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Screening and Assessment for Family Engagement, Retention and Recovery – SAFERR Guidance for States and Communities Serving Families with Substance Use Disorders in Child Welfare Services and Dependency Courts. Nancy K. Young, Ph.D., Director 4940 Irvine Blvd, Ste 202 Irvine, CA 92620

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Presentation Transcript
slide1

Screening and Assessment for Family Engagement, Retention and Recovery –SAFERR

Guidance for States and Communities Serving Families with Substance Use Disorders in Child Welfare Services and Dependency Courts

Nancy K. Young, Ph.D., Director

4940 Irvine Blvd, Ste 202

Irvine, CA 92620

Phone: 714-505-3525

Fax: 714-505-3626

Email: www.ncsacw.samhsa.gov

Presented at

Putting the Pieces Together for Children and Families: The National Conference on Substance Abuse, Child Welfare and the Courts

February 1, 2007

developing since summer 2003
Developing since Summer 2003
  • Review and Input from Community Expert Panel
  • Review at NCSACW Researchers’ Forum
  • Shared with In-Depth TA State Teams
  • Consultant Liaisons and States Provided Input to Implementation Guide
  • Edits and Rewrites
slide3
SAFERR is based on the premise that when parents misuse substances and maltreat their children, the only way to make sound decisions is to draw from the talents and resources of at least three systems: child welfare, alcohol and drugs, and the courts.
principles
Principles
  • The problems of child maltreatment and substance use disorders demand urgent attention and the highest possible standards of practice from everyone working in systems charged with promoting child safety and family well-being.
  • Success is possible and feasible. Staff in child welfare, substance abuse, and court systems have the desire and potential to change individual lives and create responsible public policies.
  • Family members are active partners and participants in addressing these urgent problems.
premises
Premises
  • The team is the tool, and people, not tools, make decisions
  • The family is the focus of concern
  • Problems don’t come in discrete packages; they are jumbled together
  • Assessment is not a one-person responsibility
premises1
Premises
  • Information is limited, and there is no research-based answer
  • There is no time to lose
  • ICWA creates specific guidelines for working with American Indian populations
  • Developing and sustaining effective collaborations is hard work
organization of saferr
Organization of SAFERR
  • Building Cross-System Collaboration
    • Creating the structure to create and sustain change
  • Collaboration Within and Across Systems
    • What each system needs to know about itself and its partners
  • Collaboration in Action: Working Together on the Front Line
    • Presents activities that create cross-system practice changes
organization of saferr1
Organization of SAFERR
  • Facilitator’s Guide
    • Templates and exercises
  • Fact Sheets
    • To educate administrators, legislators and stakeholders about the initiative
  • Understanding the Needs of Children
  • Screening and Assessment Tools for Substance Use Disorders
organization of saferr appendices
Organization of SAFERR Appendices
  • Substance Use, Abuse, Dependence Continuum, and Principles of Effective Treatment
  • Safety and Risk Assessments for Use by Child Welfare Staff
  • Sharing Confidential Information
  • Glossary of Terms
  • Guide to Compliance with the Indian Child Welfare Act (ICWA)
assessment is a process
Assessment is a Process

Assessment happens along a continuum to determine:

  • Presence and Immediacy
    • Is there an issue present?
    • What is the immediacy of the issue?
assessment is a process1
Assessment is a Process

Assessment happens along a continuum to determine:

  • Presence and Immediacy
    • Is there an issue present?
    • What is the immediacy of the issue?
  • Nature and Extent
    • What is the nature of the issue?
    • What is the extent of the issue?
assessment is a process2
Assessment is a Process

Assessment happens along a continuum to determine:

  • Presence and Immediacy
    • Is there an issue present?
    • What is the immediacy of the issue?
  • Nature and Extent
    • What is the nature of the issue?
    • What is the extent of the issue?
  • Developing & Monitoring Change, Transitions & Outcomes of Treatment and Case Plans
    • What is the response to the issue?
    • Are there demonstrable changes in the issue?
    • Is the family ready for transition?
    • Did the Interventions Work?
definitions of terms and processes
Definitions of Terms and Processes

AOD Services

CWS Services

Court Services

Is there an issue?

definitions of terms and processes1
Definitions of Terms and Processes

AOD Services

CWS Services

Court Services

Is there an issue?

What is the immediacy of the issue?

definitions of terms and processes2
Definitions of Terms and Processes

AOD Services

CWS Services

Court Services

Is there an issue?

What is the immediacy of the issue?

What is the nature of the issue?

definitions of terms and processes3
Definitions of Terms and Processes

AOD Services

CWS Services

Court Services

Is there an issue?

What is the immediacy of the issue?

What is the nature of the issue?

What is the extent of the issue?

slide17

AOD Services

CWS Services

Court Services

What is the Response?

slide18

AOD Services

CWS Services

Court Services

What is the Response?

Is there demonstra-ble change?

slide19

AOD Services

CWS Services

Court Services

What is the Response?

Is there demonstra-ble change?

Is family ready for transition?

slide20

AOD Services

CWS Services

Court Services

What is the Response?

Is there demonstra-ble change?

Is family ready for transition?

What is to happen after discharge?

slide21

AOD Services

CWS Services

Court Services

What is the Response?

Is there demonstra-ble change?

Is family ready for transition?

What is to happen after discharge?

Did the intervention work?

assessment information must be communicated
Assessment Information must be Communicated

Assessment happens along a continuum to determine:

  • Presence and Immediacy
    • Is there an issue present?
    • What is the immediacy of the issue?
  • Nature and Extent
    • What is the nature of the issue?
    • What is the extent of the issue?
  • Developing & Monitoring Change, Transitions & Outcomes of Treatment and Case Plans
    • What is the response to the issue?
    • Are there demonstrable changes in the issue?
    • Is the family ready for transition?
    • Did the Interventions Work?
the saferr model development
The SAFERR ModelDevelopment

Establishes

Individual

and

Cross System

Roles and

Responsibilities

Builds Cross

System

Collaboration

Identifies

Front-Line

Collaborative

Practice

Establishes and Monitors Individual

and Cross-System Outcomes

the saferr model development1
The SAFERR ModelDevelopment

Establishes

Individual

and

Cross System

Roles and

Responsibilities

Builds Cross

System

Collaboration

Identifies

Front-Line

Collaborative

Practice

Establishes and Monitors Individual

and Cross-System Outcomes

slide25

Builds Cross

System

Collaboration

  • Most senior officials from all systems
  • Direct staff to give this priority
  • Provide overall direction
  • Meet 3-4 times a year
  • Receive interim reports
slide26

Builds Cross

System

Collaboration

  • Senior managers from within systems
  • Co-chaired or use facilitator
  • Have decision-making authority
  • Receive materials in advance for discussion
  • Make decisions during meetings
  • Report collectively to the oversight committee
slide27

Builds Cross

System

Collaboration

  • The Charge to the Steering Committee:
  • Create a mission statement based on exploration of values and principles
  • Enhance understanding of current systems & barriers to communication
  • Establish goals, milestone, products & implement plan to achieve them
  • Create and oversee subcommittees
  • Identify training curricula and strategies
  • Monitor progress and evaluate outcomes
  • Senior managers from within systems
  • Co-chaired or use facilitator
  • Have decision-making authority
  • Receive materials in advance for discussion
  • Make decisions during meetings
  • Report collectively to the oversight committee
slide28

Identifies Front-Line

Collaborative

Practice

Builds Cross

System

Collaboration

Establishes Individual and

Cross System Roles and

Responsibilities

  • The Subcommittee(s)
  • Comprised of county front line and supervisory staff;
  • Charged by Steering Committee to conduct specific tasks
  • Participate in pilot tests of strategies
  • Report to the Steering Committee
slide29

Identifies Front-Line

Collaborative

Practice

Builds Cross

System

Collaboration

Establishes Individual and

Cross System Roles and

Responsibilities

slide30

Identifies Front-Line

Collaborative

Practice

Builds Cross

System

Collaboration

Establishes Individual and

Cross System Roles and

Responsibilities

the saferr model development2
The SAFERR ModelDevelopment

Establishes

Individual

and

Cross System

Roles and

Responsibilities

Builds Cross

System

Collaboration

Identifies

Front-Line

Collaborative

Practice

Establishes and Monitors Individual

and Cross-System Outcomes

slide32

Identifies Front-Line

Collaborative

Practice

Builds Cross

System

Collaboration

Establishes Individual and

Cross System Roles and

Responsibilities

slide33

Identifies Front-Line

Collaborative

Practice

Builds Cross

System

Collaboration

Establishes Individual and

Cross System Roles and

Responsibilities

slide34

Identifies Front-Line

Collaborative

Practice

Builds Cross

System

Collaboration

Establishes Individual and

Cross System Roles and

Responsibilities

slide35

Identifies Front-Line

Collaborative

Practice

Builds Cross

System

Collaboration

Establishes Individual and

Cross System Roles and

Responsibilities

the saferr model development3
The SAFERR ModelDevelopment

Establishes

Individual

and

Cross System

Roles and

Responsibilities

Builds Cross

System

Collaboration

Identifies

Front-Line

Collaborative

Practice

Establishes and Monitors Individual

and Cross-System Outcomes

slide37

Identifies Front-Line

Collaborative

Practice

Builds Cross

System

Collaboration

Establishes Individual and

Cross System Roles and

Responsibilities

slide38

Identifies Front-Line

Collaborative

Practice

Builds Cross

System

Collaboration

Establishes Individual and

Cross System Roles and

Responsibilities

slide39

Identifies Front-Line

Collaborative

Practice

Builds Cross

System

Collaboration

Establishes Individual and

Cross System Roles and

Responsibilities

slide40

Identifies Front-Line

Collaborative

Practice

Builds Cross

System

Collaboration

Establishes Individual and

Cross System Roles and

Responsibilities

slide41

Identifies Front-Line

Collaborative

Practice

Builds Cross

System

Collaboration

Establishes Individual and

Cross System Roles and

Responsibilities

the saferr model development4
The SAFERR ModelDevelopment

Establishes

Individual

and

Cross System

Roles and

Responsibilities

Builds Cross

System

Collaboration

Identifies

Front-Line

Collaborative

Practice

Establishes and Monitors Individual

and Cross-System Outcomes

assessment is a process3
Assessment is a Process

Assessment happens along a continuum to determine:

  • Presence and Immediacy
    • Is there an issue present?
    • What is the immediacy of the issue?
  • Nature and Extent
    • What is the nature of the issue?
    • What is the extent of the issue?
  • Developing & Monitoring Change, Transitions & Outcomes of Treatment and Case Plans
    • What is the response to the issue?
    • Are there demonstrable changes in the issue?
    • Is the family ready for transition?
    • Did the Interventions Work?
establishes and monitors individual and cross system outcomes
Establishes and Monitors Individual and Cross-System Outcomes
  • Increased identification of substance use disorders among families reported for child maltreatment
  • Increased identification of potential child maltreatment for people assessed/treated for SUDS
  • Increased communication regarding screening and assessment for SUDS and child maltreatment
  • Informed decision making by CWS and CS regarding reunification, aftercare, terminations
  • Reduced duplication and burden with regard to case plan requirements
  • Increased engagement and retention of parents in treatment
  • Reduced risk of maltreatment of children
  • Increased family stability, reunification and well being