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Updated: Jul 16, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Parenting skills and family support programs for drug-abusing mothers
Karol L Kumpfer1, Melissa A Fowler
1Department of Health Promotion and Education, University of Utah, Salt Lake City, UT, USA. kkumfer@xmission.com <kkumfer@xmission.com>
Insights
Children exposed to substances in utero may develop fetal alcohol or drug effects (FAE/FDE), leading to health and behavioral issues. Evidence-based programs enhance parenting skills and family support to improve child outcomes.
Area of Science:
- Perinatal health
- Developmental psychology
- Public health
Background:
- Prenatal exposure to tobacco, alcohol, and drugs can harm fetal development, leading to fetal alcohol or drug syndrome (FAS/FDS) or effects (FAE/FDE).
- Children affected by prenatal substance exposure are at higher risk for physical, cognitive, and behavioral problems.
- Postnatal family environment and dynamics significantly influence the development of children with substance-exposed parents.
Purpose of the Study:
- To highlight the impact of prenatal substance exposure on child development.
- To review the role of family environment in child outcomes.
- To emphasize the importance of evidence-based interventions for affected families.
Main Methods:
- Review of existing literature on prenatal substance exposure and child development.
- Analysis of the impact of family systems on children of substance-abusing parents.
- Evaluation of prevention and treatment programs for FAS/FDS and related conditions.
Main Results:
- Prenatal exposure to substances negatively impacts fetal development and increases the likelihood of lifelong physical, cognitive, and behavioral challenges.
- Family support systems and parenting skills are critical factors influencing the health and cognitive outcomes of these children.
- Evidence-based programs focusing on maternal childcaring abilities, parent-child attachment, and family support show positive results.
Conclusions:
- Interventions targeting parental skills and family support are crucial for mitigating the negative effects of prenatal substance exposure.
- Prenatal and postnatal programs, particularly in-home parenting and family-skills training, can significantly improve outcomes for affected mothers and children.
- Comprehensive support systems are essential for improving the health and cognitive development of children affected by fetal alcohol or drug effects.
Abstract:
Children born to drug-using mothers can suffer from fetal alcohol or drug syndrome (FAS/FDS) or fetal alcohol or drug effect (FAE/FDE). Such children have a greater likelihood of developing acute or chronic physical, cognitive and behavioral problems. In-utero exposure to tobacco, alcohol or drugs impact on the developing fetus and, after birth, the family environment and family system exert effects on the infants and children of substance-abusing parents. Evidence-based prevention and maternal drug treatment programs focus on enhancing parental childcaring abilities, supporting parent-child attachment and encouraging family support systems to improve children's health and cognitive outcomes. FAS/FDS prevention programs, as well as selective and indicated prenatal and postnatal interventions, can improve the support given both to mother and to child, and evidence-based, in-home parenting and family-skills-training approaches are particularly useful.
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