This study examined infants' early visual attention (at 1 month of age) and social engagement (4 months) as predictors of their later joint attention (12 and 18 months). The sample (n = 325), drawn from the Maternal Lifestyle Study, a longitudinal multicenter project conducted at 4 centers of the National Institute of Child Health and Human…

Objective: To investigate the direct effects of prenatal cocaine exposure (PCE) on adolescent drug use, while controlling for other predictors of adolescent use. Method: Data are from a longitudinal study of PCE in which women and their offspring were assessed throughout childhood. Adolescents were interviewed at 15 years about their age at…

Purpose: In this study, the authors aimed to examine the long-term effects of prenatal cocaine exposure (PCE) on the language development of 12-year-old children using a prospective design, controlling for confounding prenatal drug exposure and environmental factors. Method: Children who were exposed to cocaine in utero (PCE; "n" = 183)…

This study examined the effects of prenatal cocaine exposure on infant hypothalamic-pituitary-adrenal axis activity and reactivity at 7 months of infant age. Participants were 168 caregiver-infant dyads (87 cocaine exposed, 81 not cocaine exposed; 47% boys). Maternal behavior, caregiving instability, and infant growth and behavior were assessed,…

A review of the existing literature on the occurrence of challenging behavior among children with prenatal drug exposure was conducted. While a large number of studies were identified that evaluated various outcomes of prenatal drug exposure, only 37 were found that directly evaluated challenging behaviors. Of the 37 studies, 23 focused on…

Examined the instrumental responses and facial expressions during learning and extinction in a group of 36 cocaine-exposed infants ages 4 to 8 months and an equal number of control subjects. Findings indicated that cocaine-exposed infants expressed less interest and joy during learning and less anger and sadness during extinction than infants who…

Crack-affected children who experience early intervention can be mainstreamed successfully into regular classes. These children can be overwhelmed by stimuli and need stability, routine, and sameness in the intervention classroom. Teachers have discovered effective methods for working with crack-affected children. (16 references) (MLF)

Updates information provided in an earlier issue of this journal which examined the problem of drug-exposed infants. Focuses on three areas discussed in that issue: (1) the response of the courts and the legislatures to the problem; (2) the medical effects of prenatal exposure to cocaine; and (3) the impact of drug-exposed infants on the…

This study examined the quality of caregiver-child interaction using the Parent/Caregiver Involvement Scale with 41 preschoolers (who were prenatally exposed to cocaine) and 39 nonexposed preschoolers. Both biological mothers and foster caregivers of exposed children were significantly less emotionally and developmentally appropriate in…

This report discusses the use of cocaine throughout history; the introduction of crack cocaine in the early 1980s; its use by pregnant women; and the resulting impact on their infants, including premature births, deformities, and impaired neurological functioning. Studies which show that the neurological impairments continue into at least early…

Cocaine use during pregnancy is a high-risk indicator for adverse developmental outcomes. Three levels of intervention (center, home, and primary care) were compared in a full service, birth to age 3, early intervention program serving children exposed to cocaine prenatally. Data were collected on 130 children from urban, predominantly poor,…

A study of 458 6-year olds (204 prenatally exposed to cocaine), found low language children (n=57) were more likely to be cocaine exposed (63.1 percent), with cocaine-exposed children 2.4 times more likely to be in the low language groups compared with control children after adjustment for covariates. (Contains references.) (Author/CR)

This report describes a service model developed for the Division of Children and Family Services in Wenatchee, Washington that attempts to address the needs of families impacted by substance abuse. The service area is rural and has an overwhelming drug problem. Caseload trends provide evidence for a large number of drug-related referrals and an…

Ten high-risk, special education adolescents were given an instructional program for five days in health education on crack cocaine and its effects on the fetus. Students included five with learning disabilities, three with emotional impairments, and two with educable mental impairments. All of the subjects live and attend school in a primarily…

Increase in number of children infected with human immunodeficiency virus (HIV), and consequential developmental disabilities of these children are discussed. Families caring for HIV-infected children express four recurrent themes: psychological stress, grief and mourning, guilt and self-blame, and isolation and fear of discrimination. Flexible…