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Published on: December 14, 2014
Research and policy priorities for addressing prenatal exposure to opioids in Alaska
Rosalyn Singleton1, Amanda Slaunwhite2, Mary Herrick3
1a Alaska Native Tribal Health Consortium , Anchorage , AK , USA.
Insights
The opioid crisis impacts future generations, with rising neonatal opioid withdrawal syndrome (NOWS) affecting families and healthcare. This research outlines solutions to improve care for infants affected by maternal opioid use in Alaska.
Area of Science:
- Public Health
- Pediatric Health
- Substance Use Disorders
Background:
- The opioid crisis poses a significant threat to the health and well-being of future generations in Alaska and the USA.
- Neonatal opioid withdrawal syndrome (NOWS) is increasingly affecting infants, with profound impacts on families, healthcare providers, and the child welfare system.
Purpose of the Study:
- To summarize key themes from a symposium focused on challenges, trends, and solutions for infants affected by maternal opioid use.
- To identify critical areas for research and policy development to improve care for infants with NOWS in Alaska.
- To support a research agenda on opioid misuse and child health in the circumpolar north.
Main Methods:
- A symposium was convened in Anchorage, Alaska.
- Participants included healthcare providers, researchers, elders, and public health officials.
- Discussions focused on identifying emerging challenges, trends, and potential solutions related to maternal opioid use and its impact on infants and children.
Main Results:
- Five key areas for research and policy development were identified to enhance the care of infants with NOWS in Alaska.
- The symposium highlighted the need for a coordinated approach to address the complex issues surrounding maternal opioid use and infant health.
- Emerging challenges and potential solutions were discussed to inform future interventions and support systems.
Conclusions:
- Addressing the rising incidence of neonatal opioid withdrawal syndrome requires a multi-faceted approach involving research, policy, and community collaboration.
- Developing a targeted research agenda is crucial for improving the health outcomes of infants and children affected by maternal opioid use in Alaska and the circumpolar north.
- Continued dialogue and collaboration among stakeholders are essential for mitigating the long-term health and social consequences of the opioid crisis on vulnerable populations.
Abstract:
The current opioid crisis in Alaska and the USA will negatively affect the health and wellbeing of future generations. The increasing number of infants born with neonatal opioid withdrawal syndrome (NOWS) has had a profound impact on families, health care providers and the child welfare system. This manuscript summarises the main themes of a Symposium held in Anchorage, Alaska with health care providers, researchers, elders and public health officials that focused on identifying emerging challenges, trends and potential solutions to address the increasing number of infants and children affected by maternal opioid use. Five areas of importance for research and policy development that would direct improvement in the care of infants with NOWS in Alaska are outlined with the goal of supporting a research agenda on opioid misuse and child health across the circumpolar north. Abbreviations: NOWS - neonatal opioid withdrawal syndrome; NAS - neonatal abstinence syndrome; MAT - medication-assisted treatment; NICU - neonatal intensive care unit; OATs - opioid agonist treatments; OCS - office of children's services; ANTHC - Alaska Native Tribal Health Consortium; OUD - opioid use disorder; SBIRT - screening, brief intervention and referral to treatment; ISPCTN - IDeA States Pediatric Clinical Trials Network; NIH - National Institutes of Health; ANMC - Alaska Native Medical Center; DHSS - Department of Health and Social Services; AAPP - All Alaska Pediatric Partnership.
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