Evidence map›Paper›PMID 41253278›Full record

ArticleHospital pediatrics2025

A Policy Scan on Plans of Safe Care for Infants With Prenatal Substance Exposure.

Margaret Lloyd Sieger, Barbara Andraka-Christou, Sarah F Loch, Bradley D Stein, Kathryn Bouskill, Stephen W Patrick

Abstract read
In one paragraph

Article in Hospital pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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.

Margaret Lloyd SiegerDepartment of Population Health, University of Kansas School of Medicine, Kansas City, Kansas.
Barbara Andraka-ChristouSchool of Global Health Management and Informatics, University of Central Florida, Orlando, Florida.
Sarah F LochDepartment of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Bradley D SteinRAND, Pittsburgh, Pennsylvania.
Kathryn BouskillRAND, Santa Monica, California.
Stephen W PatrickDepartment of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, Georgia.

Funding

Improving outcomes for substance-affected families in the child welfare systemR01DA056436 · NIDA · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Stephen W Patrick · 2023 to 2026
$2.3M
Public Policy & Health for Substance Exposed Infant-Mother DyadsK01DA058060 · NIDA · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Margaret Lloyd Sieger · 2023 to 2026
$702k
NIDA NIH HHS K01 DA058060NIDA NIH HHS R01 DA056436
6 · The paper itself

Abstract

objectiveSince 2016, federal law has stipulated state child welfare agencies must maintain policies and procedures to address the needs of infants with prenatal substance exposure (PSE) and their caregivers through a plan of safe care (POSC) focused on health and substance use treatment. Research into the effects of POSC across states has been slow due to a lack of accounting of states' POSC policies. The current study documents the status and contents of states' POSC policies.

methodsWe used search terms related to POSC in Nexis Uni, a legal software, to identify state statutes and regulations in effect during spring or summer 2024. We used a mixed deductive-inductive content analysis approach to identify domains of interest of POSC policies. To overcome limits of the legal search, we additionally compiled states' reports to Congress that describe their POSC policies. We calculated an accessibility rating to characterize the extent to which each state's POSC policy was available for public inspection.

resultsEvery state except Illinois maintains some type of POSC policy, primarily in the form of an administrative manual, while only 18 states had enacted POSC statutes or regulations. Administrative manuals are not easily accessible to the public or clinicians. While statutes and regulations are publicly accessible, they are inconsistent regarding parts of the POSC "process" are codified. Thirty-one states had very low levels of accessibility of POSC policies.

conclusionsEnsuring consistent and transparent intervention for families with PSE will require greater clarity in policies and additional policy implementation supports.

Indexed as

Child Protective ServicesHealth PolicyPrenatal Exposure Delayed EffectsSubstance-Related DisordersFemaleHumansInfantInfant, NewbornPregnancyUnited States

Identifiers

PMID41253278
PMCPMC12874449

What OpenQuestion holds

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Registered trials

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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.