NTI Upstream 2019 Webinar Series

Developing Systems that Work.

Most times – as clinicians, parents, social service professionals – we focus our attention on the child in front of us. Eventually, however, we realize that to really make a difference for children and families, we must look at the “bigger picture” and begin to create change in the systems that serve our clients and patients. In 2018, NTI Upstream turned away from expectations and focused on topics considered controversial. Through those webinars, we wanted to challenge the accepted thinking around particular clinical and research quandaries and raise the kinds of questions that needed to be raised. And now, in 2019, we are turning to that “bigger picture.” Developing Systems that Work will explore the clinical research information available around a specific topic and apply this information to the systems that affect access to care as well as ultimate outcome of the child. Our goal is to generate change – change in the ways we think, the ways we practice our individual disciplines, and the ways we develop community, state and federal policies. Participants in the webinars will have the opportunity to ask questions and challenge the presenter. Our goal is to create change by raising as many questions as answers, stimulating participants’ willingness to look at things in a different way. Join us, as we share our commitment to children and families and learn together!

2019 Webinar List

2019 Webinar 1:

The 3C’s of Community Partnerships

February 26, 11:00-12:15 p.m. Pacific, 1:00 - 2:15 p.m. Central, 2:00-3:15 p.m. Eastern

About: Moving away from the academic definition of the 3C’s of Community Partnerships – communication, coordination, and collaboration – this webinar will present our own version of the 3C’s.

Why this is important: Organizations and communities regularly undergo strategic planning, but most often that plan sits on a shelf until it’s time to plan again. Successful and meaningful strategic planning requires consideration of the “shadow side” issues and inclusion of evaluation and sustainability planning from the very beginning.

Key questions to be addressed: What defines a system? What is the difference between vision and mission? What’s the importance of systems integration as opposed to service integration? Who are the key players and agencies that need to be included in the planning process?


2019 Webinar 2:

Developing a Prenatal SBIRT System:
An Ethical Approach to Prevention and Intervention

May 14, 11:00-12:15 p.m. Pacific, 1:00 - 2:15 p.m. Central, 2:00-3:15 p.m. Eastern

About: Screening, brief intervention, and referral to treatment (SBIRT) is a proven strategy for improving pregnancy outcomes for women who are using a variety of substances.

Why this is important: Science tells us that SBIRT strategies are an effective and efficient means of prevention; however, widespread racial and social class bias as well as an inherent bias against women who use substances during pregnancy propel the call for punitive approaches that drive women out of prenatal care. A successful SBIRT system will significantly reduce maternal and infant morbidity and mortality and drive down health care costs.

Key questions to be addressed: How should the community be involved in establishing an SBIRT system for pregnant women? What is the role of the primary prenatal care provider? What is the best way to screen for substance use in pregnancy? What good does toxicology testing serve, and what methodology is best? What defines successful medication-assisted treatment in pregnancy? What are the key barriers to establishing a fully functioning prenatal SBIRT system? What responsibilities do prenatal care providers have in establishing a plan of safe care, as required by federal CARA legislation?


2019 Webinar 3:

Meeting the Needs of Newborns Affected by Prenatal Substance Exposure

About: Although opiate use and Neonatal Abstinence Syndrome have grabbed the headlines, the types of substances women use during pregnancy cover a wide span, with opiate use patterns almost fading to insignificance when compared to alcohol, tobacco and marijuana use rates during pregnancy.

Why this is important: Protocols and practice related to the care of the prenatally exposed infant vary from hospital to hospital and even within hospitals. This kind of inconsistency frequently results in inappropriate assessment and treatment approaches, including an overuse of medications to treat infants who would have done well with non-pharmacologic intervention.

Key questions to be addressed: How do you assess a newborn’s needs for intervention? What role does early attachment play in designing a management approach for the infant? How do you know when it is safe to discharge a newborn from the hospital? Where does the child welfare system fit into the big picture? What State and Federal laws govern reporting of infants affected by prenatal substance exposure to the child welfare system? What are the key differences between State and Federal legislation and how do CAPTA and CARA fit into the picture?


2019 Webinar 4:

Early Childhood / Preschool: Assuring Access to Earliest Intervention

August 26, 11:00-12:15 p.m. Pacific, 1:00 - 2:15 p.m. Central, 2:00-3:15 p.m. Eastern

About: There is clear evidence that the earlier interventions commence, the better the child will do long-term.

Why this is important:  Published reports demonstrate that identification and treatment of children affected by prenatal alcohol and other drug exposure prior to the age of six years can positively change the long-term developmental trajectory of the child.  However, because of lack of communication and connection between the various systems of care, many children are lost and receive no interventions until they have trouble in school and require specialized interventions.

Key questions to be addressed: How do you recognize the child with prenatal substance exposure? Is a specific diagnosis important? What are the most common interventions needed for children with prenatal substance exposure? How do IDEA early intervention programs serve this population? How do you assure appropriate transitioning between early intervention programs for children 0-3 years and school-based programs for children 3 to 5 years of age?


2019 Webinar 5:

School-based Systems: The Narrow Gate Where All Children Gather

October 31, 11:00-12:15 p.m. Pacific, 1:00 - 2:15 p.m. Central, 2:00-3:15 p.m. Eastern

About: Prenatal substance exposure can affect the child’s learning and behavior over the long term.

Why this is important:  By 5 years of age, children spend significant periods of time in the classroom.  However, in many instances schools are unaware of a child’s past medical and social history and frequently “blame” the child for misbehavior rather than recognized the brain basis of that behavior.

Key questions to be addressed: What role do the schools play in a multi-dimensional integrated system of care? How much information about a child’s prenatal substance exposure should parents give to the schools? Can response to intervention (RTI) models be applied to children with prenatal substance exposure? How does the entire system – from prenatal through the school years – fit together?


2019 Webinar 6:

Why is Prevention so Difficult?

December 12, 11:00-12:15 p.m. Pacific, 1:00 - 2:15 p.m. Central, 2:00-3:15 p.m. Eastern

About: Cultural values and personal preference often stand in direct conflict with prevention messages.

Why this is important:  The ultimate struggle finds clinical programs battling societal norms and expectations as well-funded marketing campaigns target young women.  Words matter, and the way we present our prevention messages to the public often determines the degree of success we meet.

Key questions to be addressed: What should you know about the community before you begin development of a prevention program? How much do words matter as you develop your prevention message? How do you create societal change when you are limited in funds and personnel? What does technology bring to the table?

Purchase the 2019 Digital Pass for access to all of this year’s webinars, the corresponding digital downloads, and all of our new digital content. Learn more.