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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

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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