RESUMO
Nurses caring for high-risk infants use advanced assessment skills to identify the nature of infant instability and to assure timely intervention. The NICU Network Neurobehavioral Scale (NNNS) is a comprehensive assessment of neurological integrity and behavioral function of infants at risk. Research evidence supports its validity and reliability for clinical and research use. The NNNS offers nurses a neurobehavioral assessment especially suited to high-risk and premature infants.
Assuntos
Transtornos do Comportamento Infantil/diagnóstico , Deficiências do Desenvolvimento/diagnóstico , Doenças do Prematuro/diagnóstico , Terapia Intensiva Neonatal/métodos , Exame Neurológico , Efeitos Tardios da Exposição Pré-Natal/diagnóstico , Transtornos Psicomotores/diagnóstico , Transtornos do Comportamento Infantil/enfermagem , Desenvolvimento Infantil , Deficiências do Desenvolvimento/enfermagem , Feminino , Humanos , Comportamento do Lactente/fisiologia , Recém-Nascido , Recém-Nascido Prematuro , Doenças do Prematuro/enfermagem , Unidades de Terapia Intensiva Neonatal , Masculino , Exame Neurológico/métodos , Exame Neurológico/enfermagem , Valor Preditivo dos Testes , Gravidez , Efeitos Tardios da Exposição Pré-Natal/enfermagem , Transtornos Psicomotores/enfermagem , Reprodutibilidade dos Testes , Fatores de Risco , Pesos e MedidasRESUMO
The Vulnerable Infants Program of Rhode Island (VIP-RI) was established as a care coordination program to promote permanency for substance-exposed newborns in the child welfare system. Goals of VIP-RI were to optimize parents' opportunities for reunification and increase the efficacy of social service systems involved with families affected by perinatal substance use. Findings from VIP-RI's final four years show that by 12 months, 86% of substance-exposed newborns had identified permanent placements and 77% were placed with biological parents or relatives.
Assuntos
Pai/psicologia , Feto/efeitos dos fármacos , Mães/psicologia , Transtornos Relacionados ao Uso de Substâncias/terapia , Adolescente , Adulto , Pai/estatística & dados numéricos , Feminino , Humanos , Recém-Nascido , Masculino , Idade Materna , Troca Materno-Fetal , Mães/estatística & dados numéricos , Gravidez , Rhode Island , Transtornos Relacionados ao Uso de Substâncias/complicações , Transtornos Relacionados ao Uso de Substâncias/etiologia , Populações Vulneráveis , Adulto JovemRESUMO
The Vulnerable Infants Program of Rhode Island is a care coordination program to promote permanency for substance-exposed infants by addressing parental needs and increasing collaboration among social service agencies. Over the first four years of the program, there was a decrease in time spent in the newborn nursery beyond medical necessity and identification of permanent placements by 12 months for 84% of infants, with the majority of infants (78%) placed with biological parents or relatives.
Assuntos
Bem-Estar do Lactente , Assistência Perinatal/organização & administração , Efeitos Tardios da Exposição Pré-Natal/prevenção & controle , Serviço Social/organização & administração , Transtornos Relacionados ao Uso de Substâncias/reabilitação , Adolescente , Adulto , Feminino , Humanos , Bem-Estar do Lactente/legislação & jurisprudência , Recém-Nascido , Gravidez , Avaliação de Programas e Projetos de Saúde , Rhode Island , Populações VulneráveisRESUMO
BACKGROUND: Substance use during pregnancy often leads to involvement in the child welfare system, resulting in multiple social service systems and service providers working with families to achieve successful child welfare outcomes. The Vulnerable Infants Program of Rhode Island (VIP-RI) is a care coordination program developed to work with perinatal substance-users to optimize opportunities for reunification and promote permanency for substance-exposed infants. This paper describes services used by VIP-RI participants and child welfare outcomes. METHODS: Data collected during the first four years of VIP-RI were used to identify characteristics of program participants, services received, and child welfare outcomes: closed child welfare cases, reunification with biological mothers and identified infant permanent placements. DESCRIPTIVE RESULTS: Medical and financial services were associated with positive child welfare outcomes. Medical services included family planning, pre- and post-natal care and HIV test counseling. Financial services included assistance with obtaining entitlement benefits and receiving tangible support such as food and clothing. CONCLUSIONS: Findings from this study suggest services that address basic family needs were related to positive child welfare outcomes. The provision of basic services, such as health care and financial assistance through entitlement benefits and tangible donations, may help to establish a foundation so mothers can concentrate on recovery and parenting skills. Identification of services for perinatal substance users that are associated with more successful child welfare outcomes has implications for the child welfare system, treatment providers, courts and families.