1. Amethyst, Inc. Amethyst exists to nurture and sustain healthy women and families. We have been providing gender specific and trauma informed alcohol, tobacco and and other drug treatment, transitional and permanent supportive housing services to homeless women and their children since 1983

2. Amethyst Program Philosophy Client focused treatment, program design and evaluation through clustering Blending treatment and housing components to provide the time and resources necessary for meaningful life changes Gender specific, trauma informed treatment to create an environment where women and children are welcomed.

3. Treatment Model Alcohol and Drug Treatment –Orientation –Entry Level –RSvP/RIP –Four levels of Care –Transitional Housing –Permanent Supportive Housing

4. Treatment Model Additional clinical services include: –FamilyQuest, SummerQuest and KidsQuest –Spirituality –Cultural Exploration –Art Therapy

5. Treatment Model Trauma Services –Trauma Counselors (2) EMDR –Crisis Counselor –Transition Counselor

6. Client Services Case management Education and employment Life skills development Physical health Reunification

7. Continuous Quality Improvement Goal Sheets Organizational Culture Evaluation Quarterly Client Satisfaction Surveys Consumer input

8. Amethyst Housing Transitional (RSvP/RIP) –13 one and two bedroom units On site Resident Manager Permanent Supportive: –77 one and two bedroom units –18 one bedroom units On site Resident Manager –Scattered sites

9. RSvP Program Components Daily exercise, relaxation, leisure Child care, after school activities Transportation Staff and peer support 24 hours a day, seven days a week

10. RIP Program Components Return to intensive level of care Crisis counseling Relapse autopsy Relapse prevention planning Nutrition, exercise

11. RIP Program Components Return to intensive level of care Crisis counseling Relapse autopsy Relapse prevention planning Nutrition, exercise

12. Amethyst Facts In 2005: –145 women and 83 children lived in Amethyst permanent supportive housing –Average length of stay is 30 months –Average age of client is 40 –100% of the women were homeless and chronic substance abusers

13. Amethyst Facts 84% of the women in the program had co- existing mental health issues 94% of the women in the program had trauma issues 4% of the women in the program were HIV+

14. Amethyst Facts In 2005: –92% maintained sobriety throughout participation in the program –65% maintained sobriety for more than one year –80% maintained sobriety for six months or more

15. Amethyst Facts 66% participated in education/employment training 35% volunteered in the community 19% were working full or part time jobs 96% of those working maintained employment for six or more months

16. Amethyst Facts 100% of the women had no new contacts with the criminal justice system AND……. 11 Families were reunited with 14 children returning to their mothers from foster care An additional 26 women were in process of reunifying with 46 children 3 babies were born drug-free

17. Amethyst Fiscal Year 2005

18. Cluster Planning and Outcome Management (Women) MORE MATURE WOMEN WHO ABUSE CRACK WOMEN ADDICTED TO PRESCRIPTION DRUGS SUBSTANCE ABUSERS WITH MORE SEVERE MENTAL HEALTH PROBLEMS YOUNGER ADULT WOMEN ADDICTED TO CRACK COCAINE MORE MATURE WOMEN WHO ABUSE ALCOHOL

19. Cluster Planning and Outcome Management (Children) CHILDREN AND ADOLECENTS WHO HAVE ADHD OR OTHER NEUROBEHAVIORAL CONDITIONS CHILDREN AND ADOLESCENT S WITH SERIOUS BEHAVIOR PROBLEMS CHILDREN AND ADOLESCENTS WHO ARE DEPRESSED AND/OR SUICIDAL CHILDREN AND ADOLESCENTS WHO HAVE BEEN SEXUALLY, PHYSICALLY OR EMOTIONALLY ABUSED

20. Cluster Planning and Outcome Management (Children) WITNESSES OF CHRONIC TRAUMA CHILDREN AND ADOLESCENT S WITH SUBSTANCE ABUSE ISSUES ANXIOUS CHILDREN INFANTS AND TODDLERS WITH EARLY DEVELOPMEN TAL AND BEHAVIORAL DIFFICULTIES

21. Amethyst Treatment Model Levels of Care

22. Amethyst Treatment Models Level One Level Two Level Two-B Level Three Level Four Aftercare

23. Level One Relapse Triggers and Prevention Plans Budgeting and Financial Planning Volunteer Work Experience Case Management/Life Skills Development Cluster Groups

24. Level Two Adult Children of Dysfunctional Families Anger, Guilt, Shame and Grief Negative Messages, Negative Attitudes Assertiveness Career exploration

25. Level Two Art Therapy Abuse Issues Parenting Budgeting Spirituality

26. Levels Three and Four School Work Day and evening schedules Economic independence Homeownership

27. FamilyQuest Orientation for Families and Children Child and Family Assessments Medication Assessments and Monitoring Treatment Planning Children’s Groups Individual Counseling For Children Family Counseling Evidence-Based Parenting Classes Assigned by Cluster Home Visits Crisis Intervention and Support Treatment Team Meetings Coordination with collateral service providers and systems Transportation SummerQuest

28. Trauma Specific Outcomes For All Women’s Clusters Understanding and Acceptance of Trauma Toxic Shame Interference From Post Traumatic Stress Responses Ability to Deal with Transitions

29. Results Successful family cohesion Retention of women in treatment Breaking the cycle of addiction and trauma Prevention of children and families from replicating the harmful behaviors that have been passed down Reduction in the problematic use and harmful effects of alcohol and other drugs Reduction in the rate of and generational cycle of violence Reduction in the number of families involved with protective services Reduction in criminal justice contacts for both women and children Improved education, employment and income for participants