Certainly, one of the outcomes we see from substance use is folks living very marginalized lives. When they are in the throws of addiction or problematic substance use, they have marginal housing, they have no income and they have very little resources, so the infants of women who are pregnant are, of course, at risk.
They're not accessing health care. They're living chaotic lives trying to get their next fix, for lack of a better word. From my chair, that's certainly one of the impacts you would see. For infants born into that environment, there is no prenatal care or very little.