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CAPTA Plans of Safe Care

The Child Abuse Prevention and Treatment Act (CAPTA) Plan of Safe Care (POSC) is designed to improve the 1) safety and well-being of infants affected by prenatal substance exposure and 2) recovery outcomes for their caregivers.

Highlighted Resource

Plan of Safe Care Expert Video Series: Partnering with Healthcare Providers for Families Affected by Prenatal Substance Exposure

Introduction to the Plan of Safe Care Expert Videos

National Center on Substance Abuse and Child Welfare, 2023

The National Center on Substance Abuse and Child Welfare (NCSACW), with support from the Vermont Oxford Network (VON) developed a four

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Policy and Practice Resources

Child Welfare Policy Manual (CWPM) - CAPTA

Children’s Bureau, Administration for Childr..., 2024

Contains policy questions and answers applicable to child welfare programs operated

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Model Substance Use During Pregnancy and Family Care Plans Act

Legislative Analysis and Public Policy Assoc..., 2023

Developed through a contract with the Office of National Drug Control Policy the

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Foster Care Entry Rates Grew Faster for Infants than for Children of Other Ages, 2011-2018

Office of the Assistant Secretary for Planni..., 2021

Summarizes national, state, and county increases in foster care entry. A rising

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How States Serve Infants and Their Families Affected by Prenatal Substance Exposure Series

National Center on Substance Abuse and Child..., 2021

A three-part series highlighting states’ approaches to serving infants and families affected by prenatal substance exposure. Derived

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Plans of Safe Care Learning Modules Series

National Center on Substance Abuse and Child..., 2020

A five-part series on POSC for infants born with and identified as affected by substance abuse or withdrawal symptoms resulting from

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Plans of Safe Care: An Issue Brief for Judicial Officers

National Quality Improvement Center for Coll..., 2020

Judicial officers hear a variety of dependency matters from a unique vantage point

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Related Online Training, Videos, and Webinars

A Family Centered Approach to Implementing Plans of Safe Care for Infants and Families Affected by Prenatal...

Date: October 19, 2023

Highlights how a family-centered approach to POSC helps states, Tribes, and communities meet the provisions of the 2016 Amendments to

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Plan of Safe Care Expert Video Series: Partnering with Healthcare Providers for Families Affected by Prenat...

National Center on Substance Abuse and Child..., 2023

The National Center on Substance Abuse and Child Welfare (NCSACW), with support from the Vermont Oxford Network (VON) developed a four

... (Read More)

Fetal Alcohol Spectrum Disorder: Bending the Trajectory

Date: June 13, 2023

This webinar features national expert Dr. Douglas Waite, who discusses the prevalence of FASD, the importance and challenges of early

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Guidance from the American Academy of Pediatrics on Neonatal Opioid Withdrawal Syndrome

Date: January 26, 2021

Dr. Stephen Patrick, a national expert on maternal opioid use on infants, provides current information on the crisis; implications for

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Learning Exchange Video Series on Plan of Safe Care Implementation

National Center on Substance Abuse and Child..., 2021

The National Center on Substance Abuse and Child Welfare (NCSACW) developed this series of learning exchange videos to expand on the

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State and Local Examples

On the Ground: How States Are Addressing Plans of Safe Care for Infants with Prenatal Substance Exposure an...

National Center on Substance Abuse and Child..., 2019

Provides examples from states that have implemented comprehensive approaches to Plans

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State Plan of Safe Care Informational Websites

NCSACW has identified several states with its state’s plan of safe care. You can view each state’s informational website.

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Additional Resources

How can Plans of Safe Care help infants and families affected by prenatal substance exposure?

Casey Family Programs, 2023

Provides legislative and policy context for developing Plans of Safe Care for infants

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Child Abuse and Prevention Treatment Act (CAPTA), Prenatal Substance Exposure Statutory Station Summary

National Center on Substance Abuse and Child..., 2017

Covers the history of the CAPTA prenatal exposure provisions, including the July 201

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Find Help with a Personal Situation

Substance Use and Mental Health Treatment Locator

To find treatment facilities confidentially, 24/7, please call 1-800-662-4357 (HELP).

To locate general treatment services, visit the Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) Treatment Locator online or call 1-800-662-4357 (HELP). This service provides referrals to local treatment facilities, support groups, and community-based organizations. It is a free, confidential, 24-hour-a-day, 365-day-a year information service, in English and Spanish, for individuals and family members needing treatment for a mental and/or substance use disorder.

National Child Abuse Hotline

If you suspect a child has been harmed by abuse or neglect, please call 1-800-422-4453.

If you suspect that a child has been harmed or is at risk of being harmed by abuse or neglect, call the National Child Abuse Hotline at Call the National Child Abuse Hotline at 1-800-422-4453. Serving the United States and Canada, the hotline is staffed 24 hours a day, 7 days a week with professional crisis counselors who—through interpreters—provide assistance in over 170 languages. All calls, texts, and chats are confidential. If you believe a child is in immediate danger of harm, call 911 first.

National Suicide Prevention Line

For free and confidential support for people in distress, 24/7, please call or text 988, chat 988Lifeline.org, or call 1-800-273-8255.

If you or someone you know is having thoughts of suicide or experiencing a mental health or substance use crisis, help is available and there are options to receive compassionate care. You can call or text 988 or chat 988Lifeline.org. You can also call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255). Both are confidential and available 24/7 to everyone in the United States and will connect you to a trained counselor at a suicide crisis center nearest you.

Contact Us

The National Center on Substance Abuse and Child Welfare offers free technical assistance to a variety of systems on making policy and practice changes to improve outcomes for families affected by substance use disorders and involvement with child welfare services. To learn more about technical assistance services or if you have a question please email NCSACW at ncsacw@cffutures.org or call toll-free at 1–866–493–2758.

National Center on Substance Abuse and Child Welfare