2.  Identifying C/D, MH & DV concerns in the families we work with  Teasing out the relationship between these issues and child safety within each individual family  Some specifics regarding C/D, MH, and DV, that are particularly important to child welfare work  Understanding our relationship with community experts - how they help us (and the family) and how we help them (and the family).

3. A two parent family had their three children removed because they were chronically failing to supervise them. Both parents used drugs and alcohol. One parent has been engaging in treatment for 6 months and has clean UA’s since the start of treatment. The other parent has engaged less frequently in treatment and provided few UA’s. Are the children safe to return home? Scenario 1

4. An intake is called in by a school, after a 9 year old disclosed to his teacher that last night his parents were fighting and his father hurt his mother by punching and kicking her. The child was very upset and said that he would not let his mother get hurt again. He has two siblings, who are 6 and 4. Is this child safe in the home? Are the younger kids safe? Scenario 2

5. An adolescent was removed from his father after he was physically attacked by him. His father has suffered from bi-polar disorder and PTSD for 20 years and the youth has at many times resided with others when his dad was “totally crazy.” At the FTDM the father reports that he disassociated during the assault and doesn’t remember it. He has an appointment to have medication re-evaluated and to resume counseling next week, and wants his son to come home. What would need to happen for this child to return to the home? Scenario 3

6. An intake identifies concerns about the care of two school aged children, who appear to be unsupervised and marginally cared for a good portion of the time. Upon visiting the home, the worker finds that the parents are both taking prescription medications for injuries, and have prescriptions for medical marijuana. Pill bottles are in a variety of places within the home and drug paraphernalia is laying on the coffee table, along with lighters and several full ashtrays. Are these children in present danger? Is the parents use of these substances making their children unsafe? Scenario 4

7. A toddler has been in care for most of her life, having been removed after concerns were raised about her mother’s mental health and ability to meet her basic needs as an infant. She is currently diagnosed with borderline personality disorder and depression. Her therapist says she attends counseling regularly and is taking her medication. Is it safe for the child to return home?

8. After being involved with a family for several months, the FVS worker meets with a single mother to discuss closing her case. She has maintained her home in an adequately sanitary fashion and engaged in outpatient treatment for alcohol abuse. The mother discloses that she’s pregnant, and is very afraid of her boyfriend. She states that he has threatened her and her child, and that she doesn’t know what to do. Should the case be kept open? How can the child, and the parent, be protected? Scenario 5

9. An intake comes in after a mother is arrested driving drunk with her children in the car. The children remain with the other parent while the investigation occurs. The mother completes a drug and alcohol assessment which recommends participation in their education program, but not treatment. Per the evaluation the mother is not alcohol dependent. Can the children safely resume their custodial time with their mother?

11. Victim Advocacy Programs Batterer Intervention Programs Legal Definition Legal System Other Systems People who are SURVIVING People who HIT a family or HH member People who GOT HIT by a family or HH member People who are BATTERING People who need help & resources, but are not being battered Classic Perpetrator Victim Defendant System Manipulator Classic Victim

12. By Mette Earlywine/WSCADV with thanks to the NW Network They all need help and resources tailored to their situation and circumstances SURVIVING HIT GOT HIT BATTERING Classic Perpetrator Victim Defendant System Manipulator Classic Victim and for the people involved in the relationship, and for their friends and families… GOT HIT SURVIVING HIT BATTERING It feels like this ?

13. Activity: The Nuts and Bolts of Screening

14. How might we figure out that DV is occurring, beyond talking to the caregivers or others about the family ? How do we approach these interviews so that the safety of everyone is protected ? What if there is a disclosure of intent to harm?

15.  Who is afraid?  Who is controlled?  Who experiences repeated negative consequences?  Who acts to protect the children when incidents happen?  Page 30

16.  Guides what information to gather ( not a form or tool in FamLink)  Informs conclusions about the impact of DV on the family  Critical in determining if DV makes a child unsafe  Documented in a case note specifically presenting information and conclusions Summarized on p. 34 Section 4, p. 33 - 53

17.  GAIN-SS  Other approaches

18.  Making a referral  Providing necessary information  Understanding the report

19. WHAT THEY TELL US WHAT THEY CAN’T  A particular drug or class of drugs was used  General time frame this happened  Exactly when a drug was used  How much of the drug was used

20. How does our assessment change if a client is using or abusing a legal drug? Alcohol Medical Marijuana Recreational Marijuana Prescription drugs

21.  Managing chronic problems  Stabilizing or improving functioning  Creating care team  Connecting to substance abuse treatment

22.  Typically Methadone  Addresses physical impacts of addiction  Lowers risks associated with illegal use  Highly monitored – program compliance required  Particularly common for pregnant mothers

23.  Creating a plan of safe care

24. Assessment and Treatment

30. Effectively serving this large population

31.  Employ a recovery perspective  Adopt a multi-problem viewpoint  Develop a phased approach to treatment  Address Specific Real-Life Problems early in Treatment  Plan for the client’s cognitive and functional impairments  Use support systems to maintain and extend treatment effectiveness SAMSA publication TIP #42 – Substance Abuse Treatment for Persons with Co-Occurring disorders