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. 2024 Jul 1;178(7):719-722.
doi: 10.1001/jamapediatrics.2024.0903.

Mandatory Child Protective Services Reporting for Substance-Exposed Newborns and Peripartum Outcomes: A Difference-in-Differences Analysis

Rohan Khazanchi  1 , Elisha M Wachman  2 , Davida M Schiff  3 , Anna Modest  4 , Kelley A Saia  5 , Heather E Hsu  2
Affiliations

Mandatory Child Protective Services Reporting for Substance-Exposed Newborns and Peripartum Outcomes: A Difference-in-Differences Analysis

Rohan Khazanchi et al. JAMA Pediatr. .
No abstract available

Plain language summary

This cross-sectional study examines data across 17 birthing hospitals before and after a policy change at Boston Medical Center in how reporting decisions are made in cases of prenatal substance exposure.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Khazanchi reported grants from Boston Children’s Hospital and Brigham & Women’s Hospital; consultant fees from the New York City Department of Health and Mental Hygiene; and serving on The Lancet’s Commission on Antiracism and Solidarity outside the submitted work. Dr Modest reported personal fees from ABC Board Review and Tissue Regenix outside the submitted work. No other disclosures were reported.

Figures

Figure.
Figure.. Changes in Newborn Hospitalization Outcomes at Boston Medical Center (BMC) vs All Other Sites
Each panel depicts observed rates of outcomes aggregated for BMC and all other sites by quarter. The vertical dotted line indicates implementation of the BMC guideline change. The shaded area represents the washout period during which observed outcomes were excluded from analyses to allow time for guideline implementation. CPS indicates Child Protective Services; Q2, second quarter.
See this image and copyright information in PMC

References

    1. Work EC, Muftu S, MacMillan KDL, et al. . Prescribed and penalized: the detrimental impact of mandated reporting for prenatal utilization of medication for opioid use disorder. Matern Child Health J. 2023;27(suppl 1):104-112. doi:10.1007/s10995-023-03672-x - DOI - PMC - PubMed
    1. Austin AE, Naumann RB, Simmons E. Association of state child abuse policies and mandated reporting policies with prenatal and postpartum care among women who engaged in substance use during pregnancy. JAMA Pediatr. 2022;176(11):1123-1130. doi:10.1001/jamapediatrics.2022.3396 - DOI - PMC - PubMed
    1. Atkins DN, Durrance CP. State policies that treat prenatal substance use as child abuse or neglect fail to achieve their intended goals. Health Aff (Millwood). 2020;39(5):756-763. doi:10.1377/hlthaff.2019.00785 - DOI - PubMed
    1. Massachusetts Department of Children and Families . Annual report FY2021. Accessed September 24, 2023. https://www.mass.gov/doc/dcf-annual-reportfy2021/download
    1. Raz M, Gupta-Kagan J, Asnes AG. Using child abuse specialists to reduce unnecessary Child Protective Services reports and investigations. JAMA Pediatr. 2023;177(12):1249-1250. doi:10.1001/jamapediatrics.2023.3676 - DOI - PubMed