Improving outcomes for infants with prenatal substanceexposure requires consideration of the family system in whichthey develop grow and thrive The Five Points of FamilyIntervention are key points ID: 853041
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1 ��Infants with Prenatal Substance Ex
��Infants with Prenatal Substance Exposure and their Families: Five Points of Family Intervention Improving outcomes for infants with prenatal substanceexposure requires consideration of the family system in whichthey develop, grow, and thrive. The Five Points of FamilyIntervention' are key points in time when comprehensivecross-system efforts can help to prevent prenatal substanceexposure, address the needs of pregnant and parentingwomen with substance use disorders, and respond to the needsof children who are affected.This summary explains the Five Points of Family Interventionand identifies policy and practice strategies at each FI
2 VE POINTS OF FAMILY INTERVENTION PRE-PRE
VE POINTS OF FAMILY INTERVENTION PRE-PREGNANCY ��GUIDING PRINCIPLES&#x/MCI; 3 ;&#x/MCI; 3 ;Multiple Intervention Opportunities - Substance use is not always identified prenatally and substance exposureis not always identified at birth, therefore an approach that addresses all stages of development for the child andhis or her family is critical. Prevention and early intervention at all intervention points can ensure comprehensivecare that improves outcomes for pregnant women, infants, children, and their family members.System Collaboration - No single agency has the resources to fully address all the needs of familiesaffected b
3 y prenatal substance exposure. Collabora
y prenatal substance exposure. Collaboration across agencies such as child welfare, substance usedisorder treatment, courts, maternal and child health, hospitals, child development, and others is needed at eachof the five points of intervention to coordinate services and provide comprehensive care that improves the healthand well-being of this population.Family-Centered ApproachWhen addressing prenatal substance exposure using a family-centered approach,the needs of each family member must be assessed and resolved in a coordinated way. Parents are fully supportedin their parenting roles, services are adapted to the changes that parents ex
4 perience after the arrival of an infanta
perience after the arrival of an infantand throughout a child's development, and there is a focus on improving family members' knowledge of childdevelopment, effective parenting, and trauma responses. Children receive services to remediate any social,emotional, and developmental challenges or trauma they may experience. Services include access to concretesupports such as housing, child care, education, and employment. Dozens of states have implemented policy and practice strategies across the Five Points of Family Intervention tostrengthen inter-agency collaboration and improve outcomes for families. Being aware of common barriers and key
5 considerations can help communities avoi
considerations can help communities avoid obstacles and use effective methods to enhance their work:STIGMARELATEDPREGNANTSUBSTANCEDISORDERSMEDICATION-ASSISTEDTREATMENTBARRIEREFFECTIVEDEVELOPMENTCLIENTENGAGEMENT:Communitiesexploredifferencesperceptionscollaborativeprocess,promoteeducationMedication-AssistedTreatmentnon-stigmatizinglanguageGAPS IN DATA AND INFORMATION SYSTEMS WEAKEN THE ABILITY OF SERVICE SYSTEMS TO WORKTOGETHER TO IDENTIFY CHILDREN AND FAMILIES AS THEY MOVE FROM AGENCY TO AGENCY: Communitiescan develop state policies and procedures to identify if family members are accessing and benefiting from thearray of services a commu
6 nity has developed.AVAILABILITYCULTURALL
nity has developed.AVAILABILITYCULTURALLY-RESPONSIVEEVIDENCE-INFORMEDSERVICESPREGNANTPARENTINGWITHSUBSTANCEDISORDERS,INCLUDINGMEDICATION-ASSISTEDTREATMENT,CRITICALCOMPREHENSIVESERVICECommunitiesactivelylocalcreateapproachservingpopulation.approachbuildspartnershipsbroadintegratedservicesufficientcapacitydiversityservicesmeetmultiplefamilyaffectedprenatalsubstanceEVOLVINGPROTOCOLSDEVELOPMENTINFANTPARENT/CAREGIVERINTER-AGENCYCOLLABORATIONDIFFICULT:CommunitiesdevelopinglocalproceduresnotificationschildinfantsidentifiedaffectedprenatalsubstancedevelopmentmonitoringSafeSomeprotocolsdevelopmentphasesevolverequiringstakeholderscollaborativeeffor