As the opioid epidemic continues to rise, so does the incidence of neonatal abstinence syndrome. Neonatal abstinence syndrome, or NAS, is a withdrawal condition that occurs when a fetus has been exposed to addictive drugs prior to birth, most commonly opioids. Newborns with NAS can experience a variety of symptoms at and after birth, including trembling, sleep problems, seizures, and vomiting. Women who use opioids during pregnancy have a much higher risk of their newborn developing NAS. If a woman is suspected of using drugs during her pregnancy, the newborn will likely be tested toxicologically for NAS or other exposure to drugs. There is debate about the procedures that are used to determine who is tested and who is not. Institutions are currently being left to make their own decisions about how newborn toxicology tests will be performed and who receives such tests. Unless a mother self-reports her use, a test may not be performed unless certain factors are observed. This leaves room for variation and inconsistency across the board. Guidelines have been created in some institutions regarding several indicators of drugs abuse during pregnancy. However, this is not consistent between institutions across the nation and allows for the possibility of misdiagnosis or the lack of one altogether. Standards should be implemented regarding these toxicology tests for newborns to ensure all cases of infants with NAS are identified and able to be treated. This paper will examine neonatal abstinence syndrome, how toxicology testing is performed in newborns, why standards should be implemented, and provide a comparison between an upcoming and a current method of testing in newborns for NAS.

This is a composition of information derived from the research conducted to produce each episode of Nefarious. As part of my final thesis project for my undergraduate degrees in criminal justice and forensic psychology, I created a podcast on the topic of true crime with an academic approach titled Nefarious. Each episode of Nefarious examines a particular case in relation to some academic theme learned throughout my educational career at Arizona State University. Episode one examines the life and crimes of Richard Ramirez and different criminological theories that could be used to explain his behavior. Episode two looks at the case of Brock Turner and Chanel Miller and focuses on the larger problem of rape culture in America and sexual assault on college campuses. In episode three the case of the Central Park Five is detailed in relation to false confessions and wrongful convictions within the legal system. Episode four is centered around Kyle Rittenhouse and the use of self-defense as a legal defense in the justice system as well as the political atmosphere surrounding this case. The fifth episode explores three cases of police brutality against racial minorities and the history of police in America. The final episode of Nefarious covers the life and crimes of Jeffrey Dahmer and analyzes such actions from a forensic psychology approach.