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NAS
- Representative Population
- Identified at risk population
- Mothers are fundamental to family stability
Caring for Babies Thinking of Families Sean Loudin, MD FAAP NAS is - - PowerPoint PPT Presentation
Caring for Babies Thinking of Families Sean Loudin, MD FAAP NAS is - - PowerPoint PPT Presentation
Caring for Babies Thinking of Families Sean Loudin, MD FAAP NAS is a Key to the Substance Abuse Epidemic NAS Representative Population Identified at risk population Mothers are fundamental to family stability Brain Development
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Brain Development
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Pathogenesis of NAS
Alternative Pathway Disuse Hypersensitivity
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NAS Births per 1000 at CHH
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Patients Treated for with Methadone for NAS per 1000 Births at CHH
Year 2010 2011 2012 2013 2014 2015 Live Births 2436 2494 2641 2801 2755 2810 Prenatal Exposures 71 79 111 459 547 522 NAS per 1000 29.1 31.7 42.0 163.9 198.5 185.8 Pharmacologically Treated NAS 83 102 135 214 224 265 Treated NAS per 1000 34.1 40.9 51.1 76.4 81.3 94.3 %multi-Substance 46% 47% 58% 54% 52% 53%
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Estimates of Total OUD using NAS Births as a Representative Sample
0.0% 5.0% 10.0% 15.0% 20.0% 25.0% Local Data Nationally Available Data
Range Estimates for Opioid Use Disorder Using NAS Data
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Places For Treatment
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Distribution of NAS Patients Admitted to Individual Treatment Units
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 2011 2012 2013 2014 2015 NAS Patients Lily's Place NTU NICU
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Estimated Charge Avoidance Using Specialized Treatment Units
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5 1 0 1 5 2 0 3 0 5 0 1 0 0
W e e k P e rc e n t C o m p lia n t
P E 8 0 P E 9 0 P E 5 0
Mothers Need Treatment
Pregnant and early post-partum women need about 12 weeks of intensive outpatient therapy for initial recovery stabilization
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Mothers Impact NAS
1 2 3 4 5 6 7 No Treatment Methadone Methadone + Adjunctive
Proportion of neonates standardized for Methadone treatment
Treatment of Neonates Born to Mothers with Major Depressive Disorder
No MDD MDD 0.5 1 1.5 2 2.5 3 3.5 4 4.5 No Treatment Methadone Methadone + Adjunctive
Proportion of neonates standardized for Methadone treatment
Treatment of Neonates Born to Mothers with Panic Disorder
No Panic Disorder Panic Disorder
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Mothers Impact NAS
1 2 3 4 5 6 7 8 No Treatment Methadone Methadone + Adjunctive
Proportion of neonates standardized for Methadone treatment
Treatment of Neonates Born to Mothers with Post Partum Depression
No PPD PPD
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Average Per Patient Charges for Baby’s First Year Following MAT Enrollment During Pregnancy
$1,552,13 $453.75 Not Enrolled Enrolled
Mom’s are Fundamental to Family Stability
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