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March 27 and 28, 2008 at the NET Auditorium, Northeastern State University, Tahlequah, Oklahoma
 

Risk and Promise: Improving Outcomes for Children Exposed to Drugs and Alcohol
 

Learning Objectives:

  1) List five complications of the newborn related to maternal drug and alcohol use; 2) Name the three diagnostic criteria of Fetal Alcohol Syndrome; 3) Analyze the cognitive and behavioral development of children prenatally exposed to alcohol and other drugs; 4) Discuss the interaction of biology and environment as they relate to the long term outcome of the substance-exposed child.
 

Agenda:
 

Day 1:

 

I. Epidemiology of Substance Abuse in Pregnancy

      A. National Surveys
B. State studies
C. Community Evaluation

 

II. Identification of the Pregnant Woman at Risk for Substance Abuse

    A. Use of a screening instrument in the primary care health care setting
B. Toxicology issues

      a. Urine
b. Meconium
c. Hair

III. Maternal Consequences of Prenatal Drug Use

   

A.  Pregnancy outcome
B.  Intervention strategies
     

a.  Brief interventions
b.  Motivational interviewing

Day 2:

IV. Neonatal Outcome

   

A.  Growth patterns
B.  Morbidity and mortality
C.  Infectious diseases
     

a.  Syphilis
b.  HIV
c.  Hepatitis B and C
    D. Neurobehavior

.  

 a.   Newborn behaviors  

 

   1. Motor
2. Orientation
3. State regulation 		 
 

.  

 b. Intervention Strategies  
 

.  

   1. Sensory integration
2. Parenting interventions

  
 

V. Fetal Alcohol Syndrome

     

A. Growth
B. Facial dysmorphology
C. CNS effects

 

.  

 a.    IQ
b.    Behavior
c.    Information processing

 
 

VI. Prenatal Drug Exposure: The Growing Child

      A. Long-term impact on child
 

.  

 a.    Growth
b.     Health
c.     Neurodevelopment
 
 

.  

   1. Cognitive
2. Behavioral
3. Educational
 
      B. Implications for intervention
 

.  

 a.    Psychosocial
b.    Legal
c.    Family-based strategies
d.    The role of the child welfare system