Early detection of prenatal substance exposure and the role of child welfare
Early detection of prenatal substance exposure and the role of child welfare
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DOI：
10.1016/j.childyouth.2009.06.006
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发表时间：
2010-01-01
影响因子：
3.3
通讯作者：
Cormier, Denicia R.
中科院分区：
文献类型：
--
作者：
Anthony, Elizabeth K.;Austin, Michael J.;Cormier, Denicia R.
怀孕期间使用药物是一个公共健康问题，对婴儿和幼儿具有潜在的短期和长期影响。父母持续的药物滥用和家庭环境对婴儿和儿童的发育有重大影响。怀孕可能是解决母亲药物滥用问题的理想时机；然而，由于一些政治/法律、经济和社会/态度障碍，产前药物使用的早期发现变得复杂。满足接触物质的婴儿的需求需要多个机构（包括儿童福利机构）协调预防（教育和筛查）和早期干预。本文重点关注产前药物滥用的早期发现，并关注儿童福利领域的作用。本文回顾了早期检测的政策背景，并介绍了用于检测孕妇药物使用的筛查工具的审查结果。文章最后讨论了研究结果对项目和儿童福利实践之间合作的影响。 (C) 2009 Elsevier Ltd. 保留所有权利。
Substance use during pregnancy is a public health concern that has potential short- and long-term effects for infants and young children. Ongoing parental substance abuse and the home environment have significant consequences for infant and child development. Pregnancy may be an ideal time to address maternal substance abuse; however, early detection of prenatal substance use is complicated by a number of political/legal, economic, and social/attitudinal barriers. Addressing the needs of substance-exposed infants requires coordination of prevention (education and screening) and early intervention by multiple agencies, including child welfare. This article focuses on early detection of prenatal substance abuse, with attention to the role of the child welfare field. The article reviews the policy context for early detection and presents the results from a review of screening instruments for detecting substance use in pregnant women. The article concludes with a discussion of the implications of the findings for collaboration between programs and child welfare practice. (C) 2009 Elsevier Ltd. All rights reserved.