Evidence map›Paper›PMID 34699908›Full record

ArticleThe Journal of pediatrics2022

Impact of Plans of Safe Care on Prenatally Substance Exposed Infants.

Stephanie Anne Deutsch, Jennifer Donahue, Trenee Parker, Jobayer Hossain, Claire Loiselle, Allan R De Jong

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Trends in Prenatal Polysubstance Exposure.Families in society : the journal of contemporary human services · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Improving health and well-being for infants with prenatal substance exposure.Current problems in pediatric and adolescent health care · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Stephanie Anne DeutschDepartment of Pediatrics, Nemours Children's Hospital, Delaware, Wilmington, DE; Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA. Electronic address: Stephanie.deutsch@nemours.org.
Jennifer DonahueOffice of the Child Advocate, Wilmington, DE.
Trenee ParkerDepartment of Services for Children, Youth and Their Families, Wilmington, DE.
Jobayer HossainBiostatistics Core, Nemours Biomedical Research, Nemours Children's Health System, Wilmington, DE.
Claire LoiselleDepartment of Pediatrics, Nemours Children's Hospital, Delaware, Wilmington, DE; Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA.
Allan R De JongDepartment of Pediatrics, Nemours Children's Hospital, Delaware, Wilmington, DE; Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA.
Alfred I. duPont Hospital for Children · USDepartment of Services for Children Youth and their Families · USNemours Children's Health System · US

Funding

Subproject Title: Clinical Research Education, Mentoring and Career Development CoreU54GM104941 · NIGMS · UNIVERSITY OF DELAWARE · PI Gregory E Hicks · 2013 to 2026
$60.5M
NIGMS NIH HHS U54 GM104941
6 · The paper itself

Abstract

objectiveTo 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). STUDY

designRetrospective 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 November 1, 2018-October 31, 2020. Abstracted variables included IPSE sex, substance exposure type, family characteristics (maternal personal child welfare history or mental health diagnosis, treatment engagement), and POSC referrals.

resultsOf 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 out of 1347) of IPSE with POSC sustained serious physical or fatal injury.

conclusionsPOSC promote supportive, potentially protective linkages to community-based programming for IPSE and their families.

Indexed as

Child WelfareInfant WelfarePrenatal Exposure Delayed EffectsSubstance-Related DisordersChild, PreschoolCommunity Health ServicesDelawareFemaleHumansInfantInfant, NewbornMalePregnancyRetrospective Studieschild welfaredrug endangered childin-utero substance exposurematernal-infant healthmaternal substance use disorderneonatal abstinence syndromeneonatal opioid withdrawal syndrome

Identifiers

PMID34699908
PMCPMC8792271
OpenAlexW3209971268

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.