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The grave consequences of cocaine dependency and addiction for the individual are widely understood. In parents such conditions can have a particularly tragic impact since cocaine has great potential for impairing a parent's ability to properly care for their children with life-long consequences for both the children and parent. Understanding the impact of cocaine on human parental behavior is dauntingly complex as its abuse can co-occur with abuse of other drugs and with a variety of biological and societal factors (Chasnoff, 1987, 1988; Oro and Dixon, 1987; Frank et al., 1988) that confound our understanding of the impact of the drug itself. Less considered in examining the impact of cocaine on human parental behavior is the fact that within the human population, the number of people who engage in occasional or recreational use of substances with abuse potential, including cocaine, is much larger than the number of people who are diagnosed clinically with substance dependency or addiction (Warner et al., 1995; SAMHSA, 2001–2003; O'Brien and Anthony, 2005). Since this is the case for all age groups including women of reproductive age, we speculate that the population in which cocaine could affect the care of children is larger than the population of those who have progressed to the state of cocaine dependency and addiction.

Both High and Low Doses of Cocaine Derail Normal Maternal Caregiving – Lessons from the Laboratory Rat