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Table 1 Webinar content outline

From: Training health professionals to reduce overreporting of birthing people who use drugs to child welfare

1. Definitions, values, and DRB project goals, including defining the term “overreporting” in the context of child welfare reporting

2. Supporting positive equitable outcomes for birthing people, infants, families, and communities, including describing recovery-friendly pediatric care, the Healthy People 2030 goals relevant to caring for birthing people who use drugs, and the full continuum of evidence-informed culturally and linguistically effective health and social services for pregnant and birthing people who use drugs

3. History of the U.S. CWS, including the historical roots of the CWS in slavery and American Indian residential schools, racial inequities in the CWS, and the way the war on drugs has contributed to the growth of the CWS

4. CAPTA and what the law says about when reporting is mandated, including how what the law actually says contrasts with what health professionals often believe laws to require in terms of CWS reporting

5. Descriptions of what happens after a CWS report is made, including the focus on investigations and mandated services

6. Urine drug testing, including what information it does versus does not provide, and the ways it contributes to overreporting, particularly of Black and Indigenous people

7. Health professional motivations for CWS reporting, and how beliefs underlying these motivations relates to existing evidence

8. Research evidence regarding effects of CWS reporting, including the lack of evidence that child welfare reporting requirements improve infant health and the lack of evidence consistently linking pregnant people’s drug use to later child maltreatment

9. Strategies for making change, including actions health professionals can take to make changes within their hospital, their community, and at the state or federal level