Wheeling, WV Numbers } 157 babies born exposed or withdrawing 2013 } - - PowerPoint PPT Presentation

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Wheeling, WV Numbers } 157 babies born exposed or withdrawing 2013 } - - PowerPoint PPT Presentation

Wheeling, WV Numbers } 157 babies born exposed or withdrawing 2013 } 270 babies born exposed or withdrawing 2014 } 280 babies born exposed or withdrawing 2015 so far 2013: Our Model 2014: Increasing Community Problem } Increasing


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Wheeling, WV Numbers

} 157 babies born exposed or withdrawing – 2013 } 270 babies born exposed or withdrawing – 2014 } 280 babies born exposed or withdrawing – 2015 so far

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2013: Our Model

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2014: Increasing Community Problem

} Increasing number of substance use disorders and

exposed babies

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Addiction Action Plan

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A Public Health Parable:

} Man by the river hears someone drowning } Being a good swimmer, he rescues the person } Before catching his breath, he hears another

in need, and another and another…

} The man, exhausted, begins to walk away } Asked where he’s going, he responds…

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A Public Health Parable:

“I’m going upstream to prevent others from falling in!!”

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2015: High Risk Pregnancy Referral Services

} Phase 1: Printed referral tool } Phase 2: Screening, Brief

Intervention, Referral to Treatment (SBIRT) Training in all OB offices

} Phase 3: On site social worker –

integration of obstetrical and behavioral health services

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Wheeling Hospital Policy

} Identifying exposed babies

} Mother with positive drug screen at any time during pregnancy,

no prenatal care, unexplained abruption

} Monitoring babies

} Umbilical cord testing; clinical observation

} Treatment

} Pharmacologic } Nonpharmacologic/therapeutic

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Best Test

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Therapeutic Room

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Pediatric Floor