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Infants

The well-being of infants with prenatal substance exposure improves with early identification and developmental interventions. These resources provide information on the needs of infants who have been affected by parental substance use.

Highlighted Resource

Guidance from the American Academy of Pediatrics on Neonatal Opioid Withdrawal Syndrome

Updated Guidance from the American Academy of Pediatrics (AAP) on the Treatment of Infants with Neonatal Opioid Withdrawal Syndrome

Date: January 26, 2021

Dr. Stephen Patrick, a national expert on maternal opioid use on infants, provides current information on the crisis; implications for

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Policy and Practice Resources

Understanding Fetal Alcohol Spectrum Disorders: Child Welfare Practice Tips

National Center on Substance Abuse and Child..., 2022

Provides an overview of fetal alcohol spectrum disorder (FASD); the effect of FASD on

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Understanding Fetal Alcohol Spectrum Disorders for Substance Use Treatment Professionals

National Center on Substance Abuse and Child..., 2022

Designed for substance use treatment professionals who serve: 1) parents with alcohol

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Supporting Children Affected by Parental Methamphetamine Use

National Center on Substance Abuse and Child..., 2021

Parental methamphetamine use increases the risk of child abuse and neglect. This tip

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ASTHO Brief: Stigma Reinforces Barriers to Care for Pregnant and Postpartum Women with Substance Use Disord...

Association of State and Territorial Health ..., 2019

Examines how to overcome barriers for pregnant and postpartum women with SUDs seeking

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US Surgeon General’s Advisory: Marijuana Use and the Developing Brain

U.S. Department of Health and Human Services, 2019

Former U.S. Surgeon General Jerome Adams discusses the risks of marijuana use during

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Opioid Safety Toolkit: Emerging Treatment Options for Neonatal Abstinence Syndrome

California Healthcare Foundation, 2019

An infographic comparing the standard of care with emerging models for treating

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HRSA’s Home Visiting Program: Supporting Families Impacted by Opioid Use and Neonatal Abstinence Syndrome

Health Resources and Services Administration, 2018

A guide for Maternal, Infant, and Early Childhood Home Visiting (MIECHV) awardees

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Clinical Guidance for Treating Pregnant and Parenting Women With Opioid Use Disorder and Their Infants

Substance Abuse and Mental Health Services A..., 2018

Provides comprehensive national guidance for optimal management of pregnant and

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The Neonatal Abstinence Syndrome Framework

Association of State and Territorial Health ..., 2017

Provides a framework to help structure stakeholder discussions at the state level to

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Related Online Training, Videos, and Webinars

Evidence-Based Treatment of Perinatal Substance Use Disorders

U.S. Department of Health & Human Services, ..., 2021

Examines methods to screen and engage pregnant women affected by SUDs.

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Guidance from the American Academy of Pediatrics on Neonatal Opioid Withdrawal Syndrome

Date: January 26, 2021

Dr. Stephen Patrick, a national expert on maternal opioid use on infants, provides current information on the crisis; implications for

...(Read More)

A Mother-Centered Approach to Treating Neonatal Abstinence Syndrome

Date: January 07, 2021

Focuses on how doctors modified the care of infants with NAS and reduced their average length of stay in the hospital by transitioning

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Changing How We Treat Neonatal Abstinence Syndrome: A Quality Improvement Approach

Date: February 06, 2020

Describes how Tampa General’s Neonatal Intensive Care Unit pioneered an innovative way to treat infants with prenatal substance exposure

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Opioid Use Disorder, Maternal Outcome, Neonatal Abstinence Syndrome Initiative Learning Community

Date: January 16, 2019

An OMNI Learning Community webinar highlighting NAS. Describes the benefits of using a statewide multidisciplinary approach.

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State and Local Examples

Florida Neonatal Abstinence Syndrome (NAS) Tool Kit: A Quality Improvement Initiative

Florida Perinatal Quality Collaborative, 2019

Offers guidance to hospitals and neonatal providers in the development of

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Hospital Checklist for Adoption of the Eat, Sleep, Console NAS Assessment Items

Colorado Hospital Substance Exposed Newborns..., 2018

Provides hospitals with steps to implement the Eat, Sleep, Console method.

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Non-Pharmacologic Care for Substance-Exposed Newborns

Colorado Hospital Substance Exposed Newborns..., 2018

Provides health care professionals with strategies as they standardize non

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Ohio Mental Health and Addiction Services FASD Webpage

Ohio Department of Mental Health and Addicti...

Offers an overview of FASD along with resources, training, and learning modules.

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SAFEST Choice

Boston Medical Center

Features a learning collaborative seeking to reduce the incidence of prenatal alcohol

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Additional Resources

Partner with Mothers to Seek and Support Recovery Post Prenatal Opioid Exposure

American Academy of Pediatrics, 2019

The infographic outlines fundamental opportunities presented to pediatricians when

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Substance Use During Pregnancy and Plans of Safe Care (POSC): Implications for Pediatricians, Mothers, and ...

American Academy of Pediatrics, 2019

The factsheet answers core questions asked by pediatricians with respect to POSC

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Treating Babies Who Were Exposed to Opioids Before Birth: Support for a New Beginning

Substance Abuse and Mental Health Services A..., 2018

Provides information about NAS as well as Do’s and Don’ts for responding to infant’s

... (Read More)

Find Help with a Personal Situation

Substance Use and Mental Health Treatment Locator

To find treatment facilities confidentially, 24/7, please call 1-800-662-4357 (HELP).

To locate general treatment services, visit the Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) Treatment Locator online or call 1-800-662-4357 (HELP). This service provides referrals to local treatment facilities, support groups, and community-based organizations. It is a free, confidential, 24-hour-a-day, 365-day-a year information service, in English and Spanish, for individuals and family members needing treatment for a mental and/or substance use disorder.

National Child Abuse Hotline

If you suspect a child has been harmed by abuse or neglect, please call 1-800-422-4453.

If you suspect that a child has been harmed or is at risk of being harmed by abuse or neglect, call the National Child Abuse Hotline at Call the National Child Abuse Hotline at 1-800-422-4453. Serving the United States and Canada, the hotline is staffed 24 hours a day, 7 days a week with professional crisis counselors who—through interpreters—provide assistance in over 170 languages. All calls, texts, and chats are confidential. If you believe a child is in immediate danger of harm, call 911 first.

National Suicide Prevention Line

For free and confidential support for people in distress, 24/7, please call or text 988, chat 988Lifeline.org, or call 1-800-273-8255.

If you or someone you know is having thoughts of suicide or experiencing a mental health or substance use crisis, help is available and there are options to receive compassionate care. You can call or text 988 or chat 988Lifeline.org. You can also call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255). Both are confidential and available 24/7 to everyone in the United States and will connect you to a trained counselor at a suicide crisis center nearest you.

Contact Us

The National Center on Substance Abuse and Child Welfare offers free technical assistance to a variety of systems on making policy and practice changes to improve outcomes for families affected by substance use disorders and involvement with child welfare services. To learn more about technical assistance services or if you have a question please email NCSACW at ncsacw@cffutures.org or call toll-free at 1–866–493–2758.

National Center on Substance Abuse and Child Welfare