The study reported here sought to determine whether substance-exposed
infants who are maltreated have a higher risk of out-of-home placement
than substance-exposed children who are not abused and rejected, as w
ell as a higher risk of death than children in the general population.
In a sample of 513 infants born at a Chicago medical center from 1985
through 1990, 480 (93.6%) had complete sociodemographic data availabl
e for analysis. Identifying data were used to search the Illinois deat
h registry and a computerized central registry of child abuse reports.
Both out-of-home placement and death were distinctly more likely if c
hildren had been exposed to drugs and maltreated. Such children should
be closely followed.