A Plan of Safe Care must be developed for all infants affected by prenatal drug or fetal alcohol exposure in order to support mothers, babies and their families per federal requirements [1]. In 2018, legislation was passed in New Hampshire to ensure compliance with this federal law. A Plan of Safe Care is a critical tool – not only for every infant born exposed to substances but for all mothers and their infants. Plans of Safe Care foster coordination of services and supports to help mothers and their infants stay safe and connected when they leave the hospital.

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

Questions about Plans of Safe Care? Please email: 2019POSC@gmail.com

POSC Information & Resources

Optimizing Care for Mothers & Babies Affected by Prenatal Substance Exposure: Summit to Address Plans of Safe Care in New Hampshire ~ January 29, 2019

Presentation Slides*:
Perinatal Substance Use: Motivating RecoveryDavida Schiff, MD, MSc, Massachusetts General Hospital – HOPE Clinic
Overview of NH Statistics & Data Collection EffortsDavid Laflamme, PHD, MPH, NH DHHS, Division of Public Health Services Maternal & Child Health, UNH School of Law /Institute for Health Policy & Practice
POSC: A Patient-Centered and Multi-Disciplinary Tool for Healthy OutcomesLucy Hodder, JD, UNH School of Law /Institute for Health Policy & Practice

*Slides may be adapted but must acknowledge presenter name and institution.

Case Scenario Materials:
Participant Handouts: Case 1, Case 2, Case 3
Panel Discussion Questions & Talking Points: Case 1, Case 2, Case 3


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.