Part of this solution utilizes a model first brought to Arizona by Lisa Grisham, a neonatal nurse practitioner and director of the Family Centered NAS Care Program at Banner University Medical Center here in Tucson.
PHOENIX — The 12-room nursery is surprisingly quiet. Rather than beeping monitors, there are whispered conversations. The hum of a bottle warmer.
Babies with NAS may suffer tremors, sleeping problems, irritability, fever, diarrhea, difficulty eating and seizures. This rise comes amid an opioid epidemic that hasn’t slowed down. From 2020 to 2021, Arizona reported nearly 4,000 opioid overdose deaths and about 7,500 nonfatal opioid overdoses. That doesn’t include hospitalizations and emergency department visits in which opioids were mentioned – those number in the tens of thousands.
Salek met Sundem years ago when Hushabye was just an idea and Sundem was exploring how to secure Medicaid funding. Today, Hushabye contracts with five of AHCCCS’s seven health plans, according to Salek. As she was seeking solutions, Sundem also gained a deeper understanding of the root causes of addiction, leading her to learn about what the medical community has come to refer to as adverse childhood experiences, or ACEs.
In 2015, Sundem visited Lily’s Place in West Virginia, which offers a dedicated facility for NAS newborns. Soon after, she began forming support groups for expectant families. She spread word of the effort through addiction and recovery centers, and gained a better sense of the larger system she was navigating.
“We’re really trying to change the care to involve the families in part of the treatment to maximize nonpharmacologic care,” said Grisham, who learned from the model’s creator, Dr. Matthew Grossman of Yale University. A major component of Hushabye is having staff and peer support specialists advise families on how to navigate child services.
Sundem helped Fant understand what to expect. She taught him what NAS was and how to advocate once Jude was born. Fant was especially grateful for Sundem’s guidance in working with the Arizona Department of Child Safety. Now he does the same for other Hushabye families.All cases of NAS are required to involve the child safety department as part of mandated reporting laws. Sundem encourages parents to initiate contact themselves, before they’re reported by a provider or someone else.
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