Addressing the drug affected infant population and tools to end destructive cycles Amy Baumann- BSW- Safe Babies Healthy Families Colleen Allen- MSW, APSW certification- Waukesha

Memorial Hospital Karen Villarreal- BA in Psychology- Safe Babies Healthy

Families

Objectives Statistics Committees in Waukesha County Accomplishments and Goals Universal Screening Tool Assessment of SBHF Home Visiting Future Concerns

Statistics Nationally the rate of NAS increased from 2009-

2012 from 3.4 to 5.8 infants per 1000 births In Wisconsin and surrounding states it was 6.9

per 1000 births in 2012 (463 babies in 2014) In Waukesha it was 7.3 per 1000 births in 2014

(28 babies) (We know that this number is extremely under reported)

Nationwide both neonatal and maternal hospital stays together cost $944 Million in 2012

Statistics 90% of highest risk families in Waukesha

County CPS had AODA concerns (both in and out of home placements)

160,000 people in Wisconsin abuse opiates 23% of people who use heroin become

dependent In 2014 there were 47,055 drug overdoses in

the United States There were 853 overdoses in Wisconsin in 2014

(more than car fatalities) There has been a 200% increase in opiate

deaths between 2000 and 2014

Difficulties in quantifying Babies are coded in many different

ways, instead of as a NAS baby Different descriptors As a result, funding is hard to get

because of the lack of data Hopefully this will be changing as state

leaders see the need Our local group is trying to collect more

local data

Waukesha County Drug Affected Infant Workgroup began

with B-3, Public Health and DHHS seeing a need in our community

Invited SBHF, local hospitals, Waukesha Comprehensive Treatment Center, and other community agencies to the table

What hospitals were seeing Began meeting quarterly

Structure of Group Currently Now we meet every other month Attendees: SBHF, Waukesha Memorial

Hospital, Aurora Summit, Public Health, B-3, Waukesha County HHS, Waukesha Comprehensive Treatment Center, Parent’s Place, State Representatives, Addiction Resource Council, Hebron House, Lutheran Social Services, Parents,etc.

Developed 3 subgroups Became a pillar of the Waukesha Heroin and

Other Illicit Drug Taskforce

Pregnancy Subgroup Education and coordination of care

Consistent message to the families on what to expect

Connect these families as early as possible with community providers

Universal screening tool Identify a standardized algorithm for

patients identified at risk

Hospital Stay Subgroup Consistency with care and treatment

guidelinesCompare protocols and policiesWork with WAPCTraining and education for staffUniversal screening tool for doctorsBuilding a screen in EPIC

Perinatal Dependency Clinic WMH is in the beginning stages of opening a clinic Will be able to prescribe suboxone, subutex and

vivitrol There will be a coordinator (RN or SW), pharmacy

support and a clinical psychologist/therapist (individual and/or weekly groups)

It will be co-managed with their OB during pregnancy and then to internal medicine post delivery

Patients would do medical appointments in the morning and individual and group therapy in the afternoon.

Community Subgroup Educate providers and community on

services available Professional BinderFamily Folder

Connect with partners that can outreach to families

Support Group for Pregnant and Parenting Mom’s -Parent’s Place

Successes Created a universal referral form for SBHF, PH and B-3. Brought multiple hospital systems to the same table

Sharing best practice Shared what each system has tried Reduces amount of patient playing the system

Opened the discussion with Waukesha Comprehensive Treatment Center

Have brought trainings to the group from state level Created a binder for professionals Created a family folder for families All hospitals are calling CPS if baby tests positive Educating families on what to expect during the process and

what babies experience Cross training- ex: B-3 and CPS

Work in progress Discussing with the Taskforce to add our

professional binder to the website they are creating

Easier to keep updated Talking with 211 Update current binder and family folder Working on universal screening tool for

doctors and getting into EPIC

Importance of Home Visiting Not all families are opened to CPS Coordinate with B-3 Continue to monitor and do ASQ and SE Better relationships with DHHS, agencies

and hospitals Continuum of care Able to get participants feedback Preparing parents as what to expect

through process

Home Visiting Challenges Families facing these struggles take

more time Higher risk for abuse and neglect Attachment and bonding challenges Harder to keep these families engaged-

especially as a voluntary program Smaller case loads Funding is difficult

Hospital Challenges Expensive to test umbilical cord Universal screening protocol would need

to come form WAPC Doctors and hospitals would need the

screen as an electronic record Between Waukesha and Milwaukee

there is a lot of competition and places for families to go

Families hospital and doctor hop