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Drug Endangered Child Program (DEC)

Drug Endangered Child Program (DEC). A Proposal for a Multi-Disciplinary Integrated Response System. Contents. Overview Purpose Mission and Values Partnerships/Roles Training Protocols/Continuum of Care Evaluation References. Overview. Nationally:

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Drug Endangered Child Program (DEC)

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  1. Drug Endangered Child Program (DEC) A Proposal for a Multi-Disciplinary Integrated Response System

  2. Contents • Overview • Purpose • Mission and Values • Partnerships/Roles • Training • Protocols/Continuum of Care • Evaluation • References

  3. Overview • Nationally: • Drugs, $, and weapons are typical seizures by LE agents during “controlled buys” or clandestine lab raids; • Growing phenomenon of children exposed to the production, sale, and use of illicit drugs

  4. Overview • 500% increase in cases where Methamphetamine is drug of choice in TX programs (Manning, 1999) • San Diego – Methamphetamine Capital • Production: multi-level, organized criminal enterprise & “mom & pop shops” • Every state, county, and city now faced with the need to respond • CY2004: 82/129 CHIPS Petitions - SLC • CY2001-04: SLC Sheriff -29 meth labs

  5. Overview • Methamphetamine (Meth) • Man made, extremely addictive, CNS stimulant. It is extremely powerful • Known as: crank, ice, crystal, glass, speed, mud, or chalk, etc • Smoked, snorted, orally ingested, or injected

  6. OverviewEffects on Users • Intense, pleasurable “high” last several hours; • Followed by an equally intense “crash” • Addicts: extreme paranoia, anxiety, confusion, hallucinations, violence, depression, insomnia; • Health: increased BP & heart rate, dopamine depletion, kidney & liver

  7. Before and After

  8. Before and After

  9. OverviewMethamphetamine Production • Drug Cartels – Organized Crime • Local Labs – Urbane, Rural • Private Homes/Apartments • Hotels/Motels • Storage Facilities • Hunting Shacks/Cabins • Ice House, • etc

  10. Meth Lab in a Home

  11. Mobile Lab in a Vehicle

  12. Ice House Lab

  13. Meth Lab in a Cabin

  14. Meth Labs - Dangers • Fires • Explosions • Toxic Waste Sites • Inhalation and exposure to toxic fumes and chemicals • Accidental ingestion of chemicals and contaminated foods • Chaos & poor supervision • Adults involved in criminal behavior

  15. Meth Labs/Homes - Hazards • Drugs and drug paraphernalia • Booby traps • Guns & weapons • Exposed wiring • Chemicals in refrigerators • Strangers

  16. Dangers of Meth Labs • Chemical hazards from cooking process • Solvents • Corrosives • Toxics • Reactives

  17. Meth Lab Waste

  18. METH WASTE– BABBITT, MN

  19. Meth Lab Dump Site

  20. OverviewDangers For Children • Individuals involved in the production, sale, and use of Methamphetamine exhibit chaotic lifestyles; • Their children are at significant risk of physical abuse, sexual abuse, neglect, and drug-related violence by family members and the array of strangers who enter the home to buy or use drugs (Harris, 2004)

  21. Purpose • Community Responses to “Big Problems” • 1980’s – Domestic Violence & DAIP • 1990’s – Child Sexual Abuse & 1st Witness • 2000’s – Drugs and Drug Endangered Child Programs

  22. Purpose • Ensure children exposed to the production, use, and sale of illicit drugs receive community specific service delivery that meets their unique needs; • Facilitate the identification and collaboration of various disciplines • Build coalitions; Meth Task Force • Jointly develop discipline-specific protocols (review, revise, finalize, & publish)

  23. Purpose • Coordinate a multi-disciplinary integrated response to children • Team meetings, cross training, goals • Provide direct service to children • Organize neighborhoods & communities • Participate in the development and implementation of creative community support programming; Shared Family Care Program • Search for funding • Evaluate

  24. Mission • To Protect, • Promote, and • Improve the health and quality of life in St. Louis County

  25. Values • Safety • Permanency • Well Being • Collaboration • Dedication

  26. Partnerships • Law Enforcement • Assume investigatory duties at the site of the production, sale, or use of illicit drugs • State • Municipal • Tribal • County

  27. Partnerships • Fire, EMT, HAZMAT Team • Assist in the management of environmental hazards from production • Testing • Clean-up

  28. Partnerships • Medical • Develop protocols • Conduct medical evaluations & screenings to ensure the child’s physical and mental health needs are met

  29. Partnerships • Justice • County Attorney’s Office, in conjunction with municipalities and Tribal authorities, would be responsible for litigation of criminal drug cases and juvenile child protection (CHIPS) cases; • Public defenders and victim’s advocacy would be a positive addition

  30. Partnerships • Public and Tribal Social Services • Intake workers will provide for immediate protection and safety; gather forensic data; transport for evaluation and address placement need • DEC social worker will initiate the development of the DEC program; assume co-coordination with public health • Identify team members, build coalitions, develop protocols, coordinate responses, facilitate team meetings, etc.

  31. Partnerships • Public & Tribal Social Services • DEC worker will conduct adjunctive home visitations with families and children in concert with pubic and tribal case managers to ensure safety and well-being (Kitzmann, 1997) • DEC worker will assist in the recruitment, initial training, and continuing education of Shared Family Care Providers (Barth, 1994)

  32. Partnerships • Public Health • Public Health Nurse (PHN) will initiate development of the DEC program; assume co-coordination with social services; • Identify team members, build coalitions, develop protocols, coordinate responses, facilitate team meetings, etc • PHN will conduct adjunctive home visitation; track safety, well-being and progress

  33. Foster Care ServiceShared Family Care (SFC) • Dual – Adult & Child Licensed Foster Home • Services to parent with chemical health issues and their child(ren) • Provide assistance, mentoring, parent skill training, independent living skills training • Keep family intact; and prepare them for independence (Barth, 1994, 1999; Barth & Price, 2005)

  34. Foster Care ServicesShared Family Care (SFC) • Human Services Roles • Provide dual licensed foster homes • Access to chemical health treatment and support • Provide initial training; continuing education for foster homes • Assistance and support services which facilitates transition to independence within the community

  35. Foster Care ServicesShared Family Care (SFC) • Public Health Role • Pre/Post natal care monitoring • Child development education to parent and provider • Child development monitoring/on-going testing • Child immunizations • Assist with initial training and continuing education of providers • Assist parent(s) with community transition

  36. Training for DEC Teams • Specialized training related to drug cases and child maltreatment – forensic data collection • Drug environments – exposures • Develop specific skill sets • Develop curriculum and training modules for SFC providers/mentors • UMD – CW Spring Conference

  37. Protocols • Develop a response matrix for each discipline or core agency • Identify important responses or action steps as it relates to: • Team member • Their location • Procedure • Timeline • Documentation/reporting

  38. Protocols • Law Enforcement • Assess condition of the child • Place child into protective custody • Collect physical evidence

  39. Protocols • Fire – EMT – HAZMET • Coordination with on-site law enforcement • Stabilization – respond to trauma • Field Assessments - samples • Decontaminations

  40. Protocols • Public and Tribal Social Services • Accept transfer of child & notify DEC Team (SW/PHN) • Arrange for any decontamination of the child; medical evaluations; screenings; etc

  41. Protocols • Public & Tribal Social Services • Conduct initial interviews • Network with foster care workers/providers • Provide community support services • Conduct home visitation • Organize /communities • Provide education/awareness

  42. Protocols • Public Health • Collaborate with law enforcement and child protection services/DEC social worker • Network with the clinical/medical community • Conduct home visitation • Organize neighborhoods/communities • Provide public education/awareness

  43. Protocols • Medical • Emergency • Immediate Treatment • Non-Emergency • Medical Exam • Screenings • Urine/Blood Samples

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