1. Substance Exposed Newborn Task Force 11-22-16

2. 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!!

3. 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

4. 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.

5. 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

6. 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

7. 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

8. 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

9. 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

12. 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

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

14. 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

15. 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

16. 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

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

18. Substance Exposed Newborn Task Force 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

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

20. Thank You! Happy Thanksgiving!