ABSTRACT

As known cocaine-exposed cohorts of children aged, researchers were able to begin addressing questions about the effects of cocaine further along the developmental pathway. Developmental studies of gestational exposure are significantly more difficult to conduct because the possible consequent effects are not only subtle, but remote from the hypothetical cause by several years of time and postdevelopment experience. Many hospital staff use urine screening in an effort to document drug-use status of mother or infant at the time of delivery. This chapter reviews treatment related data to the extent that it relates to drug exposure measurements. It aims to characterize the meaningfulness of cocaine measured in the hair by referencing the results to other means of estimating cocaine. Another way to characterize the hair cocaine results is with behavioral change measures. Cocaine use is expected to decline as clients initiate programs of personal change.