This last question could be unusual, but the new child care center in Huntington, West Virginia, is unusual: it only serves children and young children who have been exposed to drugs in the womb.
This is believed to be the first of its kind in the country – and there is a waiting list to enter.
That's because Cabell Huntington Hospital, the largest hospital in the city, born 1 out of 5 children for mother to use opioids while pregnant.
The children go through treatment for withdrawal of drugs before being discharged from hospital, but this does not mean that the problems end there.
The age of the children in the childcare center is between 6 weeks and 2 years old, and sometimes they cry for hours on end. Teachers experience difficulties in mitigating them.
"They can only be indifferent," said Suzi Brodof, the centre's executive director. "Not only is he crying.
"It's very difficult to hear them," said Janie Fuller-Phelps, director of the center. "There are times you don't feel all but without hope."
It takes to eat: Sometimes there are twitching and tremors at the children – even seizures.
"These children only have different needs than other children," Brodof said.
That's why some children start with NAS from other childcare centers.
"Yes, they really progress. It happens often," said Lisa Ertl, interim director of the department of care and early education at West Virginia's Department of Health and Human Resources. "The ordinary carer doesn't know how to handle them."
The Huntington center, run by River Valley Children's Development Services, is state funded and currently has eight children. There is room for a further eight, but there is not enough money to pay for staffing.
Six of the children in the center were exposed to opioids in the womb and two were exposed to motifamines, by umbilical cord test. They were all exposed to other drugs too.
Even after a few weeks, teachers can see changes in the children. Huck, 4 months old person the boy has fewer spells, and he is now smiling at his teachers.
But like many children who are exposed to drugs, his muscles become very common, and his teachers massage him and straighten his arms and legs.
The oldest children in the center are twins, 11 years old, boy and girl. At first the girl didn't want anyone to keep her. Now she talks to her teacher and wears her arms, waiting to be collected.
The twin mother, and most of the other mothers at the River Valley center, live at Hope for Women & Children Project, a drug rehabilitation center in Huntington. While their children are in childcare, mothers can focus on their own day-to-day treatment.
"Villains are not the moms," Brodof said. "They have a disease and are taking steps to care for themselves and their children, and that's where we come in."
"The harm associated with antenatal opiate exposure is debilitating and permanent," according to the researchers.
Beverly Riling knows that this is indirect.
His granddaughter was born 11 years old, Andrianna Riling, to NAS, and in October she filed a convention against some opioid manufacturers.
"After she got home from the hospital, she shook and always felt," Riling remembers. " Nothing calmed down her.
According to the lawsuit, Andrianna is "below the opioid crisis that has affected Wyoming County, West Virginia, the heart of the national opioid crisis, creating huge suffering for those babies born with teachers and great expense for those who need to deal with them." the consequence. "
Riling and her husband, Andrew, maintains between 70 and 70 years of age, Andrianna and her two older brothers, Jacob and Gabriel, 16 and 14 years of age. The suit asks damages to compensate them for the NAS-related injuries, as well as punitive damages.
Andrianna's lawyer, Booth Goodwin, and his colleagues are screening about an additional 200 children for possible debates.
Building a family was the last thing the Rilings expected to do at their age but because of the opioid crisis, they are hardly alone in West Virginia.
Back at the childcare center, Brodof wants to raise money so that she can hire more staff and fill the other eight places.
"We know that they need that extra special care, that bundle, that love," she said. "And we know that we can make a difference to them."
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