1. Women’s Treatment and Resources
Christine K. Scalise, MA, LPC, LCADC
Office of Treatment and Recovery Supports
Manager, Special Populations Unit

2. Overview - DAS
Single State Agency for substance abuse in New Jersey, and as such, plans, licenses, monitors and regulates New Jersey substance abuse treatment and prevention efforts
Provides funding for services through both Federal and State funding streams, with primary funding source being the Substance Abuse Prevention and Treatment Block Grant, which totals approximately $47 million annually
Total budget of $162 million for SFY 2011

3. Substance Abuse - Treatment Need and Demand
6,589,930 Million Adult NJ Residents
No need for treatment – 5,772,779
Need for treatment – 817,151 (12.3%)
Demand treatment – 86,866 (10.6%)
Met demand – 53,586 (62%)
Unmet demand – 33,280 (38%)

7. Parent / pregnant women Primary Drug Using
Cocaine
13%
Alcohol
29%
Heroin/Other
Opiates
41%
Marijuana
77%
23%
Non Smoke
Smoke

8. Level of Care Distribution PPW

10. Women and Substance Abuse
Substance Abuse and Mental Health Services Administration (SAMHSA) Office of Applied Studies:
5.5% of women ages 18 – 49 who have one or more children living with them are substance abusers
70% of women entering treatment report having children
30% of the more than 13,000 treatment programs in the USA offer specialty programs for women; 14% offer programs for pregnant women

11. Federal Block Grant Women’s Set Aside Requirements
Primary medical care while in treatment includes prenatal and child care
Primary pediatric care including immunizations
Gender specific substance abuse treatment & other therapeutic interventions that may address relationship issues, sexual and physical abuse and parenting & child care while women are receiving these services
Therapeutic interventions for children in custody of women in treatment which may address their developmental needs, issues of sexual and physical abuse & neglect
Case management and transportation services

12. Treatment Providers Priority Services for Pregnant and Parenting Women
Provide support during a women’s recovery process
Priority access for pregnant client
Awareness of funding sources
Resources/information on available services
Linking, coordination and collaboration with
Social Services
DYFS
Federally Qualified Health Care (FQHC)
Perinatal Addiction Coordinators/Specialists

13. NJ Treatment Providers Block Grant Requirements
When treatment facility is full – referral must be made to another facility or make interim services available (not later than 48 hours i.e., counseling and education about HIV and TB, risks of needle sharing, transmission, perinatal addiction, referrals for prenatal care, to outpatient programs in area until admitted to an appropriate level of care
If all facilities are full, facility will refer to the contracted State hotline and/or County Drug and Alcohol Coordinator, who assists in referring to a treatment facility with the capacity to provide treatment services.

14. DAS Funding for Pregnant and Parenting Women
$6 million funding through Federal Block Grant Women’s Set Aside for pregnant and parenting women
$12 million State funding women with children under DYFS supervision (Child Welfare)
Funding supports a statewide network of 48 licensed substance abuse treatment providers for all modalities of care (IOP, IOP with Housing, Methadone IOP, LTR, HH)
Pregnant women have priority admission

15. Parenting Women - Barriers to Treatment
PERSONAL BARRIERS:
Fear of Reprisal from Significant Others or Family Members
Confidentiality concerns
Linguistic or Cultural Barriers
Social Stigma
Fear of Child Protection Involvement (DYFS)
Financial (lack of money, insurance)

16. Barriers to Treatment (cont)
SYSTEMS BARRIERS:
Lack of money or insurance
Waiting lists
Lack of treatment for pregnant women
Childcare
Employment
Housing
Need for time to address demands of other systems i.e., DYFS, TANF, Courts

17. NJ - Women’s Treatment Program Requirements
Gender specific therapies
Assessment and treatment for co-occurring disorders
Family centered treatment approach
Individual and family counseling sessions
Trauma Informed/Trauma Specific treatment using “Seeking Safety Program”
Strengthening Families Program
Group and educational counseling sessions
Case management services
Physical examination/medical assessment including TB testing as required
Acknowledgment of HIV counseling and testing; must offer women on-site HIV counseling and testing

18. NJ Women’s Treatment Program Requirements (Cont)
Childcare – while women are in treatment to focus on developmental needs and age appropriate activities
Children referred for medical (including immunization and/or psychological care as needed)
Primary medical care including referral and linking woman to prenatal care
Evidence based Parenting Skills Curriculum
Life Skills Training (budgeting, nutrition, household, child safety)
Linkages, Recovery Management and supports
Housing support and assistance, helping women with children access permanent housing
Transportation

19. SAMHSA/CSAT “Guidance to the States”
Document outlines specific recommendations for women in criminal justice system, women and children and pregnant women
25 service elements emphasize Best Practice
Looks at full continuum of treatment needs for women throughout their lifespan
Help States develop women’s treatment standards to build on capabilities and strengths in State system

20. “Guidance to the States” (Cont)
Family Centered Treatment Approach - addresses full range of women’s needs with an array of:
Clinical Treatment Services – core services addresses medical/bio-psychosocial issues of addiction;
Clinical Support Services –assist clients to maintain recovery i.e., life skills, linkages, coordinate services with collateral agencies, child development, employment readiness, housing support (includes primary health care often provided at start)
Community Support Services – services/resources outside treatment but within the community that is support system for recovering woman and her family

21. In-Depth Technical Assistance
National Center of Substance Abuse and Child Welfare through SAMHSA/CSAT and ACF
Improve outcomes for substance abusing families involved with child welfare and courts
Joint Initiative – DYFS, DAS and AOC
Develop cross system partnerships & practice changes
Data integration
Best Practice Models across 3 systems
Professional Training & Staff Development
Recovery Support Specialists

22. Contact Information
Christine K. Scalise, MA, LPC, LCADC
Department of Human Services
Division of Addiction Services
PO Box 362
120 South Stockton Street
Trenton, NJ