TY - CHAP M1 - Book, Section TI - Substance Abuse Disorder A1 - Usatine, Richard P. A1 - Chumley, Heidi A1 - Foulkrod, Kelli Hejl A2 - Usatine, Richard P. A2 - Sabella, Camille A2 - Smith, Mindy Ann A2 - Mayeaux, E.J. A2 - Chumley, Heidi S. A2 - Appachi, Elumalai PY - 2015 T2 - The Color Atlas of Pediatrics AB - A young mother and her four children are being seen in a free clinic within a homeless shelter for various health reasons (Figure 229-1). The woman is currently clean and sober, but has a long history of cocaine use and addiction (Figure 229-2). Her children span the ages of 3 months to 5 years. She was recently living with her mother after the birth of her youngest child, but was kicked out of her mother’s home when she began to use cocaine once again. The patient gave written consent to the photograph and when she was shown the image on the digital camera she noted how depressed she looked. She asked for us to tell the viewers of this photograph that these can be the consequences of drug abuse—being depressed, homeless, and a single mom. Only time will reveal the effect of this situation on her four children. They are at risk for so many problems including neglect, abuse, behavioral issues and being placed in foster care. They are also at higher risk of developing substance abuse disorder. Being the health care provider for these children requires understanding the disease of addiction and the consequences of this on the family. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1114881013 ER -