Factors Associated with Child-Welfare Involvement among Prenatally Substance-Exposed Infants - 27/01/21
, Jennifer Donahue, Esq 3, Trenee Parker 4, Jobayer Hossain, PhD 5, Allan De Jong, MD 1, 2Abstract |
Objective |
To assess factors impacting child-welfare involvement and child abuse and neglect outcomes among prenatally substance-exposed infants.
Study design |
This was a retrospective review of case registry data regarding substance-exposed infants tracked statewide in Delaware from 2014 to 2018. Differences in maternal, infant, and substance exposure factors by level of child-welfare involvement (screened-in vs screened-out case status) and child abuse and neglect outcomes were examined. Screened-in status was defined as case acceptance for investigation, family assessment, or treatment referral. Using logistic regression, associations between factors and screened-in status and between factors and child abuse and neglect outcomes were assessed. Cases involving child abuse and neglect were analyzed qualitatively.
Results |
Among 1222 substance-exposed infants, 70% were screened-in by child welfare for ongoing involvement; 28 (2.3%) of substance-exposed infants were identified as child abuse and neglect victims sustaining serious physical or fatal injury before 1 year of age. Most substance-exposed infants remained with caregivers; few entered foster care. Polysubstance exposure and maternal mental health condition were factors associated with screened-in status. Neither substance exposure type nor maternal mental health condition reliably predicted future child abuse and neglect.
Conclusions |
Substance-exposed infants had a significant risk for child abuse and neglect. Although maternal and substance exposure factors were associated with screened-in case status, they unreliably predicted future risk of child abuse and neglect.
Le texte complet de cet article est disponible en PDF.Abbreviations : CAPTA, POSC
Plan
| Supported by the Centers for Medicare and Medicaid Services Innovation Award (CMS331027-01) and National Institutes of Health Institutional Development Award from the National Institute of General Medical Sciences (U54-GM104941). An inter-agency Memorandum of Agreement was established for purposes of this project; signatories included the Delaware Department of Services for Children, Youth and Families, Office of the Investigation Coordinator, and Nemours/Alfred I. duPont Hospital for Children. The authors declare no conflicts of interest. |
Vol 222
P. 35 - juillet 2020 Retour au numéro
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