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Valdivia turned the gun on himself after shooting the family, police said.A GoFundMe account was established to help the family with funeral and medical costs.The San Diego Unified School District Monday said it was increasing resources at Paradise Hills Elementary, the school attended by the children. Read the list of resources below: Six clinicians from San Diego Youth ServicesTwo School CounselorsTwo School NursesTwo community based mental health providers from Say San DiegoOne school psychologistOne school district mental health clinicianOne district therapy dog 572

We will continue to work closely with the Sheriff’s Department, and want to assure all in our school community of our commitment to student and staff safety. 157

When it comes to methadone treatment for opioid addiction, both the American College of Obstetricians and Gynecologists?and the Academy of Breastfeeding Medicine include it in their guidelines as a safe and encouraged form of medical-assisted treatment for pregnant and nursing women."Babies exposed to opioids ... in utero are at risk for developing neonatal abstinence syndrome, a condition resulting from the newborn going through withdrawal once exposure to the opioids is stopped. An opioid-using mother is secreting small amount of the opioid in her breast milk, which the baby then ingests," Lysouvakon said.The amount babies take in is usually undetectable or very small, he explained."All of the guidelines support breastfeeding for mothers who are in treatment programs and not taking other illicit or non-medically indicated drugs," said Dr. Walter Kraft, an expert in the treatment of neonatal abstinence syndrome at the Thomas Jefferson University Hospital. "There may be other reasons why breast feeding may not be right, such as taking other prescribed medications which are not safe for the baby."Some of the benefits of breastfeeding infants at risk of withdrawal from opioids is not just the methadone in the breast milk but the skin-to-skin contact between baby and mom, which comforts and soothes the baby," said Kraft.And although recreational drug use is?not encouraged during breastfeeding, Kraft said there may be situations in which a mother may breastfeed while on medically prescribed stimulants,"if there is compelling reason to do so for the health and well being of the mother," he said.For example, amphetamines can be prescribed for narcolepsy, and methamphetamine can be used to treat?ADHD and obesity.For those mothers who do use amphetamines recreationally, there is very limited data. One study?advises to wait 48 hours after using before nursing."Healthy mom generally equals happy baby," Kraft said.'Narratives of blame'?Experts said the details of Jones' case are key to understanding what happened: How were the toxicology tests performed? Were the results confirmed in follow-up testing? Was Jones tested for the same substances to corroborate her as a source of the drugs in R.J.'s blood? What levels of drugs were found in R.J.'s blood? Was Jones prescribed any stimulants?Substance abuse is a clinical condition, said Dr. Amina White, a bioethicist and an obstetrician-gynecologist at the University of North Carolina, Chapel Hill."It requires clinical intervention. It would be highly problematic to charge someone with criminal wrongdoing who is in fact seeking or in need of or already undergoing treatment for a substance use disorder," White said. "One would hope that the response to this very unfortunate case would be: What can we do to better support someone like her?" she said.Lynn Paltrow, an attorney and founder and executive director of National Advocates for Pregnant Women, said criminal charges like those facing Jones are part of the larger war on drugs narrative. Paltrow worries about the public health ramifications that can follow from charges like this and ultimately discourage women from breastfeeding, and hospitals from following the scientific evidence."They have far more to do with political expediency and popular narratives of blame than anything about science," she said. 3389

Video and audio of the interview with the accused Stoneman Douglas High School shooter, Nikolas Cruz, was released from the Broward County State Attorney's Office Wednesday afternoon, showing some of the accused shooter's thoughts following the massacre."Burn, kill, destroy," Cruz said, in reference to what he said an evil voice tells him to do. In the video, Cruz is dressed in a hospital gown, sitting face-to-face with Broward County Sheriff's Office Detective John Curcio. The interrogation started just hours after the deadly shooting on Valentine's Day at Stoneman Douglas High School. "I think you like the demon," Detective Curcio said. "No I don’t," Cruz said."Why didn’t you stop it then?" Curcio said."I don’t like the demon. I don’t like the demon. I don’t like the demon. I don’t like the demon," Cruz said."That’s if the demon even exists," Curcio said.19-year-old Cruz spoke softly and talked about about mental and emotional torment throughout his life, including issues with his family and bullies, a history of abusing marijuana and Xanax and two suicide attempts.He had the most to say about an evil voice he claims to have heard since his dad died more than 10 years ago."It’s me and then my bad side," he said."I understand. Everybody’s got a quote good and bad side," the detective said."No, it’s a voice. The voice is in here," Cruz said. "And then, it’s me. It’s just regular me just trying to be a good person."Cruz turned down the detective's offer for water at the beginning of the interview saying, "I don’t deserve it."The details of his account of the shooting were redacted from the interview.He talks about considering hurting people at a park about a week before the shooting.He said the voice, a demon, encouraged him to buy guns and do evil things, saying it also tells him "to hurt people."The only person he said he told about the evil voice was his brother. Six hours into the interview, Zachary Cruz walked in."People think you’re a monster now," Zachary told him."A monster?" Cruz responded.Zachary asked Cruz why he did this, but then went on to tell him he loves him."This is not who you are. Like, come on. Why did you do this?" Zachary said. "This is, don’t even laugh at me. Dude, this isn’t...""I’m sorry dude," Cruz said.Portions of the interview were redacted and edited out before the Broward County State Attorney's Office released the clip because video of Cruz confessing is not being released right now. The State Attorney's office intends to seek the death penalty in the case. 2558

was first to report that Trump told Mulvaney to put a hold on almost 0 million in military aid for Ukraine.Citing three senior administration officials with knowledge of the internal deliberations, the Post said officials at the Office of Management and Budget passed along Trump's request to the Pentagon and the State Department at an interagency meeting in mid-July.According to the paper, administration officials were told to tell lawmakers that the delay in aid was the result of an "interagency process" without giving more information.News of Trump's order to withhold aid to the Ukraine ahead of his July 25 call may trigger questions -- and speculation -- about the President's motive in doing so.On Friday, CNN reported Trump pressed Ukrainian President Volodymyr Zelensky in the call to investigate former Vice President Joe Biden's son, Hunter, according to a person familiar with the situation. That call was part of the whistleblower complaint submitted to the Intelligence Community Inspector General, another person familiar with the situation told CNN.Trump on Sunday said that he did indeed discuss Biden with Ukraine's president -- at a time when the country was awaiting the aid package from the United States -- but he denied doing anything improper.There is no evidence of wrongdoing by either Joe or Hunter Biden.The growing controversy has brought House Democrats near a "tipping point" on impeachment as the party weighs how to respond to the incident. House Speaker Nancy Pelosi, who sharpened her rhetoric over the weekend, is still not committing to moving forward with impeachment proceedings -- though she is keeping the door open. 1665