{"id":37478,"date":"2026-05-26T18:43:26","date_gmt":"2026-05-26T18:43:26","guid":{"rendered":"https:\/\/caseyfamilyv2.wpengine.com\/?p=37478"},"modified":"2026-06-30T21:31:28","modified_gmt":"2026-06-30T21:31:28","slug":"estudio-de-exposicion-a-sustancias-en-lactantes","status":"publish","type":"post","link":"https:\/\/www.casey.org\/es\/infant-substance-exposure-study\/","title":{"rendered":"\u00bfPuede un enfoque novedoso para identificar a los beb\u00e9s expuestos a sustancias reducir el contacto innecesario con el bienestar infantil?"},"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 journal article summary synthesizes findings from a single research study, <a href=\"https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2024.01160\"><em>Connecticut\u2019s novel prenatal substance exposure policy is associated with declining CPS reports and foster placements<\/em><\/a><em>.<\/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>Infants with prenatal substance exposure (PSE) often are routed to the attention of a child protection agency. In compliance with federal Plan of Safe Care requirements, Connecticut became the first state to implement a de-identification notification system that tracks PSE births and the family safety plan <em>without<\/em> collecting identifying information. Using a three-question safety screen, the process protects against unnecessary child protective services (CPS) involvement while ensuring social services are accessible to families in need. This study examined the effects of the new Connecticut policy on PSE-related CPS reports at birth and foster care placements.<\/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>3,055 newborns reported by hospital staff within six days of birth and control group (n=1,481)<\/li>\n<li><strong>Data sources: <\/strong>Screened-in CPS reports and vital records from eight Connecticut counties<\/li>\n<li><strong>Methodology: <\/strong>Bayesian interrupted time series analysis, Poisson model<\/li>\n<li><strong>Dates: <\/strong>March 2017 to July 2022<\/li>\n<\/ul>\n<p class=\"note\"><strong>Citation: <\/strong>Sieger,\u00a0M.\u00a0L., Godoy,\u00a0L., Moore,\u00a0T.\u00a0E., Nichols,\u00a0C., Goldsborough,\u00a0E.\u00a0J., Chen,\u00a0S., \u2026 Patrick,\u00a0S.\u00a0W. (2025). <a href=\"https:\/\/www.healthaffairs.org\/doi\/10.1377\/hlthaff.2024.01160\">Connecticut\u2019s novel prenatal substance exposure policy is associated with declining CPS reports and foster placements<\/a>.\u00a0<em>Health Affairs<\/em>,\u00a0<em>44<\/em>(7), 821-829. doi:10.1377\/hlthaff.2024.01160<\/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>Previously, any newborn in Connecticut who tested positive for PSE was reported to CPS, regardless of the family\u2019s circumstances. After the implementation of the de-identification notification system, the three-question safety screen helps hospital staff determine which families need to be referred to CPS for intervention. A single \u201cyes\u201d response to any of the following questions triggers a CPS report:<\/p>\n<ol>\n<li>Has the child tested positive because of maternal substance misuse?<\/li>\n<li>Is there a concern that the mother\u2019s substance use will impact parental functioning?<\/li>\n<li>Does the family present with suspicions of abuse or neglect?<\/li>\n<\/ol>\n<p>Implementation of the new policy was associated with a <strong>statistically significant decline,<\/strong> sustained over time, related to:<strong>\u00a0<\/strong><\/p>\n<p><strong>CPS reports<\/strong><\/p>\n<ul>\n<li>PSE reports decreased 16% in the first year and 51% by the third year.<\/li>\n<\/ul>\n<p><strong>Foster care placements<\/strong><\/p>\n<ul>\n<li>Placements decreased by 57% by the end of the first year, and 68% by the end of the third year.<\/li>\n<\/ul>\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>A positive PSE screen alone is not definitive proof of child maltreatment or an untreated substance use disorder of the mother. Families may benefit from non-punitive interventions that minimize unnecessary CPS involvement and keep children safe with family while accessing essential services. Connecticut\u2019s experience suggests that shifting from identification-based reporting to a de-identified support pathway for PSE cases, paired with a family care plan, can meet federal requirements while decreasing CPS investigations or foster care placements in cases without evidence of child maltreatment. This study challenges child welfare leaders to reevaluate PSE reporting protocols and question assumptions that all PSE cases require CPS involvement. Further research to evaluate this alternative approach could inform efforts to balance child protection with keeping families safely together.<\/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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ginput_container_radio'><ul class='gfield_radio' id='input_5_4'>\n\t\t\t<li class='gchoice gchoice_5_4_0'>\n\t\t\t\t<input name='input_4' type='radio' value='Yes'  id='choice_5_4_0'    \/>\n\t\t\t\t<label for='choice_5_4_0' id='label_5_4_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_4_1'>\n\t\t\t\t<input name='input_4' type='radio' value='No'  id='choice_5_4_1'    \/>\n\t\t\t\t<label for='choice_5_4_1' id='label_5_4_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_9\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--has-description field_description_above hidden_label field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Select which best describes your 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