Children of substance‐using mothers: child health engagement and child protection outcomes

Callaghan, Tamara; Crimmins, Jennifer; Schweitzer, Robert

doi:10.1111/j.1440-1754.2010.01930.x

Cited by 22 publications

(14 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…21 Because of the significant cost of illicit substance use, household funds may be more limited, and parents with an SUD may struggle to meet their household financial demands. 3 Homes used to produce crystal methamphetamine may be unsafe and uninhabitable because of the presence e4 Unusual injuries on children where children do not usually get injured (eg, the torso, back, neck, buttocks, or thighs). Is always watchful and "on alert, " as if waiting for something bad to happen.…”

Section: Psychosocial Impact Of Living In a Family Affected By Parentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…3 Almost a quarter of children of mothers with identified substance use disorders (SUDs) do not receive routine child health maintenance services in their first 2 years of life. 3 Children of parents with SUDs are also at greater risk of later mental health and behavioral problems, including SUDs. 4,5 Pediatricians have an opportunity to help break multigenerational cycles of child abuse and neglect and substance use by being informed about the effects of parental substance use on children, intervening when necessary, and collaborating with the family, other health care providers, and appropriate government agencies to address the issues involved.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Families Affected by Parental Substance Use

Smith¹,

Wilson²,

Ryan³

et al. 2016

Pediatrics

162

View full text Add to dashboard Cite

Children whose parents or caregivers use drugs or alcohol are at increased risk of short- and long-term sequelae ranging from medical problems to psychosocial and behavioral challenges. In the course of providing health care services to children, pediatricians are likely to encounter families affected by parental substance use and are in a unique position to intervene. Therefore, pediatricians need to know how to assess a child’s risk in the context of a parent’s substance use. The purposes of this clinical report are to review some of the short-term effects of maternal substance use during pregnancy and long-term implications of fetal exposure; describe typical medical, psychiatric, and behavioral symptoms of children and adolescents in families affected by substance use; and suggest proficiencies for pediatricians involved in the care of children and adolescents of families affected by substance use, including screening families, mandated reporting requirements, and directing families to community, regional, and state resources that can address needs and problems.

show abstract

Section: Psychosocial Impact Of Living In a Family Affected By Parentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Families Affected by Parental Substance Use

Smith¹,

Wilson²,

Ryan³

et al. 2016

Pediatrics

162

View full text Add to dashboard Cite

show abstract

“…A number of variables coexist and influence the environment of the child in this situation, including parental effectiveness in providing nurturing care [5][6][7][8]. Engagement with health services can be a protective factor in maintaining child safety and child wellbeing, suggesting that child health engagement decreases child protection risk [9].…”

Section: Introductionmentioning

confidence: 99%

Improving Pathways to Assessment and Care for Infants of Substance Abusing Mothers: Are We Getting It Right?

Alexander¹,

Raman²,

Yoong

et al. 2015

Social Sciences

View full text Add to dashboard Cite

There is documented correlation between parental substance abuse, child maltreatment, and poor outcomes. In two health districts in Sydney, Australia (Site A and B), specialised clinics were established to provide comprehensive assessments for infants of substance abusing mothers (ISAM). We aimed to determine whether there was a difference in outcomes between infants who attended clinic versus those who did not; and to identify differences in the pathways to care between sites. We analysed child protection reports and available health markers of all ISAM referrals in 2011. We held stakeholder meetings with services involved with ISAM in both sites; to describe service components; strengths and weaknesses of pathways. Fifty-five per cent (11/20) attended clinic in Site A; 80% (25/31) in Site B. Three-quarters of ISAM had at least one referral to child welfare; child protection service involvement was more common in those who attended. Immunisation status was lower than the national Australian average; approximately half were seen by community nursing services. Gaps in services, lack of database, and differences in pathways between sites were identified. Attending clinics correlates with child protection service involvement and may afford health protection. Transparent communication, service integration, and shared learning can improve outcomes for this vulnerable group. Soc. Sci. 2015, 4 193 OPEN ACCESS

show abstract

“…Use of psychoactive substances in pregnancy can have a detrimental effect on maternal and fetal morbidity and mortality [1].Fetal adverse outcomes include "premature birth, low birthweight, and fetal death in utero and require admission to neonatal intensive or special care nurseries" [2]prenatally. Outcomes may be complicated by multiple concurrent drug use problems (including tobacco dependence, alcohol, opioid, stimulant or other drug use problems), co-occurring maternal medical and mental health issues, poor self-experience of parenting and a range of psychosocial factors including intimate partner violence, an unstable social environment (including unstable housing) and socioeconomic factors (poverty, legal problems, lack of support).…”

Section: Introductionmentioning

confidence: 99%