Services for the Infant Citation: Pol. & Proc. Man. Ch. 2, § 11.1 The infant care plan describes the services and supports that will be provided to ensure the health and wellbeing of the infant and addresses the substance abuse treatment needs of the parent or caregiver. Each plan addresses the following areas: Medical care for the infant Safe sleep practices Living arrangements in the infant's home Services for the Parents or Other Caregivers Citation: Pol. & Proc. Man. Ch. 2, § 11.1 The infant care plan describes the services and supports that will be provided to ensure the health and wellbeing of the infant and addresses the substance abuse treatment needs of the parent or caregiver. Each plan addresses the following areas: Substance abuse treatment needs of the parents or caregivers Knowledge of parenting and infant development Living arrangements in the infant's home Child care Social connections The department also will do the following: Provide the 'Safe Sleep' flyer to the parent or caregiver and review it with them Visit the home to observe the sleeping conditions of the child and discuss any observed risks If needed, make referrals to community resources Monitoring Plans of Safe Care Citation: Pol. & Proc. Man. Ch. 2, § 11.1 If a case involving a substance exposed newborn is opened for ongoing services, the department will oversee the implementation of the infant care plan by observing, discussing, and assessing the child's status indicators and participation with health-care providers during monthly in-person contacts with the child and the child's caregiver. If a parent has been referred to substance abuse treatment or other services, the department will oversee the sufficiency of the services by observing, discussing, and assessing the parent's progress and participation in services during monthly in-person contacts with the parent and through communication with the parent's service provider(s). The department also must do the following: Review and reassess the infant care plan during case plan staffings, child and family team meetings, and whenever there is an indication that the child's health or health-care needs resulting from prenatal substance exposure have changed Update the infant care plan if indicated and distribute it to the parent or caregiver and other team members To determine when it is appropriate to close an ongoing services case involving a substance-exposed newborn, the department will consider the following: Whether the parent understands the care necessary to help the newborn overcome the effects of the substance use and reliably acts to provide necessary care Children’s Bureau/ACYF/ACF/HHS | 800.394.3366 | Email: info@childwelfare.gov | https://www.childwelfare.gov 12 Whether the parent has taken steps to change or control the behavior or conditions that placed the child in impending danger, and whether these steps are sufficient to determine the child is safe from impending danger Whether the parent is involved with extended family members, community support networks, or service providers who will help the family maintain these changes over time Whether the parent understands the infant care plan and knows how and where to access help if additional needs for health care or substance abuse treatment arise in the future ARKANSAS Current Through August 2019 Definitions Citation: Ann. Code § 12-18-103; Code of Rules 016 15 CARR 011 The term 'neglect' includes either of the following: Causing a child to be born with an illegal substance present in the child's bodily fluids or bodily substances as a result of the pregnant mother's knowingly using an illegal substance before the birth of the child At the time of the birth of a child, the presence of an illegal substance in the mother's bodily fluids or bodily substances as a result of the pregnant mother's knowingly using an illegal substance before the birth of the child The term 'illegal substance' means a drug that is prohibited to be used or possessed without a prescription under the Arkansas Criminal Code, § 5-1-101, et seq. A test of the child's bodily fluids or bodily substances may be used as evidence to establish neglect. A test of the mother's bodily fluids or bodily substances may be used as evidence to establish neglect. In regulation: Fetal alcohol syndrome disorder (FASD) is an umbrella term used to describe the range of effects or disorders that can occur in an individual whose mother consumed alcohol during pregnancy. Notification/Reporting Requirements Citation: Ann. Code § 12-18-310; Code of Rules 016 15 CARR 011 All health-care providers involved in the delivery or care of infants shall do the following: Contact the Department of Human Services regarding an infant born with and affected by any of the following: – FASD – Maternal substance abuse resulting in prenatal drug exposure to an illegal or a legal substance – Withdrawal symptoms resulting from prenatal drug exposure to an illegal or a legal substance Share all pertinent information, including health information, with the department regarding an infant born with and affected by any of the following: – FASD – Maternal substance abuse resulting in prenatal drug exposure to an illegal or a legal substance – Withdrawal symptoms resulting from prenatal drug exposure to an illegal or a legal substance The