substance Exposed Newborns

1. Overview of Substance Exposed Newborns Data and Trend Overview

2. 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

3. 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.

4. 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.

5. Deaths, Sales, Treatment Admissions

6. State of Florida Rates vs. Treatment Capacity • Insert Map

7. Number of Newborns Diagnosed Annually from 2007 - 2011

8. Rates of Florida Newborns with NAS Figure 1: Rates of Florida Newborns Diagnosed with SelectedFetal/Newborn Drug Exposure

9. Broward County • Newborn Patient Discharges from 2007-2011 reviewed by State Attorney Generals Task Force.

10. Moving Forward • 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

11. Let’s work together to keep them ALL safe, healthy, and happy!

12. Thank You!