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Substance Use During Pregnancy:
The Impact on Families in Maine
Updates from the Maine Office of Substance Abuse and Mental Health Services |
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Welcome!
The purpose of this newsletter is to streamline communication, promote idea-sharing amongst communities, share the latest news and research as well as highlight events happening in Maine with regard to the many impacts of substance use during pregnancy.
The newsletter will have sections for each of these topics (and can expand as-needed) so that folks around the State of Maine can be kept in the loop and learn about our progress and each others' successes, challenges and anything else that is relevant to the work of promoting Fetal Alcohol Spectrum Disorders (FASD)/Drug Affected Babies (DAB) awareness and education in Maine.
What can I expect when I sign up to receive this newsletter?
- Electronic versions of the newsletter delivered right to your inbox every other month!
- The latest news and research ALL IN ONE PLACE!
- A place to share your experiences with others both locally and Nationally (as we plan to disseminate via national listservs and social media networks)!
- Opportunities to provide your feedback and share your upcoming events!
I look forward to sharing and connecting with you.
-Amanda Edgar, FASD/DAB State Coordinator
Maine Office of Substance Abuse and Mental Health Services |
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 Maine Highlights
Crossroads Awarded $1.5M Federal SAMHSA Grant for Comprehensive Substance Abuse Treatment for Pregnant and Postpartum Women (Crossroads Blog, August 2012)Crossroads, a nonprofit agency offering Maine's most comprehensive treatment for behavioral health with a gender-specific focus, was awarded $1.5 million over 3 years from the Substance Abuse and Mental Health Services Administration (SAMHSA). The federal grant will allow Crossroads to enhance Maine's only residential substance abuse treatment program for pregnant and postpartum women, where children reside with their mothers during their residency
$3.9M project to aid youngest victims of substance abuse
(Bangor Daily News, November 12, 2012)
The project, which will serve children 5 and younger in Penobscot and Piscataquis counties, will receive about $800,000 a year over five years from the U.S. Department of Health and Human Services' Administration for Children and Families, according to a press release from UMaine. The project will be led by the Bangor-based agency Families And Children Together, the UMaine School of Social Work and a coalition of more than 25 community organizations.
The Maine Resilience Building Network (MRBN)
The MRBN was created to advance community conversations, awareness and prevention of Adverse Childhood Experiences or ACEs through a variety of local initiatives and statewide partnerships in Maine. Through the generous support from The Bingham Program, the MRBN promotes statewide efforts to grow ACEs awareness and practice to include those "unusual" voices in awareness and prevention of ACEs (e.g., health/medical, business and municipalities, clergy, and education). There are currently eight targeted ACEs sites and three statewide partnerships utilizing the Collective Impact process to organize our work and products, with the goal to have at least one site in each county and five statewide partnerships by the end of 2013. The MRBN is a project of the Health Accountability Team of the Maine Children's Growth Council. For more information, please contact Sue Mackey Andrews at (207) 564-8245.
24-Month Limits to Suboxone Coverage
The information regarding the 24-montl Limits to Suboxone coverage are now posted on the MaineCare Services website. There is also a link to a presentation recording of an earlier forum hosted by Dr. Kevin Flanigan, Medical Director of MaineCare Services. The 24-month limits to methadone coverage will be posted when they become available.
MaineHealth 2012 Health Index Report: Six Key Health Indicators Highlight Successes and Challenges in the State (Seventh Measure Added to Address Opiate Use) View the 2012 Health Index Report (PDF) |
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Maine Office of Substance Abuse and Mental Health Services' FASD/DAB Initiatives
 Safe Sleep Environment Education
In March 2012, staff from the Office of Substance Abuse and Mental Health Services (SAMHS) - formerly the Office of Substance Abuse (OSA) - the Office of Child and Family Services (OCFS), Maine Children's Trust, and Barbara Bush Children's Hospital met to discuss infant deaths reported to OCFS related to unsafe sleep practices. As a result of these reports and an ongoing State of Maine infant death chart review we have partnered to offer educational materials (available on the SAMHS FASD/DAB webpage) and three regional trainings regarding safe sleep environments and the potential for increased risk for families affected by substance use. If you would like additional information on the regional trainings, please contact Amanda at (207) 287-2816.
National News & Resources: Safe Sleep/SIDS
(CDC, MMWR, 11/23)
(Injury Prevention, 12/12)
American Academy of Pediatrics November e-newsletter: FOCUS ON SIDS
First Candle's "virtual candles" in memory of loved ones
 Toddler Suboxone Ingestion Prevention Since 2006 the Northern New England Poison Center (NNEPC)has seen a three-fold increase in unintentional buprenorphine poisonings among children under the age of six in Maine (11 in 2006, 38 in 2010, and 30 in 2011.) Most of the children were under the age of three and several experienced life threatening conditions (eg. severe respiratory depression) after ingesting or mouthing a sublingual tablet.
We are currently working with buprenorphine prescribers and have provided them with the following FREE tools to help educate their patients about this risk (in a packet and online):
- Maine DHHS' Director's Letter
- Patient Safety Agreement
- Up and Away materials (bookmarks, magnets, postcards)
- NNEPC Buprenorphine-specific safety information (wallet cards and magnets)
Up and Away materials are available for order (at no cost) through SAMHS' Information Resource Center (IRC). Email Amanda Edgar if you would like any Up and Away magnets, bookmarks and/or postcards!
National News & Resources: Medication Safety
Centers for Disease Control and Prevention (CDC)
Safe Kids Worldwide
(Alcoholism & Drug Abuse Weekly, 10/1)
(SAMHSA, 12/5) |
 Upcoming Events & Educational Opportunities A listing of in-person as well as online learning opportunities and trainings that address substance use during pregnancy and the impact of substance use on families beyond pregnancy. Please feel free to email any upcoming events that you are aware of!
CCSME EVENTS: Pregnancy, Addiction and Newborn Care with Kelley Bowden, MS, RN, Maine Perinatal Outreach Nurse Educator Rockland - January 14th, 9:00a-12:30p Bangor - January 17th, 1:00p-4:30p Registration Brochure SAVE THE DATE: Changing the Legacy of Addiction - Communities Supporting Families in Recovery March 7, 2013 Wells Conference Center, Orono, Maine View Details/Register FREE ARCHIVED WEBINARS: SIDS/SUID Project Impact Pregnancy in the Context of a Woman's Lifespan, Social Media to Encourage Safe Sleep Environments, A Bright Future for Babies: Partnering to Reduce Sudden Infant Deaths View All Webinars
FREE ARCHIVED WEBINAR: Prescription Drug Abuse Prevention among Teens and Young Adults: Reducing Neonatal Abstinence Syndrome: Tennessee's Experience (Children's Safety Network)
November 2012
FREE ARCHIVED WEBINAR: Impacts of Medicinal Marijuana Trend on Child Welfare (National Drug Endangered Children) November 28, 2012 FREE ONLINE COURSE: Introduction to Women and Substance Abuse Disorders This 12-hour, self-paced course helps counselors and other practitioners working with women to better understand women's substance use, treatment and recovery experiences and effective interventions for women. (Addiction Technology Transfer Center, ATTC) FREE ARCHIVED WEBINAR: Paying Attention to Maternal Mental Health Before, During and After Pregnancy (Healthy Mothers, Healthy Babies Coalition) May 2012 |
 National News & ResearchNational and local links that highlight the latest research and news stories that focus on challenges commuities may face when addressing substance use during pregnancy.
Marijuana Use Prior to Pregnancy Doubles Risk of Premature Birth
(ScienceDaily, 7/17)
Alcohol Use and Binge Drinking Among Women of Childbearing Age - United States, 2006-2010
(CDC MMWR Weekly, 7/20)
1 in 13 Pregnant Women Drink Alcohol
(TIME Healthland, 7/19)
Prenatal Alcohol Exposure, Blood Alcohol Concentrations and Alcohol Elimination Rates for Mother, Fetus and Newborn
(Journal of Perinatology, 3/12)
Pregnancy Test Dispensers Available in "Pub 500" Restrooms
(National Organization on Fetal Alcohol Syndrome, 7/23)
Development of a Substance Abuse Program for Opioid-Dependent Nonurban Pregnant Women Improves Outcome
(Journal of Addiction Medicine, June 2012)
High Risk In First Weeks Of Pregnancy From High Potency And Synthetic Marijuana
(Medical News Today, 8/17)
Methadone Moms Face Catch-22
New moms on methadone treatment are often trapped between Dr.'s orders and child-welfare workers who report them for still using opiates
(The Fix, 9/4)
Ethanol-Induced Face-Brain Dysmorphology Patterns Are Correlative and Exposure-Stage Dependent
(PLOS One, 8/28)
''Smoking Cessation for Pregnancy and Beyond: A Virtual Clinic,'' an Innovative Web-Based Training for Healthcare Professionals
(J of Women's Health, August 2012)
Alcohol & Pregnancy : the straight up facts - Infographic
(FASD Prevention Blog, 9/9) Maternal Drinking During Pregnancy Can Damage the Earliest Fetal Learning
(ScienceDaily, 9/14)
Second-Hand Smoking Affects Neurodevelopment in Babies
(ScienceDaily, 9/14)
CNS Impairment a Better Gauge of Fetal Alcohol Exposure?
(MedScape, 7/27)
Adults And Pregnant Women Should Be Screened For Alcohol Abuse, Says Task Force
(Medical News Today, 9/27)
Marijuana Use Prior to Pregnancy Doubles Risk of Premature Birth
(ScienceDaily, 7/17)
Supporting Infants, Toddlers, and Families Impacted by Caregiver Mental Health Substance Abuse, and Trauma: A Community Action Guide
(SAMHSA, November 2012)
Pediatricians, Obstetricians Clash Over Prenatal Counseling
(Medscape, 11/19)
Mental Health and Trauma Among Women in Jails
(Bureau of Justice Administration, Dept. of Justice - Pathways Project Research Fact Sheet)
Over-the-Counter Access to Oral Contraceptives: ACOG Committee Opinion
(American College of Obstetricians and Gynecologists, December 2012)
Protective Factors Can Mitigate Behavior Problems After Prenatal Cocaine and Other Drug Exposures
(Pediatrics, 11/26)
One in Five US Adults Experienced Mental Illness in the Past Year, Report Says(ScienceDaily, 11/27)
Fetal Alcohol Exposure Affects Brain Structure in Children
(ScienceDaily, 11/25)
Breastfeeding Cessation and Symptoms of Anxiety and Depression
(Medscape, 11/22)
Pregnant Pause?
(Boston Magazine, December 2012)
5 Signs Drinking is Making Your Holiday Less Merry
(PscyhCentral, 11/20)
US Braces for Canadian Oxy Invasion
(The Fix, 12/5)
Fetal Brain Function in Response to Maternal Alcohol Consumption
(Alcoholism: Clinical and Experimental Research, 9/14)
Methadone Dosing and Prescribed Medication Use in a Prospective Cohort of Opioid-Dependent Pregnant Women
(Addiction, accepted for publication 2012)
Study Shows Text4Baby Prepares Participants for Motherhood
(Healthy Mothers, Healthy Babies Coalition, 12/10)
Denver Drug Agent: Our Problems 'Have Exploded' with Pot and Legalization
Experts have new concerns about pot and children
(CBS Denver, CO, 12/13)
Maine News
Maine Doctors to Drug Test Rx Patients
(Sun Journal, 11/19)
Maine AG: Humann Trafficking is Happening Here (Video)
(WCSH, 10/25)
Maine's Cost of Housing Children of 'Bath Salts' Users Soars
(Portland Press Herald, 10/23)
Drug Use Remains Prevalent Inside Maine State Prison
(Bangor Daily News, 11/30)
Maine bill would allow marijuana for any illness
(Portland Press Herald, 12/7)
Injected bath salts linked to dangerous bacterial infections in Maine
(Bangor Daily News, 12/10)
New Portland teen shelter 'so much better'
(Portland Press Herald, 12/10) |
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Our FASD/DAB Task Force meetings are held on the 4th Tuesday of every-other-month from 1:00 - 3:00.
Our next meeting is scheduled for JANUARY 22, 2013 in Augusta. Additional details and agenda will be sent out prior to meeting.
To RSVP or get additional information on the FASD/DAB Task Force, please contact (207) 287-2816. |
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Breastfeeding and Substance Use |
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In response to some uncertainty about how to advise women who are using substances (legally or illegally) and considering breastfeeding, we developed a resource page to encourage community providers to support women in these situzations who choose to breastfeed.
FOR MORE INFO:
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SAMHSA Seeks Input: Defining "Trauma" |
In 2011, SAMHSA designated Trauma and Justice as one of its key strategic initiatives. Research has highlighted the central role of trauma in mental and substance use disorders and the linkage between trauma experiences and other chronic physical diseases.
To advance this work, SAMHSA embarked on a process to develop a working definition of trauma and key operating principles and guidance for a trauma-informed approach that can be applied across multiple service sectors. While much work has already been done in this area, there still is confusion and ambiguity regarding what is meant by trauma and trauma-informed approaches.
Continue reading... |
SAMHSA's FASD Center for Excellence (The Center) provides technical and other supports to the National Association of FASD State Coordinators (NAFSC). Here are some recent NAFSC State Coordinator highlights:
Massachusetts
Enid Watson
(Institute for Health Recovery) -
Marijuana and Pregnancy
North Carolina
Amy Hendricks
(Mission Hospitals)
"Healthy Holidays" for pregnant women |
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Find the Maine Office of Substance Abuse and Mental Health Services
on FACEBOOK!
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"There is no known safe amount of alcohol to drink while pregnant."
-- Centers for Disease Control and Prevention |
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Amanda Edgar
FASD/DAB State Coordinator
Maine Office of Substance Abuse and Mental Health Services
(207) 287-2816
http://www.maine.gov/dhhs/samhs/osa/help/fasddab/index.htm
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