"The Problem's Bigger than We Are": Understanding How Local Factors Influence Child Welfare Responses to Substance Use in Pregnancy, A Qualitative Study

State eligibility for certain federal child welfare funding requires a gubernatorial assurance that infants affected by substances receive plans of safe care (POSC). We conducted 18 interviews with state and county child welfare staff to understand how POSC has been implemented and found variability...

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Veröffentlicht in:Child welfare 2023-03, Vol.101 (2), p.193-224
Hauptverfasser: Loch, Sarah F, Muhar, Alexandra, Bouskill, Kathryn, Stein, Bradley D, Shi, Qi, Bonnet, Kemberlee, Schlundt, David, Sieger, Margaret Lloyd, Parker, Elizabeth, Orgel, Caroline, Patrick, Stephen W
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container_end_page 224
container_issue 2
container_start_page 193
container_title Child welfare
container_volume 101
creator Loch, Sarah F
Muhar, Alexandra
Bouskill, Kathryn
Stein, Bradley D
Shi, Qi
Bonnet, Kemberlee
Schlundt, David
Sieger, Margaret Lloyd
Parker, Elizabeth
Orgel, Caroline
Patrick, Stephen W
description State eligibility for certain federal child welfare funding requires a gubernatorial assurance that infants affected by substances receive plans of safe care (POSC). We conducted 18 interviews with state and county child welfare staff to understand how POSC has been implemented and found variability in practice driven by vague policy, challenges of cross-system collaboration, and a lack of knowledge about substance use disorder. Policy improvements should align requirements with POSC practice and create shared accountability with key partners.
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source JSTOR Archive Collection A-Z Listing; EBSCOhost Education Source
subjects Child welfare
Drinking in pregnancy
Evaluation
Health aspects
Infants
Management
Pregnant women
Prenatal drug exposure
Substance abuse
Training
title "The Problem's Bigger than We Are": Understanding How Local Factors Influence Child Welfare Responses to Substance Use in Pregnancy, A Qualitative Study
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