1. Overview of Substance Exposed Newborns Data and Trend Overview

2. National Scope Annually 400,000 – 440,000 infants are born substance exposed (10-11% of total births) Substance use causes a wide spectrum of difficulties – Perinatal – Birth – Infancy – Early childhood development

3. History 1990’s reflected the “crack” epidemic. Neonatal Abstinence Syndrome was not yet clearly defined/understood throughout the human services community. Dr. Ira Chasnoff completed one of the first longevity studies. Fetal Alcohol Syndrome and FAE (now FASD) not recognized broadly for its damaging effects.

4. Scope of the Problem - Florida 2007 - 2012 an escalating trend of narcotics use began to emerge – Pill Mills, Methadone Maintenance, increased of use of hydrocodone, opiates/opioids. Stabilization of endocrine system in women of reproductive age through opioid management increases pregnancy potential. Aggressive state and municipality action resulted in reduction of Pill Mill activities. Consequently, street narcotics use increased.

5. Deaths, Sales, Treatment Admissions

6. State of Florida Rates vs. Treatment Capacity Insert Map

7. Number of Newborns Diagnosed Annually from 2007 - 2011 Year # of Newborns Diagnosed # of Live Births 2011 2,019213,237 2010 1,673214,519 2009 2,196221,391 2008 1,492231,417 2007 640239,120 Total 8,0201,097,590

8. Rates of Florida Newborns with NAS Figure 1: Rates of Florida Newborns Diagnosed with Selected Fetal/Newborn Drug Exposure

9. Broward County Newborn Patient Discharges from 2007-2011 reviewed by State Attorney Generals Task Force. Total BirthsNAS Broward86,044311 Florida880,5647,380 Rate9.7%4.2%

10. Moving Forward Prevention – Awareness Campaigns Screening – 4 P’s Assessment - Biopsychosocial Intervention – prenatal, birth, interconception Follow-up of infants and toddlers Best Practices – Safe Baby Court Teams Staff Development Key Stakeholder Coordination

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

12. Thank You!