history of depression, anxiety, or other mental health concerns – Any history of substance use, including the types, frequency, and amount of drugs used – Any history of substance-exposed newborn births – Any history of participation in substance abuse treatment services and other prevention or intervention services – The perception of his or her caregiving role and responsibilities – The plan to meet the newborn's basic needs for shelter clothing, medical care, etc. – Whether tobacco is smoked in the home and plans to discontinue use – Identification of the proposed caregivers of the newborn on a daily basis and when the mother is unavailable and whether that caregiver has the ability to provide safe care to the newborn – Sleeping arrangements, including assessment of whether the infant has a safe sleep environment – History of parenting, including parenting of siblings in the past or currently – Knowledge of child development and behavior management, including the adequacy and accuracy of this information If the parent is engaged in medically assisted treatment (MAT) to control an opioid addiction, obtain information about the parent's treatment progress For infants suspected of having fetal alcohol spectrum disorder (FASD), obtain the following as soon possible or within 1 year: – Documentation of the diagnosis by a health professional indicating clinical findings consistent with FASD – The child's medical records – The health professional's recommendations for services for the child Responsibility for Development of the Plan of Safe Care Citation: Pol. & Proc. Man. Ch. 2, § 11.1 The department shall develop an infant care plan for newborn infants who were prenatally exposed to alcohol or a controlled substance by the mother and children up to age 1 who were diagnosed with fetal alcohol spectrum disorder. The department shall collaborate with health-care professionals and local substance abuse assessment and treatment providers, when available, to assist in the investigation, assessment, and delivery of quality services for infants who have been prenatally exposed to alcohol or a controlled legal or illegal substance, and their families. The department will develop an infant care plan for the newborn infant who was prenatally exposed to alcohol or substance use by the mother or child up to age 1 diagnosed with FASD. The department will actively involve the parents or caregivers, the infant's health-care professionals, the parents' or caregivers' substance abuse treatment service providers, MAT providers, out-of-home care providers, and supportive adults identified by the parents or caregivers (if applicable) to develop the infant care plan. Children’s Bureau/ACYF/ACF/HHS | 800.394.3366 | Email: info@childwelfare.gov | https://www.childwelfare.gov 11 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