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Updated: May 22, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
A care coordination program for substance-exposed newborns
Jean E Twomey1, Donna Caldwell, Rosemary Soave
1Brown Center for the Study of Children at Risk, Alpert Medical School, Women & Infants Hospital of Rhode Island, USA.
Insights
The Vulnerable Infants Program of Rhode Island (VIP-RI) improved permanency for substance-exposed newborns. By 12 months, most infants achieved stable placements, with many reunifying with biological parents or relatives.
Area of Science:
- Pediatrics
- Social Work
- Public Health
Background:
- Substance-exposed newborns face challenges in child welfare.
- Perinatal substance use impacts family reunification and social services.
Purpose of the Study:
- To evaluate the effectiveness of the Vulnerable Infants Program of Rhode Island (VIP-RI).
- To promote permanency for substance-exposed newborns.
- To enhance reunification opportunities and social service efficacy.
Main Methods:
- Care coordination program implementation.
- Longitudinal tracking of substance-exposed newborns in child welfare.
- Analysis of placement outcomes at 12 months.
Main Results:
- 86% of substance-exposed newborns achieved permanent placements by 12 months.
- 77% of infants were placed with biological parents or relatives.
- VIP-RI demonstrated success in achieving permanency goals.
Conclusions:
- Care coordination programs like VIP-RI are effective for substance-exposed newborns.
- Promoting permanency enhances outcomes for vulnerable infants and families.
- Interventions can improve reunification rates and social service system effectiveness.
Abstract:
The Vulnerable Infants Program of Rhode Island (VIP-RI) was established as a care coordination program to promote permanency for substance-exposed newborns in the child welfare system. Goals of VIP-RI were to optimize parents' opportunities for reunification and increase the efficacy of social service systems involved with families affected by perinatal substance use. Findings from VIP-RI's final four years show that by 12 months, 86% of substance-exposed newborns had identified permanent placements and 77% were placed with biological parents or relatives.
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