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Prenatal Substance Exposure and Positive Developmental Delay Screening Among Patients in Foster Care
Lauren Malthaner, Jill McLeigh, Gregory Knell, Katelyn Jetelina, Folefac Atem, and S Messiah
Prenatal substance exposure (PSE) is a known risk factor for negative birth outcomes and long-term health outcomes like neurodevelopmental problems. Children in foster care have increased exposure to PSE and higher proportions of developmental delay compared with the general population. It is unclear whether differences still exist among developmental delay screening among children in foster care with and without PSE.
Children in foster care with PSE are at risk for positive developmental delay screening compared with those without; however, those with both PSE and prematurity are at extra risk. This interaction should be considered when making inferences regarding developmental delay screening in this population.
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