A Plan of Safe Care (POSC) is a personalized resource list to help pregnant individuals and infants affected by substance use disorder. POSC lists possible referrals for support to provide for the safety and well-being of the birthing parent and infant.

Plans of safe care vary, but typically address:

• Basic needs like safe housing, food access, medical care, and mental health treatment
• Delivery and discharge plans
• Infant care needs
• Treatment programs, home visiting programs, or assistance with child welfare agency involvement

Your POSC Coordinator will:

• Develop holistic strategies and interventions to address the well-being of the family unit.
• Work with you to develop your personal support team and resources that meet your needs. 
• Introduce you to free programs for pregnant individuals and new parents.
• Guide you and your family within the program that would help you overcome substance use disorder.
• Give you encouragement and support the whole way.

Getting Started

If you are pregnant and want to establish a Plan of Safe Care, please contact us or inform your healthcare provider. In situations where a baby displays signs of withdrawal, ChildLine will be notified, and a Plan of Safe Care will be provided.

Frequently Asked Questions

What if I am taking medication prescribed by my health care provider?

Even if you are taking medicine as directed, you may be identified for a Plan of Safe Care due to your baby being affected by the medication, which may be detected through a positive drug test or withdrawal symptoms. Some medicines can result in babies being at higher risk for health complications. Many of these complications can be safely managed by your baby’s health care provider when the baby is born. DO NOT stop taking your medicine until you talk to your health care provider. Often, individuals need to continue their medicine while pregnant. Suddenly stopping a medicine intake may be riskier.

What if I am taking un-prescribed medications, illegal substances, or consuming alcohol during pregnancy?

Federal regulations protect the confidentiality of individuals who seek treatment for substance use disorders. All pregnant women and their families affected by Substance Use Disorder are entitled to affordable prevention and treatment services. This disorder is treatable. Treatment is safe and encouraged during pregnancy. If you want help, call your POSC coordinator. They will provide the support that you need.

What are the impacts of substances on my developing baby?

Prenatal exposure to a substance may affect your baby in many ways. For more information, ask your OB/GYN or health care provider.

Contact

Karla Cadilla, Senior Coordinator for Plans of Safe Care, kcadilla@ccmchc.org