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Effective Strategies to Support
Families through Reunification
Improving
Family Drug Courts
Family
Strengthening Outcomes
Partnerships
Phil Breitenbucher, MSW
Alexis Balkey, BA, RAS
June 2, 2016 | NADCP
Acknowledgement
This presentation is supported by:
Strengthening
Partnerships
Improving
Family
Outcomes
Substance Abuse and Mental Health Services
Administration
Center for Substance Abuse Treatment
and the
Administration on Children, Youth and Families
Children’s Bureau
Office on Child Abuse and Neglect
Points of view or opinions expressed in this presentation are those of the
presenter(s) and do not necessarily represent the official position or
policies of the above stated federal agencies.
Learning Objectives
Strengthening
Partnerships
Improving
Family
Outcomes
•
Understand the impact of parental substance use on
the parent-child relationship and the essential service
components needed to address these issues.
•
Understand family readiness as a collaborative
practice issue and why “team” is just as important as
any “tool” for assessing readiness.
•
Learn various case management strategies, including
implementation of quality visitation and contact,
evidence-based services, coordinated case plans and
effective communication protocols across child
welfare, treatment and court systems.
FDC Practice Improvements
Approaches to child well-being in FDCs have changed
In the
context of
parent’s
recovery
Child-focused
assessments
and services
Familycentered
Treatment
(includes
parent-child
dyad)
Sacramento County, CAM Project, Children in Focus (CIF)
Across all FDC programs, Sacramento is getting ready to admit its 5,000th parent!
FDC
CIF
• Dependency Drug
Court (DDC) - Post-File
• Early Intervention
Family Drug Court
(EIFDC) - Pre-File
Parent-child
parenting
intervention
Connections
to community
supports
Improved
outcomes
Sacramento County, CAM Project, Children in Focus (CIF)
100
Treatment Completion Rates
90
80
64.3
70
60
50
53.7
49.2
44
40
30
20
10
0
DDC
CIF
EIFDC
CIF
Sacramento County, CAM Project, Children in Focus (CIF)
Rate of Positive Court Discharge/Graduate
100
90
80
64.4
70
60
50
50.3
41.8
34
40
30
20
10
DDC
0
CIF
EIFDC
CIF
Sacramento County, CAM Project, Children in Focus (CIF)
Remained at Home
100
98
95.1
96
94
92
90
89.9
88
86
84
EIFDC
CIF
Sacramento County, CAM Project, Children in Focus (CIF)
Reunification Rates
97
100
90
87.8
94.9
85.1
80
70
60
53.1
50
40
SAC
30
20
10
0
DDC
CIF
EIFDC
CIF
COUNTY
Sacramento County, CAM Project, Children in Focus (CIF)
No Recurrence of Maltreatment at 12 Months
100
97.9
98
95.7
96
95.6
94
92
90.2
90
88.7
88
SAC
86
84
82
DDC
CIF
EIFDC
CIF
COUNTY
Sacramento County, CAM Project, Children in Focus (CIF)
No Re-Entry at 12 Months
100
100
100
98
96
94
91.8
92
90
89.6
87.7
88
SAC
86
84
82
80
DDC
CIF
EIFDC
CIF
COUNTY
Improvements in Family Functioning – North Carolina Family Assessment Scale G+R
(NCFAS G+R) Overall Domain Items
Proportion of Families Rated a Mild/Clear Strength at Intake and Discharge
42.7%
Child Well-Being (n=89)
60.7%
43.4%
Caregiver/Child Ambivalence* (n=76)
60.5%
31.4%
Family Safety (n=86)
55.8%
Intake
28.4%
Family Interactions (n=88)
51.1%
Discharge
18.6%
Readiness for Reunification* (n=70)
42.9%
17.6%
Parental Capabilities (n=85)
38.8%
12.6%
Self-Sufficiency (n=87)
25.3%
0%
10%
20%
30%
40%
50%
60%
70%
*For reunification cases only. Caregiver/Child Ambivalence addresses the child’s and caregiver’s desire to reunite and the nature of their relationship with one another.
Improvements in Family Functioning – North Carolina Family Assessment Scale G+R
(NCFAS G+R) Selected Individual Items
Proportion of Families Rated a Mild/Clear Strength at Intake and Discharge
52.3%
Child's Relationship with Parent (n=88)
69.3%
45.1%
Bonding with Child (n=91)
61.5%
39.3%
Communication with Child (n=89)
56.2%
32.8%
Parent Understands Child's Needs (n=67)
55.2%
14.9%
Child Neglect (n=87)
49.4%
28.1%
Disrupted Attachment (n=63)
46.9%
22.5%
Supervision of Children (n=89)
46.1%
5.7%
Parent Alcohol/Drug Use (n=88)
34.1%
10.8%
Resolve CPS Risk Factors (n=74)
33.8%
0%
10%
20%
30%
40%
50%
60%
70%
80%
New Ways of
Serving Children in
Family Drug Courts
Lessons Learned and
Case Studies from the
Children Affected by
Methamphetamines
Grant Program
#5
Develop an Early Identification and
Assessment Process
FDCs identify participants early in the dependency case process,
use screening and assessment to determine the
needs and strengths of parents, children and families and identify
the most appropriate treatments and other services
based on these needs and strengths.
Key Component 3: Early identification and immediate placement
Screening: Is substance use a factor in the case?
• Generally results in a “yes” or “no”
• Determines whether a more in-depth assessment is needed
• Standardized set of questions to determine the risk or
probability of an issue
• Brief and easy to administer, orally or written
• Can be administered by a broad range of people, including those
with little clinical expertise
https://www.ncsacw.samhsa.gov/resources/SAFERR.aspx
4 Prong – Screening




Tool
Signs & symptoms
Corroborating reports
Drug screen
One
Yes
Proceed to
assessment
Tool Examples
• GAIN-SS (Global Appraisal of Individual Needs Short
Screener): Composed of 23 items to be completed by the
client or staff and designed to be completed in 5 minutes
• UNCOPE: 6-item screen designed to identify alcohol and/or
drug substance use and designed to be completed in 2
minutes.
• CAGE: 4-item screen designed to identify alcohol and/or
drug substance use and designed to be completed in 2
minutes.
https://www.ncsacw.samhsa.gov/resources/SAFERR.aspx
UNCOPE
• 6-item screen
• Designed to be completed in 2 minutes and requires less than 1
minute to score
• Based on the DSM-IV diagnostic criteria for substance use
disorders
• Can be administered by the Emergency Response worker or
embedded into the standard risk-assessment tool/protocol, etc.
• For more information, see www.evinceassessment.com
UNCOPE
U
Have you spent more time drinking /using than intended?
(unintended use)
N
Have you neglected usual responsibilities because of
using?
Have you ever wanted to cut down on drinking/using?
C
O
P
E
Has anyone objected to your drinking/use?
Have you found yourself thinking a lot about
drinking/use? (preoccupied)
Have you ever used to relieved emotional distress, such
as sadness, anger, or boredom?
UNCOPE
Substance
Sensitivity
Specificity
Score of 2+ items indicates
need for referral for
assessment
Proportion of individuals
(true positives) correctly
identified as being positive
for substance use disorders
Proportion of individuals
(true negatives) correctly
identified as being negative
for substance use disorders
Alcohol
91.2%
95.7%
Cannabis
91.4%
96.4%
Cocaine
96.2%
99.0%
70
PARENTAL AOD AS REASON FOR REMOVAL IN THE US
1998 - 2013
60
50
PERCENT
40
30
U.S. National
20
18.5
10
19.6
21.6
15.8
22.7
23.4
24.9
26.1
26.3
25.8
26.1
28.4
29.3
30.5
31
Great variability across states ranging from <10% to over 60%
Source: AFCARS Data, 2013
0
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
Source: AFCARS Data Files
2013
Signs &
Symptoms
• Physical
• Behavioral
• Psychological
Corroborating
Reports
• Police
• CWS
• Hospital
Drug Testing
• Drug testing is most frequently used
indicator for substance use in CWS
practice
• Test results may influence decisions on
child removal, reunification and
Termination of Parental Rights
• Courts often order drug testing as a
standard protocol for parents in the
child welfare system
• Lack of standardized recommendations
for drug testing in child welfare practice
http://www.ncsacw.samhsa.gov/files/DrugTestinginChildWelfare.pdf
What Questions Can Drug Testing
Answer? …& What Can it Not?
• Whether an individual has used a tested substance within a
detectable time frame
• A drug test alone cannot determine the existence or absence of a
substance use disorder
• The severity of an individual’s substance use disorder
• Whether a child is safe
• The parenting capacity and skills of the caregiver
Resource: Drug Testing in
Child Welfare: Practice and
Policy Considerations
To download a copy, please visit:
http://www.ncsacw.samhsa.gov/files/DrugTestinginChildWelfare.pdf
Questions to Consider with a Screening Protocol?
•
•
•
•
•
•
•
•
•
•
Who is your target population?
‒ Universal or Specific Segment
‒ Screening In vs. Screening Out
Does your program address other issues that families are experiencing?
What happens with positive screen?
How are referrals made for further assessment?
How is information communicated with parents? With treatment providers? Are
appropriate consents in place and consistently signed?
Do providers accept the screening results?
What follow-up exists with parents? With treatment providers?
Do you screen only when child safety is an issue?
Are some “substances” a greater concern than others?
What training and support do staff who are conducting the screening need to feel
comfortable/confident asking these questions?
4 Prong – Screening




Tool
Signs & symptoms
Corroborating reports
Drug screen
One
Yes
Proceed to
assessment
Assessment: What is the nature and extent
of the substance use issue?
• Process of information gathering to diagnosis
and determine treatment needs
• Multidimensional assessment: Standardized
set of questions on an individual’s functioning,
needs, and strengths to determine the level of
care and needed services
• Conducted by trained clinicians
Diagnosing Substance Use Disorders
DSM V
Experimental Use
NO USE
USE/MISUSE
MILD
MODERATE
2-3
4-5
SEVERE
DSM V Criteria (11 total)
6+
Questions to Consider with an Assessment Protocol
•
•
•
•
•
•
•
•
How is the individual referred for assessment?
On an average how long does it take to go from referral to assessment?
Who conducts the assessment and what tools are used?
What additional information from child welfare and other partners would
be helpful in understanding the needs of the parent, child and family?
How is information communicated to the parent? To the child welfare staff?
To the courts? Are the appropriate consents in place and consistently
signed?
What happens if the parent doesn’t show for assessment?
What are the next steps if treatment is indicated? If treatment is not
indicated?
If the persons/systems/agencies conducting the assessments are not the
same as the ones providing treatment, is there a warm hand-off?
#6
Address the Needs of Parents
FDC partner agencies encourage parents to complete the recovery process
and help parents meet treatment goals and child welfare and court
requirements. Judges respond to parents in a way that supports continued
engagement in recovery. By working toward permanency and using active
client engagement, accountability and behavior change strategies, the entire
FDC team makes sure that each parent that the FDC serves has access
to a broad scope of services.
Key Component 2: Using a non-adversarial approach
Key Component 4: Access to a continuum of services
Key Component 5: Drug testing
We know more about
The Impact of
Recovery Support
On Successful
Reunification
• Recovery Support
Specialists
• Evidence Based Treatment
• Family-Centered Services
• Evidence Based Parenting
• Parenting Time
• Reunification Groups
• Ongoing Support
“Here’s a referral, let me know
when you get into treatment.”
“They’ll get into treatment if they
really want it.”
Missed opportunities
“Don’t work harder than the
client.”
“Call me Tuesday.”
Rethinking Treatment
Readiness
Re-thinking “rock bottom”
Addiction as an elevator
“Raising the bottom”
THE PURPOSE OF
RECOVERY SPECIALISTS
• Decrease time to assess
and enter treatment
• Improve outreach and
engagement
• Increase 12-month
permanent placements
• Increase family
reunification rates
• Decrease time in foster
care
Median Length of Stay in Most Recent Episode of Substance Abuse
Treatment after RPG Entry by Grantee Parent Support Strategy
Combinations
250
200
200
151
150
100
130
102
50
0
No Parent Support
Strategy
Intensive Case
Management Only
Intensive Case
Management and
Peer/ Parent
Mentors
Median in Days
Intensive Case
Management and
Recovery Coaches
Substance Abuse Treatment Completion Rate by Parent
Support Strategies
70%
63%
60%
50%
56%
46%
46%
No Parent Support
Strategy
Intensive Case
Management Only
40%
30%
20%
10%
0%
Intensive Case
Intensive Case
Management and
Management and
Peer/ Parent Mentors Recovery Coaches
Median in Days
ASAM Definition of Addiction
•
Addiction is characterized by inability to consistently
abstain, impairment in behavioral control, craving,
diminished recognition of significant problems with
one’s behaviors and interpersonal relationships, and a
dysfunctional emotional response
•
Like other chronic diseases, addiction often involves
cycles of relapse and remission
•
Without treatment or engagement in recovery
activities, addiction is progressive and can result in
disability or premature death
Adopted by the ASAM Board of Directors 4/12/2011
A Chronic, Relapsing Brain Disease
• Brain imaging studies show physical
changes in areas of the brain that are critical
to
• Judgment
• Decision making
• Learning and memory
• Behavior control
• These changes alter the way the brain works
and help explain the compulsion and
continued use despite negative
consequences
Substance Use
Disorders are similar to
other diseases, such as
heart disease.
Both diseases disrupt
the normal, healthy
functioning of the
underlying organ, have
serious harmful
consequences, are
preventable, treatable,
and if left untreated,
can result in premature
death.
Effects of Drug Use on Dopamine Production
• Think of a pleasant experience (a romantic evening, a relaxing vacation, playing with
a child). Pleasure is caused by dopamine, a major brain chemical, that is secreted
into the amygdala region of the brain causing that pleasure part of the brain to fire.
Addictive drugs do the same, only more intense.
• When drug use is frequent and causes a surge of dopamine on a regular basis, the
brain realizes the dopamine is being provided artificially and it essentially loses its
natural ability for pleasure (at least for a period of time).
Effects of Drug Use on Dopamine Production
• Think about the implications for a child welfare
parent who has just stopped using drugs and is
trying to resume normal interactions with their
child/ren.
• If you are tasked with observing this visitation,
what conclusions might you draw?
• If cues are misread, how might this affect a
parent’s ability to keep or obtain custody of their
child/ren?
• How do we balance compassion, understanding
and patience with a parent’s temporarily
compromised brain condition while maintaining
parent accountability and child safety?
A Treatable Disease
• Substance use disorders are preventable and are treatable diseases
• Discoveries in the science of addiction have led to advances in drug
abuse treatment that help people stop abusing drugs and resume
their productive lives
• Similar to other chronic diseases, addiction can be managed
successfully
• Treatment enables people to counteract addiction's powerful
disruptive effects on brain and behavior and regain areas of life
function
These images of the dopamine transporter show the brain’s
remarkable potential to recover, at least partially, after a long
abstinence from drugs - in this case, methamphetamine.9
Addiction and Other Chronic Conditions
JAMA, 284:1689-1695, 2000
We know more about
Effective
Substance Abuse
Treatment
•
Readily available
•
Attends to multiple needs of
the individual (vs. just the
substance use)
•
Engagement strategies to
keep clients in treatment
•
Counseling, behavioral
therapies (in combination
with medications if
necessary)
•
Co-occurring conditions
•
Continuous monitoring
(National Institute on Drug Abuse, 2012)
#7
Address the Needs of Children
FDCs must address the physical, developmental, social, emotional
and cognitive needs of the children they serve through prevention,
intervention and treatment programs. FDCs must implement a
holistic and trauma‐informed perspective to ensure that children
receive effective, coordinated and appropriate services.
Key Component 2: Using a non-adversarial approach
Key Component 4: Access to a continuum of services
6.0%
AK (N=1,647)
AL (N=2,500)
AR (N=3,557)
AZ (N=8,209)
CA (N=45,654)
CO (N=17,263)
CT (N=12,487)
DC (N=917)
DE (N=1,754)
FL (N=19,014)
GA (N=13,211)
HI (N=1,383)
IA (N=7,663)
ID (N=1,878)
IL (N=9,163)
IN (N=7,724)
KS (N=3,699)
KY (N=5,923)
LA (N=4,086)
MA (N= 22,698)
MD (N=16,831)
ME (N=4,532)
MI (16,471)
MN (N=13,874)
MS (N/A)
MO (N=12,012)
MT (N=2,090)
NC (N=12,660)
ND (N=791)
NE (N=4,268)
NH (N=1,296)
NJ (N=11,896)
NM (N=333)
NV (N=2,455)
NY (N=42,004)
OH (N=19,164)
OK (N=4,851)
OR (N=13,245)
PA (N/A)
RI (N=2,230)
SC (N=5,796)
SD (N=3,303)
TN (N=3,855)
TX (N=13,676)
UT (N=3,742)
VT (N=2,609)
VA (6,729)
WA (N=10,438)
WV (N/A)
WI (N=5,702)
WY (N=1,366)
PR (N=218)
PERCENT OF WOMEN OF CHILDBEARING AGE (AGES 15-44),
PREGNANT AT TIME
OF TREATMENT ADMISSION, 2012
18.0%
16.0%
14.0%
12.0%
N=428,867
10.0%
8.0%
5.9%
4.0%
2.0%
0.0%
N = Total Number of Women of Childbearing Age (Age 15-44) Entering Treatment
Source: TEDS Data, 2012
Family–Centered Approach
Recognizes that addiction is a family disease and that
recovery and well-being occurs in the context of families
TREATMENT RETENTION AND COMPLETION
1. Women who participated in programs that included a “high” level
of family and children’s services and employment/education
services were twice as likely to reunify with their children as those
who participated in programs with a “low” level of these services. (Grella,
Hser & Yang, 2006)
2. Retention and completion of treatment have been found to be
the strongest predictors of reunification with children for substanceabusing parents. (Green, Rockhill, & Furrer, 2007; Marsh, Smith, & Bruni, 2010)
3. Substance abuse treatment services that include children in
treatment can lead to improved outcomes for the parent, which can
also improve outcomes for the child.
Focusing Only on Parent’s Recovery
Without Addressing
Needs of Children
Can threaten parent’s ability to achieve and
sustain recovery and establish a healthy
relationship with their children, thus risking:
• Recurrence of maltreatment
• Re-entry into out-of-home care
• Relapse and sustained sobriety
• Additional substance-exposed infants
• Additional exposure to trauma for child/family
• Prolonged and recurring impact on child well-being
Challenges for the Parents
•
The parent lacks understanding of and the
ability to cope with the child’s medical,
developmental, behavioral, and emotional
needs
•
The child’s physical, developmental needs
were not assessed, or the child did not
receive appropriate interventions/treatment
services for the identified needs
•
The parent and child did not receive services
that addressed trauma (for both of them) and
relationship issues
Selection of an
Evidence-Based Parenting Program
• Review publicly available information
• Need to have a structure for comparing programs
• Pairing the curriculum to your FDC needs and realities
• Understand the outcomes you’d like to see, and be able to articulate
them and link them to the program of choice
Considerations When Selecting a Parenting Program
•
•
•
•
Understand the needs of Court consumers - What do these families look
like? Are there unique struggles?
Have realistic expectations of their ability to participate - especially in early
recovery
Parenting program should include parent-child interactive time, but this
should not be considered visitation
Child development information needs to be shared with the parent and the
parenting facilitator in advance
Drug Courts That Offer Parenting Classes
Had 68% Greater Reductions in
Recidivism and 52% Greater Cost Savings
% Reduction in Recidivism
38%

23%
PROGRAM PROVIDES PARENTING
CLASSES
N=44
True in adult, family, juvenile
PROGRAM DOES NOT PROVIDE
PARENTING CLASSES
N=17
Children Need to Spend Time with Their Parents
• Involve parents in the child’s
appointments with doctors and therapists
• Expect foster parents to participate in
visits
• Help parents plan visits ahead of time
• Enlist natural community settings as
visitation locations (e.g. family resource
centers)
• Limit the child’s exposure to adults with
whom they have a comfortable
relationship
Elements of Successful Visitation Plans
Parenting time should occur:
• Frequently
• For an appropriate period of time
• In a comfortable and safe setting
• With therapeutic supervision
Impact of Parenting time on Reunification Outcomes
• Children and youth who have regular, frequent
contact with their families are more likely to reunify
and less likely to reenter foster care after
reunification (Mallon, 2011)
• Visits provide an important opportunity to gather
information about a parent’s capacity to
appropriately address and provide for their child’s
needs, as well as the family’s overall readiness for
reunification
• Parent-Child Contact (Visitation): Research shows
frequent visitation increases the likelihood of
reunification, reduces time in out-of-home care
(Hess, 2003), and promotes healthy attachment
and reduces negative effects of separation
(Dougherty, 2004)
Support Strategy — Reunification Group
• Begin during unsupervised/overnight visitations through 3
months post reunification
• Staffed by an outside treatment provider and recovery
support specialist (or other mentor role)
• Focus on supporting parents through reunification
process
• Group process provides guidance and encouragement;
opportunity to express concerns about parenting without
repercussion
Aftercare and Ongoing Support
• Ensure aftercare and recovery success beyond FDC and CWS
participation:
‒ Personal Recovery Plan – relapse prevention, relapse
‒ Peer-to-peer – alumni groups, recovery groups
‒ Other relationships – family, friends, caregivers, significant others
‒ Community-based support and services – basic needs (childcare,
housing, transportation), mental health, physical health and medical
care, spiritual support
‒ Self-sufficiency – employment, educational and training opportunities
Rethinking Readiness
How will we know?
Effective FDCs focus on
behavioral benchmarks
Essential Elements of Responses to Behavior
• Addiction is a brain disorder
• Length of time in treatment is the key;
the longer we keep someone in
treatment, the greater probability of a
successful outcome
• Purpose of sanctions and incentives is
to keep participants engaged and
motivated in treatment
Safe vs. Perfect
Stigma & Perceptions
Addiction
• Once an addict, always an addict
• They don’t really want to change
• They lie
• They must love their drug more than
their child
• They need to get to rock bottom,
before…
Collaborative Value Inventory (CVI)
What Do We Believe About Alcohol and Other Drugs, Services to
Children and Families, and Dependency Courts?
• Anonymous web-based survey to be
completed by cross-disciplinary
teams of professionals
• Increase the understanding of the
values that guide different disciplines
and systems
• To assist community members and
professional staff in developing
common principles for their work
together
PEOPLE WHO ARE CHEMICALLY DEPENDENT HAVE A
DISEASE FOR WHICH THEY NEED TREATMENT
84.4
90
Percent
80
70
60
50
40
15.6
30
20
0.0
10
0.0
0
Strongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
n = 90
Percent
IN ASSESSING THE EFFECTS OF THE USE OF ALCOHOL
AND OTHER DRUGS, THE STANDARD WE SHOULD USE
FOR DECIDING WHEN TO REMOVE OR REUNIFY
CHILDREN WITH THEIR PARENTS IS WHETHER THE
PARENTS ARE FULLY ABSTAINING FROM THE USE OF
ALCOHOL OR OTHER DRUGS
41.1
50
32.2
40
30
15.6
11.1
20
10
0
Strongly Agree
Somewhat Agree
Somewhat Disagree
Strongly Disagree
n = 90
Reasonable Efforts to Preserve and Reunify Families
•
Were services to the
family accessible,
available, and
appropriate?
•
Were the services
specifically relevant to
the family's problems
and needs?
•
Were the appropriate
services available to
the family on a timely
basis?
Critical Questions
• When the parents complete all of
the steps on the case plan, will you
be comfortable allowing the children
to go home?
• Is there any step in the case plan
that, if not completed, will keep you
from allowing the child to go home?
Monitoring – What Has Been the Impact?
• Staff – what is feedback regarding implementation?
What barriers exist?
• Referral and treatment access and quality
• Outcome monitoring – what is impact key indicators?
• Information sharing – how is it collected, shared, and
reported?
Defining Your Drop off Points (Example)
6,071 Substantiated Cases of neglect and/or abuse due to
substance use disorders (60% SUD Avg)
Potential participants assessed for treatment (Tx)
25% drop off = 4,553
Number of participants deemed appropriate
50% = 2,276
Number admitted to Tx= 1,593
30% drop off
• Substantiated cases pulled from
Louisiana AFCARS data files
• Drop off percentages estimated
based on previous drop off reports
• To be used only as an example
638 successfully completed
Tx
- 60% drop off
Payoff
77
We can no longer say
“We don’t know what to do.”
Building on
our Success
Q&A and Discussion
Resources
Join Us!
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2016 Virtual
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www.familydrugcourts.blogspot.com
FDC Guidelines
To download a copy today visit our website:
http://www.cffutures.org/files/publications/FDC-Guidelines.pdf
August 1-3, 2016 | Hyatt Regency | Orange County, California
2015 Special Issue
Includes four Family Drug Court
specific articles presenting
findings on:
• Findings from the Children
Affected by Methamphetamine
(CAM) FDC grant program
• FDC program compliance and
child welfare outcomes
• Changes in adult, child and
family functioning amongst FDC
participants
• Issues pertaining to rural FDCs
www.cwla.org
Family Drug Court Online Tutorial
FDC 101 – Will cover basic knowledge
of the FDC model and operations
King County, WA
Wapello County, IA
Jackson County, MO
Baltimore City, MD
Dunklin County, MO
Jefferson County, AL
Pima County, AZ
Chatham County, GA
Miami-Dade, FL
FAMILY DRUG COURT
PEER LEARNING COURT PROGRAM
CONTACT US FOR MORE INFORMATION: [email protected]
Resources
FDC Discipline Specific Orientation Materials
Child Welfare | AOD Treatment | Judges | Attorneys
Please visit: www.cffutures.org/fdc/
Resources
NCSACW Online Tutorials
•
Understanding Substance Abuse and Facilitating Recovery: A Guide for Child Welfare
Workers
•
Understanding Child Welfare and the Dependency Court: A Guide for Substance
Abuse Treatment Professionals
•
Understanding Substance Use Disorders, Treatment and Family Recovery: A Guide for
Legal Professionals
Please visit: http://www.ncsacw.samhsa.gov/
Contact Information
Strengthening
Partnerships
Improving
Family
Outcomes
Phil Breitenbucher, MSW
FDC Program Director
Children and Family Futures
(714) 505-3525
[email protected]
Alexis Balkey, BA, RAS
FDC Program Manager
Children and Family Futures
(714) 505-3525
[email protected]