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/

assessNeed to establish/improve coordination between

systems Federal Requirements

SAPT CAPTA IDEA

What are Therapeutic Services?

Definitions vary across StatesDefined through a variety of mechanismsServices include:

Screenings Early intervention/prevention Address physical, developmental, and emotional needs

Largely provided through referralFormal 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 policiesRolesCostsGaps/Redundancies

Case Study States

Colorado, Karen MooneyGeorgia, Angela MonetteMassachusetts, Karen PressmanNevada, Betsy FedorNew Jersey, Christine ScaliseOregon, Karen WheelerTexas, Natalie FurdekVirginia, Martha KurgansWashington, 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 ProgramsTherapeutic Child Care (TCC) Guidelines

Defines TCC TCC Staff requirements

Required to consult with CPSFunded 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)