PROJECT ABSTRACT SUMMARY SAMSHA Grants to Expand Substance Abuse Treatment Capacity in Family Treatment Drug Courts, No. TI-17-004 The proposed project, MISSION-Hope, will enhance and strengthen the Franklin County Family Drug Court’s existing efforts to ameliorate the negative impact of opioid, other substance use and co-occurring disorders for 175 parents, 240 children and 180 other caregivers in rural Western Massachusetts, through the augmented delivery of comprehensive, trauma informed case management as well as integrated assessment, treatment and wrap-around services. This historic collaboration between the Massachusetts Executive Office of the Trial Court, the Franklin Division of the Probate and Family Court’s Family Drug Court, (the first one in the state), the Franklin/Hampshire Juvenile Court, the University of Massachusetts Medical School, the state substance use and mental health authorities, and other partners, will bolster the region’s continuum of substance abuse/mental health treatment services. MISSION-Hope will: 1) reduce the rate and severity of substance misuse and co-occurring disorders in parents; 2) increase access to extensive and comprehensive treatment and recovery services for parents; 3) increase access to socio-emotional, behavioral and developmental services for their children; 4) provide trauma informed practices and training; 5) increase family reunification and preservation; and 6) improve family functioning through the provision of comprehensive wrap-around services. This effort will address existing gaps in the system for court involved parents who need treatment, and provide comprehensive services for impacted children and extended family caregivers. The Maintaining Independence and Sobriety through Systems Integration, Outreach and Networking-Criminal Justice (MISSION-CJ), an evidence-based model upon which MISSION-Hope is based, has been successfully tested in other SAMHSA funded projects in the state. It systematically integrates case management, co-occurring disorders treatment, peer support, vocational supports, and trauma informed practices into one coordinated delivery approach. MISSION-Hope will also connect and leverage an extensive array of robust and existing evidence-based community treatment and support services to increase family resiliency. The Franklin County Family Drug Court will be the designated site for MISSION-Hope, and will utilize $2,125,000 over the five-year grant period. The designated treatment provider will be selected through the state’s required procurement process. These entities will work closely with a MISSION-Hope Advisory Council, comprised of representatives inclusive of mental and public health, housing, and workforce development, among other stakeholders, to oversee the project. The University of Massachusetts Medical School will act as the evaluator to ensure fidelity to the MISSION-Hope model. This effort is aligned with the goals of SAMSHA’s Trauma and Justice Strategic Initiative and the OJJDP Guidance to States for Family Drug Courts.
Parenting in Recovery/ the Travis County Family Drug Treatment Court (PIR), established in 2007, provides judicial oversight to parents of children 0-5 involved in the child welfare system due to substance use disorder. PIR is seeking to enhance its operation by moving from a coordinated system delivery approach to one that is integrated, with trauma specific services that support the family from identification to graduation. To achieve this goal, PIR will enhance practices in these areas: 1) expansion of residential treatment to promote both early entry and extended treatment that encourages the growth of social recovery capital 2) utilization of a peer recovery coach at participant identification and through all program phases, including the development, implementation and maintenance of an Alumni group 3) introduction, availability and utilization of Medication-Assisted Treatment (MAT), 4) trauma specific services, specifically Eye Movement Desensitization and Reprocessing (EMDR) therapy, accessible to participants and their children at the time of entry into residential treatment, 5) and dental services that extend treatment beyond just pain reduction to oral health. These enhancements will allow PIR to retain more individuals in the program and create a network of support that encourages sustained recovery, expands recovery options, effectively addresses trauma experiences, and promotes wellness, confidence and self-esteem. The participants in this program are comprised of 87% women and 13% men. The racial/ethnic representation is 46% White; 20% Hispanic/Latino; 19% Black/African-American; 14% Other (Bi-Racial, Asian); and 1% Native American. Additional demographic data collected by the site includes: 34% of participants do not have a high school education and most are unemployed at enrollment; 89% have criminal histories; 95% have a DSM-V diagnosis other than Substance Use Disorder; and 78% of the participants self-report a history of trauma, defined as childhood abuse/neglect, domestic violence victimization, sexual assault, or the loss of a close loved one. Of these participants, 59% have experienced homelessness, 58% have a history with Child Protective Services (CPS) as an adult, 19% have a history with CPS as a child, and 10% have had their parental rights terminated previously. These data points suggest that PIR participants face substantial challenges and a severe deficit of recovery supports, making them significantly more vulnerable to poorer outcomes in the Austin/Travis County community than the overall population. They require a comprehensive array of services over an extended period of time to address their many barriers including homelessness, limited education, and employment skills, criminal and trauma histories, prior involvement with CPS, and mental health challenges. PIR will serve 55 unduplicated parents during the first year and 30 during years 2-5 annually for a total of 175 unduplicated parents and an average of 35 parents per year over the course of the five-year project.
Montgomery County Family Treatment Court Expansion & Enhancement The Montgomery County Family Treatment Drug Court (FTDC) will expand to an additional 15 parents and 34 children per year for a total of 75 parents and 170 children over the life of the grant. Families will receive intensive Family Treatment service intervention utilizing the Reclaiming Futures Model and Family Functional Therapy-Child Welfare (FFT-CW) intervention provided by the L.I.F.E. program, as well as individual, holistic treatment needs for all family members. The target population to receive the projected enhanced services are male and female adults to include children aged 0-18 that are involved with FTDC. FFT-CW is a strength based, family focused prevention and intervention model that has been adapted to meet the complex needs of children and families with a documented history of abuse or neglect. A FTDC enhancement and expansion plan has been developed to build collaborative partnerships and combine resources to provide maximum support to parents recovering from substance abuse. The collaborative effort is purposely designed to increase the number of family reunification's within the described statutory time frames. FTDC’s collaborations include Montgomery County Jobs and Family Services-Child Welfare Division (CSD) as a primary program referral source and programmatic partner and South Community, Inc. as a primary service provider and partner. FFT-CW and MCJC Natural Helper programming will be specific in addressing and reducing the risk factors associated with families afflicted with substance abuse and related life trauma. All of these collaborations will be critical in providing the best in stepping stones of graduated care for healing and reuniting our community families. MCJC will analyze FTDC to implement data-driven decisions related to program improvement. Additional goals seek to ensure: •Children experience safe and permanent homes within statutory time frames. •Similar FTDC programmatic outcomes exist for participants regardless of race, ethnicity, or similar self-identifying factors. •Parents demonstrate a better ability to care for themselves and their children and seek resources to further this care management. •The cost to society of dependency cases involving substance abuse is reduced. •Improvement in family communication and relationships is shown in participating families.
Title: The Erie County Family Treatment Drug Court Enhancement Initiative Summary: This initiative will expand referrals and enhance substance use disorder treatment and family support services in the Erie County, NY, Family Treatment Drug Court (FTDC) to better address the crisis of opioid addiction, accelerate the activation of multi-system treatment linkages, address children and parents together, and improve family reunification rates. The project will add a new Family Connection Team using the Celebrating Families!™ model to the court to address the needs of the family as a whole, increasing services to children and parents. Population served: The population of focus will be the parents and their families in the New York 8th Judicial District FTDC in Erie County. The project will start full services by the 5th month and annually will serve approximately 35 families with 90 people, amounting to approximately 165 families (unduplicated) with 420 individuals participating over five years. Approach: Will continue the national Family Treatment Drug Court guideline model, but will add new procedures to screen for opioid overdose risk and speed up the linkage to addiction treatment with rapid MAT integration (including recovery support services, screening, assessment, case management, and program coordination) for parents with a SUD and/or co-occurring SUD and mental disorders. With the help of a new Family Connection Team using the Celebrating Families!™ model in the court, wraparound services will be added to address the needs of the family as a whole and will increase direct services to children (18 and under) of parents served by this project. New work flow will coordinate a multi-system approach designed to combine the sanctioning power of the FTDC with effective treatment services promoting successful family preservation and reunification. It will be capable of addressing gaps in the treatment continuum for litigant parents who need treatment for a SUD and/or co-occurring SUD and mental disorders while simultaneously addressing the needs of their children. The aim of the above enhancements is to double the rates of family reunification for families graduating from the court by the 5th year of the award. Objectives: Four objectives are designed around enhancing the four process stages in the FTDC- Obj. 1- Expand referrals to FTDC (1st stage is the referral process) - increase the number of dependency petitions referred to the court by 30%. Obj. 2- Enhance the FTDC Phase-One Process (2nd stage is the orientation and stabilization process) - accelerate the process with a new Family Connections Team tied to the court. Obj. 3- Enhance the FTDC Phase-Two Process (3rd stage is the integration and advancement process) - add evidence-based Celebrating Families!™ model program to the process. Obj. 4- Reinforce the FTDC Phase-Three Process (4th stage is the maintenance and family unification process) - enhance the process with a new Family Connections Team.
Van Buren County (MI) seeks funding to support the project Expanding & Enhancing Van Buren County’s Family Treatment Court (FTC) Program. Specifically, this project will expand the capacity of the FTC to serve 35 parents/guardians (a 75% increase), as well as enhance screening, assessment, clinical treatment, and wraparound services for parents/ guardians and for their children. The population to be served includes: male & female adult (17 years & older) residents of Van Buren County involved in Family Court child protection proceedings, as a result of their substance use disorder. The FTC will provide screening, assessment, treatment, case management, and “wraparound”/recovery support services to FTC participants, as well as assessment, clinical treatment, and wraparound services to their minor children. FTC participants will be screened for enrollment in the program using the RANT, CMH (M or W), PCL-C, & TCUDS-V. A clinical assessment (BSAP & MINI 6.0) is administered by therapists from Van Buren County Community Mental Health (CMH), the results of which are used to inform the development of a comprehensive, individualized treatment plan. FTC participants will have access to a menu of evidence-based practices and other services through this project. More specifically, outpatient therapy, IOP, parenting classes (i.e., CF!, Strengthening Families, Brief Strategic Family Therapy, Nurturing Parent Program, and Caregiver Education Group), in-home family counseling, trauma-informed therapy (i.e., Seeking Safety and Helping Men Recover), and gender-specific programming (i.e, Living in Balance Program, specifically for women with children). CMH will also facilitate evening treatment groups. The FTC will also partner with the Kalamazoo Probation Enhancement Program for residential treatment and Changes and Beyond for MRT. FTC participants will have access to comprehensive case management services through a FTC case manager and recovery support/wraparound services through a recovery coach, peer support specialist, and mobile drug tester. The two distal goals associated with this project are 1) Reduce the pervasive, harmful, and costly health impact of violence and trauma in families by integrating trauma-informed approaches throughout health, behavioral health, and related systems and addressing the behavioral health needs of parents and children & 2) Increase the capacity of the FTC to better address the needs of the parents/guardians, children, and family unit. Examples of the measurable outcomes include: Reduce rates of substance use and co-occurring disorders among parents/guardians; Increase participants’ access, retention, and completion of substance abuse and co-occurring disorder treatment; Increase participants’ rates of employment and other recovery support services; Decrease length of stay among children in out-of-home placement; Improve family functioning among participants and their minor children; Increase in socio-emotional, behavioral, developmental, and/or cognitive functioning among children of FTC participants; etc. During the 5-year project period, 35 individuals will be served annually, which will result in a total of 175 individuals being served with grant funding.
Abstract Treatment Service Enhancements for the Milwaukee County Family Drug Treatment Court (MCFDTC) are proposed to address gaps in the treatment continuum for court involved individuals who need treatment for a SUD and/or co-occurring SUD and mental disorders while simultaneously addressing the needs of their children. Treatment services address the needs of the family as a whole and include direct service provision to children (18 and under) of individuals served by this project. Project objectives designed to enhance treatment services focus on increasing access to and utilization of services that promote parent child bonding; providing access to regular clinical consultation to the MCFDTC team; increasing access to screening and in-home assessments for children; and transitioning MCFDTC clients and their children to Comprehensive Community Services (CCS) for continuity of care. The Milwaukee County Behavioral Health Division (BHD) requests SAMHSA Grant Program funds in the amount of $2,124,589 (over five years) to provide a coordinated, multi-system approach designed to combine the power of family drug treatment courts with effective treatment services promoting successful family preservation and reunification. Milwaukee County Family Drug Treatment Court is the first FTDC in the State of Wisconsin (2011) and serves parents whose substance use disorder is a safety concern that results in the removal of the children from their care. Eligibility extends to any parent struggling with substance use with children ages 0-18. All MCFDTC parents are also eligible for Federal temporary assistance for needy families (TANF) under 42 USC 601 et. seq. with a family income of not more than 200 percent of the poverty line, as defined in s. 49.001 (5). The MCFDTC developed its mission and vision during the court’s planning phase in 2010, and has an established governance structure including a Steering Committee and a core operational team. The MCFDTC maintains adherence to the 10 Key Components of family drug courts, and it will continue to meet these criteria throughout this Project. The Project proposes ongoing implementation and fidelity of evidence-based practices for trauma informed and responsive care (Seeking Safety/Reinventing Recovery/Creating Change); opioid users (Matrix Model); and Comprehensive Case Management for MCFDTC clients; Nurturing Parent Program, Strengthening Families, Trauma Focused Cognitive Behavioral Therapy, and Dialeticial Behavior Therapy for children and families. A minimum of 35 unduplicated MCFDTC clients, their children, and families will be served with SAMHSA funding each year of the grant, for a minimum of 175 unduplicated clients over the lifetime of the Project. BHD uses a collaborative team approach to identify, screen, assess, case plan, and monitor individuals eligible for MCFDTC. Project goals are to increase the capacity and effectiveness of the MCFDTC to end the cycle of substance use disorders, facilitate a Family-Centered Treatment Model that includes recovery support services and cross-systems collaboration, and assist parents to achieve a life in recovery. The objectives of the service enhancements are to: Project Objectives 1. Provide comprehensive treatment and recovery support services for substance use disorders to no fewer than 35 parents enrolled in the MCFDTC and their children annually over a five-year period. 2. Maintain fidelity with evidence-based program practices for trauma-informed care and opioid addiction. 3.Increase access to and utilization of services that promote parent child bonding. 4.Provide access to regular clinical consultation to the MCFDTC team. 5.Increase access to screening and in-home assessments for children 6.Transition MCFDTC graduates to Comprehensive Community Services (CCS) for continuity of care for clients, their children, and families.
ABSTRACT The Pierce County Superior Court of Washington State proposes an expansion and enhancement of its Family Treatment Drug Court treatment component to address severe service gaps for a target population of parents and children impacted by an opioid epidemic and in need of comprehensive services to stabilize the family and support its reunification and capacity to function as a safe an nurturing entity. The measurable program objectives that support that outcome are to: • Enroll into treatment an additional 70 family treatment court clients (to the current base of 30) each year. This will entail approximately 150 children. • Retain in treatment and successfully graduate 50% of the enrolled clients each year, based on sobriety as confirmed by random urinalysis and satisfactory compliance with program requirements. • Accomplish the successful permanent placement of 80% of the children, reunifying 80% of the children with their biological parent(s). To attain those objectives, the program will provide: • Treatment and judicial services in accordance with the “therapeutic team model” of drug courts. • The immediate engagement of a parents into treatment by intervention of a SUD\MH treatment counselor and peer counselor, and transporting parents to the treatment site on the same day of their initial hearing before the court. • Intensive outpatient treatment and mental health services for co-occurring disorders. • Medication assisted treatment (MAT) for parents with an opioid dependency. • Case management and peer counselor support to help navigate supportive services. • A visitation specialist visitation room to support healthy parent-child interaction, • Comprehensive child and family counseling services to stabilize the family, build parent-child bonding and train parenting skills. The program implements the “11 key elements of family and juvenile treatment courts”, the additional 5 elements that apply to family courts and the FTDC model guidelines. The FTDC Advisory Committee Program will provide oversight of the process and outcome evaluations to ensure performance measures are met, fidelity to evidence-based practices are maintained, quality control is pursued throughout and racial disparities in access or service are identified and addressed. The program seeks $425,000 for each of 5 years and anticipates serving total of 525 unduplicated and approximately 1100 – 1200 children, as well as 500+ other family members. The total of 525 parents is estimated to entail approximately 1100 – 1200 children, factoring in an average of 2.25 children per parent for the current population
The Administrative Office of the Courts, 13th Judicial Circuit (with Drug Abuse Comprehensive Coordinating Office and University of South Florida in collaboration with Eckerd Community Alternatives) seeks a SAMHSA grant for its Family Dependency Treatment Court (FDTC) to expand treatment for parents with a substance use disorder and/or co-occurring disorders in Hillsborough County, Florida, who seek to reunify with their children, serving 35 parents annually (total 175) with residential, intensive outpatient, and medication-assisted treatment; recovery support; and systems navigation as well as services for the family as a whole with direct services for children ages 17 and younger. Population. Hillsborough County is home to 1.3 million, with 23.1% of residents under age 18. Among more than 160,000 homes with children, 28% have a single female head of household. Nearly 16% of individuals live in poverty. In January 2017, the FDTC had 181 active cases. Of those cases, 65% were female, and the majority was Caucasian, non-Hispanic. Most families had 1-2 children, although some had 5 or more. Families in the FDTC often struggle with basic needs, primary health, trauma and mental health issues, relationships, employment, education, and housing. Substance abuse was cited after “threatened harm” as the second most frequent reason for children being removed from their homes in this population. Their children often have limited access to health and support services, and caregivers often lack the parenting skills and support needed to ensure positive outcomes for each child. Currently, the FDTC has seen heroin use increase from 28% to 42% among clients. Other drugs of choice include opiates, methamphetamine, alcohol, and benzodiazepine. Applicant/Partners. Recognizing the link between substance abuse, criminal activity, and child abuse/neglect, the 13th Judicial Circuit Administrative Office of the Courts (applicant) manages our county’s Drug Court programs, including the FDTC (established 2005). Since 1973, the Drug Abuse Comprehensive Coordinating Office (DACCO)has served those with substance use disorders, acting as our county’s provider of pre-trial intervention drug court services (contracted by the 13 Judicial Circuit for over 20 years) and a primary provider of post-adjudication Drug Court for over 25 years. DACCO was awarded SAMHSA’s 2013 Science and Service Award and the 2013 iAward for Innovation in Behavioral Health Services national awards for Comprehensive Coordinated Care for opiate-addicted pregnant women. The University of South Florida’s Florida Mental Health Institute, with a 40-year record of collaborative community services research, including SAMHSA-funded projects, will conduct the program evaluation. All partners have a strong existing relationship. Eckerd Community Alternatives, the County’s community-based care organization, will be providing in-kind services and support for the children, other family members, and parents. Strategies. Proposed strategies/evidence-based models include: Comprehensive Continuous Integrated System of Care, Motivational Interviewing, Residential Treatment (Modified Therapeutic Community), Intensive Outpatient Treatment (Matrix Model), Medication Assisted Treatment; trauma-informed strategies including Accelerated Resolution Therapy, Seeking Safety, and Women in Trauma; family services (Nurturing Parenting curriculum, specialized case management, service linkage); and post-treatment Recovery Support. Goals/Objectives. Program goals include: 65% of participants will successfully complete treatment and graduate FDTC; 65% will achieve permanency with parents or kin/non-relative caregivers; 65% of caregivers who complete Nurturing Parenting curriculum will demonstrate improved positive parent/child interactions; 50% of children will show an increase in functioning – all with the ultimate goal of breaking the cycle of substance abuse, ensuring children have safe/permanent homes, an
The Fort Peck Tribal Courts will expand and enhance services of the Family Healing to Wellness Court to reduce drug- and alcohol- abuse among parents and reunify parents and their children in a safe and alcohol- and drug- free environment. Project Name: Fort Peck Assiniboine and Sioux Tribes (FPT) Family Healing to Wellness Court (FHTWC) Project Population to be served: The population of focus is Native American parents, on the Fort Peck Indian Reservation, with a substance use disorder (SUD) and/or co-occurring SUD and mental disorders and a history with child and family services. The community experiences a high prevalence of substance abuse, high rates of child neglect and abuse, extreme poverty, and low educational attainment. Strategies/Interventions: The project will expand and enhance services of our current Family Healing to Wellness Court by: 1) increasing the number of clients being served; 2) increasing access to treatment services for parents and their children; and 3) providing strategies to strengthen parent-child bonding. Project Goals and Objectives: Goal - The Fort Peck Tribal Courts will expand and enhance services of the Family Healing to Wellness Court to reduce drug- and alcohol- abuse among parents and reunify parents and their children in a safe and alcohol- and drug- free environment. Objective 1 - Expand services to at least thirty-five (35) participants per year. Objective 2 - Enhance services for at least thirty-five (35) participants per year by adding one (1) evidence-based treatment; hiring one (1) Licensed Addiction Counselor dedicated to FHTWC clients; and providing residential substance-abuse treatment to at least ten (10) parents per year. Objective 3 - Assist with parent-child bonding and the reunification of families through the provision of one (1) culturally appropriate parenting model and necessary wraparound services. Number of people to be served: 35 parents and their children for a total of 175 parents and their children over the five year project period.
The proposed project will both expand and enhance the Southeast Missouri Family Treatment Courts, which includes the 32nd, 33rd, and 35th Circuits and the counties of Cape, Bollinger, Perry, Mississippi, Scott and Dunklin. Expansion is much needed in the 32nd and 33rd Circuits. These two Southeast Missouri circuits have had operational FTCs since 2006 and 2003 respectively, however, due to funding restrictions they are limited to capacities of 6 and 5 parents each. The 35th Circuit FTC has adequate funding to maintain a capacity of 20 parents and will not be requesting funds for expansion, only enhancement. The similarity in child welfare and substance use disorder statistics, and demographics between the three circuits in the region shows that the FTCs in the 32nd and 33rd Circuit need to be expanded to a similar capacity as the 35th Circuit’s FTC. Of the three Circuits, the 35th Circuit had the fewest number entering out of home placements, the fewest number of children in care, and the fewest number of Newborn Crisis assessments, but maintains a FTC that generally runs slightly over its reported capacity of 20 participants, four times the capacity of the other two circuit’s FTCs. It is clear that the need exists to expand the FTCs in the 32nd and 33rd Circuits. Enhancements to the Southeast Missouri FTCs include hiring a Service Coordinator to address family needs in the 35th Circuit and funding for case management services in the 32nd and 33rd Circuits. The most significant enhancement to the Southeast Missouri FTCs is the idea that the Project Director/Grant Coordinator can oversee the project and will work to coordinate services throughout the Southeast Missouri region. The FTCs need to provide a holistic approach to recovery, including but not limited to trauma counseling, child development, parent-child bonding, parent aide services, Medication Assisted Treatment, and any other identified need. They need to address employment and improve the family’s overall circumstances, not just provide substance abuse treatment. Increased case management in the 32nd and 33rd Circuits, and a Service Coordinator in the 35th Circuit can work together with the Project Director/Grant Coordinator to create a network of services in the region, assess the needs of the entire family unit, refer to the correct service in the region, and assist the parents in engaging in the services. This would include assisting the family in overcoming barriers to engagement in services such as unsafe or inappropriate housing, transportation, employment, physical and mental health, and education related needs. While each county in the region may not offer every service, a regional approach and network will increase the services for all of Southeast Missouri’s FTCs. While the children of parents in Southeast Missouri FTCs have always been assessed for needs and referred to services by Missouri Children’s Division, the proposed project will enhance the current program designs by making services to children more of a focus in the FTCs. The Service Coordinator and case managers will assist MCD in assessing and linking families and children to appropriate services. The Project Director will be increasing collaboration with community partners focused on healthy child development including Parents as Teachers, local health departments and WIC, Head Start and Early Head Start, University of Missouri Extension Center, and local pediatrician’s offices. Collaborating with these agencies as a region rather than focusing only on services available in each county will expand the number of resources available to FTC families and children. While each county in the region may not offer every service, a regional approach and network will increase the services for all of Southeast Missouri’s FTCs.
The Superior Court of California, County of Santa Clara proposes to enhance its Juvenile Dependency Wellness Court (DWC) to serve 35 adult clients and a minimum of 35 children per year for a total of 175 adult clients and a minimum of 175 children over the 5-year grant period. The project focuses on DWC-involved parents who have a substance use disorder (SUD) and/or co-occurring SUD and mental health disorder and whose children have been removed from the home. Within this population, the project further targets parents for whom reunification is imminent, based on gaps in services and needs identified by the Court and its partners. Project goals and objectives include: 1) Establishing a foundation for court-based processes and services that promotes enhanced services for the target population, including incorporating the project into oversight committees and processes, developing and monitoring a project workplan, hiring a DWC Children’s Service Coordinator through FIRST 5 Santa Clara County tasked with coordinating the reunification-focused supportive services, and participating in training designed to improve direct service provision for the target population. 2) Improving reunification outcomes for DWC families by offering enhanced treatment and supportive services, including: a family-centered treatment component for men and their children, enhanced case management and coordination to connect families with services to support the reunification period, family reunification support groups and supportive services facilitated by a peer mentor, and adding increased time for the existing Mentor Parent Program to help support parents through reunification and after DWC program exit. 3) Ensuring project accountability and efficacy through evaluation, continuous quality improvement, and reporting, including contracting with a qualified Evaluator to assist the Project Director in confirming and implementing the project’s evaluation plan, ensuring a system of continuous quality improvement is in place, and submitting all reports as required. Overseen by a highly qualified Project Director (a Court Management Analyst), the project will utilize evidence-based practices proven effective for the target population. Treatment services for parental substance use and mental health disorders will be provided within a family-centered context by Santa Clara County’s Behavioral Health Services Department. The partnering child welfare agency is Santa Clara County Social Services Agency, Department of Children and Family Services. FIRST 5 Santa Clara County will provide a new staff member to assist with implementing enhanced case management services to connect parents and children with services to support the reunification period, as well as providing training in trauma-informed services to project staff and system partners and assisting with evaluation. The Dependency Advocacy Center, a community-based organization, will provide increased mentor support to help parents address the range of challenges they face upon - and after - reunification.
The Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) on behalf of the Oklahoma County Family Drug Court (OKFDC) will create the Comprehensive Approaches to Recovery Enhancements (CARE) project to enhance services to individuals involved in the OKFDC with children ages 0-5. CARE will work with court treatment providers and community partners to achieve the following goals (1) enhance available treatment services to the court participants, their children, and caregivers through a multi-system wraparound approach; (2) enhance and expand the OKFDC capacity to serve substance affected families who have experienced child removal due to abuse and/or neglect issues; and (3) increase collaborations with state and local entities able to best identify and meet the presenting physical, emotional and cognitive needs of the OKFDC children, with a specific focus on children ages 0-5. The OKFDC has operated since 2012 and offers treatment and case management services to substance-affected families in Oklahoma County who desire family reunification after experiencing child removal due to abuse and/or neglect issues. The target population for this grant is the OKFDC court participants, their children, and caregivers. The court is comprised of a diverse team of professionals with experience, expertise and a unified philosophy necessary to meet the complex needs of the families. Over 100 families in the Oklahoma County community have been served by the OKFDC since its inception in 2012. The proposed evidenced-based interventions include: Community Reinforcement Approach (CRA) Attachment and Biobehavioral Catch-Up (ABC), Parent-Child Interaction Therapy (PCIT), Seeking Safety, and the 0-3/3-5 adaptations of Strengthening Families Program (SFP) and Celebrating Families Program (CFP). The OKFDC will incorporate Oklahoma County’s existing robust and well developed System of Care model in its drug court setting to create a specialized OKFDC Wraparound Services Model. This will be the second drug court in Oklahoma to incorporate a wraparound services model to methodically and specifically address current gaps in the continuum of treatment. This comprehensive and integrated approach will allow the OKFDC to continue to improve positive outcomes in the areas of improving individual and family functioning and preventing child maltreatment. CARE will provide an array of recovery support services to court participants, children, and involved caregivers. Anticipated outcomes include improved child/parent well-being, increased permanency, improved safety and greater systems collaboration. Support from this grant will also strengthen OKFDC community linkages and sustain comprehensive family-centered care, particularly in the areas of infant and early childhood mental health (IECMH). The CARE project will serve 35 parents in year 1, 37 in year 2, 40 in year 3, 45 in year 4 and 50 in year 5 for a total of 207 parents. Over the five year project a minimum of 250 children will also be recipients of CARE services.
The Georgia Family Treatment Drug Courts Enhancement Project proposes to work with seven of the most well-established existing FTDCs across the state to enhance treatment services for 247 families and 393 children per year. The target population for consideration into the program are persons who have a substance use and/or mental health disorder and who have had a dependency petition filed against them or are at risk of such filing. In Georgia, programs specifically target those who have been assessed as moderate to high risk and high need and/or are in jeopardy of having their parental rights terminated due to criminal charges. The services will address the needs of the family as a whole and include direct service provision to children (18 and under) of individuals served by this project. Specifically, the project will provide family treatment programs to all FTDCs such that courts which previously offered no programs for children will do so, and other courts will increase the treatment for families. An assessment will be conducted to determine the best evidence-based programs for the courts in Georgia. Currently, the following three programs are being considered due to their histories of success in some of the courts: Celebrating Families, Strengthening Families, and SafeCare. The primary goal of the project is to increase the treatment services available to FTDC participants and their children. Relatedly, another goal is to increase the amount of training of the direct service providers such that they can effectively deliver the additional treatment services. An additional goal is to establish a sustainable evaluation process such that the FTDCs can continually improve in terms of fidelity to the FTDC model and adaptability to unmet needs and emerging trends. The objectives reflect the aforementioned goals and are as follows: • Increase participant graduation rate by 10% over the five-year grant period; • Increase the average number of treatment hours per month for children of FTDC parent participants to one over the five-year grant period; and, • Establish an evaluation process whereby results are regularly used to improve the programs. The Criminal Justice Coordinating Council is the fiscal agent for the state’s Accountability Court Program and a mutual partner of both the Council of Accountability Court Judges (CACJ) and the Department of Behavioral Health and Developmental Disabilities (DBHDD), and as such, CJCC is ideally positioned to fiscally and programmatically manage this statewide initiative. Due to the strategic process, administration, and monitoring of treatment and evaluation needed to ensure effectiveness, we respectfully request the full grant amount of $425,000 per year for five (5) years - a total of $2,125,000.
Project Name: Clark County Family Treatment Court (CCFTC). The CCFTC proposes to enhance substance use disorder treatment services for parents, children, and the family as a whole as they are being served in the CCFTC. There are no age restrictions on youth or parents involved in this program, which enrolls parents who have an active child dependency case with the Department of Children and Family Services child welfare division. The number of annual participants is 70 (35 adults/35 children) with a projected project total of 350. The anticipated demographics of the target population to be served are: 83% White; 4% Black/African American; 9% Hispanic/Latino; 2% Asian; and 2% American Indian/Alaska Native. The majority of participants will be female and approximately 5% will identify their sexual orientation or gender as LGBTQ. The primary drug of choice for CCFTC participants is heroin/other opioids (43%), methamphetamine (39%), with the remaining 18% falling under ""other"". The proposed project aims to enhance the program by adding individualized evidence-based programs that focus specifically on families affected by substance abuse and trauma. In addition, the program seeks to offer two very specific, yet necessary recovery support service programs. Knowing how incredibly difficult and confusing it may seem to be involved in the child dependency system, one service will provide coaching and mentoring by individuals whom have lived and/or have experience in the child welfare system to assist the CCFTC parents with successful navigation and advocacy. The second support service will offer reunification and home safety mentoring by trained foster parents to CCFTC parents during the transition of children back to their legal parents. The seven major goals of this project are to: 1) monitor needs and progress of children through testing and ongoing evaluation using the Ages and Stages: 3 (ASQ-3) in conjunction with Ages and Stages: Social-Emotional (ASQ-SE); 2) promote parental abstinence from non-prescribed drug use, moving from early sobriety to long-term recovery; 3) create a home environment that promotes child safety and stability; 4) improve parenting skills with EBP education and curricula; 5) promote healthy family functioning and improve family relationships; 6) teach parents problem-solving skills and appropriate interactions with children; and 7) motivate parental participation in the treatment intervention services through the CCFTC enhancement program. The seven measurable objectives of the proposed program are to: 1)improve the administration of services to families in the dependency system by providing expanded counseling, transitional services, and reductions in foster care placements to a minimum of 35 enrolled parents and their children annually 2) ensure cost effective service delivery by the CCFTC through an increased number of service contracts and improved coordination of services with collaborating agencies; 3) facilitate improved engagement and outcomes through the use of the two Recovery Support Services of peer-to-peer coaching and parent mentoring, information and referral, and data collection; 4) decrease the number of parents with substance use disorders by providing expanded access to treatment, family counseling, and employment services; 5) reduce the amount of time children must spend in out of home care; 6) increase the number of children reunified with their parents and successfully able to stay in the home once they return; and 7) obtain feedback from the evaluation results for continuous quality improvements in program process and outcomes for participants.
Substance abuse rates are relatively high and access to supportive services for parents, children and families in Elko County is extremely limited due to geographic isolation, community instability, and significant economic disparities. By increasing our ability to provide access to supportive services, our Family Preservation Court will increase the likelihood of long-term sobriety and reunification. The Fourth Judicial District Court of Elko, Nevada, is requesting $1,083,240 over the course of five years to enhance their Family Preservation Court (FPC). The FPC’s goal is to serve 15 parents and 20 children per year. Target population: 1) adult parents of children who are younger than 18 years of age; 2) who are suffering from a substance use disorder; and are 3) a) involved with the Division of Child and Family Services (DCFS); or b) party to a Guardianship case; or c) parents of a child who is a participant in the jurisdiction’s Juvenile Drug Court The FPC will address the lack of access to services through: Goal #1: Enhance Recovery Support Coach Services Activities: Contract with LSW qualified and experienced in assessing family needs and assisting participants in meeting those needs. Outcome Measures: 80% will meet or show valid attempts to meet Life Plan Goals at each Phase; graduation rates; reunification rates Goal #2: Increase Family Services Activities: Continue “Celebrating Families”, “Positive Behavior Parenting”, Implement “Co-Dependency Class”. Outcome Measures: Pre/Post for classes; increased participation in supportive services, Goal #3: Increase Access to Mental Health Treatment Activities: Contract with psychologist/psychiatrist to travel to area; work with highly qualified local provider Outcome Measures: 100% of participants with co-occurring disorders will be seen by appropriate providers Goal #4: Increase Services for Children of Parents in Family Preservation Court Activities: Implement formal referral system for children. Outcome Measures: 80% will meet or show valid attempts to meet Life Plan Goals; graduation rates; reunification rates This funding will not be used to conduct research. OJP may share this abstract with the public.
Butler County Juvenile Court is submitting this proposal for funding in the amount of $2,125,000 --$425,000 per year for five years – to support the expansion of Butler County Family Treatment Drug Court. The purpose of this project is to expand substance use disorder (SUD) treatment services in its existing Family Treatment Drug Court to serve 375 parents/guardians and 628 children over a five-year period. Parents/guardians who have had a dependency petition filed against them or are at risk of such a filing will be eligible to participate. BCFTDC will provide screening, assessment, case management/ recovery support services, and wraparound services for families referred into the court by Butler County Children Services (BCCS). Services of the court will also address the needs of the family as a whole by providing direct service provision to children, age 18 and under. The intention of BCFTDC is to increase successful preservation and reunification of families involved with BCCS while decreasing the number of parents whose parental rights are terminated. There are three goals for this project: (1) Reduce rates of substance misuse and severity of SUDs and co-occurring disorders; (2) Improve individual and family functioning; and (3) Achieve family preservation or reunification.
The Family Treatment Drug Court (FTDC) , located in rugged north-central rural, Nevada will enhance and expand a partnership between public and private partners from child welfare, mental health, community health, and substance abuse treatment to implement and evaluate evidence-based services that will provide a coordinated, family-driven, systems of care approach designed to provide effective treatment and wraparound services to break the cycle of child abuse and neglect and alcohol and/or drug use. The population of focus are child welfare involved parents who have a substance use and/or co-occurring disorder that have been separated or are at-risk of being separated from their children. The target population is a priority because of the high rates of child welfare involved families who have an under treated substance use and/or co-occurring disorder and the extensive amount of time children spend in out of home care. Funding will support and expand treatment services for all FTDC parents and their children. We will provide evidence-based practices to address gaps in parenting time, services to children, access to care, unattended health needs, medication assisted treatment, and trauma informed care. The goals of the project are: Goal #1- Identify child welfare involved parents with Substance Use Disorders early Goal #2- Identify child welfare involved parents with Mental Health Disorders early Goal #3- Ensure early access to treatment for Substance Use and Mental Health Disorders Goal #4- Provide access to evidence-based parent interventions Goal #5- Increase parent time (visitation) Goal #6- Improve outcomes for FTDC families The FTDC will serve 35 parents (unduplicated) and their children each year of the grant, 175 parents total.
Abstract Iowa Children’s Justice (ICJ) proposes the Iowa Court Collaborative Family Preservation Project (ICCFP), a coordinated, multi-system approach designed to enhance the sanctioning power of family treatment drug courts with effective treatment services that promote successful family preservation and reunification to the diverse population of high-risk participants and children with substance abuse/child welfare and co-occurring mental health related needs. More specifically, working in collaboration with the Iowa Department of Human Services and the Iowa Department of Public Health, the three-pronged strategy for change includes enhancing the capacity of communities to respond to mental health and co-occurring needs, the implementation of an evidence based practice within six individual family treatment drug court settings, and enhancing community capacity and collaboration to respond to and address access to the assessment and treatment needs of substance-exposed children. Since 2007, the Iowa Family Treatment Courts (FTC) have expanded from six sites to our current 13 sites. In an in-depth evaluation of those sites, results indicate that the Family Treatment Courts (FTC) showed effectiveness in reunification rates and placement into substance abuse treatment as well as reducing subsequent treatment episodes, and a significantly greater reduction in these areas than the matched and referred comparison groups. Based on national research, it was decided to improve the family drug treatment courts further by adding enhanced services of recovery support, Strengthening Families Program, and adding Mental Health providers to the six Family Treatment Court Teams to enhance services to the participants. Based on the positive outcomes in the first six courts, the principle goals of this project are to support the addition of the enhanced services to our six newer family treatment courts. Goal 1: Enhance family treatment drug court team capacity to better serve families by adding recovery support to address the engagement, accountability, and referral needs of the participants in the six sites. Goal 2: Increase child and family functioning with an evidence-based family intervention across the sites. Strengthening Families is an EBP that has been shown to improve treatment outcomes and child and family functioning. Goal 3: Develop evidence-based assessment and treatment center to serve substance-exposed infants, children and youth, as well as to train identified professionals in each site to increase capacity to assess the children and provide treatment. Goal 4: Enhance the treatment teams and community steering committees to access services for substance abuse, mental health and co-occurring disorders with the addition of mental health and co-occurring professional representation.
The New York State Unified Court Systems, Tompkins County Family Treatment Drug Court (TCFTDC), is requesting SAMHSA Grant Program funds to enhance the TCFTDC, an existing family treatment drug court, by expanding current programming, improving substance abuse treatment, and adding staff in order to accomplish three goals: 1) to keep more participants engaged in the program until successful completion; 2) reduce the number of cases that result in outcomes other than the return of child to parent, and 3) increase the speed and rate of return of children to their parents. The funding will allow TCFTDC to implement a series of trauma informed practices to improve the experience of families from their first contact with child welfare authorities until their successful completion of the program and beyond through the provision of true wrap around services. TCFTDC will hire two Peer Recovery Support Specialists to greatly expand the types and range of support available to participants and their children; use a systems of care approach to develop an integrated family treatment plan to be used across systems, based upon early needs assessments and evaluations; and will add new evidence based programs to fill gaps in the treatment continuum. The peer recovery support specialists will be charged with meeting participants and supporting them in achieving their goals. These new staff will provide hands on assistance to connect participants with critical services and they will provide emotional support around staying sober and motivated. It is well established that ""…the use of recovery coaches has proven to have a positive effect on outcomes for families with substance abuse disorders and involvement in the child welfare system.""1 The development of integrated family treatment plans will require new staff and new assessment protocols. The purpose of this approach is to identify the strengths and needs of children and their parents early in the court process so that a holistic plan can be developed, tailored to their needs. This family treatment plan will be shared across systems to maximize the consistency and effectiveness of programs and interventions. Finally, a series of Evidence Based Practices will be implemented to directly address the needs of these families including Child-Parent Psychotherapy, SafeCare, Family Centered Treatment, and Strengthening Families. The TCFTDC adheres to the Ten Key Components and the Family Drug Court Guidelines in the overall program design. 1 Guidance to States: Recommendations for Developing Family Drug Court Guidelines, 2015 Edition, p. 52 citing Ryan, J.P., March, J.C., Testa, M.F., & Louderman, R. (2006). Integrating substance abuse treatment and child welfare services: Findings from the Illinois alcohol and other drug abuse waiver demonstration, Social Work Research, 30(2), 95-107. DOI:10.1093/SWR/30.2.95
Abstract- Family Recovery Project Tarrant County is seeking a federal grant to enhance its Family Drug Court (FDC) Program through the creation of a Family Recovery Project (FRP), which will enhance and improve family drug court operations for 200 families over five years by providing enhanced behavioral health treatment to support the stabilization and reunification of families facing termination of parental rights precipitated by parental Substance Use Disorders (SUD). The FRP will create a collaboration between My Health My Resources of Tarrant County (MHMR), the Tarrant County Family Drug Court, Challenge of Tarrant County and the Department of Family and Protective Services to provide a continuum of recovery-oriented treatment options, trauma resolution options, and early childhood services to participants and their children. Specifically, we will integrate evidenced-based practices (EBP) - Seeking Safety, Nurturing Parenting and Trust Based Relationship Intervention into the current service array. The FRP program is seeking $425,000 a year for five years to provide coordination of SUD treatment with judicial oversight through enhanced supervision and individual accountability. The project seeks to enhance existing services within the MHMR continuum to include all parents and children involved in the FDC. Service enhancement would include enhancement of Early Childhood Services (ECS) program to serve all children in FDC, either in ECS services or through the Adolescent Behavioral Health Campus, accessing residential beds, Medication Assisted Treatment (MAT), a full spectrum of trauma services to youth and adults involved in FDC, and enhanced mental health services for clients struggling with co-occurring disorders. The development of additional community collaborations to address service gaps and technical assistance and training for child welfare agencies, along with providers in the community who work with families struggling with a substance use disorders, are also included in the proposed infrastructure enhancement.
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