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DO THE NEXTRIGHT THINGA FAMILY CENTERED AND
MULTIDISCIPLINARY APPROACH TO
SUBSTANCE USE DISORDER TREATMENT
AMONG PERINATAL WOMEN
APRIL 3, 2018
•Enumerate the key components of substance use disorder treatment as it pertains to pregnant and parenting women
•Describe how a family-centered approach to substance use disorder treatment can be operationalized along the continuum of care
Learning Outcome
2
Centering Room
PATHways Program
4
Prenatal
Harm Reduction
Beyond Birth
Family-Centered Recovery
Multidisciplinary
Team
• Perinatal Case
Management
• Trauma Informed Care
• Individualized and Group
Peer Support
• Addiction Counseling
• Tobacco Treatment
• Targeted Community
Referrals
Beyond Birth: Currently Serving Women from
These Highlighted Counties
5
•Neonatal abstinence syndrome (NAS) is a clinical diagnosis of a constellation of signs and symptoms that involve multiple organ systems.
•Signs of significant withdrawal include diarrhea, sleeplessness, inconsolability, and/or disorganized feeding.
Definition – Neonatal Abstinence Syndrome
6
“Rooming In” is Better for Babies -
Need for Medication
7
32 Babies
Received Care by Parents*
32 Babies
Received Traditional Care*
*The mothers of the 64 infants were matched according to gestational age, smoking, and breastfeeding status
Two Required Medication
for Neonatal Abstinence
Syndrome
Twelve Required
Medication for Neonatal
Abstinence Syndrome
“Rooming In” is Better for Babies –
Length of Stay
32 Babies
Received Care by Parents*
32 Babies
Received Traditional Care*
*The mothers of the 64 infants were matched according to gestational age, smoking, and breastfeeding status
Their average length of stay at the
hospital was six days.
Their average length of stay at the
hospital was thirteen days.
8
Neonatal Abstinence Care Unit
(NACU):
The Latest
“Next Right Thing”
9
• Encourage skin-skin and breastfeeding
• Infant massage
• Jin Shin Jytsu
• Pacifiers
• Swaddling
• “Happiest Baby on the Block,” Dr. Harvey Karp
Providing this combination of services has resulted in a 40% reduction in babies requiring medication for treatment of NAS.
NACU - “Care by Parent” Initiative
10
• Prevent repeat NAS birth & unplanned pregnancy
• Increase number of Kentucky children living in safe homes
• Increase motivation to engage in treatment after delivery
Why Beyond Birth?
11
Youngest Children at Highest Risk
12Data Source: KENTUCKY Child Fatality and Near Fatality External Review Panel
One Patient’s Story
After two valve replacements and four months in ICU, Beyond Birth
saved two lives and millions of dollars by preventing reinfection.
This patient has provided written legal consent to the use of her name, images and related health information.13
Adverse Childhood Event Assessment
ACE’s Contribution to SUD’s
The First Three Years
Hospital Visits
Group Therapy and Peer Specialists
Disturbed Attachment Cycle
Baby Has A Need
Baby CriesNeeds Not
Met By Caregiver
Trust Does Not Develop
Rage Develops Instead
Baby Has A Need
Baby Cries
Needs Met By
Caregiver
Trust Develops
Positive Attachment Cycle
Facebook Private Group
Facebook Posts
Facebook Examples
Facebook Samples
Online Facebook Messenger 12-Step Meeting
Facebook Example of Community Building
Community Activities
Beyond Birth Peer Specialists
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