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NASADAD AND NCSACW WITH SUPPORT FROM CSAT/SAMHSA AND ACYF Therapeutic Services for Children Whose Parents Receive Substance Use Disorder Treatment
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Mission Definition of therapeutic services What services are provided Criteria for receiving services Ensure that children have access
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Process NASADAD/NCSACW staff: Reviewed SAPT Block Grant FY 2009 Reports Requested information from the WSN listserv Nine case study States
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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
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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
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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
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Opportunities for Growth Fragmented systems and policies Roles Costs Gaps/Redundancies
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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
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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
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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)
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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
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Nevada Screening for FASD (all providers) Concentrates services in 2 locations Primarily by referral Collaborations to increase cost effectiveness
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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
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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
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Texas Electronic Health Records (EHRs) will track: What services Which children Electronic case files for each child Referrals documented
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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
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Washington Pregnant and Parenting Women’s Programs Therapeutic Child Care (TCC) Guidelines Defines TCC TCC Staff requirements Required to consult with CPS Funded entirely through Medicaid
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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
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Contact Information (WSNs)
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