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4430 Child Safety Issues

4431 Prenatal Drug or Alcohol Exposure

SWI Policy and Procedures December 2010

If a newborn tests positive for drugs or alcohol or the newborn has experienced physical harm due to mother’s drug or alcohol use, the intake specialist completes a P1 intake with an allegation of physical abuse (PHAB).

If a mother tests positive for drugs or alcohol at the time of the child’s birth, but the child does not test positive or show any effects due to the mother’s use, the intake specialist completes a P1 with an allegation of neglectful supervision (NSUP).

If information is received that alleges a mother used drugs or alcohol during her pregnancy, but the mother and newborn tested negative at the time of the birth and there was no information that the newborn experienced physical harm due to mother’s use, the intake specialist assesses if the report meets the criteria for an intake. The intake specialist's assessment should include the nature and extent of the mother’s use of drugs or alcohol and the mother’s ability to provide a safe environment for the newborn and any other children in the household. If there are safety issues identified, the intake specialist completes a CPS NSUP intake. Priority (P1 or P2) is based on current safety issues.

4431.1 Drug or Alcohol Use During Pregnancy (Unborn Child)

SWI Policy and Procedures May 2015

If a woman is alleged to be using drugs or alcohol during her pregnancy or tests positive during the pregnancy, the intake specialist assesses whether there are current safety issues to other children in the home. The intake specialist’s assessment should include the nature and extent of the mother’s use of drugs or alcohol.

If there are other children in the home, the intake specialist assesses whether there are allegations of abuse or neglect to these children. If there is an allegation, the intake specialist completes an intake, listing the children in the home as victims. The unborn child is not listed on the Person List, but the intake specialist addresses concerns about the unborn child in the intake Narrative.

The intake specialist completes a CRSR – Request for Local Public Service if:

  •  there are no current allegations regarding the children in the home or there are no other children in the home; and

  •  a professional reporter (typically law enforcement, medical, or casework staff) is requesting CPS assistance; and

  •  the mother will deliver in the near future.

The unborn child is not included on the Person List. A CRSR should not be completed if the woman is early in the pregnancy.

See:

4300 CPS Assessment of Priority and Risk

2322 Case-Related Special Requests

3710 Case-Related Special Requests

4810 Types of Case-Related Special Requests (CRSRs) Entered by SWI

The intake specialist completes an I&R – Clearly Not Reportable when a reporter is concerned about an unborn child and those concerns do not present current safety threats to other children in the home. See:

2323 Information & Referrals

3600 Processing an Information and Referral (I&R)

I&R and CRSR Types and Requirements

4431.2 Miscarriage or Fetal Demise

SWI Policy and Procedures December 2010

If it is reported that a woman had a miscarriage or fetal demise and it is suspected that the cause is related to drug or alcohol use or the woman was positive for drugs at the time of the miscarriage or demise, a child death intake is not warranted since there was not a live birth.

If there are other children in the home, the intake specialist assesses whether there are allegations of abuse or neglect to these children. If there is an allegation, the intake specialist completes an intake, listing the children in the home as victims. The child who died before birth is not listed on the Person List, but the intake specialist addresses concerns about the child in the narrative.

See 4300 CPS Assessment of Priority.

If there are no other children in the home, the intake specialist completes an I&R “Clearly Not Reportable.” See:

2323 Information & Referrals

3600 Processing an Information and Referral (I&R)

I&R and CRSR Types and Requirements

4432 Mother With AIDS or HIV Is Breastfeeding

SWI Policy and Procedures April 2009

If a mother with AIDS or HIV is breastfeeding, the intake specialist completes a P1 intake with an allegation of neglectful supervision (NSUP). Information regarding the mother’s diagnosis of AIDS, HIV, or other illnesses is documented in the Narrative.

4433 Refusal of Medical Treatment Based on Religious Beliefs

SWI Policy and Procedures April 2008

If a parent refuses to consent to medical treatment for a child based on religious beliefs and the child is at substantial risk of harm, the intake specialist completes an intake with an allegation of medical neglect (MDNG).

If a blood transfusion or other life-sustaining medical treatment is needed within 24 hours, the intake is completed as a P1.

If the birth of a child is expected within 24 hours and a blood transfusion or other life sustaining medical treatment will be necessary after birth, the intake is completed as a P1 needing immediate response.

The priority of other situations involving medical neglect is assessed based on the severity of the risk to the child’s health.

4434 Risk to a Child Exposed to a Methamphetamine Lab

SWI Policy and Procedures April 2008

When a child is alleged to be exposed to methamphetamine manufacturing (commonly known as meth labs), the intake specialist generates an intake.

Prioritization

When a law enforcement (LE) official or an LE representative (such as victim services) informs SWI that police are at a home or are planning to respond to a home where methamphetamines are being manufactured and children are present, the intake specialist generates a Priority 1 intake.

When a reporter other than law enforcement reports that methamphetamines are suspected to be manufactured in the home, the intake specialist obtains detailed information about:

  ·  the location of the lab in the home;

  ·  when and how often the drug is being made;

  ·  where the chemicals are stored;

  ·  whether there is a chemical odor in the home; and

  ·  whether children have access to the chemicals or processing equipment.

If the information appears to be credible regarding a meth lab in the home, the intake specialist generates a Priority 1 intake.

If the reporter has only a suspicion of a laboratory in the home and has no specific details, the intake specialist assesses the priority based on all the risk factors.

Special Handling

If the report meets the requirement for special handling (see 2311 Special Handling Reports), the intake specialist:

  ·  marks the Special Handling check box; and

  ·  documents brief comments, such as the location of the lab, in the Special Handling section on the Intake Actions page (the intake specialist enters the details in the Narrative, rather than in the Comment box).

4435 Processing Intakes Assigned a Priority of N (PNs)

SWI Policy and Procedures March 2015

Intake Specialist’s Actions

In the Conclusion section of the narrative, the intake specialist documents the Assessment Statement, which indicates the program, allegations, and priority, followed by a narrative conclusion.

On the Intake Actions page, the intake specialist:

  •   chooses the priority of PN;

  •   clicks the Assign PN button located to the right of the Priority dropdown box on the Intake Action page; and

  •   selects the appropriate Closure Code from the dropdown menu.

The intake specialist saves and assigns the PN to the designated SWI workload following regular procedures. If an intake specialist accidentally saves and submits a PN, a supervisor is contacted to correct the error.

See:

2311 Special Handling Reports

4300 CPS Assessment of Priority

4436 Protective Service Alerts (PSA)

SWI Policy and Procedures May 2015

Protective Service Alerts (PSAs) are notifications from child protective agencies outside the State of Texas. The families referenced in the notifications are under investigation, but currently have no known address. IMPACT allows the identifying information of these families to be added to our database in the form of a CPS Case Related Special Request (CRSR) and the special request type is CRSR – Protective Services Alert.

PSAs arrive primarily as written correspondence, but may arrive by phone or by Internet report. When a PSA is received the intake specialist searches each family member in IMPACT for history.

Match is Found

If a match is found and reveals an open DFPS case, the PSA is entered as an I&R – Call regarding existing case and saved and assigned to the routing coordinator per routing instructions.

Match is Not Found

If a match is not found, the PSA information is entered as a CRSR. The Program Type is CPS, and the Special Rqst Type is Protective Service Alert.

The family should be entered on the Person List as principals with NO role. All identifying and demographic information that is provided by the reporter should be included on the Call Person Detail page. The person sending the PSA to SWI is the reporter. All other provided information should be documented in the narrative. From the Intake Actions page, the CRSR should be saved and submitted to the designated workload following existing procedures.

See Manual Assignment Chart.

Support staff who discover incomplete CRSRs in the process of performing their duties  request assistance from an intake supervisor or worker V.

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