Title: The Substance Abuse Crisis: Counties Search for Solutions (Special Issue of County News).
Published: 2019
Journal Name: County News
February 18, 2019,
Document available online at: https://www.naco.org/resources/featured/substance-abuse-crisis-counties-reach-solutions external link(opens in new window)
Printable version (PDF): https://www.naco.org/sites/default/files/documents/HT_02182019_LO_72_V4_0.pdf external link(opens in new window)
Abstract: This special issue examines the substance abuse crisis that is impacting counties across the United States. Articles discuss: the impact of drug overdoses; the continued use of methamphetamine; the need for interagency collaboration to create process that increase access points for substance abuse treatment; efforts in Cabell County, West Virginia, to address the high opioid prescribing rates and prescription drug misuse; strategies that can be used to save lives, including the prescription of buprenophine in mental health and primary care settings and the dispensation of naloxone at those same settings; medication-assisted treatment for substance use disorders; the impact of the termination of Medicaid coverage during incarceration; the benefits and challenges of needle exchange programs; the increasing pressure for counties to file lawsuits in hopes of recouping the costs they have shouldered to battle the opioid addiction epidemic; the role jails can play in breaking the cycle of opioid deaths; and resources to help with substance abuse. 

 National Judicial Opioid Task Force Launches Online Resource Center

Chattanoogan - January 29, 2019

The National Judicial Opioid Task Force, co-chaired by Tennessee Administrative Office of the Courts Director Deborah Taylor Tate, recently launched a resource center to address the ongoing opioid epidemic featuring dozens of facts sheets, videos, and other resources for judges and the general public regarding the opioid crisis and substance abuse disorders including treatment and services; special populations, including children and veterans; and collaborative efforts and data sharing among law enforcement medical professionals and the judicial branch.




Published in Children's Justice Act

Opioids Exact Another Toll on Newborns: Smaller Heads

Health Day News - December 10, 2018

Infants born addicted to opioids may be more likely to have smaller heads that might hinder their development, new research suggests.


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


Published in Children's Justice Act

The National Center on Substance Abuse and Child Welfare (NCSACW) is pleased to announce the availability of Substance Exposed Infants: A Report on Progress in Practice and Policy Development in States Participating in A Program of In-Depth Technical Assistance, September 2014 to September 2016.

This Executive Summary highlights the lessons, challenges and barriers, state strategies, and progress made to strengthen collaboration and linkages among multiple systems and stakeholders to improve outcomes for infants with prenatal substance exposure, their caregivers, and families from the five participating states: Connecticut, Kentucky, Minnesota (with a focus on tribal communities), New Jersey, and Virginia.

The NCSACW’s Substance Exposed Infants In-Depth Technical Assistance (SEI-IDTA) initiative, funded by the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Center for Substance Abuse Treatment (CSAT) and the Administration on Children, Youth and Families (ACYF), Children’s Bureau’s Office on Child Abuse and Neglect (OCAN), is designed to help states respond to growing concerns about opioid use during pregnancy, the increasing number of infants with prenatal substance exposure, and the lack of coordinated and ongoing services needed to support infants, families, and caregivers during the critical postpartum and infancy period.

For questions about this resource or to request technical assistance, please contact the NCSACW at This email address is being protected from spambots. You need JavaScript enabled to view it. or 1-866-493-2758.

Published in Children's Justice Act