SEN Policy Analysis Work Group by Illuminate https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x Goal 5: The Work Group will support the development of clear statewide guidance around mandatory reporting requirements for health care providers, particularly around prenatal marijuana use.
 en-us 2021-05-04 23:24:08 UTC 2025-11-15 05:21:04 UTC hello@padlet.com https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521559929 inconsistent practices around when toxicology screens are used]]> 2021-05-13 15:53:15 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521559929 "unofficial" lists shared among hospitals of folks w/ previous child welfare involvement due to substance use https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521562014 2021-05-13 15:53:41 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521562014 screening often includes alcohol and cigarettes, but toxicology generally does not https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521562169 2021-05-13 15:53:43 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521562169 https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521562858 Child welfare would like to hear about behavioral concerns more than testing results.]]> 2021-05-13 15:53:51 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521562858 https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521564437 screening practices aren't always done in a way that feels pt. centered, can be stigmatizing and discourage people from seeking treatment/disclosing use

]]> 2021-05-13 15:54:06 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521564437 Prenatal screening is inconsistent as is screening on admit to our hospital. Mother's who endorse substance use should have toxicology testing done, but this is also inconsistent. https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521566577 2021-05-13 15:54:32 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521566577 universal screening, standardized testing where testing is concerned https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521566903 2021-05-13 15:54:35 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521566903 https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521567405 Enough capacity for treatment that referral would not involve waitlist]]> 2021-05-13 15:54:42 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521567405 https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521568286 Minority over representation who are tested]]> 2021-05-13 15:54:55 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521568286 bias and subjectivity play a role in testing and screening https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521570281 2021-05-13 15:55:21 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521570281 https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521575398 Universal testing is expected (working on making this consistent), toxicology testing is based on criteria including physical evidence of substance use or altered mental status, no prenatal care, scant or late prenatal care, incarceration in pregnancy, history of removal of child from custody, history of verbal or positive test suggesting substance use within the year of the pregnancy, unexplained placental abruption, newborn with signs of withdrawal. We report when we have concerns regardless of toxicology test results, however we find the counties won’t often act unless the infant has biological evidence of the substance exposure. So, we report all positive cord samples EXCEPT if cord is positive for marijuana but mother reports cessation before birth and she herself tests negative at admission (new change at UCH given the senate bill change). ]]> 2021-05-13 15:56:29 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521575398 That we stop using the term SEN https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521578481 2021-05-13 15:57:07 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521578481 Universal screening https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521579129 2021-05-13 15:57:15 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521579129 https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521580403 At the state level, set expectation for universal screening and set standard criteria for testing of mothers and newborns so that bias can be reduced ]]> 2021-05-13 15:57:31 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521580403 https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521580570 I'd like to see more communication with mothers and families around screening and testing. ]]> 2021-05-13 15:57:33 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521580570 https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521590117 not clear messaging from what info needed from child welfare -- behavior vs testing  ]]> 2021-05-13 15:59:38 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521590117 https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521593674 Work group comes to consensus on standardized testing criteria, truly make a point to rely less on biological testing at county level when making a report ]]> 2021-05-13 16:00:28 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521593674 Universal screening that takes place and/or is unpacked in a relational context https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521599938 2021-05-13 16:01:41 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521599938 https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521642248 various policies related to consent around toxicology testing]]> 2021-05-13 16:10:54 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1521642248 "universal screening" will undoubtedbly bring bias results - as it already has done. If patients have to opt in to training we will see less of a bias. Also, providers get to decide what 'no prenatal care' means, and sometimes - we have seen that also include clients that get midwifery care be recorded as having no prenatal care - which contradicts that basis - either way, families should opt in for testing. https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1532960420

]]> 2021-05-17 19:50:45 UTC https://padlet.com/IlluminateCO/vbobj0p4dyvpgu6x/wish/1532960420