U.S Department of Health and Human Services U.S Department of Health and Human Services, Substance Abuse and Mental Health Services Administration

Identifying and Serving Children Affected by Methamphetamine

Prenatal Methamphetamine Exposure

  • This document discusses the development of treatment care plans for drug-exposed infants until age 3 that provide effective and developmentally appropriate interventions with successful outcome potential.

    Shah, R. Z. (2000). Second chance kids: Providing development focused care for drug- exposed infants. Retrieved February 11, 2008, from http://www.addictionrecov.org/paradigm/P_PR_SP00/cont_shah.htm
  • This article explores the neonatal growth effects of prenatal exposure to methamphetamine in the Infant Development, Environment and Lifestyle study.

    Smith, L.M., LaGasse, L.L., Derauf, C., Grant, P., Shah, R., Arria, A., Huestis, M., Haning, W., Strauss, A., Grotta, S.D., Liu, J., and Lester, B.M. (2006). The infant development, environment, and lifestyle study: Effects of prenatal methamphetamine exposure, polydrug exposure, and poverty on intrauterine growth. Pediatrics, 118(3). Retrieved February 11, 2008, from http://pediatrics.aappublications.org/cgi/content/full/118/3/1149

National Drug Endangered Children Materials and Protocols: Children Found in Methamphetamine Labs

  • This is intended as a guide for managing health issues of children who are found at methamphetamine lab sites.

    Carver County. (2006, April 11). Minnesota medical protocols for children found at methamphetamine lab sites. St. Paul, MN: Minnesota Department of Health. Retrieved January 9, 2008, from http://www.health.state.mn.us/divs/eh/meth/ordinance/carverchild.pdf (PDF - 34 KB)
  • The national protocol is designed to inform law enforcement, child protective services, medical personnel and the emergency department about the critical steps needed to assist children found in drug labs.

    National Alliance for Drug Endangered Children. (2004, June). National protocol for medical evaluation of children found in drug labs. Community Links. Retrieved January 9, 2008, from http://www.colodec.org/decpapers/Documents/DECNationalProtocol.pdf (PDF - 93 KB)
  • Nebraska provides the Children Exposed to Methamphetamine Labs protocol for children exposed to methamphetamine labs, which was developed by a Medical Working Group as part of the Midwest High Intensity Drug Trafficking Area (HIDTA) Program.

    Protocols. (n.d.). Lincoln, NE: Nebraska Alliance for Drug Endangered Children. Retrieved January 9, 2008, from http://www.nebraskadec.org/protocols.html (PDF - 799 KB)
  • This article discusses the dangers posed by methamphetamine labs and provides information on what is being done to help children.

    Reed, C. (2004, November). Children in meth labs: Risky business. Washington, D.C.: United States Department of Justice, Office of Community Oriented Policing. Retrieved December 3, 2008, from http://www.nationaldec.org/user_files/3549_1662737.pdf (PDF - 27 KB)
  • This provides an overview of methamphetamine production and trends, discusses the dangers to children living in methamphetamine labs and outlines recommendations for a multidisciplinary team approach.

    Swetlow, K. (2003, June). Children at clandestine methamphetamine labs: Helping meth’s youngest victims. OVC Bulletin. Washington, D.C.: United States Department of Justice, Office of Justice Programs, Office for Victims of Crimes. Retrieved February 11, 2008, from http://www.ojp.usdoj.gov/ovc/publications/bulletins/children
  • These papers provide answers to frequently asked questions about clandestine methamphetamine labs and removal of children from these labs.
    • Wells, K. (n.d.). Clandestine methamphetamine labs FAQ #1. Retrieved January 9, 2008, from http://www.colodec.org/decpapers/clandestinelabfaq1.htm
    • Wells, K. (n.d.). Medical evaluation of children removed from clandestine labs FAQ #2. Retrieved January 9, 2008, from http://www.colodec.org/decpapers/childmedevalfaq2.htm
    • Wells, K. (n.d.). How to care for children removed from a drug endangered environment FAQ #3. Retrieved January 9, 2008, from http://www.colodec.org/decpapers/careforchildrenfaq3.htm

State Drug Endangered Children Materials and Protocols: Children Found in Methamphetamine Labs

  • The following papers are written by members of the DEC Alliance and are made available through Colorado Alliance for Drug Endangered Children. Retrieved January 9, 2008, from http://www.colodec.org/decpapers/decpapers.htm
    • This is a set of 8 forms compiled for Colorado that other states may modify for their efforts.

      Colorado Alliance for Drug Endangered Children. (n.d.). Drug endangered children: Initial response forms.
    • National Jewish Hospital and Research Center describes the study beginning in 2003 on the harmful effects of methamphetamine labs to first responders and children.

      Martyny, J.W., Arbuckle, S.L., McCammon, C.S., Esswein, E.J., & Erb, N. (n.d.). National Jewish Research Center methamphetamine research synopsis.
    • This Memorandum of Understanding between Larimer County Department of Human Services and Larimer County Drug Task Force is a collaborative effort to assist in the identification, investigation and removal of Drug Endangered Children.

      Larimer County, Colorado. (2003, April 1). Memorandum of understanding.
    • This protocol provides a screening guide for child welfare workers and law enforcement in Larimer County, Colorado.

      Larimer County, Colorado. (n.d.). Protocol for investigating child protection referrals involving the operation of clandestine labs.
  • In Arizona, a multidisciplinary team developed this protocol for child protective services, law enforcement, medical services and prosecution to develop safety procedures involving methamphetamine laboratories.)

    DEC Task Force. (2003, September 30). Arizona Drug Endangered Children (DEC) multidisciplinary/integrated protocol. Phoenix, AZ: Office of the Arizona Attorney General. Retrieved January 9, 2008, from http://www.azag.gov/DEC/docs/DEC_protocol.pdf (PDF - 342 KB)
  • This resource presents the mission, goals and logic model of the Georgia Alliance for Drug Endangered Children.

    Georgia Alliance for Drug Endangered Children. (2006). Georgia Alliance for Drug Endangered Children strategic plan 2006. Retrieved January 23, 2008, from http://www.georgiadec.org/docs/strat_plan_logic.pdf (PDF - 166 KB)
  • The purpose of this study was to identify local procedures for handling drug-endangered children cases and to compare these procedures to the steps recommended by Washington's We Care plan.

    Governor's Council on Substance Abuse. (2006, September). Survey of policies and procedures for drug endangered children in Washington State. Olympia, WA: State of Washington, Department of Community, Trade and Economic Development. Retrieved January 23, 2008, from http://www.cted.wa.gov/_CTED/documents/ID_3547_Publications.pdf (PDF 2,397 KB)
  • This resource provides guidance in the establishment of local DEC programs.

    Iowa Alliance for Drug Endangered Children. (2007, February). Building a DEC team: Guide to help Iowa communities launch DEC programs. Retrieved January 23, 2008, from http://www.iowadec.net/uploads/Guide_to_Launching_a_DEC_Program_in_Iowa.pdf (PDF - 323 KB)
  • Kentucky’s Drug Endangered Child Training Network provides posters, brochures, videos, presentations and online courses informing children, family members, community members and professionals about the dangers of methamphetamine.
    • Kentucky’s Drug Endangered Child Training Network. Retrieved January 23, 2008, from http://www.drugendangeredchild.org/Publications.htm
    • Kentucky’s Drug Endangered Child Training Network. Retrieved January 23, 2008, from http://www.drugendangeredchild.org/Videos.htm
    • Kentucky’s Drug Endangered Child Training Network. Retrieved January 23, 2008, from http://www.drugendangeredchild.org/courses.htm
  • This report provides background information on Arizona's drug endangered children program and highlights program activities and results.

    Office of the Arizona Attorney General. (2006, December). Arizona Alliance for Drug Endangered Children Program annual report 2006. Retrieved January 23, 2008, from http://www.azag.gov/AnnualReports/2006AnnualReport.pdf (PDF - 2,021 KB)
  • There are five counties in Tennessee that formed a collaboration team as well as an agreement stating their operating policies in response to drug endangered children.

    Tennessee Alliance for Drug Endangered Children. (n.d.). DEC protocols. Retrieved January 9, 2008, from http://www.tadec.org/Protocols/countyprotocols.htm
  • Washington State Department of Health has a Drug Endangered Children Program listing resources from Washington State, other U.S. states and nationwide. Retrieved February 11, 2008, from http://www.doh.wa.gov/ehp/ts/CDL/resources.htm#dec
    • This publication describes the We Care plan involving six elements to address the immediate needs of the drug-endangered child. (PDF - 251 KB) Washington Governor’s Methamphetamine Coordinating Committee. (2004, August). Washington, D.C.: United States Department of Justice, Washington State Methamphetamine Initiative. Washington’s endangered children’s assessment and response: We care, recommended best practices addressing the needs of drug endangered children.
    • This document describes the phases of site processing a clandestine lab, which involves a multi-agency response. (PDF – 28 KB)

      Washington State, Stevens County Sheriff’s Office. (2003, June). Sheriff’s office inter-agency notification.
    • This is specific DEC protocol using one CPS worker in Pierce County. (PDF – 14 KB)

      Washington State, Pierce County. (n.d.). Drug endangered children’s (DEC) protocol.