{"id":31748,"date":"2020-09-03T18:19:24","date_gmt":"2020-09-03T18:19:24","guid":{"rendered":"https:\/\/caseyfamilyv2.wpengine.com\/a2a-prenatal-substance-exposure-involvement-child-protective-services-2\/"},"modified":"2026-07-29T23:48:41","modified_gmt":"2026-07-29T23:48:41","slug":"a2a-prenatal-substance-exposure-involvement-child-protective-services","status":"publish","type":"post","link":"https:\/\/www.casey.org\/es\/a2a-prenatal-substance-exposure-involvement-child-protective-services\/","title":{"rendered":"\u00bfLa exposici\u00f3n prenatal a sustancias afecta la intervenci\u00f3n de los servicios de protecci\u00f3n infantil durante el primer a\u00f1o de vida?"},"content":{"rendered":"<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p>This summary synthesizes findings from a single research study, <em><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0145213417303939\" target=\"_blank\" rel=\"nofollow noreferrer noopener\">Prenatal substance exposure diagnosed at birth and infant involvement with child protective services. <\/a><\/em><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>What can we learn from this study?<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:heading --><\/p>\n<p><!-- \/wp:heading --><!-- wp:paragraph -->Infants have the highest rates of substantiated reports of maltreatment and entry into foster care. This study provides information on the prevalence of prenatal substance exposure at birth, describes the distribution of diagnoses of substance exposure among infants from varied socioeconomic backgrounds and pregnancy characteristics, and explores the relationship between substance type and degree of CPS involvement during the first year of life.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text 3060 is-style-3060 wp-block-fresh-text backgrounds-and-margins-aware-block back-warm-ceramic margin-top margin-bottom padding-top padding-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>Study details<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><ul>\n<li><strong>Population:<\/strong> 551,232 infants, of which 1.5% (7,994) were diagnosed with prenatal substance exposure at birth<!-- \/wp:list-item --> <!-- wp:list-item --><\/li>\n<li><strong>Data source:<\/strong> Linked birth, hospital discharge, and CPS records from California<!-- \/wp:list-item --> <!-- wp:list-item --><\/li>\n<li><strong>Methodology: <\/strong>Tracking of linked data file to determine prevalence of CPS involvement in the first year of life<!-- \/wp:list-item --> <!-- wp:list-item --><\/li>\n<li><strong>Dates:<\/strong> All babies born in 2006<\/li>\n<\/ul>\n<p class=\"note\"><strong>Citation:<\/strong> Prindle, J. J., Hammond, I., &amp; Putnam-Hornstein, E. (2018). Prenatal substance exposure diagnosed at birth and infant involvement with child protective services. <em>Child Abuse &amp; Neglect<\/em>, 76, 75-83. <a href=\"https:\/\/doi.org\/10.1016\/j.chiabu.2017.10.002\" target=\"_blank\" rel=\"nofollow noreferrer noopener\">https:\/\/doi.org\/10.1016\/j.chiabu.2017.10.002<\/a><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>What are the critical findings?<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:heading --><\/p>\n<p><!-- \/wp:heading --><!-- wp:list --><\/p>\n<ul class=\"wp-block-list\">\n<li>Substance exposure was significantly associated with higher rates of CPS involvement in the first year of life. <strong>61.2% of infants diagnosed as substance-exposed at birth were reported to CPS before age 1<\/strong>, compared to 4.5% of non-substance-exposed infants.<\/li>\n<li>Children with prenatal substance exposure were <strong>11 times more likely to be placed in foster care during infancy<\/strong> than children with similar health factors and socio-demographic backgrounds (e.g., race\/ethnicity, insurance type, prenatal care) who did not have a substance exposure diagnosis.<\/li>\n<li><strong>Medically diagnosed prenatal substance exposure was strongly associated with an infant&#8217;s likelihood of being reported to CPS<\/strong>, yet significant variation in the likelihood and level of CPS involvement was observed by substance type. Infants exposed to amphetamine, cocaine, or opioids were more likely to be reported than those exposed to marijuana or alcohol.<\/li>\n<\/ul>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\"><\/li>\n<\/ul>\n<p><!-- \/wp:list-item --><\/p>\n<p><!-- \/wp:list --><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>Why is this important for our work?<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:heading --><\/p>\n<p><!-- \/wp:heading --><!-- wp:paragraph -->The findings highlight the importance of interdisciplinary, interagency collaboration between CPS, medical professionals, substance abuse treatment providers, developmental specialists, and other service providers to offer prevention and targeted intervention services. Most infants involved in the study were born to mothers who received some prenatal care (86%), supporting research indicating that medical professionals providing prenatal services are in a unique position to educate women about in utero drug exposure, identify prenatal substance use, and engage substance-using pregnant women in treatment services.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"qff_disclaimer align wp-block-disclaimer content-section\">\n <div class=\"container mx-auto px-0 md:px-5\">\n <div class=\"qff_disclaimer__wrapper text-salt-box text-xs font-sofiapro border-t-2 border-spring-wood\">\n <p>Casey Family Programs consults with individuals and teams across the country to compile research, experiences, and insights about approaches that can safely reduce the need for foster care and ensure the well-being of children and families. We share this information broadly to help child welfare leaders and their partners tackle similar issues in their own communities. For questions about this resource, or if you have other child welfare information needs, please email <a href=\"mailto:kmresources@casey.org\">kmresources@casey.org<\/a>.<\/p>\n\n <\/div>\n <\/div>\n<\/div>\n\n\n\n<div id=\"footnotes\" class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div style=\"height:2px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div><\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><script>\nvar 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