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Home My WebLink About05/18/2004, - MAKING A DIFFERENCE FOR DRUG EXPOSED CHILD Making a Difference for the Drug-Exposed Child San Luis Obispo County Community Approach Presented May 18, 2004 Lisa Fraser, Executive Director San Luis Obispo County Child Abuse Prevention Council Major Funding Provided by the rJ. FI Ri 5 SM LUIS ampo Clow Making a Differenee for the Our Vision Drug Exposed, C'h td; San Luis Obispo County will be a community where every child is born free of the effects of alcohol, tobacco and drug exposure and lives in a home that promotes healthy growth and development. ;dzjcr E:ndwe Pmmtled:n':be I 'I Community 'Estimate Common Myths. About Substance=Abusing ft?men 2400of births per year 1. Only poor, minority wornen,use drugs and alcohol during pregnancy. Local prevalence estimate: 11'% rate on average (positive screening at birth) 2. \Nomen will stop using drugs when they find out they are pregnant. Estimate 264 drug-exposed children are "s.. If you give a yeoman a choice between born each year in our community her baby and her drug, she vdill always choose herbabv. Common Myths About- Substance-Abusing Women Impact on Children:. Fetal Alcohol Syndrome 4. Treatment doesn't work. 5. Traditional drug treatment methods are ElLow, birth weight equally effective for all populations, eves r ®Central; nervous system of ect_s across gender and culture. D- Facialdysmorphology 6. Ey third trimester, it is too late to do anything that will help the baby. o D. o ojj ' 0 0 0 0 0 o p p l o e o Facies is FeEa9 A1ca6a5 SyeGratne @m Leo @W@ @MW Microcephaly Epicanthalfolds Short palpebral Flat nasal bridge -- fissures Flattened midface r Low set ears ... god Short,upturned noseFlat philtrum x - Ws ` Thin upper lip Reading jaw 2 @L@ ° cm rot o Im" ° 010 • -.�• a ri e•.� b —ago bm n `. .e• • • �6b. � ._ _w` �i Cost — I, . 0" pull BeGli �o • 4 G'�-3fr��GlE-Gdt 9�pIDs�a4� .X (dam h r �' I� a4-r 1°�lDU�W11rOW VAL e••�Nj`i �' Ili- rYlr� 9•w�unQ��p,,,,y • � mgro-a� � tm� �$9p$�9so®pt�aff4 ��- T•� orb .Yk 3 Predictors of Low Birth Weight Behavior in the Older Drug-Exposed Child. I Tobacco had,a 3x greater irnpagt m Depression, anxiety m Attention problems U Thought problems 3 Aggressive behavior than cocaine on predictlna l;ow- m Social problems m Impulsive.behavioi birth,w,ejght. m Distractibility I I i l Reasons for Hope Our Community's Response ® If a woman enters treatment and stops using r7 December 2003,we began to screen all alcohol by third trimester,you can prevent the pregnant women for tobacco, alcohol and drug mental retardation associated with Fetal use with the aP's Plus assessment tool(75% Alcohol Syndrome. of OE providers are using the 4P' Plus a For every S11 you spend in,prenatal care and scieenina tool). or It for the pt eanant woman. you 9 Voluntary Service Plan (VSP)implemented inl save$2.70 in medical care;or the infant,in the iesoonse to SE2669 first year of life. J Increased Duo and Alcohol counseline D If a child,is drug exposed,early intervention services 5y one day in Sari Luis Obispo and, can make a sion ficant difference in the child's north county. ultimate developmental and academic !3 Built a referral/case management system . outcome. m Provided county wide tiainina I Our Community's Response Our Vision. '11d,—MP Tracy A,PII IMI.I Lbrph.,pa4raut/T.R Gal:b;�Jnhanrt:C.mar ry:aarN:EC:.rarwlt icc C•w qua:rc�nrw.•avd-u:loci v nrB.'—M:¢ ,;a .San LLJS Obispo County will be a community p.^K'I,9dNd•Spa i�,J where every child is born free of the effects • Jar.C.Ir:Ipvratmar..HllCHranoanvoea;a• 1vd1.w1.1r F. of alcohol, tobacco and drug exposure and • l•q!umCnbn,LlO_Cen:•nriMFNteMIFrwl6rrorcinn lives in a home that promotes healthy growth sur orgy~r,cw+.,nYr.gravnaa/r,y.r.0/rrparrnAmlrws..vkr•. and development. a Oeoey hmr.0.lutty Ort+clo/.U.p+rminrt n,cvyn Snvir:a Y YarrwY fall'.IIIA'!Y fjpn,tpl Ii:l S/'W f./Ka.$rarr•'Jrf:i Pe.]p/.il.a:M:al LM•.I • Jl.rr Ro•ryrr YrcYrret:entu/I COilw Coun',Sunray Cdr:: v Ell:.rr.rn W:'Srnlrlea/�.Era:o:rva Nrrc:d.E:anamrr'Cepertunlr.Cammiaaron a (irpp rw".a.Pro,WH 0,,Y r.YUEdC I�!'tlen lMF Foundational Beliefs Goals This plan is based on the following beliefs: r7 All pregnant v✓omen will be screened for Suhslance abuse is a chronic and ielapsing di::eflse Substance usE'ZS a.nOGmel part Of health Care lira)interferes with the healthy functioning of Inmilins O Any stihslance use dining pregnancy is potentially a All pregnant a✓omen.who screen positive for hannrul substance use will have a Meld assessment. 7 CeSsatien of substance use rn any paint in pn:gncu)cV !3 All pregnant women found to be In need'.of is henalicial treatment v.9ll I)a -e"Cried to treatinent v,911 be j Children nred a staple home free Irons subslanco abuse' referred to treatment that Is'applopi late totheir for healthy growth and development;and needs. !J OnaIIIV treatment works it it is well malrhorl to the r7 Effective family-centered:and/or gender specific needs of the person. treatment services v✓ili be available to all pregnant and patenting women who need them. How You Can Help j How You Can Help providers o All prenatal care. providers Obstetricians p — screen allre sant women — Identify all pregnant mromen at risk for p g Substance use — Refer all positives for assessment I — Refer ail v,romen with positive screen for full assessment — Coordinaterenatal care with p Provide pienatal care that is coordinated substance abuse treatment with substance abuse treatment services program - Screen foe related problems, including HIV' infection, Hepatitis E. Hepatitis C.violence i How You Can Help How You Can Help to Substance abuse treatment providers o Child Protection Services — Give priority access to pregnant and — Assess all families within context of parenting women treatment — Provide gender specific nealmient — Collaborate with substance abuse treatment — Integrate child cat and therapeutic community, and understand that substance interventions for children into U'eatrnant abuse is a chronic relapsing disease — Collaborate with obstetrician and — Collaborate vliih Court system to insure best pediatrician Interest of the child i I How You Can Help Now You. Can Help ® Pediatricians oCourt system - Screen all children for effects of prenatal -Assess all families foe risk from substance j alcohol. drug exposure abuse in family - Assess developmental progress in all -Coordinate v:,ith substance abuse treatment children providers and child.protection services - Refer and enhance access for ail:childiento -Insist on early inteivention for families and early intervention services their children affected by substance abuse -Seek treatment over incarceration I How You Can Help How You Can Help E Community volunteer organizations a School personnel —Educate and suppoii elected officials in then —Participate in in-service training to better efforts to deal proactively with families understand the needs of thedrug-exposed affected by substance abuse child -Develop and support projects that directly -Provide learning activities and approaches serve high risk families that fit the needs of druo-exposed children - Support the development and,implement -Resist medication for the childl as a first option community action plan In Closing... ... ... ... ... m S2n Luis Obispo County Leadership Team v✓ill be convening September 1-3. 2004 to design 2 Plan to meet the needs of drug-exposed children. Bwe Would,like to come back in October, 2004 to give an update of our progress e Acain..... Thank you to the First Five Coinntission of Sat. Luis Obispo County for suppol Linc'this never approach