F6 Substance Abuse Specialists: Engaging Parents and Youth in Wraparound June 6, 2014, 10:30 am -12:00 pm Jim Dickinson Madrid
Substance Abuse Specialists in Wraparound: Considerations for Program Enhancement Presented by: Jim Dickinson CDSS Wraparound Consultant BSHS; CAADAC; CAS 1 This presentation is adapted from a CWLA Workshop February 2009, Washington D.C. Presented by: Sanford (Sandy) Robinson 2 Building Blocks To Address The issue Parents entering Wraparound with substance abuse issues face great obstacles which unmet can lead to: Not being able to engage in the wraparound process Not getting their children back or losing them Children raised in foster care And, diminished quality of life. 3 1
Sometimes Wraparound and Substance Abuse Recovery are Worlds Apart Wraparound Substance Abuse Recovery 4 Utilizing Substance Abuse Recovery Specialists Reduce incidents of out of home placement Remove barriers and improve linkages between SA treatment and Wraparound team Improve the capacity of Wraparound to serve parents with substance abuse issues Ensure reasonable efforts to remove obstacles to success 5 Benefits of Utilizing Substance Abuse Recovery Specialists Decrease the time it takes to address the issue and enter treatment Increase compliance with treatment Increase engagement in the Wraparound process Increase family reunification Stabilization of the family unit. 6 2
Primary Recovery Specialist Function Engaging parents to enter treatment through wraparound and support them during this process Why? Without treatment most parents with genuine substance abuse issues will most likely fail, leading to increased time away from home, children in foster care, etc. 7 Models of Collaborative Practice Paired Recovery Specialist and Wraparound team Paired Recovery Specialist and treatment team Parent Partners or others may also be the Recovery Specialists Recovery Specialists must be gender specific Recovery Specialist must be in recovery. 8 Regardless of Model Goals for Parents Engagement Strategies are Universal Attend required group and individual alcohol and drug treatment sessions Attend scheduled Recovery Specialist (mentor etc.) meetings Attend AOD support / 12 step meetings weekly Complete any AOD requirements of the court Drug Test Randomly 9 3
The Big Four 1. 2. DRUG AND ALCOHOL TESTING RECOVERY SUPPORT GROUPS TREATMENT SPECIALIST CONTACTS 4. 3. 10 Remember Fear is underneath everything! Hey you re going to treatment. Hey, I might fail and that will just prove what I, and everyone else, thinks of me. 11 Primary purpose is to facilitate entry into Wraparound If known provide parent with treatment days and times-written pocket calendar is best Process Upon assessment help parent make phone call to treatment for initial appointment If needed provide number, documentation etc. of public transportation Provide technical documents such as brochure or program rules Supply a map to treatment facility. Take them to facility the first time. 12 4
Things to Remember Doing this to change a life style Doesn t happen overnight Meth and other drugs affect memory: may need memory aids to get to meetings and appointments, (reduce barriers) Recovery Specialist should take public transit regularly to get the feel and knowledge of its use. 13 Walking The Talk or Accountability Get the signature and call to verify it Contact with the treatment provider and recovery group required the first 60 days When treatment is missed Then what? Know the rules of the program. What does it take to start over, or continue Know the treatment providers. Visit them and get their brochures. 14 Recovery Specialists must familiarize themselves with all aspects of recovery Steps to Relationship Building Train treatment providers in role of Recovery Specialist, and Wraparound Program Director or Supervisor available for ALL situations Treatment trumps Recovery Specialist in all situations Recovery Specialist never interferes 15 5
Recovery Specialist / Parent Contacts Foundation for the Utilize to collect relationship between paper work and the parent and the other needed specialist information Begin with Allow for some frequency and deviation /flexibility intensity and taper (non test days only) down gradually Although flexible, Fit parent s schedule hold parent accountable 16 Recovery Attitude Predict sobriety, usefulness and serenity Create a trusting relationship so that they feel free to call you As a Recovery Specialist, walk them through the process and reduce the opportunity to fail Honesty is nurtured and championed. 17 Staying In The Now Just for Today I didn t drink or use today, I am successful. One day at a time Right now I m clean and sober Right now I m clean and sober 24 hours at a time! 18 6
Building and Maintaining Great Relationships for Recovery The treatment provider relationship is vital if contact is to be made there Explain that Specialist should never interfere with treatment plan Take head honcho to lunch. Really! Every member of the team should have working knowledge of each provider. 19 Attendance of Support Groups Overcome resistance to attendance by fully explaining nature of meetings Using meeting schedule, highlight meetings close to home, work etc. Highlight meetings with childcare or any other special need Utilize buddy system other parents or alumni can attend meetings with parent Steer parents to beginner meetings and sober functions Explain to parent the need to attend these meetings treatment is finite but meetings offer lifelong support 20 Attendance of Support Groups Specialist must be familiar with 12 step and any alternative support groups not all meetings are equal Define for your program what support groups are acceptable Meeting signature forgery and how to address Entire team must be together in holding parent accountable for attendance Be flexible and lower meetings for some circumstance children returned, work increases etc. Create unique meeting attendance card Stay current on law pertaining to 12 step attendance 21 7
12 Step Information Have training for entire team/agency on 12-steps and support groups Supply actual 12- steps and support group information to team and to other Wraparound stakeholders who would benefit from the knowledge. 22 Drug and Alcohol Testing Tests are used to provide proof of compliance. Demonstrate how honesty about use helps case. Social Worker and Court perception Explain method of testing to parent. Remember Always allow for honesty first! Thoroughly explain consequences of deception 23 Drug and Alcohol Testing Set policy for marijuana users 3 negatives constitute clean levels increase/decrease If possible, test at treatment facility and or home Employer policy is non negotiable Notify child welfare immediately of positive test when children are present 24 8
Testing Relationship Building Training on testing must be completed with all stakeholders court, treatment, child welfare & attorneys Take head honcho of lab to lunch Really 25 How Can You Make All Of This Work? Cross training and training on how to use the specialist Specialists background and expertise Specialist works with client throughout Collaborative relationship and constant communication Buy in from all systems Sustainable funding 26 Substance Abuse Specialists in Wraparound: Considerations for Program Enhancement Training Hiring Leadership Funding Evaluation. 27 9
Questions? Discussion? 28 10
DEFINING THE WRAPAROUND PROCESS An intensive, individualized case management process for youth with serious and complex needs. Maintaining youth with the most serious emotional and behavioral problems in their home, lowest level of foster care, and in their community. Designed to be organized around the family member s own perceptions of needs, goals and the likelihood of success based on specific strategies. Built on the Ten Principles of Wraparound which include family voice and choice, team-based, natural supports, collaboration, community-based, culturally competent, individualized, strengths-based, persistence, and outcome-based. A team of individuals who are relevant to the well-being of the youth and family to develop an individualized plan of care, implement this plan, and evaluate success over time. Includes formal services and interventions, together with community services, interpersonal support and assistance provided by friends, kin, and other people drawn from the family s social network. Convenes Child and Family Team meetings frequently to measure the plan s stated goals against relevant indicators of success. The CFT reviews the plan components and strategies in order to help the youth and family achieve their stated goals.