In many cultures, approximately one third of people with drug dependence are women of child-bearing age. Substance use among pregnant and parenting women is a major public health concern. Aboriginal people have some of the highest rates of substance abuse in Canada, increasing concern for detrimental health impacts, including those for women and…

The Yakima First Steps Mobilization Project for Pregnant Substance Abusers, known as First Steps PLUS, is a demonstration project. The project seeks to improve the health outcomes of pregnant substance abusing women and their infants by enhancing existing perinatal services provided through Washington's First Steps Maternity Care Program and by…

Summarizes and analyzes the following issues in developing policy to address the problems of drug-exposed infants: (1) degree of harm; (2) identification; (3) interventions; (4) needs assessment; (5) child protection; and (6) drug treatment. Significant interventions, including expanded prenatal care and drug treatment programs, are proposed. (SLD)

Discusses the related nature of prevention and treatment of drug abuse and alcohol abuse. For both prevention and treatment, the focus must be on outreach, culturally specific needs, and community-based needs. Treatment modalities that have been most effective are those that put the basic needs of the client first. (SLD)

Reviews studies of the effects of prenatal drug exposure on child development, and reviews ideal early intervention programs. Researchers agree that prenatal drug exposure is only one of many factors that can influence a child's development. Specialized treatment programs and family support can ameliorate prenatal drug exposure effects. (SLD)

Reviews recent actions by state legislatures and courts in response to the problems of drug-exposed newborns. Also discusses civil and criminal court decisions regarding women who use drugs during pregnancy. State policy responses cannot be developed without a detailed assessment of the state's resources. (SLD)

Addresses the issue of drug-exposed infants from the perspective of a reproductive rights attorney. States genuinely interested in promoting healthy children will stop ignoring women or treating them as potential child abusers and will change the current punitive legal focus to a focus on treatment. (SLD)

Discusses treatment modalities for drug-abusing women. The following are barriers that prevent women, particularly pregnant women, from getting treatment they need: (1) lack of programs admitting women; (2) lack of programs tailored to women; and (3) fear and isolation experienced by drug-abusing women. (SLD)