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NCDHHS »   Divisions »   Mental Health, Developmental Disabilities, and Substance Abuse »   Infant Plan of Safe Care »   Child Welfare

Child Welfare

Once a county child welfare agency is notified of the identification of a substance affected infant, it will develop a Plan of Safe Care and refer the infant and family to the local public health Care Coordination for Children (CC4C) program. Participation with CC4C services is voluntary for the family.

As specified in the Child Abuse Prevention and Treatment Act (CAPTA), the notification is to ensure that services are provided to the infant and caregiver and should not be construed to mean that prenatal substance use is considered child maltreatment. While notification to the county child welfare agency is required, the family may not be appropriate for child welfare services if there are no immediate safety concerns.

When circumstances require child welfare intervention the child welfare worker will support the family in implementing the Plan of Safe Care, ensuring the family's connection to services with CC4C and also assessing risk and ensuring the infant's safety.

CAPTA also amended states' annual data reporting through the National Child Abuse and Neglect Data System (NCANDS). North Carolina Division of Social Services (DSS) is responsible for collecting the amended annual data report requirements from county child welfare agencies and for reporting this information to the NCANDS. 

Child Welfare resources:

  • Dear County Director Letter
  • DSS Child Welfare Policies and Forms
    • DSS 1402 – CPS Structured Intake Form
    • DSS 1402ins – CPS Structured Intake Form Instructions
    • DSS 1403 - North Carolina Requirement to Notify Child Protective Services (CPS) of Substance Affected Infant

Related Content

Infant Plan of Safe Care
Place of Delivery
Care Coordination for Children (CC4C)
Prenatal Care
Substance Use Disorder Treatment
Additional Resources for Infant Plan of Safe Care

Infant Plan of Safe Care

  • Place of Delivery
  • Care Coordination for Children
  • Prenatal Care
  • Child Welfare
  • Substance Use Disorder Treatment
  • Additional Resources for Infant Plan of Safe Care

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https://www.ncdhhs.gov/divisions/mental-health-developmental-disabilities-and-substance-abuse/infant-plan-safe-care/child-welfare