França Urbano L, Mustafa Shaheer, McManus Michael L
Department of Anesthesia, Perioperative, and Pain Medicine, Division of Critical Care, Harvard Medical School, Boston Children's Hospital, Boston, MA, USA.
Massachusetts Department of Children and Families, Braintree, MA, USA.
Child Maltreat. 2016 Feb;21(1):80-4. doi: 10.1177/1077559515615437. Epub 2015 Nov 12.
Increasing opiate use among women of reproductive age has led to a rise in adverse pregnancy outcomes, including neonatal abstinence syndrome (NAS). Recent studies have documented the increased incidence of NAS, but subsequent impact on the chain of organizations within the social service system remains unexplored. In this article, we begin to estimate the reach of this issue by assessing the labor costs of caring for NAS infants within the Massachusetts Department of Children and Families (MA DCF). Based on a process map of services, we modeled social service hours using encounter-level hospital data as inputs. In this manner, we estimate that MA DCF professionals now devote more than 10,000 hours per month to this single problem. As opiate addiction increases across America, substantial additional investment in social service providers, foster care, Early Intervention Programs, and other family services will be required.
育龄女性阿片类药物使用的增加导致不良妊娠结局上升，包括新生儿戒断综合征（NAS）。最近的研究记录了NAS发病率的上升，但对社会服务系统内各组织链条的后续影响仍未得到探讨。在本文中，我们通过评估马萨诸塞州儿童与家庭部（MA DCF）照顾NAS婴儿的劳动力成本，开始估算这个问题的影响范围。基于服务流程图，我们以医院层面的个案数据为输入，对社会服务时长进行建模。通过这种方式，我们估计MA DCF的专业人员现在每月仅针对这一单一问题就投入超过10000小时。随着美国阿片类药物成瘾情况的增加，将需要对社会服务提供者、寄养、早期干预项目及其他家庭服务进行大量额外投资。
