ArticleThe Journal of pediatrics2019
Hospital Variation in Child Protection Reports of Substance Exposed Infants.
Article in The Journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
21 citing papers in PubMed.
- Discretionary Child Protective Services Reporting for Infants With Prenatal Opioid Exposure.Pediatrics · 2026Article
- Alcohol and pregnancy: Benefits and harms of pregnancy-specific alcohol policies among maternal-infant dyads covered by Medicaid.Drug and alcohol dependence · 2026Article
- Racial disparities in drug toxicology testing among pregnant women & infants: a meta-analysis and systematic review.Health affairs scholar · 2026Review
- Prenatal substance exposure and 5-year child protection outcomes among infants not reported at birth.PloS one · 2026Article
- Connecticut's Novel Prenatal Substance Exposure Policy Is Associated With Declining CPS Reports And Foster Placements.Health affairs (Project Hope) · 2025Article
- Prenatal Substance Exposure and Multilevel Predictors of Child Protection System Reporting.The Journal of pediatrics · 2025Article
- Prenatal opioid exposure, neonatal abstinence syndrome diagnosis, and child welfare involvement.Child abuse & neglect · 2025Article
- Substance Use-Associated Infant Maltreatment Report Rates in the Context of Complex Prenatal Substance Use Policy Environments.Child maltreatment · 2024Article
- Trends in prenatal prescription opioid use among Medicaid beneficiaries in Wisconsin, 2010-2019.Journal of perinatology : official journal of the California Perinatal Association · 2024Article
- A Comparison of Two Statewide Datasets to Understand Population Prevalence of Substance Use in Pregnancy: Findings and Considerations for Policy & Research.Maternal and child health journal · 2024Article
- Child Protection System Interactions for Children With Positive Urine Screens for Illicit Drugs.JAMA network open · 2024Article
- Improving health and well-being for infants with prenatal substance exposure.Current problems in pediatric and adolescent health care · 2024Article
- Three-Year Custody Outcomes Among Infants Investigated by Child Protection Systems for Prenatal Substance Exposure in California.Maternal and child health journal · 2023Article
- Knowledge, Training, and Support Needs for Identification and Appropriate Care of Children with Prenatal Alcohol and Other Drug Exposures in the Child Welfare System.Child welfare · 2023Article
- Preserving Families of Children in Child Welfare with Fetal Alcohol Spectrum Disorders: Challenges and Opportunities.Child welfare · 2023Article
- Exploring Child Welfare Practices to Care for Children with Prenatal Substance Exposure.Child welfare · 2023Article
- Reports and Removals of Child Maltreatment-Related Hospitalizations: A Population-Based Study.Child maltreatment · 2022Article
- Impact of Plans of Safe Care on Prenatally Substance Exposed Infants.The Journal of pediatrics · 2022Article
- Identification of physical abuse-related hospitalizations in young children: Impact of the transition to ICD-10-CM coding.Child abuse & neglect · 2021Article
- Opioid overdose events and child maltreatment indicators: Differential county-level associations.Children and youth services review · 2020Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveTo examine whether hospital-level factors contribute to discrepancies in reporting to Child Protective Services (CPS) of infants diagnosed with prenatal substance exposure. STUDY
designWe used a linked dataset of birth, hospital, and CPS records using diagnostic codes (International Classification of Diseases, Ninth Revision) to identify infants diagnosed with prenatal substance exposure. Using multilevel models, we examined hospital-level and individual birth-level factors in relation to a report to CPS among those infants prenatally exposed to substances.
resultsOf the 760 863 infants born in Washington State between 2006 and 2013, 12 308 (1.6%) were diagnosed with prenatal substance exposure. Infants born at hospitals that served larger populations of patients with Medicaid (OR, 1.25; 95% CI, 1.07-1.45) and hospitals with higher occupancy rates (OR, 1.43; 95% CI, 1.15-1.77) were more likely to be reported to CPS. Infants exposed to amphetamines (OR, 2.58; 95% CI, 2.31-2.90) and cocaine (OR, 2.33; 95% CI-1.92, 2.83) were more likely to be reported and infants exposed to cannabis (OR, 0.62; 95% CI-0.55, 0.70) were less likely to be reported to CPS than infants exposed to opioids. Infants with Native American mothers were more likely to be reported to CPS than infants with white mothers (OR, 1.47; 95% CI, 1.27-1.70).
conclusionsHospital-level and individual birth-level factors impact the likelihood of infants prenatally exposed to substances being reported to CPS, providing additional knowledge about which infants are reported to CPS. Targeted education and improved policies are necessary to ensure more standardized approaches to CPS reporting of prenatal substance exposure.
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