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McClellanville Library
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Phone: (843) 887-3699
Folly Beach Library
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Miss Jane's Building (Edisto Library Temporary Location)
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Main Library
Closed (2024 Early Election)
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West Ashley Library
9 a.m. – 7 p.m.
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John L. Dart Library
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St. Paul's/Hollywood Library
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Mt. Pleasant Library
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Dorchester Road Library
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Edgar Allan Poe/Sullivan's Island Library
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John's Island Library
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Wando Mount Pleasant Library
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Otranto Road Library
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Phone: (843) 884-9741
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Three-Year Custody Outcomes Among Infants Investigated by Child Protection Systems for Prenatal Substance Exposure in California.
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- Author(s): Reddy, Julia; Palmer, Lindsey; Putnam-Hornstein, Emily
- Source:
Maternal & Child Health Journal; 2023 Suppl1, Vol. 27, p94-103, 10p- Subject Terms:
ADOPTION; SUBSTANCE abuse in pregnancy; CONFIDENCE intervals; CHILD abuse; REGRESSION analysis; DOCUMENTATION; PEARSON correlation (Statistics); T-test (Statistics); COMPARATIVE studies; CHILD welfare; GUARDIAN & ward; RESEARCH funding; BIRTH certificates; CHI-squared test; DESCRIPTIVE statistics; SOCIODEMOGRAPHIC factors; DATA analysis software; CUSTODY of children; FOSTER home care; POISSON distribution - Source:
- Additional Information
- Subject Terms:
- Abstract: Objective: Infants affected by prenatal alcohol and drug use are more likely to be removed from parental custody than those in the general population, although it is unclear whether their custody outcomes differ from infants investigated by child protection systems (CPS) for other reasons. This analysis seeks to compare trajectories of involvement and custody outcomes among infants investigated by CPS with and without documentation of prenatal substance exposure (PSE). Method: We used vital birth records linked to administrative CPS records to examine the timing of system involvement and 3-year custodial outcomes among investigated infants with and without identified PSE. We defined PSE according to documentation on the state's standardized hotline screening form, which CPS completes upon referral for alleged maltreatment. We estimated the likelihood a child was in nonparental custody at age 3 by specifying multivariable generalized linear models, adjusted for covariates available in the birth record. Results: In our sample of 22,855 infants investigated by CPS in 2017 in California, more than 26% had documentation of PSE. These infants experienced an accelerated timeline of system penetration and were 2.2 times as likely to be in nonparental placement at age 3. Discussion: PSE confers an independent risk of custody interruption among infants investigated by CPS. The younger age of these infants, complexity of parental substance use, and potential misalignment of administrative permanency timelines with parental recovery all suggest the need for increased research, policy, and programmatic interventions to serve this vulnerable population. Significance: Children with PSE face environmental risks in the early developmental period. Often in the United States, CPS is relied on to assess and mitigate these risks. Amid calls for a public health response to PSE, it is essential to understand how children with PSE interact with CPS. We describe the incidence and timing of custody interruptions in a large U.S. state, comparing infants with PSE to those investigated by CPS for other reasons. This study extends current understanding by demonstrating the independent risk of custody interruption conferred by PSE status. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Maternal & Child Health Journal is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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