Transcript Document

Substance Exposed Newborn
Task Force
1-27-15
Agenda
1. Welcome and Introductions
2. Infant Mental Health Chapter Update
3. Women & Infants Substance Abuse Services Update
4. Prenatal Care Update
5. Committee Reports/Status
6. Adjourn
Infant Mental Health Chapter
Update
• Statewide Events
• Court Team Pilot Program – State RFP
submitted
• Next Meeting of the IMH Workgroup
– Monday, 3-23-15 @ 3:00 P.M. at Healthy Start
• Professional Development
• Resource Guide & Website Page
• Other
Windward Recovery Center Update
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Haven’s new name is WINDWARD
Residential services relocated to DeLand
Dr. Carbiener will continue to support as able
Partnership with ORCA/Pioneer for
pharmaceutical management
• Staff Changes – Marilyn Heck new contact
person
• Other
WARM (Women Assisting Recovering
Mothers) Update
• Capacity – moms & children – waiting list
• Training
– SF Continuing
• Circle of Security
• ACES
• Other Updates?
Child Abuse Prevention Plan
Update
• Presented to the Community Alliance at
January meeting.
• Draft due to Governor’s Office February 20th
• Next meeting Wednesday, January 28th at 3:00
PM at Healthy Start 109 Executive Circle
• Developed 3 priority areas and now need
objectives/strategies.
• Need input from SEN Task Force
Child Maltreatment
Rate of Children with verified maltreatment per 1,000 Children in the
General Population
County
2008-2009
2009-2010
2010-2011
2011-2012
2012-2013
2013-2014
Flagler
9.20
10.88
16.95
17.48
11.18
7.96
Putnam
9.78
13.64
17.01
25.75
18.13
13.54
St. Johns
7.26
10.52
11.36
13.12
12.21
9.97
Volusia
12.09
13.59
14.57
15.30
13.70
12.19
Total Circuit 7
10.49
12.62
14.31
15.97
13.45
11.25
Statewide
10.94
12.06
12.51
13.23
12.27
11.42
Substance Exposed Newborns
Rates of NAS Cases per 1,000 Live Births in Florida and Volusia County from 2008-2012
18.000
16.000
14.000
12.000
10.000
8.000
Volusia Cases/1,000 Live
Births
6.000
Florida Cases/1,000 Live
Births
4.000
2.000
0.000
CY 2008
CY 2009
CY 2010
CY 2011
CY 2012
Levels of Primary Prevention
Florida’s Socio-Ecological Continuum of Primary/Universal Prevention Strategies
Accessible by the General Public Prior to the Occurrence of Child Abuse and Neglect
SOCIETAL LEVEL
Community Development, Public Awareness and Education Campaigns,
Workforce
COMMUNITY LEVEL
Community Support for Families, Public Awareness and Education
Campaigns
RELATIONSHIP LEVEL
Information and Referral and Help lines, Family Supportive
Programs/Services
INDIVIDUAL LEVEL
Family Supportive Programs/Services
Levels of Secondary Prevention
Socio-Ecological Continuum of
Secondary/Selected Prevention Strategies
SOCIETAL LEVEL
Community Development, Workforce
COMMUNITY LEVEL
Community Support for Families
RELATIONSHIP LEVEL
Family Supportive Programs/Services
INDIVIDUAL LEVEL
Adult Education, Concrete Services, Family
Supportive Programs/Services
Reference to Protective Factors
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Nurturing & Attachment
Knowledge of Child Development
Parental Resilience
Social Connections
Concrete Support in Times of Need
Social & Emotional Competence of Children
3 Priority Areas
Priority 1
Reduce preventable child injury and fatality.
Priority 2
Improved access to information and/or services for
all parents and caregivers of children under age 18.
Priority 3
Increase trauma-informed awareness, education
and response using the protective factors
framework.
Strategy Discussion
• Priority 1: Safe Sleep, Proper use of car seats, drowning
prevention, overheating in cars as well as coordinated review
of death cases through the child death review and the Fetal
Infant Mortality Review (for children under 1 year of age)
• Priority 2: Marketing and enhancement of 2-1-1 system and
other available information and referral systems, Help Me
Grow initiative, Coordinating circuit-wide.
• Priority 3: Setting achievable objectives related to staff
development of employees within systems with high risk
families and means of more effective screening and response
circuit-wide.
Training Availability
• Safe Sleep
• Neonatal Abstinence
Syndrome
• Cultural Diversity
• Bereavement
• Parent Leadership
• Parent Involvement
• Strengthening Families
Overview
• Living the Protective
Factors
• Futures Without
Violence
• ACES and TraumaInformed Response
• Interconception
Education (10 Modules)
• Risk Appropriate Care
Pediatric Subcommittee
Goal Statement: All caregivers will be trained on handling
an infant diagnosed with NAS before discharge
• Bio-parents, foster parents, relative caregivers, and other
caregivers of substance exposed newborns will be trained at the
hospital on handling of newborns and Best Practices - training
for Florida Hospital DeLand staff 2-5-15
• CPC placement/foster care resources are trained in special
handling - Integration of NAS/signs and symptoms/handling into
foster care training - Dixie will reach out to Peggy Fleming/CPC.
Neighborhood Center staff and consumers trained.
• Substance exposed LBW and VLBW infants will be referred to
CMS, Early Steps for follow-up and Child Find activities – CMS
Referral form being used, Dr. Thorpe will accept all infants at
Keech for coordination – need coordination in DeLand and
Flagler
Pediatric Sub-committee (cont’d)
• Substance Exposed Newborns will have “early” follow-up with
pediatrician. NOS is actively working with NICU for follow up
with Dr. Thorpe on East side. SEN Staffing form updated.
Need status on staffings at Halifax NICU and Florida Hospital
(Level II status?). Need support for babies at tx sites.
• Explore research regarding sensitivity of toxicology screens
used with newborn sensitivity - completed
• Support Court Team Model and training activities for health
and human service agencies about maltreatment prevention
and response – Circle of Security training available through A
Helping Hand and Lisa Benitez
• Provide information to Circuit 7 to assist with updating of
Child Abuse Prevention Plan – need specific objectives based
on 3 priority areas.
OB/Prenatal Subcommittee
• Any updates?
• Need to set new objectives that align with
treatment changes and closure of prenatal
services at health department – invite FQHC,
send info to OB’s, other
• Screening process and new algorithm needed
• Power Point available
• Florida Hospital DeLand being trained 2-5-15
Other Updates/Areas for Follow-Up
• Resource Guide status – please add additional
information and give to Peggy
• Deltona City Commission approved space in
Deltona
• CAPP Plan – next meeting 1/28/15 @ 3:00 PM
• After Care Committee needs a chairperson
• Discuss pediatric follow-up – DeLand and
Bunnell – transition to baby’s residence/Early
Steps
• Other?
Additional Updates
• Chadwick “Supercommunity” findings and
recommendations
• Child Death Review responsibility will now be
with the health departments. We have asked
for support from the state CPT to pilot joint
review activities for birth to 1 year.
• CAPP priorities – secondary prevention target
population – substance using parents.
Upcoming Events
• Committee meeting dates
• What tools/activities can Healthy Start assist
with to support committee activities?
• Haven/WINWARD and WARM Updates for
Post Partum and Pediatric. Any needs from
partners?
• Next Meeting March 24th, 2015 – short
meeting – Dr. Sorensen’s retirement at the
Health Department
Questions?
Let’s work together to keep them ALL
safe, healthy, and happy!
Thank You!