Program

The Texas NAS Symposium seeks to educate providers and the medical community on models of care to work with women who have taken opioids during pregnancy and their babies who have been exposed to drugs in the womb.

Continuing education credit/contact hours for this event are provided by The Texas Department of State Health Services, Continuing Education Service and include the following:

Continuing Medical Education:
The Texas Department of State Health Services, Continuing Education Service is accredited by the Texas Medical Association to provide continuing medical education for physicians.
The Texas Department of State Health Services, Continuing Education Service designates this live activity for a maximum of 14 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This course has been designated by The Texas Department of State Health Services, Continuing Education Service for 2.25 credit(s) of education in medical ethics and/or professional responsibility.

Continuing Nursing Education:
The Texas Department of State Health Services, Continuing Education Service is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
The Texas Department of State Health Services, Continuing Education Service has awarded 14 contact hour(s) of Continuing Nursing Education.

Social Workers:
The Texas Department of State Health Services, Continuing Education Service under sponsor number CS3065 has been approved by the Texas State Board of Social Worker Examiners (https://dshs.texas.gov/socialwork) to offer continuing education contact hours to social workers. The approved status of The Texas Department of State Health Services, Continuing Education Service expires annually on December 31. The Texas Department of State Health Services, Continuing Education Service has awarded 14 contact hour(s) of Continuing Social Work Education.
This course has been designated by The Texas Department of State Health Services for 2.25 contact hours of education in professional ethics and social work values.

Certified Health Education Specialists:
Sponsored by The Texas Department of State Health Services, Continuing Education Service, a designated provider of continuing education contact hours (CECH) in health education by the National Commission for Health Education Credentialing, Inc. This program is designated for Certified Health Education Specialists (CHES) and/or Master Certified Health Education Specialists (MCHES) to receive up to 14 total entry-level Category I contact education contact hours.

Licensed Marriage and Family Therapists:
The Texas Department of State Health Services, Continuing Education Service is an approved provider (#466) by the Texas State Board of Examiners of Marriage and Family Therapists to offer continuing education contact hours to Licensed Marriage and Family Therapists. The Texas Department of State Health Services, Continuing Education Service has awarded 14 contact hour(s) for Licensed Marriage and Family Therapists and 2.25 contact hours in professional ethics for Licensed Marriage and Family Therapists.

Licensed Professional Counselors:
The Texas Department of State Health Services, Continuing Education Service is an approved provider (#690) by the Texas State Board of Examiners of Professional Counselors to offer continuing education contact hours to Licensed Professional Counselors. The Texas Department of State Health Services, Continuing Education Service has awarded 14 contact hour(s) for Licensed Professional Counselors and 2.25 contact hours in professional ethics for Licensed Professional Counselors.

Licensed Chemical Dependency Counselors:
The Texas Department of State Health Services is an approved provider (TCBAP# 0090-87E) with the Texas Certification Board for Addiction Professionals to offer continuing education contact hours to Licensed Chemical Dependency Counselors. The Texas Department of State Health Services, per approval of Division for Mental Health and Substance Abuse, has awarded 14 contact hour(s) for Licensed Chemical Dependency Counselors and 2.25 in professional ethics for Licensed Chemical Dependency Counselors.

Licensed Psychologists:
The Texas Department of State Health Services is authorized by the Texas State Board of Examiners of Psychologists as a (c)(2)(A) provider of professional development hours for licensed psychologists. Per the Texas State Board of Examiners of Psychologists Act and Rules, at least half (10) of the required 20 hours of professional development must be obtained by a provider listed in section (c)(2)(A). The Texas Department of State Health Services, Continuing Education Service has awarded 14 contact hour(s) for Licensed Psychologists.
This course has been designated by the Texas Department of State Health Services for 2.25 contact hours of education in ethics or professional responsibility.

Certificate of Attendance:
The Texas Department of State Health Services, Continuing Education Service has designated 14 hour(s) for attendance.

Monday, June 12th

1:00 pm - 2:15 pm

The Opiod Epidemic and Neonatal Abstinence Syndrome

The number of infants diagnosed with neonatal abstinence syndrome (NAS) has grown dramatically in recent years. The session will provide insight into why NAS has increased, how best to care for infants impacted with NAS and what is known about their long-term outcomes. In addition, participants will learn about recent state and federal policy changes that may impact pregnant women with opioid use disorder and infants with neonatal abstinence syndrome.

 

2:30 pm - 3:45 pm

Help Me. I'm Pregnant and Using Meth... (and Other Substances)

Overview of substance use disorders during pregnancy, focusing on methamphetamines, but also covering the more common and harmful substances used, mainly alcohol and tobacco.

Harm Reduction Overview

Harm reduction is a set of practical strategies to reduce negative consequences of drug use and improve the quality of the client’s life. The harm reduction approach incorporates a spectrum of strategies which include safer and managed use, as well as abstinence. This approach helps providers effectively meet their clients where they’re at. Participants who attend this training will: understand the principles of harm reduction, participate in activities designed to assist them in exploring attitudes and beliefs about harm reduction, and develop practical skills and interventions that can be used in their work with substance users.

Baby Body Language

HUG Your Baby is an award winning, evidence-based parent education resource that uses family friendly terminology and engaging, multicultural videos clips to help parents understand newborn states and signs of overstimulation. This session introduces the HUG tools and techniques to help parents prevent and solve problems will be presented, with a focus on the crying baby and sleep.

 

4:00 pm - 5:00 pm

Care and Management of Infants with NAS

Illicit and prescription drug abuse has reached epidemic proportions in our country. As a result, we are seeing many more infants being born with signs of neonatal abstinence syndrome. This presentation will address the incidence of neonatal abstinence syndrome among infants whose mothers consumed opioids and other drugs during pregnancy. Typical screening methods, assessment of the signs of withdrawal and management strategies will be discussed. When the assessment of withdrawal is accurate and appropriate pharmacologic management is implemented infants will be able to better interact with their parents, tolerate their feedings and sleep for longer periods of time.

Perinatal Addiction: Incorporating Trauma Informed Care and Harm Reduction

Infants with neonatal abstinence syndrome and their mothers required extended support through health and social service systems. There has been growing evidence linking women’s substance use to trauma and violence experiences. As a result, there is a significant awareness by the medical community on the impact of trauma and violence in opioid dependent women. Trauma survivors are at risk of being further traumatized if health care providers do not know how to effectively work with these mothers and pregnant women. Attend this session to learn how to incorporate trauma informed care and harm reduction in your practice and learn the promising outcomes that can be realized.

HUG Your Baby: Innovative, Effective Strategies for Helping Parents Understand and Respond to Their Baby's Body Language

Learn effective tools for health care and early parenting professionals to help parents understand the body language of their newborn. There will be a very brief summary of the terminology that was presented in the prior session “Baby Body Language.” Participants will be better prepared to help parents appreciate their baby’s capabilities, to enhance parent child interaction, and to boost both parent confidence and the quality of care you provide.

 

Tuesday, June 13th

8:00 am - 9:15 am

Infant Adaptation and Development Related to the Caregiver Environment

Many more infants being born with signs of neonatal abstinence syndrome. This presentation will address typical screening methods, assessment of the signs of withdrawal and management strategies of babies with neonatal abstinence syndrome. The presentation will also discuss ways in which staff nurses can increase their inter-observer reliability when assessing infants for signs of neonatal abstinence. It is essential that adequate assessments be made by all who care for these infants so pharmacologic management can be instituted when needed. When the assessment of withdrawal is accurate and appropriate pharmacologic management is implemented infants will be able to better interact with their parents, tolerate their feedings and sleep for longer periods of time.

 

9:30 am - 10:45 am

SBIRT (Screening, Brief Intervention and Referral to Treatment) in the Perinatal Period

An overview of Screening, Brief Intervention and Referral to Treatment (SBIRT) for perinatal providers. This session will review screening tools for substance use during pregnancy, provide a chance for interactive practice of brief intervention and discuss how to access referral sources in your community.

Introduction to Motivational Interviewing and Its Intersection with Harm Reduction

Motivational interviewing has been demonstrated to be effective in helping people look at ambivalence to change and helping them through the change process. Although many know the concepts of Motivational Interviewing, applying the concepts during clinical work often feels awkward. A client-centered, strengthened-based approach to interventions will be presented. Training in Motivational Interviewing will be given - the techniques, effectiveness and processes. This will include the stages of change and FRAMES. Examples of application will be given through role play demonstrations in various scenarios.

The Importance and Practical Elements of Kangaroo Care

Kangaroo care is a method of caring for newborn infants, and has benefits that include stabilization of cardio-respiratory system, thermoregulation and a higher incidence of exclusive breastfeeding. Skin-to-skin contact has an important role both for the sick infant and its parents because of the positive implications on the growth and development of a baby with Neonatal Abstinence Syndrome. Specifically Kangaroo Care can improve infants oxygen saturation and significantly reduce their oxygen requirements during the contact time. Physical contact between preterm infants and parents is often very delayed. KC allows this contact sooner than normal and improves parental confidence in caring for their infant. Research shows that KC is safe and beneficial however time, space and lack of protocol inhibit regular use of KC in neonatal units.

 

11:00 am - 12:15 pm

NAS is Temporary. FAS is Permanent. Understanding Opiod and Alcohol Use in Pregnancy

Opioid use disorders have reached epidemic levels in the United States, including among pregnant women, leading to a strong focus on preventing neonatal abstinence syndrome. While the treatment of babies with neonatal abstinence syndrome is expensive, the treatment of infants, children and adults with fetal alcohol syndrome is exponentially higher over the long term. Fetal alcohol syndrome is the most common preventable cause of birth defects and developmental delay. This session will focus on alcohol use disorders in women, the epidemiology, complications, screening techniques, and the prevention of fetal alcohol syndrome.

Applying Motivational Interviewing from a Harm Reduction Perspective for Outreach/PPI Staff

Motivational Interviewing (MI) is a collaborative approach to working with people who use drugs and others that helps to facilitate behavior change. Participants will learn how to help clients develop a schema about the positive and negative effects of drug use and identify attainable goals including readiness for treatment and/or controlled use strategies. In this workshop, several theories of motivation, including the “Stages of Change” theory, will be presented. The presenters will then focus on the facilitative skills involved in building motivation to change, maintaining behavior change, as well as preventing relapse and overdose. This workshop will utilize case examples, role-plays, and peer feedback as methods to incorporate new skills learned.

Culture, Shame and Motherhood Identify

In the day and age where mother’s primary source of parenting information is from the internet, books, magazines, FaceBook, and well-known professionals, this has an impact on the way a mother develops a sense of who she is as a parent. The speaker and participants will discuss the ways these sources of information can shame mothers into lower confidence and the ramifications of this. Through the use of expressive arts, attendees will explore different ways to help mothers develop Maternal Self Compassion, which can be an antidote to cultural shame.

 

12:15 pm - 1:45 pm

Sheway Model: How Integrated, Multidisciplinary Care Positively Impacts Neonatal Withdrawl

Sheway’s Program Model is based on the recognition that the health of women and their children is linked to the conditions of their lives and their ability to influence these conditions. Services are provided in response to the needs of pregnant and parenting women. Sheway’s Model’s Service Philosophy § Provide services in a flexible, non-judgmental, nurturing and accepting way § Use a women centered approach that supports women’s self-determination, choices and empowerment § Offer respect and understanding of First Nations culture, history, and tradition § Use a harm reduction approach § Offer a safe, accessible, and welcome drop-in environment § Link women and their families to a network of health-related, social, emotional, cultural, and practical supports

 

2:00 pm - 3:15 pm

Operation Naloxone: Interprofessional Collaboration to Prevent Opioid Overdose

Presenters will provide epidemiological and clinical background regarding opioid overdose. Strategies implemented at The University of Texas will be reviewed, including naloxone distribution and overdose response education. Resources for professional development and overdose prevention program support will be provided. Time and materials will be provided for facilitated group discussion and planning.

Working with People Impacted by Gender Based Violence and Trauma through a Harm Reduction Approach

Understanding issues related to gender based violence and trauma are key to exploring effective harm reduction based interventions. This session explores relationship building between participants/clients and providers within a trauma-informed harm reduction framework. The session will also provide guidance and best practices for identifying boundary issues in the trainee’s daily work with participants/clients that experience trauma or have a history of gender based violence. In addition, the workshop will address strategies to help improve engagement with participants/clients by identifying and setting personal and professional boundaries and examining potential transference issues.

The Importance of Engagement

A day in the life of Sheway - how we use engagement strategies to build relationship and promote self-efficacy and recognize, respect and support readiness to change.

 

3:30 pm - 5:00 pm

Building a Model Program for Babies and Mommies

The best treatment for neonatal abstinence syndrome (NAS) is the baby’s mother. Instead of being in the Neonatal Intensive Care Unit (NICU) or even the nursery, the baby is best “rooming in” with the mother, but this practice is rare in the United States, even for normal babies. Studies show many babies with NAS need supplemental medication — usually morphine or methadone — to treat their withdrawal symptoms, but the mother — breastfeeding, skin-to-skin contact and bonding — greatly reduces the amount of medication needed. Both breastfeeding and skin-to-skin contact in the absence of breastfeeding reduce both the severity and duration of how long the baby is in the hospital. This panel will discuss how a program in San Antonio has successfully worked with mothers and hospitals to create a model program for NAS babies.

 

Wednesday, June 14th

8:00 am - 9:00 am

Keeping Mothers and Babies Safe: Building Relationships with CPS

While babies must be weaned off drugs ingested in the womb, mothers face scrutiny as state case workers determine whether it's possible for them to provide a safe, drug-free home. During this session, participants will learn about the Core Practice Model utilized by the Los Angeles County Department of Children & Family Services to determine how to work with mothers with mental health or substance use issues and the county’s efforts to keep families together, but protect the child.

Overdose Prevention 201

This session will build on the information shared in the 2016 Texas Opioid Overdose Prevention Training Workshop. The presenters will provide an update on the opioid epidemic in Texas, as well as discuss the upcoming in-depth regional trainings being held across the state. There will also be a discussion of some of the nuanced details of increasing naloxone access through SUD treatment organizations or collaboration with other organizations in the community. In addition, there will be a discussion about the opioid safety and integrating naloxone access into primary care clinics, including opportunities to collaborate with the primary care providers of SUD patients.

Care Management for Substance Using Women Who are Pregnant and/or Parenting

Describing Sheway's approach and strategies to working with this population. Focus on Harm Reduction strategies, trauma informed practice, women centered care-mother/child dyad.

 

9:15 am - 10:15 am

NAS in the Age of the Opioid Crisis: Policy, Politics and Patient Care

As opioid use during pregnancy increased, so did complications from their use, including neonatal abstinence syndrome. Several state governments responded to this increase by prosecuting and incarcerating pregnant women with substance use disorders; however, this approach has no proven benefits for maternal or infant health and may lead to avoidance of prenatal care and a decreased willingness to engage in substance use disorder treatment programs. A public health response, rather than a punitive approach to the opioid epidemic and substance use during pregnancy, is critical. This session will present a framework for evidence-based interventions to inform how the health care and criminal justice systems respond to increasing incidence of NAS.

 

10:30 am - 12:00 pm

Challenging NAS Policies Based on Stigma and Misinformation: Supporting Those that Advance Maternal and Child Health and Dignity

This session will provide an overview the legal and ethical implications of policies and proposals that purport to address NAS.