Celebrating Families! ™

1. Celebrating Families!™ An intergenerational, cognitive- behavioral group modelfor families in early recovery

2. “Celebrating Families! ™ sets the standard with this comprehensive, clear, step-by-step, in-depth guide. This encyclopedic curriculum should be the starting point for anyone who wants to intervene positively with adults and children to build healthy families.Celebrating Families!™ is richly layered on a solid base of research, practical experience and evaluation. This is a curriculum that works!” Stephanie Brown, Ph.D., Director of The Addictions Institute, Menlo Park, Ca. Author of numerous books including Treating the Alcoholic – A Development Model

3. Substance Abuse and Addiction Substance abuse contributes to almost three fourths of incidents of child abuse and neglect of children in foster care. (U.S Department of Health and Human Services, 1999.) • Are primary causes of rise in child abuse, neglect and immeasurable increase in the complexity of cases.* • Contribute to 75% of incidents of child abuse and neglect of children in foster care. ** *CASA, 1999. **National Center on Addiction and Substance Abuse, 1999

4. Why A Family Program ? • Parents have not received sufficient parenting themselves • Court mandated holistic and culturally competent child-centered program can improve parenting capabilities • Belief parents love their children • Best place for children is with their birth families, when safe • Children ultimately at risk to continue cycles

5. Family InterventionsWORK! Meta Analytic reviews of randomized clinical trials conclude that treatments that involve family result in • Higher levels of abstinence (50 vs. 30%) • Fewer drug related arrests (8 vs. 28 %) • Fewer inpatient treatment episodes (13 vs. 35%) Science Practice Perspectives. Vol. 2 No 2 August 2004 NIDA.

6. Family Interventions Save Money • Estimated cost per participant (40) Year I $ 990 Year II $ 740 • Estimated cost per child/month in child welfare system (CWS) *$ 1,945 including indirect ** $ 2,123 • Estimated cost including system (medical, law, special education) ** $17,584 • Cost per month to house youth in county ***$ 2,600 Cost per month to house a youth at CYA $ 6,666 * California Child Welfare System – Child and Family Futures ** Edna McConnell Clark Foundation ***Legislative Analyst's Office, 2002-03 George Kita, Former Deputy District Attorney

7. Why a Specialized Program? All members of a chemically dependent family need to learn: • Healthy living skills • Communication skills • How to sustain recovery • How to have positive relationships • About the disease

8. Why a Specialized Program? (2) • How participants have been affected • About recovery • Boundaries • They are not alone • The Truth Statements

9. “Celebrating Families!is a historic ground-breaking program that will serve as a model to help families in other court systems.”Annual Evaluation Report, Center for Local Applied Research, 2004.

10. History • 2003: Judge Leonard Edwards requests program • SAMHSA grant • Children Screened and Assessed • Parents Medically Assessed • Head Start • Family Night (Celebrating Families!) with Transportation and Child Care

11. Team • Judge • Attorneys: Parent’s, Child’s, District, County Counsel • Social Workers and Family Night Coordinator • Drug and Alcohol Assessor • Public Health Nurse, Mental Health Assessor, Domestic Violence Advocate, Cal-Works, Community Based Agency Representatives (Friends Outside)

12. Family Treatment Drug Court • 60 parents and 125 children annually • Holistic approach • Drugs and Alcohol - Primary drug of choice - meth • Domestic Violence • Mental Health • Diverse Population

13. Serves A Diverse Population -Study shows CF! most effective with Hispanic Families

14. 2006 • Study shows CF! most effective with Hispanic Families • SCC Department of Social Services General Funds provide two nights of Celebrating Families! for ALL Dependency Courts • ALL courts in SCC referring ALL families with substance abuse issues to community based sites, using First Five support

15. Breaks the cycle of addiction and abuse in families • Impacts the family system • Increases successful family reunification

16. Is Unique! • Uses teaching strategies effective with individuals with learning differences • Integrates teaching of parenting skills with strategies to break the cycle of addiction in families

17. Is Unique! (2) • Reinforces and explains what clients learn in treatment and recovery programs • Is fully scripted, including role-plays, handouts, children’s stories and activity sheets

18. Teaches • Facts about ATOD & Chemical Dependency • Recognition of Influence of Media & Advertising • Facts about Domestic Violence

19. Teaches (2) • Caring & Empathy: Acts of Kindness • We are part of something larger than ourselves (WOW Moments) • Centering & Reflection

20. Teaches (3) • About the disease • Facts about ATOD • It’s a brain disease • That impacts families • Self Worth & Self Efficiency: recognizing and celebrating each person’s uniqueness

21. Helps All family members learn and incorporate the Truth Statements into their lives I did not CAUSE the disease. I can not CURE the disease. I cannot CONTROL the disease. I can take CARE of myself – One day at a time

22. Intergenerational,Strength Based, Building Family Skills In Early Recovery

23. Typical Session FAMILY STYLE MEAL CHILDREN’S PARENT GROUPS GROUP Childcare 90 Minutes Simultaneously + 30 Minutes FAMILY ACTIVITY Transportation

24. Typical Session Family Dinner Age-Appropriate Groups Opening Centering Group Agreements & Opening Activity Review (Acts of Kindness) Insights for Living Closing Reflection WOW Moments Connecting With My Family Family Story Group Agreements Children’s Sharing Activity Closing

25. Why Dinner? Kids who eat dinner with their families are less likely to use ATOD Those who did not were 3x more likely to try marijuana, more than 2x as likely to smoke, and 1.5x more apt to drink alcohol "One factor that does more to reduce teens' substance-abuse risk than almost any other is by having frequent family dinners“ The National Center for Addiction & Substance Abuse at Columbia University (9/04/2005 and 1998

26. Four Aspects of Healthy Living

27. Orientation Healthy Living Nutrition Communication Feelings Anger Management Facts about ATOD Chemical Dependency CD Affects the whole family Goal Setting Health Choices Healthy Boundaries Healthy Friendships & Relationships How We Learn Uniqueness Celebration! Topics

28. CF! Program Foundations • Life Skills • Family System • Support Group

29. Teaches Healthy Living Skills Anger Management Communication Feelings/Defenses Nutrition – Brain Chemistry, HALT Problem Solving & Goal Setting

30. Support Group Helps participants break the rules Don’t Talk Don’t’ Feel Don’t Trust Integrates recovery in every session with every family member

31. Family System How to incorporate recovery into daily lives as parents Risk & resiliency factors How to break the cycle of addiction: Saying “I love you” Affirming their children Spending one-on-one time

32. Evaluation Studies“This is a curriculum that works!”Stephanie Brown, Ph.D.

33. “This group is different – this is not another parenting class. This is a class on being a family” From Parent Focus Group

34. Preliminary Evaluations Reveal • Time to reunification significantly decreased to 6 - 12 months • Reunification rate increased to 73% with Drug Treatment Court • Large positive effect on parenting

35. Significant Outcomes Protective Factor Sig. Level (p=_) Effect Size(d’) Positive Parenting .000 2.35 (very large) Parent Involvement .000 1.91 (large) Parenting Skills .009 .95 (large) Parenting Efficacy .000 2.81 (very large) Parenting Supervision .000 2.76 (very large)

36. Significant Outcomes (2) Protective Factor Sig. Level (p=_) Effect Size(d’) Family Organization .000 .97 (very large) Family Cohesion .000 2.27 (very large) Family Communication .000 2.89 (very large) Family Conflict .063 .72 (large) Family Strengths/ Resilience .0000 3.12 (very large)

37. Significant Outcomes(3) Protective Factor Sig. Level (p=_) Effect Size(d’) Child Concentration Problems .000 2.49 (very large) Hyperactivity .004 1.42 (very large) Child Overt Aggression .04 -.74 (large, but negative result) The one negative change is predictable - occurring when children finally feel safe due to reduced fear and parentification.

38. Celebrating Families!TMYear II Summary “Findings show significant accomplishments have taken place. Classes helped parents and children learn and apply new skills, such as, identifying issues of chemical dependency and understanding how these issues affect their families.”

39. 1. I can help my parent stop drinking if I try hard enough. 2. I can change how other people feel. 3. I can make healthy choices for myself. 1. I can’t cure it. 2. I can’t control it. 3. I can take care of myself. Spontaneous Responses of 4-10 year olds on post test

40. Replication & Implementation

41. Replication Currently being implemented Santa Clara and San Mateo Counties • Family Treatment Drug Court (FTDC) • Friends Outside • House on the Hill • EMQ – Addiction Prevention Services • YWCA • Child Care Coordinating Council • SCC First 5 Collaboration

42. Replication (2) • California Counties: El Dorado, Kern, Kings County, and Yuba/Sutter • Out of State: Idaho (3), Georgia, Indiana, Connecticut. Professionals trained in Colorado and New Jersey • Internationally: Argentina and numerous sites in Russia (shelters, orphanages, schools, camps)

43. CF! Course Materials: (Distributed on CDs) • Manuals:Age-graded Session Plans for Parents, Youth and Children’s Groups and all Family Activities • Preface & Appendix: Implementation and research foundations • Evaluation:Parent and Youth instruments, Fidelity Checklists, Client Satisfaction Surveys, Leader Ratings

44. Replication • Training • At your site up to 25 staff OR • Attend training in San Jose, CA • Logistics: space, food, supplies • Supervision/Technical Assistance • Evaluation • Continued Learning for Team

45. Staffing • Site Coordinator (10 hrs a week) • Clinical Supervisor • 6-10 Group Leaders (2 per group) • Balance by gender, ethnicity, recovery

46. Leader Qualifications • Desire to help families learn • Desire to learn the model • Personal Skills: one to one & group • Understanding of chemical dependency Balance teams by gender, ethnicity, recovery

47. Sample Budget • 3-DayTraining at your site $ 4,000+exp. San Jose Trainings $395/person. • Registered Sites: Technical Assistance$6,000+exp. Contract with LutraGroup for data analysis evaluation report. • Group Leaders: (10 x 18 weeks x $20/hr x 5 hrs/week) $18,000 • Site Coordinator/Clinical Supervisor (18 weeks x $30/hr x 10hrs/week) $ 6,400 • Food: (16 sessions x 15 families x $10/family) $ 2,400 • Child Care: (16 wks x 2 staff x $15/hr x 3 hrs) $ 1,650 • Supplies: (paper products, toys) $ 500 • Manual Duplication:(10 x $65/each) $ 650 Total: $39,600+ $29,600 Year One Year Two

48. Sites • Reduced costs ($5-10,000) by • Using trained interns and volunteers • In-kind donations of food, space • Using flex time with staff • Received funding from • Grants: SAMHSA, local Foundations • Healthy Families Insurance • Contracts from First Five, Departments of Social Services & Alcohol & Drugs Services • Child Abuse

49. Recovering Families Can Be Healthy And Happy !

50. Recovering Parents Can & Do Change! “I now call my son twice a day. I used to think of calling him once a week.”