1. S.T.A.R.T. Cuyahoga County Department of Children and Family Services Sobriety Treatment and Recovery Teams

2. MISSION To protect children born exposed to drugs from abuse and neglect by empowering families to utilize intensive case management services with the support of the community and treatment providers, while achieving permanency for children.

3. GOALS To Keep Children Safe To Develop a Safe, Nurturing, Stable and Timely Living Situation for Children Born Exposed to Drugs To Help Drug Addicted Parents Overcome Their Drug Problems

4. Resources and Program Structure Case Identification Participant Requirements Internal Resources Developing a Provider Relationship Service Agreements Tenets Accountability Program Evaluation

5. Substance of Choice for S.T.A.R.T. Clients 2001-2003

6. Trends in Substance of Choice for S.T.A.R.T. Clients 2001-2003

7. Substance of Choice for Women in Cuyahoga County

8. S.T.A.R.T. Clients Between 2/21/1997 and 12/31/03 S.T.A.R.T. Served 1293 Clients Number of START episodes per mom 1 episode = 94.8% 2 episodes = 4.9% 3 episodes =.2%

9. S.T.A.R.T. Clients Profile Race 76% African American Age at Referral: 7% less than 18 years old 44% between 21 and 29 years old 49% over 30 years old

10. History of Abuse/Neglect 33% of S.T.A.R.T. mothers were child victims of abuse and/or neglect

11. Relapses 44% of the S.T.A.R.T. Moms Suffer Relapse