Abstract
OBJECTIVES. Maternal cocaine use is a leading grounds for newborn foster placement. This study was initiated to investigate the factors that predict custody status of infants born to substance-abusing women. METHODS. A retrospective cohort design was used to study the correlates of discharge custody decisions for 99 consecutive infants testing positive for cocaine in a public hospital. RESULTS. The population was 49% Black, 40% Hispanic, and 11% other or unknown. Custody at discharge was to mothers (38%), other family members (25%), or agency foster care (36%). Placement outside the family was greater when mothers had prior child welfare records, in Blacks vs others, with no prenatal care, and when mothers were younger at their first delivery or older at the index birth. Denial of custody to the mother was higher with prior child welfare involvement, in Blacks, and when the mother did not live in her own home. Both models also controlled for parity, child sex, and birthweight. CONCLUSIONS. Earlier involvement with child welfare authorities, race, and other factors predict continued separation of mothers and children at newborn discharge, suggesting the need to reexamine current policies and practices.
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Selected References
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- Caldwell M. B., Mascola L., Smith W., Thomas P., Hsu H. W., Maldonado Y., Parrott R., Byers R., Oxtoby M. Biologic, foster, and adoptive parents: care givers of children exposed perinatally to human immunodeficiency virus in the United States. The Pediatric Spectrum of Disease Clinical Consortium. Pediatrics. 1992 Oct;90(4):603–607. [PubMed] [Google Scholar]
- Chasnoff I. J., Landress H. J., Barrett M. E. The prevalence of illicit-drug or alcohol use during pregnancy and discrepancies in mandatory reporting in Pinellas County, Florida. N Engl J Med. 1990 Apr 26;322(17):1202–1206. doi: 10.1056/NEJM199004263221706. [DOI] [PubMed] [Google Scholar]
- Connolly W. B., Jr, Marshall A. B. Drug addiction, pregnancy, and childbirth: legal issues for the medical and social services communities. Clin Perinatol. 1991 Mar;18(1):147–186. [PubMed] [Google Scholar]
- Jatlow P. Cocaine: analysis, pharmacokinetics, and metabolic disposition. Yale J Biol Med. 1988 Mar-Apr;61(2):105–113. [PMC free article] [PubMed] [Google Scholar]
- Neuspiel D. R., Hamel S. C. Cocaine and infant behavior. J Dev Behav Pediatr. 1991 Feb;12(1):55–64. [PubMed] [Google Scholar]