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