Families with h a r t program
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Families with H.A.R.T. Program. Tiffany Howard MS LCADC ASE. Demographics for Worcester County. Outlooks & Outcomes 2006 Annual Report Number of admissions has increased from 100 in FY03 to 135 in FY06 Increased referrals outside of the county. Family Focused Programs.

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Families with h a r t program

Families with H.A.R.T. Program

Tiffany Howard MS LCADC ASE


Demographics for worcester county

Demographics for Worcester County

  • Outlooks & Outcomes 2006 Annual Report

    • Number of admissions has increased from 100 in FY03 to 135 in FY06

  • Increased referrals outside of the county


Family focused programs

Family Focused Programs

  • Prevention Services

  • Mental Health

  • Adult Addictions

  • External agencies/services

    None specifically focus on substance use disorders and adolescents


Brief strategic family therapy

Brief Strategic Family Therapy

  • Family Systems Approach

  • Addresses Patterns of Interaction

  • Targeted & Practical Ways to Change Patterns


Benefits of bsft

Benefits of BSFT

  • Targets self-sustaining family changes

  • 8 to 24 Sessions

  • Extensively evaluated

  • “Manualized”

  • Flexible approach

  • Respects family culture


What bsft does

What BSFT Does

  • Engages client and families

  • Diagnoses family dysfunction as related to client’s treatment issues

  • Orchestrates change within the family that gives opportunity for long-term change within family communication


Goals of family program

Goals of Family Program

  • Reduce/eliminate substance use of adolescent

  • Change family patterns surrounding adolescent substance use

  • Sustain BSFT treatment approach in Worcester County


Planning for implementation

Planning for Implementation

  • Identify Population

  • Train Staff

    • Accumulating experience to train & supervise staff

    • Planning for group & individual live supervision

  • Project Oversight

    • Outcome measurements

  • Budget Issues

  • Identify Family Assessment Tool

    • Family Assessment Device (FAD)

    • FACES

  • Scheduling of Care

  • Continued Recruitment (sustainability)


Population

Population

  • Identified Population:

    • Pilot Group: IOP Enrolled

    • Future Growth Expectation

      • IOP Enrolled

      • Drug Court Enrolled

      • Inpatient Referred


Outcomes measurements

Outcomes Measurements

  • Family interaction pre/post screening tool

  • Substance use comparison, admission & discharge (80% decrease)

  • Percentage of families successfully completing BSFT (90%)

  • Percentage of adolescents remaining in treatment =or>90 days (62%)

  • Percentage of adolescents completing/transferring/referred entering another level of treatment within 30 days of discharge (40%)

  • Percentage of adolescents improving school attendance (85%)

  • Recidivism rates (*70% decrease in completers)

    Based on ADAA 2007 Program Performance Strategies


Brief strategic family therapy for adolescent drug abuse

Brief Strategic Family Therapy for Adolescent Drug Abuse

Therapy Manuals for Drug Abuse: Manual 5

Authors

José Szapocznik, Ph.D.

Olga Hervis, M.S.W., L.C.S.W.

Seth Schwartz, Ph.D.

Center for Family Studies

Department of Psychiatry and Behavioral Sciences

University of Miami School of Medicine


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