What are the top 3 root causes/contributing factors?

1. Access to drugs (increase in use of pain med, etc.)
2. Co-Occurring mental health issues
3. Not engaging/avoidance or pre-natal care (lack of education/fear)

List two key partners with a role to play in improving this that we have not included in the past:

1. Faith Based Community 
2. Legislative Representatives 

Current Initiatives/Programs:

1. SEN Task Force **
2. Family Recovery Court **
3. START Program **
4. Nurturing Parenting **
5. Crisis Center
6. UMUCH - infant program
7. Close Foundation funding 
8. Infant and Toddlers

What do we propose to do/fund?

1. Expand Nurturing Parenting LMB
2. START Program
3. Mobile prenatal care

NEW/Off the wall ideas:

1. Free exercise/physical activities for pregnant and new moms
2. More funding for early intervention 
3. Mobile prenatal care 

Rate of hospital encounters for newborns born in with maternal drug/alcohol exposure in Harford County.  

Maryland rate for 2017 is 31%.