The opioid epidemic has increasingly harmed Massachusetts children and families in recent years, and now a new program is being launched to care for addiction's youngest victims.
The opioid epidemic has increasingly harmed Massachusetts children and families in recent years, and now a new program is being launched to care for addiction's youngest victims.
The initiative, part of the federal Early Head Start program, will help 36 low-income families in New Bedford, the Boston Globe reports -- a community with elevated rates of babies born dependent on opioids.
Meeting Street, a Providence-based nonprofit, will arrange weekly home visits to the families to provide help with education, health, prenatal care and other services, according to the Globe. The program aims to help children suffering from all forms of neglect and abuse, but priority will be given to children affected by addiction.
"If you've got an opiate issue, you're going to go right to the top of the list," Meeting Street President John Kelly told the Globe.
The program is being funded by a $324,000 federal grant administered by the state Department of Public Health. A DPH spokesman did not immediately return a request for comment from MassLive.
One-thousand and five people died from opioids in Massachusetts from January to September 2016, excluding suicides, according to figures released by the state's Department of Public Health in November. That rate exceeds the first nine months of 2015.
In all, 1,574 people died from opioid overdoses in 2015.
But beyond the overdose totals, addiction has taken an harsh toll on Massachusetts' children, often above national rates.
Nationally, the number of babies born dependent on opioids -- what doctors call neonatal abstinence syndrome -- tripled in 15 years, according to the Centers for Disease Control and Prevention. In 1999, NAS cases were 1.5 per 1,000 hospital births. By 2013, that number jumped to 6 per 1,000 births.
And Massachusetts has more than double the NAS rate of the country at large. In 2012, there were 12.5 NAS cases per 1,000 births. And while 2012 is the most recent data available, experts think that number has continued to increase.
In Springfield, 10 percent of patients in Baystate Medical Center's neonatal intensive care unit suffer from NAS, Dr. Rachana Singh told MassLive.
"We unfortunately are one of the higher numbers in the country," said Singh, who has led Baystate's NICU for nearly 11 years.
Beyond medical problems, opioid addiction has also led to more children being removed from the families in Massachusetts courts.
There has a 56 percent increase in child protection cases since 2012, according to statistics provided by juvenile court officials -- driven both by addiction and increased enforcement by the Department of Children and Families following a series of child deaths in 2014 that put DCF under intense scrutiny.
In child removal cases, the goal is typically to reach a settlement with the family to improve quality of life and reunite them with their children, Franklin-Hampshire Juvenile Court Judge James Collins said.
But addiction has made that more difficult. Before the opioid crisis, about two-thirds of care and protection orders ended with the reunification of families after parents addressed the state's concerns, Collins said. Now that number is about 50 percent, and only four in 10 cases involving opioid use now end in reunification.
The Globe reports that Meeting Street is hiring five staffers for the New Bedford program, which is designed to use the intimacy of home visits to make a stronger impact and connect families with needed services.