1. First Steps System of Care Family Systems Collaborations Systems to Systems Nancy Gottlieb, MFT

2. First Steps Client Characteristics Ethnicity of clients:  44% White, 37% Mexican-American, 9% Other Hispanic, 5% Black, 3% American Indian, 2% Asian/Pacific Islander Average age: 27 years Average of 6 years of substance use On average participants have over 2 children Criminal Justice involvement:  SACPA Probation  SATC/Drug Court  Federal/State/Local Criminal Justice  Increased referrals; from 35 in FY 04/05 to 57 in FY 06/07

3. Client’s Drug of Choice

4. The Lead Agency

5. Collaborative Criminal Justice System

6. County of Santa Barbara Court Treatment Program Completion and Graduation Rates Unduplicated Clients who exited (2002-2007): 1,481 2002-20072006-2007 N%Treatment Completion N%Treatment Completion Program Complete Successful Court Tx 63743% 51% 22662% 71% Program Complete Unsuccessful Fines 1148%299% Program Incomplete Unsuccessful Tx 73049%10629%

7. First Steps System of Care

8. First Steps System of Care Outcomes Change in Use from Intake to 6-Month

9. Change in Trauma Symptoms

10. Family Integration 86.5% of mothers have either reunited with children or already have custody of their children 13.5% of mothers do not plan to reunite with their children Significantly fewer children were living with someone else due to a child protection order at 12-month follow-up 85% of clients referred through the criminal Justice system with court supervision

11. Client Satisfaction with Program

12. Sacramento Roughly 35% of the First Step’s funding is State originated Public Health’s portion is 10% Community Agencies in Lompoc, Santa Maria & Santa Barbara Roughly 5% of First Step’s funding is generated by our providers through local community support Washington DC Roughly 60% of the First Step’s funding is Federal Public Health’s portion is 52% Santa Barbara The match to access the Fist Step’s funding comes from Santa Barbara County Mental Health staff for women, children and families The County provides 38% of the match for Public Health How is the County’s Perinatal Substance Abuse Programming Funded?

13. Santa Barbara County First Steps Collaborative