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Improving Treatment for Drug-Exposed Infants
Treatment Improvement Protocol (TIP) Series 5

Stephen R. Kandall, M.D.
Consensus Panel Chair
 
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES
Public Health Service
Substance Abuse and Mental Health Services Administration
Center for Substance Abuse Treatment
Rockwall II, 5600 Fishers Lane
Rockville, MD 20857
DHHS Publication No. (SMA) 93-2011.
Printed 1993.

[Disclaimer]

This publication is part of the Substance Abuse Prevention and Treatment Block Grant technical assistance program. All material appearing in this volume except quoted passages from copyrighted sources is in the public domain and may be reproduced or copied without permission from the Center for Substance Abuse Treatment (CSAT) or the authors. Citation of the source is appreciated.

This publication was written under contract number ADM 270-91-0007 from CSAT. Al Getz, M.S.W.; Anna Marsh, Ph.D.; and Sandra Clunies, M.S. served as the CSAT government project officers. Lynne Bailey, Carolyn Davis, and Claudia Norris served as contractor writers.

The opinions expressed herein are the views of the consensus panel participants and do not reflect the official position of CSAT or any other part of the U.S. Department of Health and Human Services (DHHS). No official support or endorsement of CSAT or DHHS is intended or should be inferred. The guidelines proffered in this document should not be considered as substitutes for individualized patient care and treatment decisions.

What Is A TIP?

CSAT Treatment Improvement Protocols (TIPs) are prepared by the Quality Assurance and Evaluation Branch to facilitate the transfer of state-of-the-art protocols and guidelines for the treatment of alcohol and other drug (AOD) abuse from acknowledged clinical, research, and administrative experts to the Nation's AOD abuse treatment resources.

The dissemination of a TIP is the last step in a process that begins with the recommendation of an AOD abuse problem area for consideration by a panel of experts. These include clinicians, researchers, and program managers, as well as professionals in such related fields as social services or criminal justice.

Once a topic has been selected, CSAT creates a Federal resource panel, with members from pertinent Federal agencies and national organizations, to review the state of the art in treatment and program management in the area selected. Recommendations from this Federal panel are then transmitted to the members of a second group, which consists of non-Federal experts who are intimately familiar with the topic. This group, known as a non-Federal consensus panel, meets for about three days, makes recommendations, defines protocols, and arrives at agreement on protocols. Its members represent AOD abuse treatment programs, hospitals, community health centers, counseling programs, criminal justice and child welfare agencies, and private practitioners. A chair for the panel is charged with responsibility for ensuring that the resulting protocol reflects true group consensus.

The next step is a review of the proposed guidelines and protocol by a third group whose members serve as expert field reviewers. Once their recommendations and responses have been reviewed, the chair approves the document for publication. The result is a TIP reflecting the actual state of the art of AOD abuse treatment in public and private programs recognized for their provision of high quality and innovative AOD abuse treatment.

This TIP, on the treatment of drug-exposed infants, is the fifth published by CSAT since a treatment improvement initiative began. It represents another step by CSAT toward its goal of bringing national leadership to bear in the effort to improve AOD abuse treatment.

Consensus Panel

Mehmur Abedin, M.D.
Assistant Professor of Pediatrics & Child Health
Chief of Neonatology
D.C. General Hospital
Washington, D.C.
Emmalee Bandstra, M.D.
University of Miami
Department of Pediatrics
Division of Neonatology
Miami, Florida
Andrea G. Barthwell, M.D.
Medical Director
Interventions
Chicago, Illinois
Donna H. Caum
Program Consultant
Bureau of Alcohol and Drug Abuse Services
State of Tennessee
Department of Health
Nashville, Tennessee
Janet Chandler, Ph.D.
Clinical Psychologist
NAPARE
Chicago, Illinois
Tatiana Doberczek, M.D.
Assistant Chief
Division of Neonatology
Beth Israel Street
Medical Center
New York, New York
Roselyn Epps, M.D., M.P.H.
National Medical Association
Professor of Pediatrics & Child Health
Howard University, College of Medicine
Bethesda, Maryland
Alan Fleischman, M.D.
Director
Division of Neonatology
Professor of Pediatrics
Albert Einstein Hospital
Bronx, New York
Sandra Gardner, R.N., P.N.P.
Director, Professional Outreach Consultation
Aurora, Colorado
Robert H. Horowitz, J.D.
Associate Director
American Bar Association Center on Children and the Law
American Bar Association
Washington, D.C.
Karol Kaltenbach, Ph.D.
Director
Family Center/TJU
Philadelphia, Pennsylvania
Stephen Kandall, M.D.
Chief, Division of Neonatology
Beth Israel Street Medical Center
New York, New York
Margot Kaplan-Sanoff, Ed. D.
Associate Professor, Pediatrics
Boston University School of Medicine
Director, Steps for Kids
Outreach Training Project
Talbot Building
Boston City Hospital
Boston, Massachusetts
Hubert Kelly, D.S.W.
Social Work Consultant
Oakton, Virginia
Dennis Nalty, Ph.D.
Director
Analysis and Policy
Development (Scatter Project)
South Carolina Commission on Alcohol and Drug Abuse
Columbia, South Carolina
Christine D. Olson
Director, Treatment Programs
Colorado Department of Health
Alcohol and Drug Abuse Division
Denver, Colorado
Beth Wasson
Executive Director
Triumph Treatment Services
Yakima, Washington
 



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