Impact of Plans of Safe Care on Prenatally Substance Exposed Infants.
Impact of Plans of Safe Care on Prenatally Substance Exposed Infants.
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DOI：
10.1016/j.jpeds.2021.10.032
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
De Jong AR
中科院分区：
文献类型：
--
作者：
Deutsch SA;Donahue J;Parker T;Hossain J;Loiselle C;De Jong AR
旨在评估最近联邦法规变更的影响，该法规变更要求为受产前物质暴露 (IPSE) 影响的婴儿家庭提供基于儿童福利的安全护理计划 (POSC) 支持性规划以及与治疗提供者、资源和服务的社区联系。对 2018 年 11 月 1 日至 2020 年 10 月 31 日特拉华州 IPSE 出生通知的全州儿童福利案件登记数据以及严重人身伤害/死亡问题的后续热线报告进行回顾性审查。抽象变量包括 IPSE 性别、物质暴露类型、家庭特征（母亲个人儿童福利史或心理健康诊断、治疗参与度）和 POSC 转诊。在 1436 个 IPSE 中，1347 个（93.8%）获得了 POSC 支持。大多数 IPSE (67.2%) 在产前接触过单一物质类型。近 90% 的人避免了外出安置。近四分之一的母亲曾接受过 IPSE； 40% 的母亲有参与儿童保护服务的个人经历。此外，43.5% 的母亲和 9.1% 的父亲被转介至社区资源，包括药物使用、心理健康治疗、育儿课程和家访护理。近 58% 的 IPSE 被转介进行儿科/发育评估。值得注意的是，0.82% (11/1347) 患有 POSC 的 IPSE 遭受了严重的身体伤害或致命伤害。安全护理计划促进 IPSE 及其家庭与基于社区的规划建立支持性的、潜在的保护性联系。
To assess the impact of recent federal statute changes mandating child welfare-based Plan of Safe Care (POSC) supportive programming and community-based linkages to treatment providers, resources, and services for families of infants affected by prenatal substance exposure (IPSE). Retrospective review of Delaware’s statewide child welfare case registry data for IPSE birth notifications and subsequent hotline reports for serious physical injury/fatality concerns from 11/1/2018–10/31/20. Abstracted variables included IPSE sex, substance exposure type, family characteristics (maternal personal child welfare history or mental health diagnosis, treatment engagement), and POSC referrals. Of 1436 IPSE, 1347 (93.8%) had POSC support. Most IPSE (67.2%) had exposure to single substance types prenatally. Nearly 90% avoided out-of-home placement. Nearly one-fourth of mothers delivered a prior IPSE; 40% of mothers had personal histories of childhood protective services involvement. Also, 43.5% of mothers and 9.1% of fathers were referred to community-based resources, including substance use, mental health treatment, parenting classes, and home visiting nursing. Nearly 58% of IPSE were referred for pediatric/developmental assessment. Notably, 0.82% (11/1347) of IPSE with POSC sustained serious physical or fatal injury. Plans of Safe Care promote supportive, potentially protective linkages to community-based programming for IPSE and their families.
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