DELETION: “Individual” vs. “Family” Safety Plan New FSFN Functionality Individual and family selection options deactivated Investigator only selects which CHANGE: children in the household the Safety Plan protects
Mr. Safety will weigh and record Baby Christmas’s weight every third day. A loss of more than 3 oz. will be reported to CPI Smith immediately.
LIMITATION: Only one “Individual” active plan New FSFN Functionality Up to two safety plans per child ADDITION: FSFN will now allow the creation of multiple plans when separate households are involved
Safety Plan for Survivor New FSFN Only Functionality (formerly confidential child safety plan) Safety Plan “Actions to Keep Child Safe” not shared with Safety Plan perpetrator of intimate violence
DELETION: Family Violence Threatens Child New FSFN Functionality ADDITION: Intimate Partner Violence Threatens Child Household Violence Threatens Child
Intimate Partner Violence • Includes the dynamics of establishing power, control or coercion perpetrated by one Household Violence intimate partner over another that includes actions that have caused, • Refers to situations in which or could cause, the child’s physical, household members engage in any mental or emotional health to be violent behavior that demonstrates a wanton disregard for a child’s significantly impaired. The volatility and lethality of this dynamic are safety and/or could reasonably differentiated from other types of result in injury to the child. family or household violence or aggression, and require a specific assessment.
DELETION: Failure to Thrive Malnutrition/Dehydration New FSFN Functionality ADDITION: Failure to Thrive/Malnutrition/Dehydration
Substance Misuse – Alcohol Substance Misuse – Illicit Drugs Substance Misuse – Prescription Drugs Substance Misuse Additional Maltreatment SUBSTANCE EXPOSED NEWBORN
Is a condition experienced by neonates exposed to opioids (prescribed or illicit) during 1 pregnancy. The infant may undergo withdrawal from these substances that manifests as excessive high-pitched crying, irritability, sleep-wake disturbances, alterations in infant tone and movement, feeding difficulties, or gastrointestinal disturbances, usually 1-3 days post- 2 delivery. 1 MedlinePlus [Internet]. Bethesda (MD): National Library of Medicine (U.S.); [reviewed 2012 Jan 27]. Neonatal Abstinence Syndrome; [reviewed 2012 Jan 27]. Available from: http://www.nlm.nih.gov/medlineplus/ency/article/007313.htm 2 Hudak ML, Tan RC, Committee On Drugs, Committee On Fetus and Newborn, American Academy of Pediatrics. Neonatal drug withdrawal. Pediatrics. Feb 2012;129(2):e540-560.
Public perception tends to be familiar with the dangers of illicit drug use (e.g., heroin) while not fully appreciating the potential for similar risks associated with prescription drugs. Investigators need to be aware, and inform families accordingly, that about 75% of new heroin 3 users first became addicted to prescription drugs . In 2015, more than 52,000 people died from a drug overdose in the United States, and of 4 those, over 33,000 (63.1%) involved an opioid (prescription or illicit). 3 Centers for Disease Control and Prevention. (2015). Today’s Heroin Epidemic: More People At Risk, Multiple Drugs Abuse . 4 Centers for Disease Control and Prevention. (2016). Increases in Drug and Opioid Overdose Deaths – United States, 2000-2014. Morbidity and Mortality Weekly Report, 64, 1378-1382.
Naloxone A nasal spray or injectable medication (brand names Narcan Nasal Spray, Evzio) used to reverse the life-threatening effects of opioid overdose (respiratory depression) usually within 2 to 3 minutes 4
• “In - Home” investigations only • Will be required upon first save and each subsequent save of the investigation • Only primary residence address types with an effective date active at the time of the investigation start date will populate the screen
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