This guide
is intended to support the
efforts of states, tribes, and local
communities in addressing the needs of pregnant women with opioid use
disorders and their infants and families, through a coordinated, multi-sytem approach.
Health service resources spent on children with conduct
disorder are considerable: 30 % of child consultations with general practitioners
are for behaviour problems, 8 and 45 % of
community child health referrals
are for behaviour disturbances - with an even higher level at schools for children with special needs and in clinics for children with developmental delay, where challenging behaviour
is a common problem.9 Psychiatric
disorders are present in 28 % of paediatric outpatient referrals.10 Social services departments expend a lot of
effort trying to protect disruptive children whose parents can no longer cope without hitting or abusing them.