Mentorship in a rural setting
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Mentorship in a Rural Setting. Presented by: Bev Towe Mentor Lakeland Centre for FASD. Parent Child Assistance Program. Began in Seattle, Washington in 1991 Initially a research project Engaged the “highest” risk women for a three year intensive support program

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Mentorship in a Rural Setting

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Mentorship in a rural setting

Mentorship in a Rural Setting

Presented by:

Bev Towe

Mentor

Lakeland Centre for FASD


Parent child assistance program

Parent Child Assistance Program

  • Began in Seattle, Washington in 1991

  • Initially a research project

  • Engaged the “highest” risk women for a three year intensive support program

  • Now reach 450 families in 6 sites


Pcap eligibility

PCAP Eligibility

  • Pregnant or up to 6 months post-partum

  • Abused substances during pregnancy

  • Estranged from community service providers


Pcap theory

PCAP Theory

  • Caseloads of 15

  • Relational Model

  • Stages of change/goal setting

  • Harm reduction Theory


Intervention process

Intervention Process

  • Dependent Relationship

  • Interdependent

  • independent


Lcfasd pcap history

LCFASD/PCAP History

  • Began 1 PCAP modeled program in 1 community in 2001, with 1 mentor

  • Now in 25 small towns, 1 city, 1 Military base, 7 First Nations Communities, and 4 Métis Settlements

  • 5 Mentors and 1 Mentor Supervisor


Pcap rural model

PCAP -Rural Model

  • Eligibility is similar – no one is refused service (including underage)

  • Previous birth of alcohol exposed child

  • Longer post partum period for enrolment

  • Caseloads of 15


Lcfasd pcap theory

LCFASD/PCAP Theory

  • Smaller caseloads

  • No wait lists


Rural challenges

Rural Challenges

  • Safety – working in isolation

  • Travel – distance, cost, time management

  • Transient clients - “looking for vs. stalking”

  • Maintaining contact

  • Family Groups

  • Attitudes of Service Providers/Agencies


Rural challenges1

Rural Challenges

  • Adequate Medical Care

  • High Risk Pregnancies

  • Housing

  • Addictions Treatment Options

  • Concurrent Disorders

  • Perceived Duplication of Services

  • Small town/big talk


What s working

What’s Working

  • Excellent Relationships with clients

  • Mentors are well known to one another

  • Better relationships are being fostered with other service providers

  • Smaller Caseloads – better rapport


What s working1

What’s working

  • Small town/big talk – easier to “keep track”

  • Client’s always know how to find us

  • Clients will “refer” their friends and do tell friends about us

  • Mentors know what services are available

  • Mentors know “who to avoid”


In conclusion

In Conclusion

  • The PCAP Model does work in rural communities with adaptations to each particular community.

  • Upcoming research by the Canada Northwest FASD Research Network will provide a Canadian context for the PCAP Model.


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