{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:41:39Z","timestamp":1787020899075,"version":"build-2736575974"},"reference-count":22,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T00:00:00Z","timestamp":1714089600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T00:00:00Z","timestamp":1714089600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100020097","name":"Foundation for Opioid Response Efforts","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100020097","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Addict Sci Clin Pract"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Health care providers are a key source of reports of infants to child welfare related to birthing people\u2019s substance use. Many of these reports are overreports, or reports that exceed what is legally mandated, and reflect racial bias. We developed and evaluated a webinar for health professionals to address overreporting related to birthing people\u2019s substance use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This evaluation study collected data from health professionals registering to participate in a professional education webinar about pregnancy, substance use, and child welfare reporting. It collected baseline data upon webinar registration, immediate post-webinar data, and 6\u00a0month follow-up data. Differences in both pre-post-and 6 month follow-up data were used to examine changes from before to after the webinars in beliefs, attitudes, and practices related to pregnant and birthing people who use drugs and child welfare reporting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>592 nurses, social workers, physicians, public health professionals, and other health professionals completed the baseline survey. More than half of those completing the baseline survey (n\u2009=\u2009307, 52%) completed one or both follow-up surveys. We observed statistically significant changes in five of the eleven opioid attitudes\/beliefs and in four of the nine child welfare attitudes\/beliefs from baseline to follow-ups, and few changes in \u201ccontrol statements,\u201d i.e. beliefs we did not expect to change based on webinar participation. All of the changes were in the direction of less support for child welfare reporting. In particular, the proportion agreeing with the main evaluation outcome of \u201cI would rather err on the side of overreporting to child welfare than underreporting to child welfare\u201d decreased from 41% at baseline to 28% and 31% post-webinar and at 6-month follow up (p\u2009=\u20090.001). In addition, fewer participants endorsed reporting everyone at the 6\u00a0month follow-up than at baseline (12% to 22%) and more participants endorsed reporting no one at the 6-month follow-up than at baseline (28% to 18%), p\u2009=\u20090.013.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Webinars on the legal, scientific, and ethical aspects of reporting that are co-developed with people with lived experience may be a path to reducing health professional overreporting to child welfare related to birthing people\u2019s substance use.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13722-024-00466-6","type":"journal-article","created":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T06:02:51Z","timestamp":1714111371000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Training health professionals to reduce overreporting of birthing people who use drugs to child welfare"],"prefix":"10.1186","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7732-4607","authenticated-orcid":false,"given":"Sarah C. 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Health care provider decision-making around prenatal substance use reporting. Drug Alcohol Depend. 2022;237: 109514.","journal-title":"Drug Alcohol Depend"},{"key":"466_CR2","unstructured":"Child Welfare Information Gateway. About CAPTA: A legislative history. https:\/\/www.childwelfare.gov\/pubs\/factsheets\/about\/ Accessed 12\/6\/2023. In: Department of Health and Human Services; Children\u2019s Bureau, editor. Washington, DC: U.S.2019."},{"key":"466_CR3","unstructured":"Centers for Disease Control and Prevention. Opioid data analysis and resources. Accessed 11 15 2023. https:\/\/www.cdc.gov\/opioids\/data\/analysis-resources.html. 2023."},{"key":"466_CR4","unstructured":"NIAAA. Alcohol policy information system. http:\/\/www.alcoholpolicy.niaaa.nih.gov\/"},{"issue":"1","key":"466_CR5","doi-asserted-by":"publisher","first-page":"653","DOI":"10.1089\/heq.2023.0136","volume":"7","author":"F Edwards","year":"2023","unstructured":"Edwards F, Roberts SCM, Kenny KS, Raz M, Lichtenstein M, Terplan M. Medical professional reports and child welfare system infant investigations: an analysis of national child abuse and neglect data system data. Health Equity. 2023;7(1):653\u201362.","journal-title":"Health Equity"},{"key":"466_CR6","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1186\/s40352-015-0015-5","volume":"3","author":"R Stone","year":"2015","unstructured":"Stone R. Pregnant women and substance use: fear, stigma, and barriers to care. Health Justice. 2015;3:2.","journal-title":"Health Justice"},{"issue":"3","key":"466_CR7","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1007\/s10995-010-0594-7","volume":"15","author":"SCM Roberts","year":"2011","unstructured":"Roberts SCM, Pies C. Complex calculations: how drug use during pregnancy becomes a barrier to prenatal care. Matern Child Health J. 2011;15(3):333\u201341.","journal-title":"Matern Child Health J"},{"issue":"3","key":"466_CR8","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1111\/hsc.13335","volume":"29","author":"L Wolfson","year":"2021","unstructured":"Wolfson L, Schmidt RA, Stinson J, Poole N. Examining barriers to harm reduction and child welfare services for pregnant women and mothers who use substances using a stigma action framework. Health Soc Care Commun. 2021;29(3):589\u2013601.","journal-title":"Health Soc Care Commun"},{"issue":"2","key":"466_CR9","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1111\/jmwh.13165","volume":"66","author":"D Proulx","year":"2021","unstructured":"Proulx D, Fantasia HC. The lived experience of postpartum women attending outpatient substance treatment for opioid or heroin use. J Midwifery Womens Health. 2021;66(2):211\u20137.","journal-title":"J Midwifery Womens Health"},{"issue":"1","key":"466_CR10","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1186\/s12884-021-03596-w","volume":"21","author":"C Leiner","year":"2021","unstructured":"Leiner C, Cody T, Mullins N, Ramage M, Ostrach BMM. The elephant in the room; a qualitative study of perinatal fears in opioid use disorder treatment in Southern Appalachia. 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