Research at CRT
Children's Research Triangle's Research Department has been in the
forefront of many issues related to maternal substance abuse in pregnancy, the
outcomes of children prenatally exposed to drugs, and the child welfare
implications of substance abuse in families. The staff at CRT has written
articles that have been published in Pediatrics, The New England Journal of
Medicine, The Journal of Pediatrics, The Journal of the American College of
Obstetrics and Gynecology, the Journal of the American Medical Association,
and numerous other leading medical journals.
Children's Research Triangle's clinical research team has led and
participated in a number of federally funded research studies that have
changed the practice of health and behavioral health care for women and
children:
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From April 1986 through March 1993, Dr. Chasnoff and his research
team studied the impact of cocaine use in pregnancy on pregnancy
outcome and the long term development of the exposed child. From
this study came the first description of the effects of prenatal
cocaine exposure on children. (Funded by the National Institute on
Drug Abuse, National Institutes of Health and the US Department of
Education)
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The research team established the standard for
gender-specific treatment of pregnant women through a
randomized study (1989--1994) of outpatient vs.
residential care for polydrug using pregnant women.
(Funded by the National Institute on Drug Abuse, National
Institutes of Health)
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Prevention of substance abuse and violence among
school children was the focus of a study based
in several schools around the nation, conducted
from 1996 through 1998. (Funded by the US
Department of Education)
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CRT's first studies to investigate
the relationship between substance
abuse in families and the child
welfare system were conducted from
1997 through 2001. (Funded by
Substance Abuse and Mental Health
Services Administration/US Department
of Health and Human Services)
- CRT, in its partnership with NTI Upstream, has developed strategies
for screening pregnant women for substance abuse, domestic violence, and
depression. In 1990 through 1992, CRT conducted the first studies to identify
the factors that predict a woman's risk for substance abuse. This was followed
by a series of studies to determine clinical approaches that would motivate
providers to conduct screening in the prenatal care setting (1999--2005)
and a large study to expand screening from substance abuse alone to include
assessing risk for domestic violence and depression (2003--2006). (Funded
by the Health Care Financing Authority/US Department of Health and Human
Services and the Maternal Child Health Bureau/Health Resources and Services
Administration)
- CRT, in a partnership with Kaiser
Permanente in Oakland, California, is conducting a
validation study of the 4 P's Plus © screen.
(Funded by the National Institute on Alcohol Abuse and
Alcoholism/National Institutes of Health)
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CRT's efforts to develop treatment for adolescents
with FAS/ARND have been led through a research study
of appropriate strategies for addressing the needs of
these high risk youth. (Funded by Substance Abuse and
Mental Health Services Administration/US Department of
Health and Human Services)
- From 2001-2005, CRT was funded to develop
and evaluate an intervention strategy for treating 6
to 12 year old children with FAS or ARND. CDC
extended the funding through 2009 to replicate the
study in a rural area of Illinois. (Funded by the
Centers for Disease Control and Prevention/ US
Department of Health and Human Services)
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CRT is funded to develop a training and technical
assistance program for Community Health Centers and
Maternal and Child Health sites across the nation.
This project is designed to integrate substance abuse
screening into primary prenatal health care settings.
In addition, pediatricians are screening for FASDs in
their primary health care settings. (Funded by the
Maternal Child Health Bureau/Health Resources and
Services Administration)
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CRT is in the second year of developing an
interactional parent/child intervention for preschool
children who are experiencing relational,
developmental and/or behavioral difficulties. (Funded
by the Michael Reese Health Trust)