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I have found that it varies by situation. There is a definite difference between being born exposed and addicted.
I take Special Needs situatons quite a bit whether that is drug or other medical issue. I have found that if you focus first that they are a baby/child with normal baby/child needs and get their food, sleep, etc on a good schedule then it is easier to address special issues as needed .... probably exactly what you do with your child with CP.