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/ assess Need to establish/improve coordination between systems Federal Requirements  SAPT  CAPTA  IDEA

What are Therapeutic Services? Definitions vary across States Defined through a variety of mechanisms Services include:  Screenings  Early intervention/prevention  Address physical, developmental, and emotional needs Largely provided through referral Formal 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 policies Roles Costs Gaps/Redundancies

Case Study States Colorado, Karen Mooney Georgia, Angela Monette Massachusetts, Karen Pressman Nevada, Betsy Fedor New Jersey, Christine Scalise Oregon, Karen Wheeler Texas, Natalie Furdek Virginia, Martha Kurgans Washington, 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 Programs Therapeutic Child Care (TCC) Guidelines  Defines TCC  TCC Staff requirements Required to consult with CPS Funded 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)