Post on 20-Jan-2018
description
NASADAD AND NCSACW WITH SUPPORT FROM
CSAT/SAMHSA AND ACYF
Therapeutic Services for Children Whose Parents Receive Substance
Use Disorder Treatment
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 information from the WSN listserv
Nine 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/
assessNeed to establish/improve coordination between
systems Federal Requirements
SAPT CAPTA IDEA
What are Therapeutic Services?
Definitions vary across StatesDefined through a variety of mechanismsServices include:
Screenings Early intervention/prevention Address physical, developmental, and emotional needs
Largely provided through referralFormal 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 policiesRolesCostsGaps/Redundancies
Case Study States
Colorado, Karen MooneyGeorgia, Angela MonetteMassachusetts, Karen PressmanNevada, Betsy FedorNew Jersey, Christine ScaliseOregon, Karen WheelerTexas, Natalie FurdekVirginia, Martha KurgansWashington, 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 ProgramsTherapeutic Child Care (TCC) Guidelines
Defines TCC TCC Staff requirements
Required to consult with CPSFunded 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)