Prenatal Cocaine Exposure : Scientific Considerations and Policy Implications

Scientific Considerations and Policy Implications

By: Suzanne K. Wenzel

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Paperback | 1 June 2001

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38 Pages

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22.8 x 15.2 x 0.5

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New research has shown that children exposed to cocaine before birth are at risk of learning and behavioral problems. Such problems have broad implications for education, social welfare, and criminal justice in the U.S. However, there are numerous opportunities to minimize prenatal cocaine exposure and its impacts and thus to enhance the well-being of women and their children. A collaboration with the New York Academy of sciences, this report presents an overview of the current state of knowledge regarding the effects of cocaine on the developing brain and offers policy considerations for addressing the issues that arise from cocaine use by pregnant women.

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Preface	p. iii
Summary	p. vii
Introduction	p. 1
Cocaine Use by Pregnant Women	p. 1
Prenatal Cocaine Exposure and Policy Interventions	p. 2
Focus and Structure of the Report	p. 4
Policy Interventions for Prevention	p. 7
Policy Interventions for Primary Prevention	p. 7
Effects of Prenatal Cocaine Exposure	p. 7
Educating Cocaine Users About the Dangers of Prenatal Cocaine Exposure	p. 8
Policy Interventions for Secondary Prevention	p. 8
Training Health-Care Providers to Detect Substance Use	p. 9
Educating Health-Care Providers About the Importance of Prenatal-Substance-Use Policies	p. 11
Involving Health-Care Providers in Designing Hospital Protocols	p. 12
Providing Incentives to Hospitals to Design Reporting Protocols	p. 13
Avoiding Penalties for Mothers of Prenatally Exposed Children	p. 13
Policy Interventions for Tertiary Prevention	p. 13
Areas in Which More Research on the Effects of Cocaine is Needed	p. 15
The Neurobiologic Specificity of Cocaine Action	p. 15
Mechanisms of Action of Cocaine	p. 15
Compensatory Mechanisms in the Developing Brain	p. 17
Adaptability in Stressful Situations	p. 18
Clinical Markers of Brain Injury	p. 19
Increased Sensitivity of Tests to Detect Changes in the Brain	p. 19
The Role of the Environment and Other Factors	p. 20
Community and Educational Interventions	p. 22
Treatment and Education Interventions	p. 22
Education of Providers About Community Resources	p. 23
Resources for Women and Children Affected by Cocaine: an Urgent Need	p. 25
Resources for Women	p. 25
Resources for Children	p. 26
Sources for Further Information	p. 29
References	p. 31
Author Affiliations	p. 39
Table of Contents provided by Syndetics. All Rights Reserved.

Prenatal Cocaine Exposure : Scientific Considerations and Policy Implications

Scientific Considerations and Policy Implications

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Paperback

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