CPS AND SUBSTANCE ABUSE

Milton Ayala, LMSW

milton.ayala@dfps.state.tx.us 512-438-3863

OVERVIEW

• CPS Mission

• Data

• Addiction

• Key Components of Effective Treatment

• OSAR

CPS Mission

• The mission of Child Protective Services is to protect children and to act in the children’s best interest. To seek active involvement of the children’s parents and other family members to solve problems that lead to abuse and neglect

• Increased heroin inhalation by young Hispanics• Youth in their twenties are shifting to injecting illicit

drugs - based on treatment admission • Decrease in cocaine and methamphetamine

indicators (drug violence, drug seizures, increased price)

• Decrease in proportion of African American crack users

• Primary drug of abuse at admission to treatment (2007):– Heroin (10%) – Cocaine (24%)– Methamphetamine (11%)

Source: DSHS; and UT Center for Social Work Research

Substances Abuse Trends in Texas June 2009

Drug or Alcohol Related Investigation During FY 2008

Risk Indicated/

FPR

Risk Indicated/ Subcare

Risk Indicated/

Closed

Risk factors Controlled/

Closed

Alleged at Intake

Discovered/ Confirmed During INV

CH.2 Dangerous

Criminal Activity

CH.4 Drug/

Alcohol Abuse

CC.FN3 Drug

Abuse

MT.CS3 Infant Born

Addicted

Caretaker Substance

Abuse

Infant Addiction

1 7,418 3,241 43.7% 752 305 32 1,586 17 32 1,255 1,689 1,939 344 1,517 1,790 241 32 5,430 2,609 48.0% 802 176 19 1,514 28 33 751 1,150 1,547 222 938 1,529 212 23 38,357 14,348 37.4% 2,991 1,178 182 9,088 52 123 5,173 7,078 8,804 2,154 5,328 8,031 1,601 234 8,448 3,607 42.7% 596 339 23 2,471 29 60 1,311 1,803 2,230 425 1,606 1,739 261 55 5,882 2,557 43.5% 272 155 8 1,981 13 19 730 1,184 1,601 326 1,131 1,403 260 46 31,808 8,696 27.3% 2,170 1,078 68 4,571 17 69 2,605 4,006 5,242 1,308 2,805 4,155 908 207 20,519 7,846 38.2% 1,249 645 63 5,496 24 60 2,697 3,578 4,889 895 2,268 3,923 663 88 20,207 8,438 41.8% 2,745 716 103 4,694 29 82 3,076 4,188 5,182 1,190 3,516 4,482 1,030 89 5,104 2,516 49.3% 728 190 38 1,433 7 20 883 1,245 1,619 288 922 1,426 175 3

10 4,320 1,604 37.1% 506 72 13 841 1 12 473 837 1,011 216 765 887 142 211 17,485 6,751 38.6% 2,161 424 115 3,758 5 60 2,537 3,490 4,310 821 2,099 3,755 554 10

999 32 11 34.4% 0 1 0 8 0 0 6 4 4 3 3 5 0 0

Total 165,010 62,224 37.7% 14,972 5,279 664 37,441 222 570 21,497 30,252 38,378 8,192 22,898 33,125 6,047 88

Drug/ Alcohol

Testing or Treatment

Characteristics

Child Death

% Drug/ Alcohol Related

Inv.

Risk Assessment/Reason for ClosureMethamphetamine

ManufacturingSafety Factors Risk Factors

All Inv. During FY08

Drug Alcohol related

Inv.Reg

Analysis

• About 40% of Child Abuse and Neglect Investigations had a drug or alcohol person characteristic – Nationally, figure ranges from 33%-66%(samsha.gov)

• 60 % of removals were connected to the existence of drug or alcohol use/abuse

• In 88 child deaths, alcohol and/ or drugs was a factor in the child’s death

• 222 Meth Intakes/570 cases Discovered or Confirmed during Investigation

Source: DFPS Data Warehouse (2008)

Addiction

“A chronic, relapsing brain disease that is characterized by compulsive drug seeking and use, despite harmful consequences”

Source: NIDA (The Science of Addiction)

Effective Treatment

• The key components of effective treatment as defined by DFPS are:

• (1) Abstinence• (2) Involvement in treatment or aftercare• (3) Acquisition and demonstration of parenting

skills to include bonding• (4) Problems that led to abuse and neglect

have been solved.• (5) Relapse Safety Plan.

OSAR

DRAFT PSA: OSAR• OSARDFPS encourages the primary use of the OSAR

contractors. • Local Treatment ContractorsThe DFPS caseworker can make a direct referral

to local treatment contractors when there is not an OSAR appointment available within 14 days or the distance to an OSAR site is excessive and the OSAR can not make arrangements to travel to the client's location.

DFPS-DSHS MOU (Proposed)

• DSHS agrees to place parents with children in foster care as a priority population to be served by DSHS’s contractors. Additionally, DSHS agrees to give priority admission to all other clients referred by DFPS, behind the DSHS Priority Populations. DFPS clients include children and adults

DSHS Priority Groups

• pregnant injecting drug users;

• pregnant substance abusers;

• injecting drug users;

• parents with children in foster care; and

• veterans with honorable discharges

DFPS-DSHS MOU (Proposed)

• DFPS staff will complete the standardized referral form that includes details concerning potential substance misuse issues for each client referred to a DSHS contractor.

DFPS Referrals by SVCS: 2009

• Detoxification 5%

• Specialized Female Outpatient 45%

• Specialized Female Residential 29%

• Women and Children Residential 45%

Reference: DSHS Data

Communications

• Best Practices

----Reminding Client about Appointment

----Scheduling CPS Clients when a cancellation occurs in the OSAR appointment calendar

---- OSAR Co-located in a CPS Office on Specific Days and Times

Communications

• Areas That Could be Improved

(Open Discussion)

QUESTIONS?