Maternal substance use and child protection: a rapid evidence assessment of factors associated with loss of child care

Abstract Introduction Passage of cannabis laws may impact cannabis use and the use of other substances. The suggested association is of particular concern in pregnant women where exposure to substances can cause harm to both the pregnant woman and fetus. The present study contributes to the minimal literature on factors associated with cannabis use during the preconception, prenatal, and postpartum periods including state legalization status, concurrent use of tobacco and e-cigarettes and adequacy of prenatal care. Methods We conducted a cross-sectional analysis using combined survey data from the 2016–2018 Pregnancy Risk Assessment Monitoring System (PRAMS) collected from 36,391 women. Logistic regression was used to estimate the impact of state-legalization, adequacy of prenatal care, and other substance use on cannabis use during the preconception, prenatal, and post-partum periods. Results In the preconception model, residence in a recreationally legal state (OR: 2.37; 95% CI, 2.04–2.75) or medically legal state (OR:3.32; 95% CI, 2.90–3.80) compared to a non-legal state was associated with higher odds of cannabis use. In the prenatal model, residence in a recreationally legal state was associated with higher odds of cannabis use (OR: 1.51; 95% CI, 1.29–1.79) whereas there was no association with residence in a medically legal state. Tobacco use including e-cigarettes and moderate prenatal alcohol use were also significantly associated with cannabis use. Conclusion Recreational cannabis legalization is associated with the use of cannabis prior to, during, and after pregnancy. Renewed clinical and policy efforts may be warranted to update prenatal substance use prevention programs, educational campaigns, and provider education as cannabis legalization evolves.

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Essence and Scope of Strengthening Community-Based Preventive Child Care and Protection Systems in India

Institutionalised Children Explorations and Beyond ◽

10.1177/2349300319894866 ◽

2020 ◽

Vol 7 (1) ◽

pp. 47-55 ◽

Cited By ~ 1

Author(s):

Ranjan Kanti Panda ◽

Lopamudra Mullick ◽

Subhadeep Adhikari ◽

Neepa Basu ◽

Archana Kumari

Keyword(s):

At Risk ◽

Child Care ◽

Child Protection ◽

Public Discourse ◽

National Level ◽

Family Care ◽

Children At Risk ◽

Development Organization ◽

Sectoral Development ◽

Family Based

This article reflects different programmes and resource components that may be promoted to keep children with either their own family or within alternative family care, satisfying the rights of their overall development. In India, the concept of promoting family-based care mechanisms through government systems has not been fully realised, owing to lack of synergy between resource allocation and existing government programmes, policies and plans of action for child protection. Additionally, the common public discourse is that Child Care Institutions (CCIs) offer suitable care and protection for children outside the parental care. CCIs continue to be identified as the ultimate and the most common response for children at risk. This practice nullifies the scope to explore opportunities for the child to live with their family or in any alternative family care mechanisms. Child in Need Institute (CINI), 1 1 CINI is a national level development organization working on establishing child-friendly communities through its work on health, nutrition, child protection and education for the last forty-five years in India. partnering with Hope and Homes for Children, have analysed the vulnerability factors that led children to arrive at the selected CCIs in Ranchi and Khunti districts of Jharkhand in India. While working with children in the communities, CINI endeavoured to understand the drivers and vulnerabilities leading to family/child separation and what mechanisms could address the vulnerabilities at source and prevent separation. CINI promoted a participatory governance process with the involvement of community-level institutions along with children’s and women’s groups, incubating safe spaces for children that aided in identifying, tracking and promoting multi-sectoral development plans for children at risk.

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36 ‘The truthfulness factor’: a dimensional analysis of moral care and maternal substance use

10.1136/bmjopen-2021-qhrn.36 ◽

2021 ◽

Author(s):

C Whitney

Keyword(s):

Substance Use ◽

Dimensional Analysis ◽

Maternal Substance Use

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Ghana's Children's Act 560: A Rethink of its Implementation?

The International Journal of Children s Rights ◽

10.1163/157181810x505512 ◽

2011 ◽

Vol 19 (2) ◽

pp. 151-165 ◽

Cited By ~ 6

Author(s):

Patrick McCrystal ◽

Esmeranda Manful

Keyword(s):

Child Care ◽

Child Protection ◽

Professional Training ◽

Social Care ◽

Legal Protection ◽

Initial Step ◽

Legal Rights ◽

Rights Of The Child ◽

Administrative Framework ◽

The Law

AbstractIn 1998 Ghana harmonised its child care legislation to conform to the Convention on the Rights of the Child by enacting the Children's Act 1998, Act 560. Some stakeholders expressed misgivings at its capacity to ensure child protection, but little literature exists on the views of professionals working within the law. This paper presents an investigation of the views of professionals who are mandated to work within the law to ensure the rights of the child to legal protection in Ghana. The findings suggest that there is a gap between legal intent and practice. It is concluded from these findings that for better child protection, the provision of legal rights for children is only an initial step; the administrative framework including better professional training, adequate resources for social care agencies and the establishment of new structures also needs to be reconsidered.

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Maternal Substance Use Disorders and Accidental Drug Poisonings in Children

American Journal of Preventive Medicine ◽

10.1016/j.amepre.2021.09.007 ◽

2021 ◽

Author(s):

Nathalie Auger ◽

Nicholas Chadi ◽

Nancy Low ◽

Aimina Ayoub ◽

Ernest Lo ◽

...

Keyword(s):

Substance Use ◽

Substance Use Disorders ◽

Maternal Substance Use

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“The Minor Would Hinder the Mother in Finding Employment:” Child Protection and Women’s Paid Work in Early State Socialist Hungary

East European Politics and Societies and Cultures ◽

10.1177/0888325417720488 ◽

2017 ◽

Vol 31 (4) ◽

pp. 818-839 ◽

Cited By ~ 2

Author(s):

Eszter Varsa

Keyword(s):

Child Care ◽

Residential Care ◽

Child Protection ◽

Paid Work ◽

Control Approach ◽

Early State ◽

Care Services ◽

Residential Care Institutions ◽

State Socialist

This article discusses the role of child protection and residential care institutions in mediating the tension between women’s productive and reproductive responsibilities in early state socialist Hungary. At a time when increasing numbers of women entered paid work in the framework of catch-up industrialization but the socialization of care work was inadequate, these institutions substituted for missing public child care services. Relying on not only policy documents but more than six hundred children’s case files, including Romani children’s files, from three different locations in Hungary as well as interviews with former children’s home residents and personnel, the article examines the regulatory framework in which child protection institutions and caseworkers operated. It points to the differentiated forms of pressure these institutions exercised on Romani and non-Romani mothers to enter paid work between the late 1940s and the early 1950s from the intersectional perspective of gender and ethnicity. Showing that prejudice against “Gypsies” as work-shy persisted in child protection work across the systemic divide of the late 1940s, the article contributes to scholarship on state socialism and Stalinism that emphasizes the role of historical continuities. At the same time, reflecting on parental invention in using child protection as a form of child care, the article also complicates a simplistic social control approach to residential care institutions in Stalinist Hungary.

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