Substance-Exposed Newborns and CPS Response
Substance Exposed Newborns and the CPS
Response
January 30, 2015
Handle with C.A.R.E. Initiative
P
e
o
p
l
e
h
e
l
p
i
n
g
p
e
o
p
l
e
t
r
i
u
m
p
h
o
v
e
r
p
o
v
e
r
t
y
,
a
b
u
s
e
a
n
d
n
e
g
l
e
c
t
t
o
s
h
a
p
e
s
t
r
o
n
g
f
u
t
u
r
e
s
f
o
r
t
h
e
m
s
e
l
v
e
s
,
t
h
e
i
r
f
a
m
i
l
i
e
s
a
n
d
c
o
m
m
u
n
i
t
i
e
s
§
6
3
.
2
-
1
5
0
9
(i)
a finding made by a health care provider within six weeks of the birth of
a child that the results of toxicology studies of the child indicate the
presence of a controlled substance not prescribed for the mother by a
physician;
(ii)
(ii) a finding made by a health care provider within six weeks of the
birth of a child that the child was born dependent on a controlled
substance which was not prescribed by a physician for the mother and
has demonstrated withdrawal symptoms;
(iii)
(iii) a diagnosis made by a health care provider at any time following a
child's birth that the child has an illness, disease or condition which, to
a reasonable degree of medical certainty, is attributable to in utero
exposure to a controlled substance which was not prescribed by a
physician for the mother or the child; or
(iv)
(iv) a diagnosis made by a health care provider at any time following a
child's birth that the child has a fetal alcohol spectrum disorder
attributable to in utero exposure to alcohol.
2
C
P
S
R
e
s
p
o
n
s
e
s
•
CPS is a State supervised and locally
administered program.
•
How SEN cases are handled varies by
locality.
•
Not required by policy or law to be
investigated- may receive family assessment.
•
If investigated, cannot be founded on
exposure while pregnant only.
3
I
n
v
e
s
t
i
g
a
t
i
o
n
o
r
F
a
m
i
l
y
A
s
s
e
s
s
m
e
n
t
“immediately assess the infant's circumstances
and any threat to the infant's health and
safety”
“immediately determine whether to petition a
juvenile and domestic relations district court
for any necessary services or court orders
needed to ensure the safety and health of the
infant”
4
E
x
c
e
p
t
i
o
n
s
t
o
C
P
S
r
e
s
p
o
n
s
e
The Code of Virginia § 63.2-1505 B provides
an exception to initiating and/or completing
a family assessment or investigation in
referrals involving substance-exposed
infants when certain circumstances exist.
It is incumbent upon the mother of the infant
to present the evidence that she sought or
gained substance abuse counseling or
treatment prior to the child’s birth.
5
D
e
f
i
n
i
t
i
o
n
s
“Sought treatment or counseling” does not require that the
mother actually gained substance abuse counseling or
treatment.
If the mother sought counseling or treatment but did not receive
such services, then the LDSS must determine whether the
mother made a good faith effort to receive substance abuse
treatment before the child’s birth.
6
D
e
f
i
n
i
t
i
o
n
s
(
c
o
n
t
.
)
"Substance abuse counseling or treatment services"
are professional services provided to individuals for
the prevention, diagnosis, and/or treatment of
chemical dependency.
Substance abuse counseling or treatment should
include education about the impact of alcohol and
other drugs on the fetus and on the maternal
relationship; and education about relapse
prevention to recognize personal and
environmental cues which may trigger a return to
the use of alcohol or other drugs.
7
C
o
n
d
u
c
t
F
a
m
i
l
y
A
s
s
e
s
s
m
e
n
t
o
r
I
n
v
e
s
t
i
g
a
t
i
o
n
Due to the vulnerability of substance-exposed
infants, collateral involvement to determine
risk and possible services is crucial, and
may include contacts with the family,
hospital, pediatrician, and substance abuse
evaluation/treatment providers.
When appropriate, the LDSS should
coordinate services with the Community
Services Board.
8
C
o
m
p
l
e
t
e
C
P
S
R
e
s
p
o
n
s
e
For investigations, facts establishing that the
infant was exposed to controlled substances
prior to birth are not sufficient to render a
founded disposition of abuse or neglect.
The LDSS must establish by a preponderance
of the evidence that the infant was injured or
experienced a threat of injury or harm
according to the statutory and regulatory
definitions of abuse and neglect to support a
founded disposition.
9
R
e
f
e
r
r
a
l
f
o
r
P
a
r
t
C
S
e
r
v
i
c
e
s
Refer any child under the age of three (3) for
early prevention services to the local Infant
and Toddler Connection of Virginia who:
•
Is the subject of an investigation with a
founded disposition;
•
Is identified as affected by illegal substance
abuse or withdrawal symptoms resulting from
prenatal drug exposure; or
•
Has a physical or mental condition that has a
high probability of resulting in developmental
delay, regardless of track or disposition.
10
C
o
u
r
t
A
c
t
i
o
n
s
When conducting a family assessment or an
investigation, the Code of Virginia § 16.1-
241.3 permits the LDSS to petition the
juvenile and domestic relations district court
solely because an infant has been exposed
to controlled substances prior to his or her
birth.
11
C
o
u
r
t
O
r
d
e
r
s
Any court order issued pursuant to § 16.1-241.3
is effective pending final disposition of the
investigation or family assessment.
12
S
u
b
s
t
a
n
c
e
E
x
p
o
s
e
d
N
e
w
b
o
r
n
s
2
0
0
9
-
2
0
1
4
13
The initiative "Handle with C.A.R.E." aims to help substance-exposed newborns by addressing cases where infants are exposed to controlled substances or alcohol in utero. Health care providers play a key role in identifying such cases within six weeks of birth or at any time post-birth. CPS responses vary based on locality, with options including investigations or family assessments to ensure the infant's safety and health. There are exceptions to CPS responses in cases where mothers can provide evidence of seeking substance abuse counseling or treatment before childbirth.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
You are allowed to download the files provided on this website for personal or commercial use, subject to the condition that they are used lawfully. All files are the property of their respective owners.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author.
E N D
Presentation Transcript
Substance Exposed Newborns and the CPS Response January 30, 2015 Handle with C.A.R.E. Initiative People helping people triumph over poverty, abuse and neglect to shape strong futures for themselves, their families and communities
63.2-1509 a finding made by a health care provider within six weeks of the birth of a child that the results of toxicology studies of the child indicate the presence of a controlled substance not prescribed for the mother by a physician; (ii) a finding made by a health care provider within six weeks of the birth of a child that the child was born dependent on a controlled substance which was not prescribed by a physician for the mother and has demonstrated withdrawal symptoms; (iii) a diagnosis made by a health care provider at any time following a child's birth that the child has an illness, disease or condition which, to a reasonable degree of medical certainty, is attributable to in utero exposure to a controlled substance which was not prescribed by a physician for the mother or the child; or (iv) a diagnosis made by a health care provider at any time following a child's birth that the child has a fetal alcohol spectrum disorder attributable to in utero exposure to alcohol. (i) (ii) (iii) (iv) 2
CPS Responses CPS is a State supervised and locally administered program. How SEN cases are handled varies by locality. Not required by policy or law to be investigated- may receive family assessment. If investigated, cannot be founded on exposure while pregnant only. 3
Investigation or Family Assessment immediately assess the infant's circumstances and any threat to the infant's health and safety immediately determine whether to petition a juvenile and domestic relations district court for any necessary services or court orders needed to ensure the safety and health of the infant 4
Exceptions to CPS response The Code of Virginia 63.2-1505 B provides an exception to initiating and/or completing a family assessment or investigation in referrals involving substance-exposed infants when certain circumstances exist. It is incumbent upon the mother of the infant to present the evidence that she sought or gained substance abuse counseling or treatment prior to the child s birth. 5
Definitions Sought treatment or counseling does not require that the mother actually gained substance abuse counseling or treatment. If the mother sought counseling or treatment but did not receive such services, then the LDSS must determine whether the mother made a good faith effort to receive substance abuse treatment before the child s birth. 6
Definitions (cont.) "Substance abuse counseling or treatment services" are professional services provided to individuals for the prevention, diagnosis, and/or treatment of chemical dependency. Substance abuse counseling or treatment should include education about the impact of alcohol and other drugs on the fetus and on the maternal relationship; and education about relapse prevention to recognize personal and environmental cues which may trigger a return to the use of alcohol or other drugs. 7
Conduct Family Assessment or Investigation Due to the vulnerability of substance-exposed infants, collateral involvement to determine risk and possible services is crucial, and may include contacts with the family, hospital, pediatrician, and substance abuse evaluation/treatment providers. When appropriate, the LDSS should coordinate services with the Community Services Board. 8
Complete CPS Response For investigations, facts establishing that the infant was exposed to controlled substances prior to birth are not sufficient to render a founded disposition of abuse or neglect. The LDSS must establish by a preponderance of the evidence that the infant was injured or experienced a threat of injury or harm according to the statutory and regulatory definitions of abuse and neglect to support a founded disposition. 9
Referral for Part C Services Refer any child under the age of three (3) for early prevention services to the local Infant and Toddler Connection of Virginia who: Is the subject of an investigation with a founded disposition; Is identified as affected by illegal substance abuse or withdrawal symptoms resulting from prenatal drug exposure; or Has a physical or mental condition that has a high probability of resulting in developmental delay, regardless of track or disposition. 10
Court Actions When conducting a family assessment or an investigation, the Code of Virginia 16.1- 241.3 permits the LDSS to petition the juvenile and domestic relations district court solely because an infant has been exposed to controlled substances prior to his or her birth. 11
Court Orders Any court order issued pursuant to 16.1-241.3 is effective pending final disposition of the investigation or family assessment. 12
Substance Exposed Newborns 2009-2014 1100 1071 1009 1000 985 900 835 826 800 742 700 600 500 2009 2010 2011 2012 2013 2014 13
