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9780833030016

Prenatal Cocaine Exposure Scientific Considerations and Policy Implications

by ; ; ; ;
  • ISBN13:

    9780833030016

  • ISBN10:

    0833030019

  • Edition: 1st
  • Format: Paperback
  • Copyright: 2001-07-13
  • Publisher: RAND CORPORATION
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List Price: $20.00

Summary

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.

Table of Contents

Prefacep. iii
Summaryp. vii
Introductionp. 1
Cocaine Use by Pregnant Womenp. 1
Prenatal Cocaine Exposure and Policy Interventionsp. 2
Focus and Structure of the Reportp. 4
Policy Interventions for Preventionp. 7
Policy Interventions for Primary Preventionp. 7
Effects of Prenatal Cocaine Exposurep. 7
Educating Cocaine Users About the Dangers of Prenatal Cocaine Exposurep. 8
Policy Interventions for Secondary Preventionp. 8
Training Health-Care Providers to Detect Substance Usep. 9
Educating Health-Care Providers About the Importance of Prenatal-Substance-Use Policiesp. 11
Involving Health-Care Providers in Designing Hospital Protocolsp. 12
Providing Incentives to Hospitals to Design Reporting Protocolsp. 13
Avoiding Penalties for Mothers of Prenatally Exposed Childrenp. 13
Policy Interventions for Tertiary Preventionp. 13
Areas in Which More Research on the Effects of Cocaine is Neededp. 15
The Neurobiologic Specificity of Cocaine Actionp. 15
Mechanisms of Action of Cocainep. 15
Compensatory Mechanisms in the Developing Brainp. 17
Adaptability in Stressful Situationsp. 18
Clinical Markers of Brain Injuryp. 19
Increased Sensitivity of Tests to Detect Changes in the Brainp. 19
The Role of the Environment and Other Factorsp. 20
Community and Educational Interventionsp. 22
Treatment and Education Interventionsp. 22
Education of Providers About Community Resourcesp. 23
Resources for Women and Children Affected by Cocaine: an Urgent Needp. 25
Resources for Womenp. 25
Resources for Childrenp. 26
Sources for Further Informationp. 29
Referencesp. 31
Author Affiliationsp. 39
Table of Contents provided by Syndetics. All Rights Reserved.

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