Supporting Children of the Opioid Epidemic: Session Overview and Guidelines

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This session aims to provide guidance and support for children affected by the opioid epidemic. Expert speakers will cover topics such as trauma-informed care, language development for children with NAS, visual development, and more. The experienced facilitators will lead discussions and activities to address challenges faced by these children and their families. Participants are reminded of procedural guidelines to ensure a safe and respectful environment throughout the session.


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  1. WELCOME KY s Project SCOPE: Supporting Children of the Opioid Epidemic October 19, 2021 1

  2. Thanks to our Expert Speakers October 19: Supporting Families through a Trauma-Informed Approach, Miriam Silman October 26 (NOTE THE DATE): Language Development for Children with NAS, Tia Petrenko, Easter Seals Cardinal Hill November 2: Visual Development for Children with NAS, Elsie Bush, OTR/L, Cincinnati Children's Hospital November 16: Development of Children with Fetal Alcohol Spectrum Disorder (FASD), Dr. Susan Barron November 30: Next Steps for Supporting Children with NAS and FASD, Caroline Gooden and Christine Hausman 2

  3. Thanks to our Experienced Facilitators SOUTHERN BLUEGRASS: Sincere Holmes, Tammy Riley, Bridgette Talley TWO RIVERS: Taylor Tucker, Sharon Norris NORTHERN BLUEGRASS: Karen Cottengim, Lynn Ray EASTERN: Lloyd Bonse, Misty Borders, Tonya Jernigan JEFFERSON AND SALT RIVER: Derby Akers, Melissa Hampton THE LAKES and CUMBERLAND: Glenna Gamble, Morgan Eversole, Tanya Torp, April Brown 3

  4. Todays Schedule 3:30-3:40 pm Eastern time; procedures for call 3:45-4:10 Miriam introduces guidelines for trauma-informed care 4:10-4:20 Presentation of child challenge 4:20-4:45 Small group discussion of child and family challenge 4:45-5pm Large group discussion, wrap up 4

  5. Session Procedural Reminders 1 First, last name, agency in zoom profile for attendance Cameras on please Take care of needs during session; topics are sensitive Protect confidentiality of all persons Engage actively Please enter in chat: name, email, areas of expertise or interest if willing to network with colleagues 5

  6. Session Procedural Reminders 2 Use person-first language (child born substance exposed) Session recorded and close captioned (turn on in zoom) Ask questions anytime in chat Judgment free zone; respect all viewpoints Please send child challenges for children with language delays on your caseload 6

  7. Resource Materials and Zoom (Brandon) Resource materials including CEU information available at https://www.hdilearning.org/project-scope-echo-series- fall-2021/ Please contact brandon.cannada@uky.edu for assistance with technology Rejoin zoom anytime bounced off at https://uky.zoom.us/j/88941045919 Please be patient as Brandon assigns you to small groups 7

  8. Summary: Discussion of Lilly Child and Family Strengths Mother has stable employment, has been in recovery for 1.5 years, has been involved with Lilly, involved in parenting groups Lilly has been involved in Head Start, has consistency there; family rapport with teachers Maternal grandmother involved No violence in home 8

  9. Strategies for Lilly and Family Have Parent Teacher Conference; make home visit Contact family discretely through social media Provide crisis numbers discretely Talk with boyfriend, grandmother, or emergency contact to assess situation Listen to family Send encouraging notes home Role play or do art one-on-one with the child to give them safe place to share Talk with OT and PT about child progress 9

  10. Resources for Lilly and Family KY Moms MATR: https://dbhdid.ky.gov/dbh/kymomsmatr.aspx WIC: https://chfs.ky.gov/agencies/dph/dmch/nsb/Pages/wic.aspx Head Start Family Advocate: https://www.benefits.gov/benefit/1912 Addiction Recovery Care (ARC): https://www.arccenters.com/ Narcotics Anonymous/Alcoholic Anonymous Meetings: https://findrecovery.com/na_meetings/ky/ ; https://alcoholicsanonymous.com/aa-meetings/kentucky/ 10

  11. Some Terms for Today Trauma: a deeply distressing or disturbing experience Trauma-informed care: using proven techniques to support children and families who have experienced trauma Adverse Childhood Experiences (ACEs); 10 questions on childhood traumatic experiences Co-Regulation (interaction between child and adult to help child understand, express, and act on their feelings) 11

  12. Todays Session: Supporting Families through a Trauma- Informed Approach Miriam Silman, Department for Behavioral Health 12

  13. Team KY SCOPE Child Challenge 13

  14. Background on Case Tommy, 4 year old, lived on streets until 18 months and witnessed multiple kinds of violence, including varied abuse and drug activity In 5 prior foster homes until settled with his current adoptive family Diagnosed with reactive attachment disorder, post-traumatic stress syndrome, and autism Has received PT, OT, speech, and trauma therapies 14

  15. Child and Family Strengths Attends daycare with small classes, responsive to his needs Has foster brother who is 5 years old Very supportive family! Family dedicated to his empowerment; carries out all therapeutic techniques at home; attends support groups Tommy has been with them for over 2 years Has supportive immediate and extended family village Father and grandfather walk him to school every day 15

  16. Primary Areas of Challenge Behaviors including hitting, slapping, banging head, aggression against self and others Brilliant; makes elaborate plans to get what he wants Sensory-seeking (brother is sensory avoidant); picks at walls Loves matchbook cars and the show Octonauts 16

  17. Barriers and Goals Barriers: History of trauma, emotional and behavioral challenges Goals: Improving behavioral control, empowering Tommy 17

  18. Small Group Discussion Questions (take a picture) THE LAKES and CUMBERLAND: What are Tommy s strengths and needs? TWO RIVERS: What are his family s strengths and needs? SOUTHERN and NORTHERN BLUEGRASS: What are some strategies to address these challenges? EASTERN: What are some resources for Tommy and family (websites, agencies, training opportunities)? JEFFERSON, SALT RIVER: What are some offices in your region or in KY that can assist Tommy and family? 18

  19. Large Group Discussion THE LAKES and CUMBERLAND: Child strengths and needs TWO RIVERS: Family strengths and needs SOUTHERN and NORTHERN BLUEGRASS: Strategies EASTERN: Resources for child and family JEFFERSON, SALT RIVER: Offices that can assist child and family 19

  20. Evaluation (Mikaela) Please complete pre-series surveys and evaluations after each session and after series Incentives: drawing after each session s evaluations are complete (congratulations Melinda V from Oct 5); book selections for those who attend all sessions and complete evaluations after entire series evaluations are complete 20

  21. Questions? Project Director: caroline.Gooden@uky.edu Lead Facilitator and CEUs: christine.hausman@uky.edu Technology: brandon.cannada@uky.edu Evaluation: Mikaela.roark@uky.edu Research Assistant: Juliet.souders@uky.edu Next session: NEXT WEEK, Tuesday, October 26!! Language development of children with NAS, Tia Petrenko, SLP, Easter Seals Cardinal Hill 21

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