 Currently, the standard of care for pregnant women who are being treated for opiate dependence at Boston Medical Center BMC is to receive all their prenatal care in the RESPECT Clinic, an innovative program of the BMC Department of Obstetrics and Gynecology designed to treat addiction during the prenatal and early postnatal period. Once the child is born, BMC staff files a report of suspected child abuse and neglect in accordance with the Massachusetts General Laws section 51A. The state Department of Children and Families makes a determination regarding the disposition of these families. Medically, most of these children are treated in-patient at BMC for NAS and then discharged to follow-up with routine pediatric primary care. Currently, approximately 85 of infants born exposed to opioids go home with their mothers, and the remainder receive substitute care, either with other family members or via foster care. 