1. Neonatal Abstinence Syndrome (NAS) Prevention Toolkit
Cynthia Crews Thomas, DO, MPH
Northeast Regional Health Office
Tennessee Department of Health

3. Goals of the Toolkit
To provide a ready resource for information regarding Neonatal Abstinence Syndrome (NAS)
Introductory materials
Educational resources
Community resources
Articles, guidelines and reports

4. Audience for the Toolkit
Health department staff
Clinical healthcare providers (primary care and family planning)
Home visitors
Health educators
Healthcare providers
Pain management providers
Opioid replacement (buprenorphine) prescribers
Primary care, pediatric and obstetric providers
Community organizations serving women and families
Drug and alcohol treatment centers/providers
Domestic violence centers
Shelters
Civic organizations

5. Contents of THE Toolkit
Introductory Materials:
NAS FAQs – Tennessee Department of Health
Overview of NAS in TN and prevention efforts
Example of NAS Surveillance Summary Report and instructions for accessing report
Neonatal Abstinence Syndrome and Maternal Substance Abuse in Tennessee, , Tennessee Department of Health Division of Policy, Planning and Assessment, Surveillance, Epidemiology and Evaluation
Educational Pamphlets:
Neonatal Abstinence Syndrome (providers)
Drug Withdrawal in Babies (public)
Prescription Medication and Illegal Drug Use During Pregnancy (family planning patients)
Common Drugs and Related Problems for Mother and Baby (public)
LARC: Long Acting Reversible Contraception (all reproductive aged women, providers who care for them, organizations who deliver services to them)
Community Resource Guide:
All Northeast Region county health departments
Tennessee Department of Mental Health and Substance Abuse Services Prevention Services Provider Directory
CHAD, HUGS, CSS, TEIS
Frontier Health
Comprehensive Community Services
Families Free
Red Legacy
Oxford House
Safe Passage Domestic Violence Shelter, CHIPS Family Violence Center, The River Ministry, Family Promise
Education Guide for Parents and Caregivers: Niswonger Children’s Hospital, Mountain States Health Alliance
Articles, Guidelines, Reports and Reference Materials:
Opioid Abuse, Dependence, and Addiction in Pregnancy, Committee Opinion, The American College of Obstetricians and Gynecologists (ACOG) and American Society of Addiction Medicine (ASAM)
Neonatal Drug Withdrawal, Clinical Report, American Academy of Pediatrics
Hospital-Based Surveillance for Neonatal Abstinence Syndrome in Tennessee, 2013, Tennessee Department of Health, Division of Family Health and Wellness
Annual Report 2013, Tennessee Initiative for Perinatal Quality Care (TIPQC)
Neonatal Abstinence Syndrome: How States Can Help Advance the Knowledge Base for Primary Prevention and Best Practices of Care, The Association of State and Territorial Health Officials
Tennessee Clinical Practice Guidelines for Outpatient Management of Chronic Non-Malignant Pain

6. Contents of the toolkit
Introductory Materials:
NAS FAQs – Tennessee Department of Health
Overview of NAS in the US and TN and state level prevention efforts
Example of NAS Surveillance Summary Report and instructions for accessing the report through the archive
Neonatal Abstinence Syndrome and Maternal Substance Abuse in Tennessee, , Tennessee Department of Health Division of Policy, Planning and Assessment, Surveillance, Epidemiology and Evaluation
Neonatal Abstinence Syndrome in TennCare Enrollees (provisional data, 2012)

7. Contents of the toolkit
Educational Pamphlets:
Neonatal Abstinence Syndrome (providers)
Drug Withdrawal in Babies (public)
Prescription Medication and Illegal Drug Use During Pregnancy (family planning patients)
Common Drugs and Related Problems for Mother and Baby (public)
LARC: Long Acting Reversible Contraception (all reproductive aged women, providers who care for them, organizations who deliver services to them)

8. Contents of the toolkit
Community Resource Guide:
All Northeast Region county health departments
Tennessee Department of Mental Health and Substance Abuse Services Prevention Services Provider Directory
CHAD, HUGS, CSS,
TEIS
Frontier Health
Comprehensive Community Services
Families Free
Red Legacy
Oxford House
Safe Passage Domestic Violence Shelter, CHIPS Family Violence Center, The River Ministry, Family Promise

9. Contents of the toolkit
Education Guide for Parents and Caregivers:
Niswonger Children’s Hospital, Mountain States Health Alliance

10. Contents of the toolkit
Articles, Guidelines, Reports and Reference Materials:
Opioid Abuse, Dependence, and Addiction in Pregnancy, Committee Opinion, The American College of Obstetricians and Gynecologists (ACOG) and American Society of Addiction Medicine (ASAM)
Neonatal Drug Withdrawal, Clinical Report, American Academy of Pediatrics
Hospital-Based Surveillance for Neonatal Abstinence Syndrome in Tennessee, 2013, Tennessee Department of Health, Division of Family Health and Wellness
Annual Report 2013, Tennessee Initiative for Perinatal Quality Care (TIPQC)
Neonatal Abstinence Syndrome: How States Can Help Advance the Knowledge Base for Primary Prevention and Best Practices of Care, The Association of State and Territorial Health Officials
Tennessee Clinical Practice Guidelines for Outpatient Management of Chronic Non-Malignant Pain

11. Format of the Toolkit
Hard Copy
Flash Drive

12. Distribution of the Toolkit
Northeast Regional Health Office
Regional director, medical director, program directors
All county health departments in NER
MSHA, Wellmont
ETSU
Drug and alcohol treatment providers/centers
Community organizations

13. Additional NAS Prevention Activities
Letters to Certified Pain Management Clinics and Buprenorphine Prescribers
Follow up meetings
Distribution of toolkit
Direct education to patients
NAS Prevention and LARC education for female inmates
Pilot in Washington County, expanding to additional counties
Presentations to raise awareness and provide information regarding NAS prevention
All NER health councils
Community forums
Community healthcare provider events
Annual meetings of home visitors, nutritionists, other health department programs
Media campaign
WJHL and Niswonger Children’s Hospital Just for Kids programming
Live call in show
Public service announcement

14. Additional NAS Prevention Activities
Participation in NAS Task Force
Participation in ETSU Prescription Drug Abuse and Misuse Working Group
Participation in Northeast TN Commission on Children and Youth
NAS-specific Primary Prevention Initiatives (PPI) in several NER counties
Physicians
APNs
Health educators
Home visitors
Clerical

15. Contact Information
Cynthia Crews Thomas, DO MPH
Northeast TN Regional Health Office
185 Treasure Lane
Johnson City, TN 37604
Phone: Ext. 4605
Fax:

16. Questions?