Presentation Transcript

1. Interventions forSubstance Exposed Children

   PROGRAMS FOR SUCCESS
2. Presenters Kay M. Doughty, MA, CAP, CPP VP, Family and Community Services Jackie S. Griffin, MS Vice President of Development Executive Director or LiveFree! Mark A. Vargo, Ph.D. Vice President of Research and Evaluation
3. Workshop Content Overview Substance Exposed Data Development of a Logic Model Comprehensive Program Development Program Descriptions/ Evidence Based Practices Motivating New Moms COSA Substance Abuse Treatment Development Center Services Parenting Prevention Outcomes
4. Drug Use Trends
5. Drug Use and Gender Differences Source: Hal Johnson, MPH, Florida Department of Children and Families, eFORCE Data.
6. Drug Use and Gender Differences Source: Hal Johnson, MPH, Florida Department of Children and Families, eForcse Data
7. Rate of Fetal Substance Exposure Source: Hal Johnson, MPH, Florida Department of Children and Families.
8. Counties With Largest Incidence
9. Selected County Rates of Fetal Substance Exposure Source: Statewide Task Force on Prescription Drug Abuse and Newborns, February, 2013 Final Report
10. Demographics of Fetal Substance Exposure
11. Demographics of Fetal Substance Exposure
12. Post-Partum Care
13. Consequences: Economic Costs *2010 data includes only the months of September through December for Pinellas County *2013 data includes through June for Pinellas County Source: Eckerd Community Alternatives and LiveFree! Coalition
14. Consequences:Neonatal Complications Prematurity Low Birth Weight Infections Diseases SIDS IUGR Failure to Thrive Apnea Stroke CNS Disorders (e.g. spinal infarctions) Heart Attack
15. Signs of Substance Exposure in Infants Withdrawal Symptoms (tremors, seizures, digestive issues, vomiting, diarrhea, poor feeding, difficulty sleeping , high pitched cry, and inconsolability) Easily overstimulated Difficulty in self-regulation Frequent hiccups, yawning, sneezing Myoclonic Jerking and Twitching Tight fists, rigid body, stiffening of arms and legs
16. Signs of Substance Exposurein Older Children Social Withdrawal Aggressiveness Impulsiveness Language Delays Attention Problems Anxiety, Depression Overfriendliness Mental Retardation
17. The Problem Many parents in Pinellas County are using and abusing alcohol, drugs, and other mood altering substances, leaving them unable to provide proper care and supervision for their children, and in turn results in high reports of abuse/neglect and children placed out of the home
18. The Plan
19. The Goal
20. Access Center Community Hospital Child Welfare CPI FIS (MSS) MnM COSA Parenting MET/CBT Seeking Safety Living in Balance COSA Treatment COSA Developmental Center Parenting Wisely Strengthening Families Nurturing Parenting ASQ HELP Living in Balance Parent
21. Motivating New Moms Motivating New Moms is a program designed to engage pregnant or post partum prescription using mother into services with a Behavioral Health Consultant with the ultimate goal of engaging the mother in substance abuse services and the completion of in-home parenting classes
22. Motivating New Moms COMPONENTS Referrals from Hospitals, High Risk Pregnancy Centers, Child Welfare, and Substance Abuse Treatment Facilities. In home/hospital visits for engagement Nurturing Parenting Curriculum Referrals to community based programs
23. Nurturing Parenting The Nurturing Parenting Program family-centered initiative builds nurturing parenting skills to replace abusive and neglecting parenting The program activities: foster positive parenting skills and self-nurturing, Provide home practice exercises and family nurturing time, activities that promote positive brain development Targetsall families at risk for abuse and neglect with children birth to 18 years old. 
24. PAR COSA COSA (Cornerstone of Successful Achievement) program serves substance abusing pregnant and parenting women and fathers whose infants and preschool children are often developmentally delayed. COMPONENTS Day treatment Early intervention outpatient treatment, group case management continuing care COSA integrates therapeutic child development into its treatment model developed from evidence-based studies.
25. COSASubstance Abuse Treatment Assessment and Admission Individualized Treatment Planning Group Counseling MET/CBT Substance Abuse Seeking Safety: Trauma and Substance Abuse Living in Balance: Designed for Co-Occurring Disorder Individual Counseling Parenting Engagement Parenting Continual assessment for proper treatment level of care
26. PAR COSA PHILOSOPHY Holistic approach integrating relationship building between parent and child. Strengthen parent/child bonds Acquire effective parenting skills Understand the basic principles of child development Participate daily in their child's educational activities.
27. PAR COSA Program goals: Adults will reduce their drug use; Adults will demonstrate satisfactory parent/child interaction Children in the Child Development Center will satisfactorily complete at least two educational goals on their Individual Development Plans.
28. COSA Child Development and Family Guidance Center Priority: Children from birth to 5 years of age with Parent: Receiving services at Operation PAR or Has a Child Welfare case plan Service Delivery After thirty days of admission, ASQ-3 developmental screening is done to provide a base line measure of skills. An education plan is drawn up based on the results of ASQ- 3 Screening
29. Child Development and Family Guidance Center Service Delivery The educational plans are used as a guide for lesson planning to assure skill practice in areas of deficit. Children 0 – 2 years receive the ASQ-3 every 4 months afterward with children 2- 5 yrs. receiving them every 6 months as a measure of continued development.
30. COSA Development Center:Family Services Worker New Parent Orientation Monthly Newsletter Family Literacy Program Commitment To Character Charge Up Family Involvement Hour Family to School Liaison
31. Parenting Wisely Presented to parents only for all age children Uses: Interactive group dynamics, Videos and Hands on mock case studies associated with parenting. 
32. Parenting Wisely May also be offered individually   Intent:Improve parenting skills and reduce negative behaviors.
33. Strengthening Families Designed for both parent and youth Includes education and interaction.  Has separate curricula for Families with children from ages six through eleven or teenagers from ages twelve through sixteen  
34. Strengthening Families Purpose: Improve family interaction Youth’s self-expression, self-esteem and behavior Components 1) Separate Parent and Youth Sessions 2) Family Activity Sessions 3) Family Dinner 4) Four In-home Parent Sessions.
35. Prevention System of Care Discussion Questions and Answers
36. Contact Information Kay M. Doughty (727)545-7564, ext. 274 kdoughty@operpar.org Jackie S. Griffin (727) 545-7268 jgriffin@operpar.org Mark A. Vargo (727) 499-7240, ext 204 mvargo@operpar.org