Spectrum of early intervention services for children with intrauterine drug exposure.

Intrauterine illicit drug exposure may lead to a variety of adverse neurobehavioral and neurodevelopmental outcomes. Providing early intervention to reduce the impact of maternal substance abuse on the developing fetus may have significant benefits for the child and family. In this article, we repor...

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Published in:Infants & Young Children: An Interdisciplinary Journal of Early Childhood Intervention Vol. 18; no. 1; pp. 2 - 16
Main Authors: Belcher HME, Butz AM, Wallace P, Hoon AH, Reinhardt E, Reeves SA, Pulsifer MB
Format: research tables/charts Journal Article
Published: Lippincott Williams & Wilkins Jan-Mar2005
Online Access:View this record in EBSCOhost
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      dt: Jan-Mar2005
      vid: 18
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        10.1097/00001163-200501000-00002
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        atl: Spectrum of early intervention services for children with intrauterine drug exposure.
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          Belcher HME
          Butz AM
          Wallace P
          Hoon AH
          Reinhardt E
          Reeves SA
          Pulsifer MB
        affil: Dept of Neurology and Developmental Medicine, Kennedy Krieger Institute, 707 N Broadway, Baltimore, MD 21205; belcher@kennedykrieger.org
      sug:
        subj:
          Early Childhood Intervention Methods
          Prenatal Exposure Delayed Effects
          Substance Abuse, Perinatal Complications
          Adult
          Chi Square Test
          Child Development
          Community Health Services
          Descriptive Statistics
          Discipline In Infancy and Childhood
          Female
          Fetus
          Foster Home Care
          Home Visits
          Infant
          Infant, Newborn
          Interviews
          Mann-Whitney U Test
          Maternal-Child Health
          Mothers Psychosocial Factors
          Neonatal Nursing
          Parent-Child Relations
          Pregnancy
          Questionnaires
          Random Sample
          Social Work Service
          T-Tests
          Funding Source
          Human
          Adult: 19-44 years
          Fetus, conception to birth
          Infant: 1-23 months
          Infant, Newborn: birth-1 month
          Female
      ab: Intrauterine illicit drug exposure may lead to a variety of adverse neurobehavioral and neurodevelopmental outcomes. Providing early intervention to reduce the impact of maternal substance abuse on the developing fetus may have significant benefits for the child and family. In this article, we report on 3 promising intervention programs designed to improve the well-being of parents with drug dependence and their children. The initiation of these programs spans from pregnancy through early childhood. All 3 programs are community-based, using comprehensive culturally relevant developmental models. The first program was developed to provide comprehensive care for pregnant women with drug dependence and their newborns. Project STRIVE (Support, Trust, Rehabilitation, Initiative, Values, and Education) provided substance abuse treatment, intensive center- and home-based social work, and parent education onsite at a high-risk obstetric and pediatric clinic. The second program, the Early Infant Transition Center, enrolled newborns with a history of neonatal abstinence syndrome and their mothers. Based in a renovated rowhouse in East Baltimore, one block away from a major urban hospital, the Early Infant Transition Center provided 24-hour nursing care, oncall physicians and nurse practitioners, social workers, parent education, and onsite sleeping accommodation for parents during their infant's recovery. The third program, Home-U-Go Safely, used community-based nurses to give home-based health monitoring, education, and support to new mothers with a history of cocaine and/or opiate dependence.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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