Substance Exposed Newborns Summit

1. Substance Exposed Newborns Summit June 23, 2020 Catherine M. Nolan, Director Office on Child Abuse and Neglect, Children’s Bureau, Administration on Children and Families US Dept.of Health and Human Services

2. Children’s Bureau • History • The oldest Federal agency for children • Within the Administration for Children and Families, the Children's Bureau • Primary responsible for administering Federal child welfare programs • Created by President Taft in 1912 • Initial purpose to investigate and report on child labor, infant mortality, birth rates, orphanages, juvenile courts, and other social issues of the time • Mission Today • Seeks to provide for the safety, permanency and well being of children through leadership, support for necessary services, and productive partnerships with States, Tribes, and communities.

3. Children’s Bureau • The Children's Bureau (CB) is one of two bureaus within the Administration on Children, Youth and Families, Administration for Children and Families, of the Department of Health and Human Services. • With an annual budget of over $8 billion, the Children's Bureau works with State and local agencies to develop programs that focus on preventing the abuse of children in troubled families, protecting children from abuse, and finding permanent placements for those who cannot safely return to their homes.

4. Office on Child Abuse and Neglect CAPTA amendments, June 1996 Focal point for interagency collaboration and coordination across Dept regarding child maltreatment issues. New office within CB effective April, 1998

5. Federal Leadership on Child Welfare and Substance AbuseIssues - CB • Long-standing efforts related to substance abuse and child welfare: • Abandoned Infants Assistance (AIA) programs • National Resource Center on AIA, Berkley, CA

6. Federal Leadership on Child Welfare and Substance AbuseIssues, cont. • 1997 – ASFA • Report to Congress April, 1999 • 2000 – 2001 Regional State Team Forums • 2001-2007 Quality Improvement Center • Rocky Mountain QIC - Denver • 2002 National Center on Substance Abuse and Child Welfare

7. Federal Leadership on Child Welfare and Substance AbuseIssues, cont. 2003 - CAPTA Reauthorization SEN provision 2006 –Reauthorization of PSSF Regional Partnership Grant program requirement 2007 -2012 Regional Partnership Grants 2009 - Family Connections Grants

8. Federal Leadership on Child Welfare and Substance AbuseIssues • Blending Perspectives and Building Common Ground  • A Report to Congress on Substance Abuse and Child Protection in April 1999  • Required by ASFA legislation of 1997 • Cross- Agency Effort • Administration on Children and Families • SAMHSA • HHS Office of the Assistant Secretary for Planning and Evaluation • Report was a launch point for formal efforts geared at this intersection

9. “Blending Perspectives and Building Common Ground” • Report key points • Substance Abuse is a Critical Child Welfare Issue • Timely Substance Abuse Services Are Key to Achieving Permanency for Children • Collaboration Between Child Welfare and Substance Abuse Treatment Agencies is Challenging • Improved Practice and Outcomes are Possible and Essential

10. Keeping Children and Families Safe Act 2003-Child Abuse Prevention and Treatment Act • New “SEN” provision: • To create policies and procedures to address the needs of infants born and identified as being affected by illegal substance abuse or withdrawal symptoms resulting from prenatal drug exposure. • “Notification” of CPS • Develop plan of safe care for infant and family

11. CB Funds Specifically Targeting Child Welfare and Substance Abuse • Model Development or Replication to Implement the CAPTA Requirement to Identify and Serve Substance Exposed Newborns (SEN grants) • 4 projects: • Healthy Connections (OH) • FEAT (OR)A • Helping Hand (MA) • C-SIMI Baby Steps (CO)

12. CB Funds Specifically Targeting Child Welfare and Substance Abuse, cont. • Regional Partnership Grants (RPGs • 53 regional partnership grants awarded nationwide in September, 2007 • Improve the safety, permanency, and well-being of children affected by methamphetamine and other substance abuse • The grants address a variety of common systemic and practice challenges that are barriers to optimal family outcomes

13. Children’s Bureau Regional Partnership Grants and NCSACW In-Depth Technical Assistance Sites Regional Partnership Grants = 53 Sites Array of Services - 11 Child Focused – 8 Drug Courts – 10 System-Wide Collaboration – 9 Treatment Focused – 9 Tribal - 6 NCSACW IDTA Sites = 17 Sites 12 States Round 5: 2 States and 1 Tribal Community 2 Tribal Communities 1 County Created 7/28/09

14. CB Funds Specifically Targeting Child Welfare and Substance Abuse, cont. • Family Connections Grants • Legislatively mandated • Funding Announcement posted Spring, 2009 • Grants awarded 9/30/2009 • Comprehensive Residential Family Treatment • 5 grants awarded

15. Family Connections Grantees – Residential Family Treatment Cluster • The Wayside House, Inc., St. Louis Park, MN • Amethyst, Inc., Columbus, OH • OnTrack Inc., Medford, OR • Renewal House, Inc., Nashville, TN • State of Wisconsin Department of Children and Families, Madison, WI

16. CB Funds Specifically Targeting Child Welfare and Substance Abuse, cont. Conferences • Substance Exposed Newborns: Weaving Together Effective Policy & Practice (October 2005) • Methamphetamine: The Child Welfare Impact & Response • Jointly Sponsored by CB/OCAN and SAMHSA/CSAT (May 2006) • Substance Exposed Newborn Summit (June 2010 Alexandria, VA ) • Training and Technical Assistance • National Center on Substance Abuse and Child Welfare - (http://www.ncsacw.samhsa.gov • National AIA Resource Center - http://aia.berkeley.edu • Child Welfare Information Gateway -www.childwelfare.gov

17. Children’s Bureau “Thank You For All the Good Work You Do!” Children’s Bureau Website: http://www.acf.hhs.gov Catherine M. Nolan catherine.nolan@acf.hhs.gov