Download document 7848646

Washington State
Division of Alcohol and Substance
Abuse
Pregnant and Parenting
Women (PPW) with
Chemical Dependency Issues
DASA Services in the
Prevention of FASD
What is FASD?
Fetal Alcohol Spectrum Disorders: the umbrella term for:
-Fetal Alcohol Syndrome (FAS)
-Fetal Alcohol Effect (FAE)
-Alcohol Related Neurological Disorders (ARND)
-other prenatal alcohol exposure related effects
These effects may include physical, mental, behavioral,
developmental and/or learning disabilities with possible lifelong
implications.
FASD are 100% preventable and occur when a pregnant woman
drinks alcohol during pregnancy. There is no safe amount of
alcohol consumption during pregnancy.
What does the Division of
Alcohol and Substance Abuse
(DASA) offer?
Chemical dependency treatment for women that includes the
families, especially the babies and toddlers.
Intervention on a pregnant chemically dependent woman, which
may prevent a drug or alcohol exposed baby.
Intervention on a chemically dependent woman may prevent an
unintended pregnancy, which could lead to a baby that is drug or
alcohol exposed.
Priority access into outpatient and residential chemical
dependency treatment services.
With Prevention and Treatment
Funding:
Maternal drinking during the last 3 months of pregnancy was
significantly reduced between 1993 and 1998 in Washington
State. (PRAMS data)
93
94
95
96
97
98
14.6%
7.8%
8.2%
8.3%
6.2%
3.9%
Of the children placed in foster care (King County specific)
from 1993 to 1998, there was significant reduction in the
number of children being born and diagnosed with Fetal Alcohol
Syndrome.
93
94
95
96
97
98
6.7%
4.8%
0%
0%
2.2%
0%
Source: Fetal Alcohol Syndrome Diagnostic and Prevention Network
DASA Services
PPW Residential Chemical Dependency programs
10 sites statewide, for a total of 150 beds.
PPW Housing Support Services programs
11 sites statewide, for a total of 149 support
services slots.
Outpatient chemical dependency treatment
services, many specific to the needs of PPW, that
include on-site or off-site childcare.
Crisis Nurseries in Yakima and King Counties.
®
PPW Residential
PPW Services
Housing Support Services
Parent Child Assistance Program
DASA Supported Crisis Nursery
Safe Babies Safe Moms (TICM)
Whatcom
Snohomish
®
Spokane
Kitsap
King
®
®
Grant
Pierce
®
Yakima
Benton-Franklin
®
®
®
October 2004
PPW Residential
Chemical dependency treatment services for
pregnant, postpartum, and parenting women.
Addresses the issues specific to women in relation to
chemical dependency and their children.
Service provision and length of stay is variable and is
determined by the needs of the woman.
Maximum length of stay is six months.
Therapeutic Childcare
Developmental assessment
Play therapy
Behavioral modification
Individual counseling
Self esteem building
Family intervention to modify parenting
behavior and/or the child’s environment to
eliminate/prevent the child’s dysfunctional
behavior
Parent education and parenting plan
PPW Housing Support Services
Up to 18 months of housing support services for women who are
pregnant, postpartum or parenting and for their children who
reside in drug and alcohol free residences.
These services are classified as support services, rather than
treatment services.
Eligibility:
„
„
„
„
PPW at the time they enter housing; and
Currently in treatment for chemical dependency or have completed
treatment in the last 12 months; and
At or below 185% of the Federal Poverty Level at the time they
enter housing; and
Are not actively involved in using alcohol or other drugs
Crisis Nurseries
Crisis nursery services to children of parents
with chemical dependency issues.
Care for children birth through six years of
age, while their parents participate in
chemical dependency services.
Includes both day childcare and respite care.
Other Services
Parent Child Assistance Program (PCAP)
Safe Babies Safe Moms (SBSM)
Parent Trust
FASDPN
Iceberg Newsletter
FAS*FRI
CUP
FASIAWG
Parent Child Assistance Program
(PCAP)
King, Pierce, Yakima, Cowlitz, Spokane, and Grant
Counties
90 slots at each site, for a total of 450 statewide
(Spokane and Grant are considered one site)
For the highest risk women who abuse alcohol and/or
drugs during pregnancy.
These women are not successful or effectively
engaged with community service providers.
PCAP Services Include:
Paraprofessional advocacy services for up to the
target child’s third birthday.
Identification and prioritization of realistic goals,
steps to meet goals, and evaluation of progress
towards goals.
Referral to chemical dependency treatment,
recovery, and follow-up, to include residential and
outpatient treatment.
Support for utilization of local resources.
Provision of funds for food, unmet health needs,
other necessities, and incentives as needed.
Safe Babies Safe Moms
Snohomish, Benton-Franklin, and Whatcom
Counties
270 slots statewide
For the highest risk women who abuse alcohol
and/or drugs during pregnancy.
Comprehensive program that includes:
„
„
„
PPW Residential and Outpatient Chemical
Dependency Treatment
PPW Housing Support Services
Targeted Intensive Case Management (TICM) up
to three years.
Targeted Intensive Case Management –
Safe Babies Safe Moms (SBSM)
Intensive case management and behavior rehabilitative
services for pregnant and parenting alcohol and drug
abusing women.
For women who have a history of multiple system
involvement and need services of longer duration and
greater intensity than women enrolled in or served by
other resources.
Children of these women may suffer from developmental
disabilities and behavioral/emotional disorders that
prevent them from functioning normally in their home,
communities, and other settings.
TICM Services Include:
Milieu Therapy
„
Activities with children to normalize their psychosocial
development, promote safety, and stabilize their
environment.
Crisis Counseling
„
Immediate short term intervention to assist the
mother/child in responding to the crisis and/or stabilizing
the situation until problems can be addressed in regularly
scheduled counseling or therapy sessions.
Regularly Scheduled Counseling and Therapy
„
Work on specific dysfunctions identified in a continually
updated formal service/treatment plan. Therapy may be
individual or group setting and directed toward the mother,
child, or family.
SBSM Key Findings
The low birth weight rate for infants
born after program entry decreased by
66%.
The rate of accepted CPS referrals
during the first year of life decreased
by 35%.
SBSM Key Findings (Continued)
Criminal justice involvement of SBSM clients is
extensive, with an average of 1.5 arrests per woman in
the two years before program entry. A decrease of
more than 50% in the arrest rate was observed for
clients with chemical dependency treatment.
Two-thirds of SBSM clients (67.5%) received at least
one Medicaid-paid family planning method in the year
after enrollment. At the one-year follow-up, onethird (34%) received non-reversible or more
effective methods.
Source: Research and Date Analysis, Washington State Department of Social and Health Services, January 2004
Parent Trust
Family support groups for families recovering from
chemical dependency.
Using a family support philosophy and creating
community networks with family support agencies in
participating communities.
Develop and maintain Families in Recovery groups,
which provide family support and skills development
with specific focus on the parenting and family issues
of recovering families.
Available in most of the PPW residential chemical
dependency treatment programs.
Fetal Alcohol Syndrome Diagnostic
and Prevention Network (FASDPN)
Community and Professional Training – University of
Washington
Regional Network Site Training (Spokane, Yakima,
Pullman, and Everett)
Trainings include:
„
„
„
Fetal alcohol related diagnosis;
The roles in providing complex intervention needs for
individuals diagnosed as fetal alcohol related;
How to identify birth mothers of children diagnosed with
prenatal alcohol damage and assist them in avoiding
subsequent fetal alcohol exposed births by referral to
existing alcohol treatment and/or family planning programs.
FASDPN Trainees Will Learn:
What FAS and alcohol related brain damage is and how it is
diagnosed.
What services the FASDPN provides and how to utilize them.
What each professional’s role is in the referral, diagnostic,
and service provision process.
What information is needed to conduct a diagnostic evaluation.
Who benefits from a diagnostic evaluation.
How to link birth mothers to community intervention services.
Iceberg Newsletter
Iceberg is a quarterly international
educational newsletter on FASD (Fetal
Alcohol Spectrum Disorders) published
by the Fetal Alcohol Syndrome
Information Services (FASIS), a
parent/professional partnership.
“Because the problems we readily see are
only the tip of the iceberg.”
Fetal Alcohol Syndrome Family
Resource Institute (FAS*FRI)
This service provides the citizens of the
State of Washington a service dedicated to
improving the lives of children and families
impacted by fetal alcohol exposure.
This service is provided from the viewpoint of
parents who have been directly affected by
fetal alcohol exposure, whether they are
birth, adoptive, foster, grand, or step
parents.
FAS*FRI Activities Include:
Training
Advocates
Information and resources
„
1-800-999-3429
Newsletter publisher (quarterly)
„
FAS Times
Assists with FASD conference planning
Chemical Using Pregnant (CUP)
Detoxification
DSHS funded inpatient hospital program for acute
detoxification and medical stabilization of pregnant
chemically dependent women and their fetus.
Provides both medical and drug/alcohol treatment
services at pre-approved hospitals statewide.
Available at:
„
„
„
„
„
Grays Harbor Community Hospital/Aberdeen
Swedish Medical Center/Ballard
Providence Medical Center/Everett
Valley General Hospital/Monroe
St. Peter Hospital/Lacey
Chemical Dependency
Professionals Co-Located in the
Child Protective Service Offices
In 2005, the Washington State
Legislature passed funding for 22 FTE’s
to be co-located in CPS offices
statewide.
The CDP provides: screening, referral,
case consultation, CPS staff training,
client engagement support
Chemical Dependency
Professionals Co-Located in the
Community Service Offices
Since 1998, CDP’s have been co-located
in Community Service Offices
statewide.
The CDP provides: screening, referral,
case consultation, CSO staff training,
client engagement support
Fetal Alcohol Syndrome Interagency
Workgroup (FASIAWG)
Established by the Legislature in 1995
Legislatively mandated state agencies that attend:
„
„
„
„
DSHS (DASA, CA, MAA, JRA, DDD, MHD)
DOC
OSPI
DOH
The state agencies listed above executed an interagency
agreement to ensure the coordination of identification,
prevention, and intervention programs for children who have
fetal alcohol exposure, and for women who are at high risk of
having children with fetal alcohol exposure.
A process for community advocacy groups to participate in the
review and development of identification, prevention, and
intervention programs administered or contracted for by the
agencies executing the agreement.
How to Access Services
Direct admission into PPW Residential
or CUP sites
Can access through an ADATSA
Assessment Entity
PPW Resource Guide
24 Hour Alcohol/Drug Helpline
„
1-800-562-1240
Additional Information
Sue Green
Women/Special Services Lead
Division of Alcohol and Substance Abuse
360-725-3732
[email protected]
Websites
DASA
http://www1.dshs.wa.gov/DASA/
DASA Greenbook
http://www1.dshs.wa.gov/DASA/services/certification/GB.shtml
(directory of all DASA certified programs statewide)
FASDPN
http://depts.washington.edu/fasdpn/
FASD Center for Excellence
http://www.fascenter.samhsa.gov/
FAS*FRI
http://www.fetalalcoholsyndrome.org/
Iceberg Newsletter/FASIS
http://www.fasiceberg.org/
Parent Trust
http://www.parenttrust.org/
PCAP
http://depts.washington.edu/fadu/
Washington State Alcohol/Drug Clearinghouse
http://clearinghouse.adhl.org
Washington State Fetal Alcohol Spectrum Disorders
(includes FASIAWG)
http://www.fasdwa.org
PPW Residential Providers
Evergreen Manor – Unit 1 (Everett)
Contact: Linda Grant
Triumph Treatment Services:
Services: Casita del Rio (Kennewick)
Contact: Beth Dannhardt
(425) 258258-2407 [email protected]
(509) 248248-1800 [email protected]
Evergreen Manor – Unit 2 (Everett)
Contact: Linda Grant
Triumph Treatment Services:
Services: Riel House (Yakima)
Contact: Beth Dannhardt
(425) 258258-2407 [email protected]
(509) 248248-1800 [email protected]
Perinatal Treatment Services (Tacoma)
Contact: Vicky Stark
Perinatal Treatment Services (Seattle)
Contact: Kay Seim
(253) 471471-2782 [email protected]
(206) 223223-1300 [email protected]
Genesis House (Seattle)
Contact: Jeff Bott
Drug Abuse Prevention Center (Longview)
Contact: Gus Nolte
(206) 328328-0881 [email protected]
(360) 425425-9210 [email protected]
Sundown M Ranch (Selah)
Contact: Scott Munson
New Horizon Care Centers: Isabella House (Spokane)
Contact: Fariba Nikdel
(509) 457457-0990 [email protected]
(509) 624624-1244 [email protected]
PPW Housing Support Services Providers
Evergreen Manor (Everett)
Contact: Linda Grant
Triumph Treatment Services:
Services: Casita del Rio (Kennewick)
Contact: Beth Dannhardt
(425) 258258-2407 [email protected]
(509) 248248-1800 [email protected]
Agape (Bremerton)
Contact: Robin LundLund-Kolp
Triumph Treatment Services:
Services: Sage House (Yakima)
Contact: Beth Dannhardt
(360) 373373-1529 [email protected]
(509) 248248-1800 [email protected]
New Horizon Care Centers (Spokane)
Contact: Fariba Nikdel
Triumph Treatment Services:
Services: Parkway Place (Yakima)
Contact: Beth Dannhardt
(509) 624624-1244 [email protected]
(509) 248248-1800 [email protected]
Recovery Centers of King County (Seattle)
Contact: Darlene Battles
Catholic Community Services (Everett)
Contact: Marcia Glendenning
(206) 568568-8231
(425) 258258-5277 [email protected]
Action Associations: Another Chance for Women
(Tacoma)
Contact: Tommie Cebrun
Drug Abuse Prevention Center (Longview)
Contact: Gus Nolte
(253) 572572-8170 [email protected]
(360) 425425-9210 [email protected]
CUP Providers
Grays Harbor Community Hospital/Eastcenter Recovery Alcohol and
Drug Unit
(360) 533-8500
Swedish Medical Center/Ballard Community Hospital Addiction
Recovery Services
(206) 781-6350
Providence General Medical Center/Providence Recovery Program Behavioral Health Services
(425) 258-7390
Valley General Hospital/Behavioral Health Services
(360) 794-1405
St. Peter Hospital/St. Peter Chemical Dependency Center
(360) 456-7575
Acronyms
ADATSA
CA
CUP
DASA
DDD
DOC
DOH
DSHS
FAE
FAS
FASD
FASDPN
FAS*FRI
FASIAWG
FASIS
JRA
MAA
MHD
OSPI
PCAP
PPW
SBSM
TICM
Alcoholism and Drug Addiction Treatment and Support Act
Children’s Administration
Chemical Using Pregnant
Division of Alcohol and Substance Abuse
Division of Developmental Disabilities
Department of Corrections
Department of Health
Department of Social and Health Services
Fetal Alcohol Effect
Fetal Alcohol Syndrome
Fetal Alcohol Spectrum Disorders
Fetal Alcohol Syndrome Diagnostic and Prevention Network
Fetal Alcohol Syndrome Family Resource Institute
Fetal Alcohol Syndrome Interagency Workgroup
Fetal Alcohol Syndrome Information Services
Juvenile Rehabilitation Administration
Medical Assistance Administration
Mental Health Division
Office of the Superintendent of Public Instruction
Parent Child Assistance Program
Pregnant and Parenting Women
Safe Babies Safe Moms
Targeted Intensive Case Management