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Module 4: Implementing and Monitoring Plans of Safe Care

Module 4: Implementing and Monitoring Plans of Safe Care

National Center on Substance Abuse and Child Welfare, 2020

Section 503(B) of the Child Abuse Prevention and Treatment Act (CAPTA) stipulates that states provide an assurance that the state is operating a statewide program that includes policies and procedures to address the needs of infants born with and identified as being affected by substance abuse or withdrawal symptoms resulting from prenatal drug exposure or an FASD, and their family or caregivers. This includes the development of a Plan of Safe Care to ensure the safety and well-being of such infants and that addresses the health and substance use disorder treatment needs of the infant and affected family or caregiver. CAPTA further requires the development and implementation by the state of monitoring systems regarding the implementation of such plans to determine whether and in what manner local entities are providing, in accordance with state requirements, referrals to and delivery of appropriate services for the infant and affected family or caregiver. The law does not specify the state system that should be used to implement or oversee the Plans. States need to identify the appropriate agency or system to oversee Plans of Safe Care, and develop effective policies or practices to ensure the Plans are monitored on an ongoing basis. This module explores state decision points when implementing Plans of Safe Care, and how collaborative teams can translate policy decisions into practice through implementation and case monitoring.

View Document (PDF 58.3 MB)

Topic(s): CAPTA Plans of Safe Care

Section: Policy and Practice Resources

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, 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 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 or call toll-free at 1–866–493–2758.

National Center on Substance Abuse and Child Welfare