This guidebook was created through a partnership with Louisiana Department of Children and Family Services and Louisiana Department of Health. The State of Louisiana has participated in several policy academies, consortia and innovative projects to help guide the integration of behavioral health services into physical health in order to enhance services and improve patient care. Louisiana's participation in the Center for Medicare and Medicaid Services Innovations Accelerator Program for Substance Use Disorders (IAP/SUD) is just one example of a collaborative effort for stakeholders to come together to address substance use disorders (SUD) and related conditions.

This Toolkit has been approved the the Louisiana Perinatal Commission, which will serve as a partner for statewide dissemination and integration into future projects and initiatives. 

This guide is intended for use in medical settings, but may have a broader use as a reference guide.

Link to Toolkit: http://ldh.la.gov/assets/docs/BehavioralHealth/NASBooklet.pdf 

Published in Children's Justice Act

Born addicted: Louisiana's rate of newborns dependent on opioids is rising, pregnant women lack treatment options

Advocate - May 05, 2018

Kemper's agony has become more common among Louisiana newborns amid a national opioid addiction epidemic. The rate of Louisiana babies diagnosed with neonatal abstinence syndrome quadrupled between 2005 and 2015, the most recent year on state records. OB-GYNs and neonatologists also acknowledge that some prenatal care providers are hesitant to take on addicted patients. State health officials and hospital administrators have discouraged providers from cutting off prenatal care for pregnant addicts, worried that turning away mothers will result in more unhealthy children.

http://www.theadvocate.com/baton_rouge/news/article_a157bb42-4d9a-11e8-b271-03082af75e27.html

Published in Children's Justice Act
Wednesday, 09 May 2018 16:44

Children of the Opioid Epidemic

Children of the Opioid Epidemic

New York Times Magazine - May 09, 2018

Of the estimated 2.1 million Americans currently in the grip of opioid addiction, many are women of childbearing age. The young-adult population has been hardest hit, proportionately, with nearly 400,000 adults ages 18 to 25 suffering from addiction to prescription painkillers (the vast majority) or heroin.

Also: Information Gateway Resource: Substance Use Disorder Treatment Services: https://www.childwelfare.gov/topics/systemwide/bhw/treatment/

https://www.nytimes.com/2018/05/09/magazine/children-of-the-opioid-epidemic.html

Published in Children's Justice Act

Early Treatment Program for Opioid-Dependent Newborns Significantly Reduces Cost While Maintaining Medical and Safety Outcomes (Press release)

Joint Commission - May 03, 2018

Findings showed no significant differences between the two groups regarding medical and safety outcomes, or child protective services involvement. However, the traditional care NAS infants were more likely to be treated in a higher-level nursery or to have emergency department visits, and the median per-birth charges were approximately $8,204 lower for MAiN infants.

Also: Early Treatment Innovation for Opioid-Dependent Newborns: A Retrospective Comparison of Outcomes, Utilization, Quality, and Safety, 2006-2014: https://www.jointcommissionjournal.com/article/S1553-7250(17)30299-4/pdf

Also: Management of Neonatal Abstinence Syndrome: The Importance of a Multifaceted Program Spanning Inpatient and Outpatient Care (Commentary): https://www.jointcommissionjournal.com/article/S1553-7250(18)30155-7/pdf

http://www.sectorpublishingintelligence.co.uk/news/1975602/early+treatment+program+for+opioiddependent+newborns+significantly+reduces+cost+while+maintaining+medical+and+safety+outcomes

Published in Children's Justice Act

Opioid-Related Deaths Children and Teens, Ages 10-17. 

This is a graphic document with quite a few current statistics - national perspective. Published in November 2017


Quick-Look: Child Death Review Case Reporting System (CDR-CRS)
National Center for Fatality Review and Prevention.
2017
https://www.ncfrp.org/wp-content/uploads/NCRPCD-Docs/opioid-related_deaths_prnt.pdf

A booklet for patients and families on Neonatal Abstinence Syndrome produced by the Ohio Perinatal Quality Collaborative. 

Link to booklet

Facilitating Cross-System Collaboration: A Primer on Child Welfare, Alcohol and Other Drug Services, and Courts Reviews characteristics of child welfare, substance abuse services, and courts to support cross-system coordination within State, county, and tribal jurisdictions. Considers the framework, population, legislation and funding sources, and services for each system. This report was originally published in 2012, but with the current opioid explosion, it was determined it was a good resource to list again.

http://attcppwtools.org/ResourceMaterials/FCSC_508.pdf

The Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment and the Administration on Children, Youth and Families, Children’s Bureau, Office on Child Abuse and Neglect, in partnership with the National Center on Substance Abuse and Child Welfare hosted a 2-part webinar series to learn strategies grounded in collaborative practice and policy in supporting families affected by opioid use disorders. The first webinar in the series provided an overview of the newly released publication A Collaborative Approach to the Treatment of Pregnant Women With Opioid Use Disorders: Practice and Policy Considerations for Child Welfare, Collaborating Medical & Service Providers. The publication provides:
• An overview of the extent of opioid use by pregnant women and the effects on the infant
• Evidence-based recommendations for treatment approaches
• An in-depth case study
• A guide for collaborative planning
• Tools to conduct a needs and gap analysis and to develop a collaborative action plan

https://www.youtube.com/watch?v=pj_AJuOR3Sw ; https://www.youtube.com/watch?v=oDQSYLc_au4

Practice and Policy Considerations for Child Welfare, Collaborating Medical, and Service Providers

This guidance publication is intended to support the efforts of states, tribes, and local communities in addressing the needs of pregnant women with opioid use disorders and their infants and families.1 National data show that from 2000 to 2009 the use of opioids during pregnancy increased from 1.19 to 5.63 per 1,000 hospital births (Patrick, Schumacher, Benneyworth, Krans, McAllister, & Davis, 2012). Because of the high rate of opioid use and misuse among all women, including pregnant women, medical, social service, and judicial agencies are having to confront this concern more often and, in some communities, at alarming rates.

Read the full report: Link to Report

U.S. Department of Health and Human Services Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment and Administration for Children and Families Administration on Children, Youth and Families Children’s Bureau

"Nonmedical prescription opioid misuse is a fast growing public health problem and primary cause of unintentional deaths nationwide, particularly in many rural areas of the country.  According to the Centers for Disease Control and Prevention (CDC), everyday 44 people die of a prescription drug related overdose.1 The opioid crisis is multifaceted and affects communities nationwide. When the costs are calculated they exceed $55 billion annually."

Foster parent shortage dire as heroin overdoses rise

WBAL - May 24, 2017

In a policy brief from July 2016 titled "Families in Crisis," the HRSA stated that the National Advisory Committee on Rural Health and Health Services "is concerned that the opioid crisis could exacerbate child abuse and neglect given that we're seeing a link nationally. State child welfare systems have reported that they are experiencing an increase in families coming to their attention with substance use problems impacting their ability to safely parent."

Report: 1 Families in Crisis: The Human Service Implications of Rural Opioid Misuse: https://www.hrsa.gov/advisorycommittees/rural/publications/opioidabuse.pdf

Published in Children's Justice Act

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