Wednesday, June 23, 2010

8:00 am – 9:00 am SEN SUMMIT REGISTRATION & CONTINENTAL BREAKFAST

9:00 am – 10:30 am SEN SUMMIT WELCOME & OVERVIEW

This session will provide an overview of the nature and prevalence of Substance Exposed Newborns (SEN) in the United States, and establish the need for a multi-disciplinary approach to prevent, identify and effectively address the needs of SEN and their families. It also will summarize the federal response to these complex challenges, and share insights from one mother who used drugs while pregnant.
Presenters: Jeanne Pietrzak, MSW, Director, National AIA Resource Center; Linda Carpenter, MEd, Director, In-Depth Technical Assistance Project, National Center on Substance Abuse & Child Welfare; Catherine Nolan, MSW, Director, Office of Child Abuse Prevention, Administration for Children and Families, Department of Health and Human Services; Imani Walker, Director, Rebecca Project for Human Rights

Listen to this presentation (80 minutes) [MP3 format]

Download presentation slides [PDF]: Linda Carpenter, Catherine Nolan

10:30 am – 10:45 am BREAK

10:45 am – 12:15 am   PANEL: IDENTIFYING & TREATING PREGNANT SUBSTANCE USERS

This panel presentation will address challenges and current policy approaches to screening pregnant women for alcohol and drug use, legal and ethical considerations in the treatment of pregnant substance users, and effective interventions with this population.

Moderator: Sharon Amatetti, MPH, Senior Public Health Analyst, Center for Substance Abuse Treatment

Presenters: H. Westley Clark, MD, JD, MPA, Director, Center for Substance Abuse Treatment; James Nocon, MD, Director of the Prenatal Recovery Clinic at Wishard Memorial Hospital and Clinical Associate Professor at the Indiana University School of Medicine

Listen to this presentation (90 minutes) [MP3 format]

Download presentation slides [PDF]: Westley Clark, James Nocon

12:15 am – 1:30 pm HOST LUNCH

1:30 pm – 3:00 pm WORKSHOP SESSION I

A. Three Approaches to Identifying & Engaging Pregnant Substance Users

Staff from three federally funded demonstration projects will discuss lessons learned in their collaborative efforts to develop protocols for identifying pregnant substance users in hospitals and prenatal clinics.  Presenters will share the resulting protocols as well as strategies they employed to engage women prenatally and at delivery.
Presenters: Kathryn Wells, MD, Medical Director, Denver Family Crisis Center, Attending, Denver Health and The Children's Hospital, Assistant Professor of Pediatrics, University of Colorado; Celeste Smith, MA, Program Coordinator, Healthy Connections, St. Vincent Mercy Family Care Center, Toledo, OH; and Kristin Funk, LCSW, Co-Coordinator of Project FEAT (Family Early Advocacy and Treatment), Eugene, OR

Download presentation slides [PDF]
Handouts [PDF]: Community Standard for Maternal and Newborn Drug Screening, FEAT Prenatal Screening Table, Hospital Protocol Spreadsheet, SEN Baby Algorithm, SEN Mom Algorithm

B. Kentucky’s Multi-pronged Approach to Addressing the Needs of Perinatal Substance Users

This workshop will present Kentucky’s multi-pronged approach to preventing substance use during pregnancy and ensuring adequate services and supports to children and families affected by prenatal substance use. Specifically, participants will learn about the work of a multidisciplinary Substance Exposed Infants Workgroup and two innovative programs: (1) Kentucky’s KIDS NOW Plus Substance Abuse and Pregnancy Initiative, which provides an array of services to pregnant women at risk for substance abuse, e.g., prevention education, screening and brief intervention, case management, and referral to substance abuse and mental health treatment; and (2) Sobriety, Treatment and Recovery Teams (START), which is a collaborative approach to intervening with parents of substance exposed newborns using family mentors and specially trained child protective services workers. Challenges and program outcomes will be shared.
Presenters: Lynn Posze, MPH, Program Administrator, Kentucky Division of Mental Health and Substance Abuse; Fran Belvin, MA, ATR-BC, LPAT, Substance Abuse Program Administrator, Kentucky Department of Behavior Health; and Tina Willauer, MPA, START Director

Download presentation slides [PDF]: Lynn Posze, Fran Belvin

C. Bridging Gaps in Current Medication Treatment Research for Pregnant Women & In-Utero Substance Exposed Neonates: Ethics, Advances & Future Directions

The overall goal of this workshop is to advance the field of medication treatment research for pregnant opiate and nicotine dependent women and their in-utero substance exposed neonates. Presenters also will address the ethical dilemmas in conducting clinical trial research among this population.
Session Chair: Steven Oversby, RN, PsyD, Health Scientist Administrator, NIDA. Presenters: Hendree Jones, PhD, Research Director at Johns Hopkins Center for Addiction and Pregnancy, and Director of Cornerstone; and Lauren M. Jansson, M.D., Associate Professor of Pediatrics, Johns Hopkins University School of Medicine and Director of Pediatrics, The Center for Addiction and Pregnancy, Johns Hopkins Bayview Medical Center

D. Home-based Treatment for Families Affected by Parental Substance Abuse

Family-Based Recovery (FBR) is a home-based substance abuse and attachment-focused treatment model for families with young children. The FBR model has been implemented in 6 sites across Connecticut. This presentation will provide an overview of the FBR model and present data related to client characteristics and case outcomes.
Presenters: Jean Adnopoz, MPH, Clinical Professor & Director of In-Home Clinical Services for the Yale Child Study Center; Karen Hanson, LCSW, Clinical Coordinator of the Family-Based Recovery Program (FBR) at the Yale Child Study Center and Coordinator of the FBR Network; Jeffrey Vanderploeg, PhD, FBR QA Consultant; Dale Saul, PhD, FBR Parent-Child Consultant; and Peter Panzarella, MS, Director of Substance Abuse Services, Connecticut’s Department of Children and Families.

Download presentation slides [PDF]

3:00 pm – 3:15 pm BREAK

3:15 pm – 5:00 pm PRESENTATION OF TRAINING DVD

Integrating Screening and Treatment of Substance Use into Routine Prenatal Care

This 54 minute training DVD, designed especially for health care professionals working with pregnant women, features the work of Dr. James Nocon, Director of the Prenatal Recovery Clinic at Wishard Memorial Hospital in Indiana. Dr. Nocon will be available to answer questions following the video. One CME credit will be available to participants in this session.

3:15 pm – 4:00 pm CAFÉ CONVERSATIONS

Concurrent, brief, informal, topical discussions to promote information sharing will be held in two 45-minute sessions. A different topic will be assigned to each room.

• Treatment issues for pregnant and parenting women
• Screening of pregnant women
• Legal/court issues
• Engaging fathers
• Confidentiality/information sharing
• Plans of safe care/services for families of SEN

4:00 pm – 4:15 pm BREAK

4:15 pm – 5:00 pm CAFÉ CONVERSATIONS

• Treatment issues for pregnant and parenting women
• Screening of pregnant women
• Legal/court issues
• Engaging fathers
• Confidentiality/information sharing
• Plans of safe care/services for families of SEN

Thursday, June 24, 2010

7:30 am – 8:30 am REGISTRATION & CONTINENTAL BREAKFAST

8:30 am – 10:00 am PANEL: EFFECTIVE INTERVENTIONS WITH SEN AND THEIR FAMILIES

Panelists will address the role of drug dependency court with families of SEN, effective strategies for fostering parent-child interaction, and developmental and medical interventions for substance exposed newborns and young children.

Moderator:  Catherine Luby, MSW, Project Officer, Children’s Bureau

Presenters: Judge Erica Yew, JD, Judge, Santa Clara County Superior Court and Family Wellness Court; Lynne F. Katz, EdD, Director of the Linda Ray Intervention Center at the University of Miami, Department of Psychology; and Harolyn Belcher, MD, MHS, Developmental Pediatrician, Department of Neurology and Developmental Medicine, Hopkins Kennedy Krieger Institute

Listen to this presentation (90 minutes) [MP3 format]

Download presentation slides [PDF]: Erica Yew, Lynne Katz, Harolyn Belcher

10:00 am – 10:15 am BREAK

10:15 am – 11:45 am SEN WORKSHOP SESSION II

A. Strategies and Lessons Learned for Notifying and Collaborating with Child Welfare Agencies on Behalf of Substance Exposed Newborns

Learn how four federally funded demonstration projects established systems for meeting the CAPTA requirement to notify child welfare agencies of all substance exposed newborns. Challenges and strategies will be presented, and participants will have an opportunity to compare and contrast approaches from different types of agencies (e.g., public health, hospital, child welfare).
Presenters: Donna Hamburg, MA, CSIMI Co-Program Director, Denver Department of Human Services; Enid Watson, MDiv, Project Director, A Helping Hand: Mother to Mother, The Massachusetts Department of Public Health, Institute for Health and Recovery, Boston, MA; Celeste Smith, MA, Healthy Connections, St. Vincent Mercy Family Care Center, Toledo, OH; and Liz Twombly, MS, Co-Coordinator of Project FEAT (Family Early Advocacy and Treatment), Eugene, OR

Listen to this presentation (90 minutes) [MP3 format]

Download presentation slides [PDF]
Handout [PDF]: Enid Watson

B. Caring for Drug-Exposed Infants

This session will describe well-tested protocols for caring for infants prenatally exposed to different types of legal and illegal substances (and multiple drug combinations); caregiver needs of drug-exposed infants and their impacts on placement decisions; and challenges of designing and operating the Pediatric Interim Care Center, a newborn nursery designed specifically to provide 24-hour specialized care to prenatally drug-exposed newborns.
Presenter: Barbara Drennen, Executive Director and co-founder, Pediatric Interim Care Center (PICC), Kent, WA

C. Future Trends in the Treatment of Neonatal Abstinence Syndrome

This presentation will describe the treatment of pregnant females with opioid addiction. It also will discuss current and future trends in identifying and treating infants with withdrawal symptoms, and future trends in the treatment of the Neonatal Abstinence Syndrome. 
Presenters: Walter Kraft, MD, MS, FACP, Director, Clinical Research Unit, Thomas Jefferson University; Karol Kaltenbach, PhD, Clinical Associate Professor, Department of Pediatrics, Department of Psychiatry and Human Behavior, Thomas Jefferson University; and Kevin Dysart, MD, Assistant Professor, Department of Pediatrics, Thomas Jefferson University

Download presentation slides [PDF]: Walter Kraft, Kevin Dysart

D. Parent Partners of NW Iowa: Mentoring Families Impacted by Substance Exposed Newborns

Parent Partners of NW Iowa is an innovative project created to improve the well-being of children affected by methamphetamine abuse or other substance abuse. Trained Parent Partners create bridges connecting families to “formal” and “informal supports” by providing mentoring services to parents navigating through the Department of Human Services System. Parent Partners (male and female) will speak to how parents have been effectively engaged in the treatment process through mentoring and the development of a family team. Presenters also will provide information on how to start a Parent Partner Project and share a variety of Digital Stories that have been created by the project.
Presenters: Lauri Carlson, LSW, Project Director; Bill Glienke, LBSW, Parent Partner Coordinator; and Kristi Wolthuis & Tom Naviaux, Parent Partners

Download presentation slides [PDF]

E. CAPTA: From Washington to Harrisburg to Philadelphia

Participants will learn about the design and implementation of a local team and program developed in response to the CAPTA amendment of 2003. Specific topics include cross agency collaboration, staffing and responsibilities, client assessment and brief intervention, and services for families to ensure the safety and stability of substance exposed newborns.
Presenter: Nick Claxton, CQSW, Program Coordinator, Philadelphia Department of Public Health, Division of Maternal, Child & Family Health

Download presentation slides [PDF]

11:45 am – 1:00 pm HOST LUNCH

1:00 pm – 2:30 pm SEN WORKSHOP SESSION III

A. Developing Plans of Safe Care for Substance Exposed Newborns

Staff from federally funded demonstration projects will present different models they have developed to engage families of SEN in services and develop plans of safe care for SEN. Models include use of peer family advocates, specialized child welfare teams, multi-disciplinary teams, and family drug court.
Presenters: Gretchen Read, MSW, Supervisor, Child Welfare Services, Denver Department of Human Services; Heidi Mason, Peer Worker, A Helping Hand: Mother to Mother, The Massachusetts Department of Public Health, Boston, MA; Celeste Smith, MA, Program Coordinator, Healthy Connections, St. Vincent Mercy Family Care Center, Toledo, OH; and Liz Twombly, MS, Co-Coordinator of Project FEAT (Family Early Advocacy and Treatment)

Download presentation slides [PDF]
Handout [PDF]: Helping Hand Flow Sheet

B. Collaborative Interventions for Newborns and Parents Affected by Substance Abuse

This workshop focuses on the complex needs of substance-exposed newborns and their families. Presenters will discuss practical ways to optimize development in substance exposed newborns through a multidisciplinary, long range approach utilizing strengths of available resources in two communities. They also will review current practices for identifying newborns exposed to drugs and legislative trends to improve such practices.
Presenters: Rizwan Shah, MD, Medical Director of Regional Child Protection Center, Des Moines, IA; and Jean Twomey, MSW, PhD, Assistant Professor of Psychiatry and Human Behavior, Brown Alpert Medical School

Download presentation slides [PDF]: Jean Twomey

C. Common Goals, Uncommon Solutions: Innovative Collaborations to Prevent and Improve Outcomes for Substance Exposed Newborns

Women’s treatment coordinators from the Single State Agencies in charge of substance abuse prevention and treatment will discuss how their agencies have identified and engaged the right partners, including child welfare, public health and law enforcement agencies, to create state-wide, evidence-based programming that prevents substance exposed pregnancies, and improves outcomes for substance exposed newborns.
Presenters: Martha Kurgans, LCSW, Women’s Substance Abuse Treatment Coordinator, Virginia Department of Behavioral Health and Development; and Becky Barnett, MSW, LCSW, Program Manager, Utah State Division of Substance Abuse & Mental Health

Download presentation slides [PDF]

D. Problem Solving Courts: Collaboration

Problem-solving courts offer a highly collaborative and proven effective approach aimed at engaging and retaining pregnant and parenting substance users in treatment leading to permanent family reunification, long-term child safety, and healthy family functioning. Presentation will feature an interdisciplinary panel including a consumer-graduate with direct experience in this model.
Presenters: Norma D. Jaeger, MS, Director, Problem-solving Courts; Bethany Gadzinski, Chief, Idaho State Bureau of Substance Use Disorders; Honorable Bryan Murray, JD, Judge, 6th Judicial District of Idaho; and Michelle Carney, Program Graduate

Download presentation slides [PDF]
Handout [PDF]: National Family Treatment Drug Court Evaluation

E. A Collaborative Approach to Serving Families of Infants Who Have Been Prenatally Exposed to Substances

This workshop will present a model of an interdisciplinary team approach to serving women, beginning in pregnancy and continuing through the child’s third birthday and will provide the participant with an opportunity to explore emerging and promising practices that use the principles of relationship-based support to promote the well-being of infants and their caregivers. Participants also will learn about funding strategies developed to sustain and promote ongoing program development and implementation.
Presenters: Harrie Freedman, RN, MS, Senior Program Manager, Reflejos Familiares Project, University of Mexico Center for Development and Disability; and Andrew Hsi, MD, MPH, Director, Division of General Pediatrics, University of New Mexico Health Sciences Center

Listen to this presentation (90 minutes) [MP3 format]

Download presentation slides [PDF]
Handout [PDF]: Circle of Security

2:45 pm – 3:30 pm CLOSING PLENARY: POLICY CHANGES TO MOVE US FORWARD

Listen to this presentation (45 minutes) [MP3 format]