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Division of Alcohol and Substance Abuse

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Division of Alcohol and Substance Abuse Pregnant and Parenting Women (PPW) with Chemical Dependency Issues DASA Services in the Prevention of FASD – PowerPoint PPT presentation

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Title: Division of Alcohol and Substance Abuse


1
Division of Alcohol and Substance Abuse
  • Pregnant and Parenting Women (PPW) with
  • Chemical Dependency Issues
  • DASA Services in the Prevention of FASD
  • January 2005

2
What 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.

3
What 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.

4
With 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

5
DASA 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.

6

PPW 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
7
PPW 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.

8
Therapeutic 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

9
PPW 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

10
Crisis 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.

11
Other Services
  • Parent Child Assistance Program (PCAP)
  • Safe Babies Safe Moms (SBSM)
  • Parent Trust
  • FASDPN
  • Iceberg Newsletter
  • FASFRI
  • CUP
  • FASIAWG

12
Parent 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.

13
PCAP 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.

14
Safe 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.

15
Targeted 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.

16
TICM 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.

17
Parent 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.

18
Fetal 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.

19
FASDPN 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.

20
Iceberg 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.

21
Fetal 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.

22
FASFRI Activities Include
  • Training
  • Advocates
  • Information and resources
  • 1-800-999-3429
  • Newsletter publisher (quarterly)
  • FAS Times
  • Assists with FASD conference planning

23
Chemical 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

24
Fetal 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.

25
How 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

26
Additional Information
  • Sue Green
  • Women/Special Services Lead
  • Division of Alcohol and Substance Abuse
  • 360-725-3732
  • greensr_at_dshs.wa.gov

27
Websites
  • 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

28
PPW Residential Providers
29
PPW Housing Support Services Providers
30
CUP 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

31
Acronyms
  • 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
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