Transformative Strategies for Neonatal Abstinence Syndrome

it was difficult to follow the instructor, she did not sound professional and said 'i'm' several times every sentence. it greatly impacted the material for me. some material seemed very subjective, versus clinical.

great instructor!

instructor says "umm" way too much

some of the info seemed very basic for clinicians who have been practicing with neonatals for a bit.

the way the information about gestational age was presented made it sound as though younger gestational age might be protective against the effects of substance exposure. my understanding, however, is that substance exposure early in pregnancy—particularly opiates—can negatively impact both brain and somatic growth. this may include decreased brain volumes (cerebellar, cerebral, and basal ganglia), as well as iugr, sga, and low birth weight, all of which can contribute to ongoing neurodevelopmental delays, especially the behavioral and sensory challenges that often become more apparent in school-aged children. the literature suggests that prenatal substance exposure can affect fetal growth and neurodevelopment across gestation, with timing influencing the type of impact rather than the presence or absence of risk. it may be helpful to clarify that while infants exposed in the third trimester can show more pronounced withdrawal symptoms due to placental thinning, exposure in any trimester can affect fetal growth and neurodevelopment through different mechanisms, including structural brain changes, impaired growth trajectories, and later behavioral or cognitive outcomes.

i really liked the short and long term goal examples. also the q %26a at the end was helpful as these were questions that i also had and was looking for future ces to answer.

would like a part 2 with more detailed info on drug interaction in the brain

slow paced, but fine overall and very applicable topic and information for therapists that work with infants and older with history of exposure and working with parents and caregivers

great resourses

i liked the case examples and specific goals and treatment ideas.