Therapeutic Services for Children Whose Parents Receive Substance

Therapeutic Services for Children Whose Parents Receive Substance Use Disorder Treatment NASADAD AND NCSACW WITH SUPPORT FROM CSAT/SAMHSA AND ACYF

Mission �Definition of therapeutic services �What services are provided �Criteria for receiving services �Ensure that children have access

Process �NASADAD/NCSACW staff: Reviewed SAPT Block Grant FY 2009 Reports Requested Nine information from the WSN listserv case study States

Why Is This Study Important? �Special needs of children whose parents have SUDs High prevalence of FASD/SEN SUD treatment provides a unique opportunity to screen/ assess �Need to establish/improve coordination between systems �Federal Requirements SAPT CAPTA IDEA

What are Therapeutic Services? �Definitions vary across States �Defined through a variety of mechanisms �Services include: Screenings Early intervention/prevention Address physical, developmental, and emotional needs �Largely provided through referral �Formal and informal agency linkages �Evidence-based programs from N-REPP

Cost Effective Services �Services for children are expensive, require specialized skills Limited resources, strategic decisions Increased services through collaboration �Care coordination and case management are key

Opportunities for Growth �Fragmented systems and policies �Roles �Costs �Gaps/Redundancies

Case Study States �Colorado, Karen Mooney �Georgia, Angela Monette �Massachusetts, Karen Pressman �Nevada, Betsy Fedor �New Jersey, Christine Scalise �Oregon, Karen Wheeler �Texas, Natalie Furdek �Virginia, Martha Kurgans �Washington, Susan Green

Colorado �Evidenced based wraparound services for pregnant women and their infants 2 Treatment programs Facilitator, early childhood services Part C Agency and SSA Funded by Federal Children’s Bureau

Georgia �Therapeutic Child Care (TCC) Guidelines All residential providers Children up to age 12 receive TCC Services Describes goals, services, staffing requirements �Therapeutic Child Care Consultant TA and Training Clinical supervision Quarterly meetings with TCC providers Collaboration with Peach Partners (GA’s Early Childhood Comprehensive System Grant)

Massachusetts �Project BRIGHT SSA and Institute for Health and Recovery 8 RSS Programs Child-Parent Psychotherapy (0 -5) W. E. L. L. Child Curriculum (5+) Training RSS staff

Nevada �Screening for FASD (all providers) �Concentrates services in 2 locations �Primarily by referral �Collaborations to increase cost effectiveness

New Jersey � Joint Collaboration with Department of Children and Families, Division of Youth and Family Services SA Assessments, referrals, and linkages by CADC in Child Welfare Offices Monthly SA Consortia Meetings and Case Conferencing between Treatment Providers and Child Welfare � Specialized Substance Abuse Treatment Services for: All levels of care Pregnant women and women with Dependent children � Specialty Treatment Includes Gender Specific Substance Abuse Treatment Family Centered Treatment Trauma Informed-Trauma Specific Collaborates for substance exposed children Referrals

Oregon �Statewide Incentive Grant (SIG) for comprehensive services for children �Statewide Children’s Wraparound Initiative Create system of care model Create referral and assessment protocols MOUs to link “all child serving partners” Define roles and increase collaboration � Starting Early Starting Smart Integrating services and care coordination

Texas �Electronic Health Records (EHRs) will track: What services Which children Electronic case files for each child Referrals documented

Virginia �Project LINK ID community specific challenges and resources Overseen by Community Advisory Board Home Visiting Program Intensive case management Bi-monthly meetings Cross site mentoring

Washington �Pregnant and Parenting Women’s Programs �Therapeutic Child Care (TCC) Guidelines Defines TCC Staff requirements �Required to consult with CPS �Funded entirely through Medicaid

Acknowledgements �Thanks to the State employees who volunteered to be interviewed �Special thanks to the WSNs who presented �This session would not have been possible without the support of CSAT and NCSACW

Contact Information �(WSNs)