"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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Bibliographic Details
Published in:Child welfare Vol. 101; no. 2; pp. 193 - 223
Main Authors: 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
Format: Journal Article
Language:English
Published: United States Child Welfare League of America, Inc 01.03.2023
Subjects:
Accountability
Babies
Birth certificates
Child Abuse
Child Health
Child welfare
Children
Coding
Collaboration
County Programs
Drinking in pregnancy
Drug abuse
Drug use
Drug withdrawal
Evaluation
Family Programs
Foster care
Guidance
Health aspects
Hepatitis C
Human subjects
Infants
Interviews
Management
Narcotics
Neonatal abstinence syndrome
Parents
Pregnancy
Pregnant women
Prenatal drug exposure
Qualitative research
Sampling
School Policy
Semi Structured Interviews
State Policy
Structured Interviews
Substance abuse
Substance use
Substance use disorder
Training
Transcripts (Written Records)
Welfare recipients
Welfare Services
Welfare state
Young Children
United States
United States > US
ISSN:0009-4021
Online Access:Get full text
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Summary: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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ISSN:0009-4021