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

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History

• 1990s 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.

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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.

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Deaths, Sales, Treatment Admissions
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State of Florida Rates vs. Treatment Capacity

• Insert Map

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Number of Newborns Diagnosed Annually from 2007 -
2011

•  

    Year of Newborns Diagnosed of Live Births
2011 2,019 213,237
2010 1,673 214,519
2009 2,196 221,391
2008 1,492 231,417
2007 640 239,120
Total 8,020 1,097,590
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Rates of Florida Newborns with NAS
Figure 1 Rates of Florida Newborns Diagnosed
with Selected Fetal/Newborn Drug Exposure
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Broward County

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

Total Births NAS
Broward 86,044 311
Florida 880,564 7,380
Rate 9.7 4.2
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Moving Forward

• Prevention Awareness Campaigns
• Screening 4 Ps
• Assessment - Biopsychosocial
• Intervention prenatal, birth, interconception
• Follow-up of infants and toddlers
• Best Practices Safe Baby Court Teams
• Staff Development
• Key Stakeholder Coordination

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Lets work together to keep them ALL safe,
healthy, and happy!
12
Thank You!