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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Outcomes for infants exposed in utero to illicit drugs
1Department of Pediatrics, University of Chicago Pritzker School of Medicine, IL, USA.
Insights
Substance-exposed infants who experience maltreatment face increased risks of out-of-home placement and death compared to those not abused. Close monitoring is recommended for these vulnerable children.
Area of Science:
- Pediatrics
- Child Welfare
- Public Health
Background:
- Substance-exposed infants are a vulnerable population.
- Maltreatment poses significant risks to child development and safety.
Purpose of the Study:
- To investigate the risk of out-of-home placement for maltreated, substance-exposed infants.
- To assess the mortality risk for maltreated, substance-exposed infants compared to the general population.
Main Methods:
- Analysis of data from 513 infants born at a Chicago medical center (1985-1990).
- Utilized sociodemographic data, Illinois death registry, and child abuse reports.
- Compared outcomes for substance-exposed infants with and without maltreatment.
Main Results:
- Maltreated, substance-exposed infants showed a significantly higher likelihood of out-of-home placement.
- These infants also faced a distinctly higher risk of death.
- Combined exposure to substances and maltreatment strongly predicted adverse outcomes.
Conclusions:
- Maltreatment exacerbates the risks faced by substance-exposed infants.
- These children require close follow-up and targeted interventions.
- Findings highlight the critical need for integrated child protective services and substance abuse support.
Abstract:
The study reported here sought to determine whether substance-exposed infants who are maltreated have a higher risk of out-of-home placement than substance-exposed children who are not abused and rejected, as well as a higher risk of death than children in the general population. In a sample of 513 infants born at a Chicago medical center from 1985 through 1990, 480 (93.6%) had complete sociodemographic data available for analysis. Identifying data were used to search the Illinois death registry and a computerized central registry of child abuse reports. Both out-of-home placement and death were distinctly more likely if children had been exposed to drugs and maltreated. Such children should be closely followed.
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