Substance Exposed Newborn Task Force 11-22-16

Thank You!!!!! Halifax Health – meeting space, lunch, support  Reawakenings – for the awesome cookies Senator Simmons – for listening and supporting better policy for our cause All our partners – who help our families each and every day!! We are so thankful!!

Agenda Welcome and Introductions Updates SMA - WARM ECC Court Team Healthy Start High Risk Team WIS/NOS MIECHV Other – Publications, IMH, CMS, Early Steps, Healthy Start, Family Place, Committee Break Out – Infant/Child Safety, Policy Development, Coordinated Intake & Referral, Interconception Care, Aftercare Report In Next Steps & Adjourn

LSF Funding High Risk Team is managing cases throughout service area through SMA. Peer Recovery Specialist position is posted through Healthy Start. Incidental funds are helping with practical support and temporary dosing. Aftercare services are being more formally developed.

WARM (Women Assisting Recovering Mothers) Update Circle of Security – being funded through Healthy Start’s LSF contract. Capacity/Waiting List Healthy Start services at WARM Transition to Aftercare – working on transition plan. Child Care – ensuring coverage after discharge Other updates

Early Childhood Court Team Referrals to We Time Parenting Staff changes in Parent Partner program - position posted Healthy Start North Central in Putnam County considering adaptation of Parent Partner program Other

Volusia County Branch Jail DTC providing services – currently providing Buprenorphine dosing for those pregnant women assessed with a need Women can’t pay for dosing when they get out OB/GYN’s do not want to take into care when they are on management, far along in pregnancy and can’t maintain due to affordability. Records need to follow women out of jail – implement prenatal passports

MIECHV Update Collaborative Meeting was held in Tampa last month Cross-state sites share best practices Local data collection in WFS being implemented Exploration of technology use (texting, on line referral, “menu” of services, etc.) Other

MIECHV Coordinated Intake & Referral (CI&R) Action Learning Collaborative (ALC) Team Poster Unique Components: Substance Exposed Newborn Target Population Strategies Family Voice Through Engagement Flagler County Volusia County What is Family Engagement? Family Engagement begins with building healthy relationships with parents and families we provide services to. It is built on reciprocity and commitment to mutual respect. What are the four levels of Family Engagement? Community Activity Engagement Service Engagement State/Federal Policy Engagement Agency/System Policy Engagement What are the benefits of Family Engagement? Families feel empowered and are in control of their lives Wholesome relationship with staff Cultivation of parent leaders Healthier child and parent development Increased protective factors Effective peer support What is the Family Place? Computers available for use. Community Partner Assisted Service Site for online DCF ACCESS for Medicaid, food stamps, & cash assistance. A physical location for centralized access for families to come, in-person, to link to community resources. Families receive resource navigation, peer support and protective factors training Site to host for Parent Café Dialogues Staff trained on effective family engagement HSCFV has two locations in Daytona Beach and Volusia. What are Parent Café Dialogues? One of the most effective ways to build social connections and deepen knowledge of parenting and child development. Parents and Caregivers come together to have conversations about what keeps them STRONG. Monthly or weekly peer support groups for parents and staff. Strengthening Families and Protective Factors framework used Families are recognized as leaders and find their voice in the community. How do background screening requirements create barriers to Family Voice? Many parents want to provide their lived experience to help communities grow stronger There are stringent requirements & obstacles to volunteer or to provide peer support as an employee. Addressing challenges will create a robust workforce for peer support approaches across sectors. Building equal partnerships with families requires significant changes with background screening requirements Dixie Morgese, Corey Best and Parent Partners Alexis Carey, Parent Educator Meeting with Armor Correctional Health Services Home Visitation Capacity Substance Exposed Newborn Taskforce Meeting Healthy Start Care Coordination: 310 families per month Protective Factors Dialogue Come Under Our Umbrella MIECHV Travel Team Healthy Families Participant Healthy Families Home Visiting: 150 families per month SEN Taskforce Meeting Fun Fact: I am certified in prenatal and baby & me yoga. Rosha Loach, Program Director Tracking Learning Substance Exposed Newborn Intensive Case Management: 30 families per month Well Family System (WFS): Local Tab Fun Fact: I loved being a cuddler for the Neonatal Intensive Care Unit. Thalia Smith, Healthy Start Program Manager Key Component Status Strategies Next Steps Program and Services Inventory   In Progress We are currently in the process of updating this list to include capacity and eligibility criteria.in our current table for Memorandums of Agreements (MOAs). We will provide more information on the status of the program and services inventory in upcoming reports. Family Voice Our Coalition is very involved in promoting the family voice through family engagement and include current and ongoing strategies utilizing Strengthening Families’ Protective factors Framework. The family voice is encouraged through our Community Café Dialogues, Family Place sites and by our Parent Partners. Corey Best, Family Engagement Manager facilitated the quarterly webinar in June 2016 to expand more on the topic of family engagement. Decision Tree The Decision Tree is under development by the local team through our monthly meetings and activities. Refine the decision tree with input from local team and community. Centralized Screening/Tracking Log Well Family System (WFS) Local Tab development and beta testing in progress.. Currently entering program data and developing data lists to evaluate existing outcomes. Business Service Agreements/ MOUs (specific for CI&R) We have created a specific MOA for CI&R MIECHV related agreements. To date we have added two community organizations that include a Federally Qualified Health Center and one that provides counseling services; Negotiating with Armor Correctional Health Services Increase number of business service agreements/MOUS as new local partners are identified and engaged in our CI&R process. Additional Key Local Activities Improve Technology by developing an app to improve CI&R. We are researching possible approaches. HSFV Baby at Work Applying for Nurse-Family Partnership to expand capacity Fun Fact: My fantasy career is to be a TODAY co-host on NBC! Susan LeBlanc, Healthy Families Program Manager Fun Fact: I enjoy supporting families! Victoria Camper, Parent Partner Fun Fact: I enjoy snorkeling and am scuba certified.  Mary Decator, Substance Exposed Newborn (SEN) Project Manager SEN Mom Heather & Baby Fun Fact: I enjoy raising chickens. Nathaniel Loucks, SMA Behavioral Healthy Start Program Director Healthy Start Stewart-Marchman-Act

Infant Mental Health Chapter Update IMH Training Day – postponed due to hurricane – rescheduled for Clinical consultation with IMH Workgroup Reflective Supervision/reflective practice Professional Development Opportunities Brochure Other

Committee Break-out Infant Safety Coordinated Intake and triage Aftercare Policy Interconception Care

Issues for Increased Awareness for Women on MAT Drowning – Standing Water Hot Car – help caregivers with reminder Safe Sleep – high risk for women who have mental health/substance abuse problems Human Trafficking Domestic/Partner Violence Perinatal Mood Disorders/Post Partum Depression – potential for relapse Shaken Baby – Coping With Crying Adoption – support women who want to adopt Parenting Support

Targeted Awareness Messaging Providers – focus on patient education and engagement, ACES Community – broad messaging that educates all potential caregivers Participants – materials, education, resources and support to directly impact participants. Policy Makers – messaging to help local, state and National policy makers understand and support the issue

Training Availability Safe Sleep Neonatal Abstinence Syndrome Cultural Diversity Bereavement Parent Leadership Parent Involvement Strengthening Families Overview Safe Baby Living the Protective Factors Futures Without Violence Training of Trainers - DSC ACES and Trauma-Informed Response Interconception Education (10 Modules) Risk Appropriate Care

Next Steps Policy Centralized Intake & Referral Interconception Care Aftercare Infant Safety Staff Development Other?

Substance Exposed Newborn Task Force 2016 Meeting Dates Tuesday, November 22, 2016 January 24, 2017 March 28, 2017 May 23, 2017 July 25, 2017 September 26, 2017 November 28, 2017 Potential meeting change in 2017 – please look closely at announcement For more information contact the Healthy Start Coalition at 386-252-4277

Let’s work together to keep them ALL safe, strong, healthy, and happy!

Thank You! Happy Thanksgiving!