No access
Brief Reports
Published Online: 15 September 2023

Health Services Use Among Children With Prenatal Substance Exposure or Neonatal Abstinence Syndrome

Kristina D. West, M.S., L.L.M. [email protected], Mir M. Ali, Ph.D., Brenda Natzke, M.P.P., and Linda Nguyen, M.P.H.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 75, Number 3
https://doi.org/10.1176/appi.ps.20220459
Get Access

Abstract

Objective:

Infants with prenatal substance exposure or neonatal abstinence syndrome (NAS) use health services more often than other children; however, little is known about their use of mental health services and psychotropic medication.

Methods:

The sample (N=1,004,085) consisted of infants born in 2016 in 38 states who were followed through the fifth year of life and enrolled each year in Medicaid or the Children’s Health Insurance Program. Infants with prenatal substance exposure or NAS were identified with ICD-10 diagnosis codes; procedure and revenue codes documented their service use.

Results:

Rates of any mental health visit and of psychotropic medication use were higher among infants with prenatal substance exposure or NAS compared with infants without either condition; these patterns persisted during most years of the 5-year study.

Conclusions:

Infants’ elevated mental health services use through their first 5 years of life highlights the importance of early screening and subsequent engagement in school-based mental health interventions.

Get full access to this article

View all available purchase options and get full access to this article.

Get Access

Information & Authors

Information

Published In

Go to Psychiatric Services
Go to Psychiatric Services
Psychiatric Services
Volume 75 • Number 3 • March 01, 2024
Pages: 287 - 290
PubMed: 37711020

History

Received: 7 September 2022
Revision received: 24 July 2023
Accepted: 3 August 2023
Published online: 15 September 2023
Published in print: March 01, 2024

Keywords

  1. Opioids
  2. Neonatal abstinence syndrome
  3. Medicaid
  4. Services

Authors

Affiliations

Kristina D. West, M.S., L.L.M. [email protected]
Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, Washington, D.C. (West, Ali); Mathematica, Washington, D.C. (Natzke, Nguyen).
View all articles by this author
Mir M. Ali, Ph.D.
Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, Washington, D.C. (West, Ali); Mathematica, Washington, D.C. (Natzke, Nguyen).
View all articles by this author
Brenda Natzke, M.P.P.
Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, Washington, D.C. (West, Ali); Mathematica, Washington, D.C. (Natzke, Nguyen).
View all articles by this author
Linda Nguyen, M.P.H.
Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services, Washington, D.C. (West, Ali); Mathematica, Washington, D.C. (Natzke, Nguyen).
View all articles by this author

Notes

Send correspondence to Ms. West ([email protected]).

Competing Interests

The authors report no financial relationships with commercial interests.

Funding Information

Time for Ms. Natzke and Ms. Nguyen to conduct the analysis was funded by a contract with the Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services.These views represent the opinions of the authors and not necessarily those of the Office of the Assistant Secretary for Planning and Evaluation, the U.S. Department of Health and Human Services, or Mathematica.

Metrics & Citations

Metrics

Citations

Export Citations

If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download.

For more information or tips please see 'Downloading to a citation manager' in the Help menu.

Format
Citation style
Style
Copy to clipboard
Tips for downloading citations

There are no citations for this item

View Options

Get Access

Login options

Already a subscriber? Access your subscription through your login credentials or your institution for full access to this article.

Personal login Institutional Login Open Athens login
Item saved, go to cart
Purchase Options

Purchase this article to access the full text.

PPV Articles - Psychiatric Services

PPV Articles - Psychiatric Services

Not a subscriber?

Subscribe Now / Learn More

PsychiatryOnline subscription options offer access to the DSM-5-TR® library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).

View options

PDF/ePub

View PDF/ePub

Full Text

View Full Text

Media

Figures

Other

Tables

Share

Share

Share article link

Share