Todays Agenda National Center on Substance Abuse and Child Welfares - PowerPoint PPT Presentation

Today’s Agenda National Center on Substance Abuse and Child Welfare’s model of SAFERR, Screening and Assessment for Family Engagement, Retention and Recovery Questions and Answers Washington State’s pilot testing of the UNCOPE Questions and Answers Washington State’s transition to cross-system implementation of the GAIN SS Questions and Answers Wrap up 1

A Program of the Substance Abuse and Mental Health Services Administration Center for Substance Abuse Treatment and the Administration on Children, Youth and Families Children’s Bureau Office on Child Abuse and Neglect 4940 Irvine Blvd., Suite 202 714.505.3525 Irvine, CA 92620 www.ncsacw.samhsa.gov ncsacw@cffutures.org

NCSACW Online Training Understanding Child Welfare and the Dependency Court: A Guide for Substance Abuse Treatment Professionals Understanding Substance Use Disorders, Treatment and Family Recovery: A Guide for Child Welfare Professionals Understanding Substance Use Disorders, Treatment and Family Recovery: A Guide for Legal Professionals ( Fall 2007 ) 3

Screening and Assessment for Family Engagement, Retention and Recovery – SAFERR Guidance for States and Communities Serving Families with Substance Use Disorders in Child Welfare Services and Dependency Courts

SAFERR is based on the premise that when parents misuse substances and maltreat their children, the only way to make sound decisions is to draw from the talents and resources of at least three systems: child welfare, alcohol and drugs, and the courts.

Principles  The problems of child maltreatment and substance use disorders demand urgent attention and the highest possible standards of practice from everyone working in systems charged with promoting child safety and family well-being.  Success is possible and feasible. Staff in child welfare, substance abuse, and court systems have the desire and potential to change individual lives and create responsible public policies.  Family members are active partners and participants in addressing these urgent problems.

Principles  The problems of child maltreatment and substance use disorders demand urgent attention and the highest possible standards of practice from everyone working in systems charged with promoting child safety and family well-being.  Success is possible and feasible. Staff in child welfare, substance abuse, and court systems have the desire and potential to change individual lives and create responsible public policies.  Family members are active partners and participants in addressing these urgent problems.

Premises 1. The team is the tool, and people, not tools, make decisions 2. The family is the focus of concern 3. Problems don’t come in discrete packages; they are jumbled together 4. Assessment is not a one-person responsibility

Premises 5. Information is limited, and there is no research- based answer 6. There is no time to lose 7. ICWA creates specific guidelines for working with American Indian populations 8. Developing and sustaining effective collaborations is hard work

Organization of SAFERR I. Building Cross-System Collaboration  Creating the structure to create and sustain change II. Collaboration Within and Across Systems  What each system needs to know about itself and its partners III. Collaboration in Action: Working Together on the Front Line  Presents activities that create cross-system practice changes

Organization of SAFERR Facilitator’s Guide A.  Templates and exercises B. Fact Sheets  To educate administrators, legislators and stakeholders about the initiative Understanding the Needs of Children C. Screening and Assessment Tools for D. Substance Use Disorders

Organization of SAFERR Appendices Substance Use, Abuse, Dependence E. Continuum, and Principles of Effective Treatment Safety and Risk Assessments for Use by Child F. Welfare Staff G. Sharing Confidential Information Glossary of Terms H. Guide to Compliance with the Indian Child I. Welfare Act (ICWA)

Assessment is a Process Assessment happens along a continuum to determine:  Presence and Immediacy  Is there an issue present?  What is the immediacy of the issue?

Assessment is a Process Assessment happens along a continuum to determine:  Presence and Immediacy Is there an issue present? What is the immediacy of the issue?  Nature and Extent  What is the nature of the issue?  What is the extent of the issue?

Assessment is a Process Assessment happens along a continuum to determine:  Presence and Immediacy Is there an issue present? What is the immediacy of the issue?  Nature and Extent What is the nature of the issue? What is the extent of the issue?  Developing & Monitoring Change, Transitions & Outcomes of Treatment and Case Plans  What is the response to the issue?  Are there demonstrable changes in the issue?  Is the family ready for transition?  Did the Interventions Work?

Definitions of Terms and Processes AOD Services CWS Services Court Services  Screen  Child Abuse Is there an issue? Report

Definitions of Terms and Processes AOD Services CWS Services Court Services  Screen  Child Abuse Is there an issue? Report  Immediate  In-Person  Preliminary What is the immediacy Need Triage Safety Protective of the Assessment Hearing issue?

Definitions of Terms and Processes AOD Services CWS Services Court Services  Screen  Child Abuse Is there an issue? Report  Immediate  In-Person  Preliminary What is the immediacy Need Triage Safety Protective of the Assessment Hearing issue?  Diagnosis  In-Person  Court What is the Response/ Findings nature of the issue? Risk Assessment

Definitions of Terms and Processes AOD Services CWS Services Court Services  Screen  Child Abuse Is there an issue? Report  Immediate  In-Person  Preliminary What is the immediacy Need Triage Safety Protective of the Assessment Hearing issue?  Diagnosis  In-Person  Court What is the Response/ Findings nature of the issue? Risk Assessment  Multi-  Family  Petition Filed; What is the extent of Dimensional assessment Preliminary the issue? Assessment Protective Hearing

AOD Services CWS Services Court Services  Treatment  Case Plan  Adjudication/ What is the Plan Dispositional Response? Hearing; Court-ordered Case Plan

AOD Services CWS Services Court Services  Treatment  Case Plan  Adjudication/ What is the Plan Dispositional Response? Hearing; Court-ordered Case Plan Is there  Treatment  Case Plan  Court Review demonstra- Monitoring Monitoring Hearings ble change?

AOD Services CWS Services Court Services  Treatment  Case Plan  Adjudication/ What is the Plan Dispositional Response? Hearing; Court-ordered Case Plan Is there  Treatment  Case Plan  Court Review demonstra- Monitoring Monitoring Hearings ble change?  Transition  Permanency  Permanency Is family Planning Determination Hearing ready for transition?

AOD Services CWS Services Court Services  Treatment  Case Plan  Adjudication/ What is the Plan Dispositional Response? Hearing; Court-ordered Case Plan Is there  Treatment  Case Plan  Court Review demonstra- Monitoring Monitoring Hearings ble change? Is family  Transition  Permanency  Permanency ready for Planning Determination Hearing transition?  Recovery  Family Well  Case Closed What is to happen after Management Being discharge?

AOD Services CWS Services Court Services  Treatment  Case Plan  Adjudication/ What is the Plan Dispositional Response? Hearing; Court-ordered Case Plan Is there  Treatment  Case Plan  Court Review demonstra- Monitoring Monitoring Hearings ble change? Is family  Transition  Permanency  Permanency ready for Planning Determination Hearing transition?  Recovery  Family Well  Case Closed What is to happen after Management Being discharge?  Outcome  Outcome  Outcome Did the intervention Monitoring Monitoring Monitoring work?

Assessment Information must be Communicated Assessment happens along a continuum to determine:  Presence and Immediacy Is there an issue present? What is the immediacy of the issue?  Nature and Extent What is the nature of the issue? What is the extent of the issue?  Developing & Monitoring Change, Transitions & Outcomes of Treatment and Case Plans  What is the response to the issue?  Are there demonstrable changes in the issue?  Is the family ready for transition?  Did the Interventions Work?

The SAFERR Model Development Establishes Identifies Individual Builds Cross Front-Line and System Collaborative Cross System Collaboration Practice Roles and Responsibilities Establishes and Monitors Individual and Cross-System Outcomes

The SAFERR Model Development Establishes Identifies Individual Builds Cross Front-Line and System Collaborative Cross System Collaboration Practice Roles and Responsibilities Establishes and Monitors Individual and Cross-System Outcomes