Important Advancement for Notification of Substance Exposed Newborns

We’re shining a spotlight on an important advancement in caring for Colorado families affected by substance use during pregnancy. The Child Abuse Prevention and Treatment Act (CAPTA) requires states have policies and procedures to address the needs of substance exposed newborns. This includes a process for health care providers to notify child welfare of the occurrence of all such infants, which is different than a report of child abuse and neglect. Until now, Colorado has not had a way to separate notification from reporting, and health care providers have worried about reporting infants and their families to child welfare when they have not identified child maltreatment concerns. This can result in unnecessary involvement in the child welfare system and does not reflect a family-centered approach to prevention, treatment, and recovery.
A new Plans of Safe Care website includes the first-ever system in Colorado for hospitals to notify the state of a substance exposed newborn without making a report of child abuse. This website and the anonymous reporting mechanism, the Infants Exposed Prenatally to Substances (IEPS) Notification Portal, were developed by the Colorado Department of Human Services (CDHS), the agency tasked with implementing CAPTA requirements for Colorado. CDHS is collaborating with the Colorado Lab, the Colorado Hospital Substance Exposed Newborns Collaborative (CHoSEN), The Kempe Center for the Prevention and Treatment of Child Abuse and Neglect, and Illuminate Colorado to support a phased implementation of the notification portal among Colorado hospitals.
“This is a giant win for Colorado providers and families,” said Dr. Courtney Everson, Senior Project Director for the Colorado Lab. “Having a distinct notification pathway can alleviate the concerns health care providers have of reporting to child welfare when they have not identified safety concerns and reduce fears birth parents may have about seeking substance use treatment and family support services. The notification system allows the state to meet federal requirements and reflects best practices in using Plans of Safe Care to strengthen a family prenatally and reduce the need for child welfare involvement at birth.”
This work has been heavily supported by the Colorado Lab’s robust portfolio in prenatal substance use. Read more about this work and our contributions here, and for additional information please reach out to Dr. Courtney Everson.