Plans of Safe Care (POSC)

A Plan of Safe Care must be developed for all infants affected by prenatal drug or fetal alcohol exposure in order to support  pregnant/parenting people , infants and their families per federal [1] and state requirements. A Plan of Safe Care is a critical tool – not only for every infant born exposed to prenatal substance exposure but for all  pregnant/parenting people and their infants. Developed collaboratively with the  pregnant/parenting person , a Plan of Safe Care coordinates existing supports and referrals to new services to help infants and families stay supported and connected when they leave the hospital.

[1] 2016 Comprehensive Addiction and Recovery Act, amending the Child Abuse Prevention and Treatment Act

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Questions about Plans of Safe Care? Please email:


Learning Opportunities


  • April 8: Best Practices for Caring for Infants and Families Affected by Perinatal Substance UsePresentation Slides



POSC Summit Pictures provided by the New Hampshire Charitable Foundation.
Plan of Safe Care efforts have been led by the Perinatal Substance Exposure Task Force of the NH Governor’s Commission on Alcohol and other Drugs with lead support from JSI Research & Training Institute, Inc. / Community Health Institute / NH Center for Excellence and other partnering agencies including the NH Department of Health and Human Services, Division of Public Health Services, Division for Children, Youth and Families, Bureau of Drug and Alcohol Services, UNH School of Law / Institute for Health Policy and Practice and Dartmouth-Hitchcock Medical Center. Activities have been sponsored by the NH Charitable Foundation. 
Additional Governor’s Commission materials are available in the Resource Library. For further information or to request a printed copy of a Governor’s Commission Report, please Contact Us.