Title: Division of Alcohol and Substance Abuse
1Division of Alcohol and Substance Abuse
- Pregnant and Parenting Women (PPW) with
- Chemical Dependency Issues
- DASA Services in the Prevention of FASD
- January 2005
2What is FASD?
- Fetal Alcohol Spectrum Disorders the umbrella
term for - -Fetal Alcohol Syndrome (FAS)
- -Fetal Alcohol Effect (FAE)
- -Alcohol Related Neurological Disorders (ARND)
- -other prenatal alcohol exposure related effects
- These effects may include physical, mental,
behavioral, developmental and/or learning
disabilities with possible lifelong implications.
- FASD are 100 preventable and occur when a
pregnant woman drinks alcohol during pregnancy.
There is no safe amount of alcohol consumption
during pregnancy.
3What does DASA offer?
- Chemical dependency treatment for women that
includes the families, especially the babies and
toddlers. - Intervention on a pregnant chemically dependent
woman, which may prevent a drug or alcohol
exposed baby. - Intervention on a chemically dependent woman may
prevent an unintended pregnancy, which could lead
to a baby that is drug or alcohol exposed. - Priority access into outpatient and residential
chemical dependency treatment services.
4With Prevention and Treatment Funding
- Maternal drinking during the last 3 months of
pregnancy was significantly reduced between 1993
and 1998 in Washington State. (PRAMS data) - 93 94 95 96 97 98
- 14.6 7.8 8.2 8.3
6.2 3.9 - Of the children placed in foster care (King
County specific) from 1993 to 1998, there was
significant reduction in the number of children
being born and diagnosed with Fetal Alcohol
Syndrome. - 93 94 95
96 97 98 - 6.7 4.8 0 0
2.2 0 - Source Fetal Alcohol Syndrome Diagnostic and
Prevention Network
5DASA Services
- PPW Residential Chemical Dependency programs
- 10 sites statewide, for a total of 148 beds.
- PPW Housing Support Services programs
- 9 sites statewide, for a total of 143 support
services slots. - Outpatient chemical dependency treatment
services, many specific to the needs of PPW, that
include on-site or off-site childcare. - Crisis Nurseries in Yakima and King Counties.
6PPW Residential Housing
Support Services DASA Supported Crisis
Nursery ParentChild Assistance Program
Safe Babies Safe Moms (TICM)
PPW Services
Whatcom
Snohomish
Spokane
Kitsap
King
Grant
Pierce
Yakima
Benton-Franklin
October 2004
7PPW Residential
- Chemical dependency treatment services for
pregnant, postpartum, and parenting women. - Addresses the issues specific to women in
relation to chemical dependency and their
children. - Service provision and length of stay is variable
and is determined by the needs of the woman. - Maximum length of stay is six months.
8Therapeutic Childcare
- Developmental assessment
- Play therapy
- Behavioral modification
- Individual counseling
- Self esteem building
- Family intervention to modify parenting behavior
and/or the childs environment to
eliminate/prevent the childs dysfunctional
behavior - Parent education and parenting plan
9PPW Housing Support Services
- Up to 18 months of housing support services for
women who are pregnant, postpartum or parenting
and for their children who reside in drug and
alcohol free residences. - These services are classified as support
services, rather than treatment services. - Eligibility
- PPW at the time they enter housing and
- Currently in treatment for chemical dependency or
have completed treatment in the last 12 months
and - At or below 185 of the Federal Poverty Level at
the time they enter housing and - Are not actively involved in using alcohol or
other drugs
10Crisis Nurseries
- Crisis nursery services to children of parents
with chemical dependency issues. - Care for children birth through six years of age,
while their parents participate in chemical
dependency services. - Includes both day childcare and respite care.
11Other Services
- Parent Child Assistance Program (PCAP)
- Safe Babies Safe Moms (SBSM)
- Parent Trust
- FASDPN
- Iceberg Newsletter
- FASFRI
- CUP
- FASIAWG
12Parent Child Assistance Program (PCAP)
- King, Pierce, Yakima, Spokane, and Grant Counties
- 90 slots at each site, for a total of 360
statewide (Spokane and Grant are considered one
site) - For the highest risk women who abuse alcohol
and/or drugs during pregnancy. - These women are not successful or effectively
engaged with community service providers.
13PCAP Services Include
- Paraprofessional advocacy services for up to the
target childs third birthday. - Identification and prioritization of realistic
goals, steps to meet goals, and evaluation of
progress towards goals. - Referral to chemical dependency treatment,
recovery, and follow-up, to include residential
and outpatient treatment. - Support for utilization of local resources.
- Provision of funds for food, unmet health needs,
other necessities, and incentives as needed.
14Safe Babies Safe Moms
- Snohomish, Benton-Franklin, and Whatcom Counties
- 260 slots statewide
- For the highest risk women who abuse alcohol
and/or drugs during pregnancy. - Comprehensive program that includes
- PPW Residential and Outpatient Chemical
Dependency Treatment - PPW Housing Support Services
- Targeted Intensive Case Management (TICM) up to
three years.
15Targeted Intensive Case Management Safe Babies
Safe Moms
- Intensive case management and behavior
rehabilitative services for pregnant and
parenting alcohol and drug abusing women. - For women who have a history of multiple system
involvement and need services of longer duration
and greater intensity than women enrolled in or
served by other resources. - Children of these women may suffer from
developmental disabilities and behavioral/emotiona
l disorders that prevent them from functioning
normally in their home, communities, and other
settings.
16TICM Services Include
- Milieu Therapy
- Activities with children to normalize their
psychosocial development, promote safety, and
stabilize their environment. - Crisis Counseling
- Immediate short term intervention to assist the
mother/child in responding to the crisis and/or
stabilizing the situation until problems can be
addressed in regularly scheduled counseling or
therapy sessions. - Regularly Scheduled Counseling and Therapy
- Work on specific dysfunctions identified in a
continually updated formal service/treatment
plan. Therapy may be individual or group setting
and directed toward the mother, child, or family.
17Parent Trust
- Family support groups for families recovering
from chemical dependency. - Using a family support philosophy and creating
community networks with family support agencies
in participating communities. - Develop and maintain Families in Recovery groups,
which provide family support and skills
development with specific focus on the parenting
and family issues of recovering families. - Available in most of the PPW residential chemical
dependency treatment programs.
18Fetal Alcohol Syndrome Diagnostic and Prevention
Network (FASDPN)
- Community and Professional Training University
of Washington - Regional Network Site Training (Spokane, Yakima,
Pullman, and Everett) - Trainings include
- Fetal alcohol related diagnosis
- The roles in providing complex intervention needs
for individuals diagnosed as fetal alcohol
related - How to identify birth mothers of children
diagnosed with prenatal alcohol damage and assist
them in avoiding subsequent fetal alcohol exposed
births by referral to existing alcohol treatment
and/or family planning programs.
19FASDPN Trainees Will Learn
- What FAS and alcohol related brain damage is and
how it is diagnosed. - What services the FASDPN provides and how to
utilize them. - What each professionals role is in the referral,
diagnostic, and service provision process. - What information is needed to conduct a
diagnostic evaluation. - Who benefits from a diagnostic evaluation.
- How to link birth mothers to community
intervention services.
20Iceberg Newsletter
- Iceberg is a quarterly international educational
newsletter on FASD (Fetal Alcohol Spectrum
Disorders) published by the Fetal Alcohol
Syndrome Information Services (FASIS), a
parent/professional partnership. - Because the problems we readily see are only the
tip of the iceberg.
21Fetal Alcohol Syndrome Family Resource Institute
(FASFRI)
- This service provides the citizens of the State
of Washington a service dedicated to improving
the lives of children and families impacted by
fetal alcohol exposure. - This service is provided from the viewpoint of
parents who have been directly affected by fetal
alcohol exposure, whether they are birth,
adoptive, foster, grand, or step parents.
22FASFRI Activities Include
- Training
- Advocates
- Information and resources
- 1-800-999-3429
- Newsletter publisher (quarterly)
- FAS Times
- Assists with FASD conference planning
23Chemical Using Pregnant (CUP) Detoxification
- DSHS funded inpatient hospital program for acute
detoxification and medical stabilization of
pregnant chemically dependent women and their
fetus. - Provides both medical and drug/alcohol treatment
services at pre-approved hospitals statewide. - Available at
- St. John Medical Center/Longview
- Grays Harbor Community Hospital/Aberdeen
- Swedish Medical Center/Ballard
- Providence Medical Center/Everett
- Valley General Hospital/Monroe
- St. Peter Hospital/Lacey
24Fetal Alcohol Syndrome Interagency Workgroup
(FASIAWG)
- Established by the Legislature in 1995
- Legislatively mandated state agencies that
attend - DSHS (DASA, CA, MAA, JRA, DDD, MHD)
- DOC
- OSPI
- DOH
- The state agencies listed above executed an
interagency agreement to ensure the coordination
of identification, prevention, and intervention
programs for children who have fetal alcohol
exposure, and for women who are at high risk of
having children with fetal alcohol exposure. - A process for community advocacy groups to
participate in the review and development of
identification, prevention, and intervention
programs administered or contracted for by the
agencies executing the agreement.
25How to Access Services
- Direct admission into PPW Residential or CUP
sites - Can access through an ADATSA Assessment Entity
- PPW Resource Guide
- 24 Hour Alcohol/Drug Helpline
- 1-800-562-1240
26Additional Information
- Sue Green
- Women/Special Services Lead
- Division of Alcohol and Substance Abuse
- 360-725-3732
- greensr_at_dshs.wa.gov
27Websites
- DASA http//www1.dshs.wa.gov/DASA/
- DASA Greenbook http//www1.dshs.wa.g
ov/DASA/services/certification/GB.shtml - (directory of all DASA certified programs
statewide) - FASDPN http//depts.washington.edu/fasdpn
/ - FASD Center for Excellence http//www.fascenter.
samhsa.gov/ - FASFRI http//www.fetalalcoholsyndrome.
org/ - Iceberg Newsletter/FASIS http//www.fasiceberg.o
rg/ - Parent Trust http//www.parenttrust.org/
- PCAP http//depts.washington.edu/f
adu/ - Washington State Alcohol/Drug Clearinghouse http/
/clearinghouse.adhl.org
28PPW Residential Providers
29PPW Housing Support Services Providers
30CUP Providers
- St. John Medical Center/Recovery Northwest
- (360) 414-2172
- Grays Harbor Community Hospital/Eastcenter
Recovery Alcohol and Drug Unit - (360) 533-8500
- Swedish Medical Center/Ballard Community Hospital
Addiction Recovery Services - (206) 781-6350
- Providence General Medical Center/Providence
Recovery Program - Behavioral Health Services - (425) 258-7390
- Valley General Hospital/Behavioral Health
Services - (360) 794-1405
- St. Peter Hospital/St. Peter Chemical Dependency
Center - (360) 456-7575
31Acronyms
- ADATSA Alcoholism and Drug Addiction Treatment
and Support Act - CA Childrens Administration
- CUP Chemical Using Pregnant
- DASA Division of Alcohol and Substance Abuse
- DDD Division of Developmental Disabilities
- DOC Department of Corrections
- DOH Department of Health
- DSHS Department of Social and Health Services
- FAE Fetal Alcohol Effect
- FAS Fetal Alcohol Syndrome
- FASD Fetal Alcohol Spectrum Disorders
- FASDPN Fetal Alcohol Syndrome Diagnostic and
Prevention Network - FASFRI Fetal Alcohol Syndrome Family Resource
Institute - FASIAWG Fetal Alcohol Syndrome Interagency
Workgroup - FASIS Fetal Alcohol Syndrome Information Services
- JRA Juvenile Rehabilitation Administration
- MAA Medical Assistance Administration
- MHD Mental Health Division
- OSPI Office of the Superintendent of Public
Instruction