Screening and Assessment for Family Engagement, Retention and Recovery – SAFERR

1. Screening and Assessment for Family Engagement, Retention and Recovery –SAFERR Guidance for States and Communities Serving Families with Substance Use Disorders in Child Welfare Services and Dependency Courts Nancy K. Young, Ph.D., Director 4940 Irvine Blvd, Ste 202 Irvine, CA 92620 Phone: 714-505-3525 Fax: 714-505-3626 Email: www.ncsacw.samhsa.gov Presented at Putting the Pieces Together for Children and Families: The National Conference on Substance Abuse, Child Welfare and the Courts February 1, 2007

2. Developing since Summer 2003 • Review and Input from Community Expert Panel • Review at NCSACW Researchers’ Forum • Shared with In-Depth TA State Teams • Consultant Liaisons and States Provided Input to Implementation Guide • Edits and Rewrites

3. SAFERR is based on the premise that when parents misuse substances and maltreat their children, the only way to make sound decisions is to draw from the talents and resources of at least three systems: child welfare, alcohol and drugs, and the courts.

4. Principles • The problems of child maltreatment and substance use disorders demand urgent attention and the highest possible standards of practice from everyone working in systems charged with promoting child safety and family well-being. • Success is possible and feasible. Staff in child welfare, substance abuse, and court systems have the desire and potential to change individual lives and create responsible public policies. • Family members are active partners and participants in addressing these urgent problems.

5. Premises • The team is the tool, and people, not tools, make decisions • The family is the focus of concern • Problems don’t come in discrete packages; they are jumbled together • Assessment is not a one-person responsibility

6. Premises • Information is limited, and there is no research-based answer • There is no time to lose • ICWA creates specific guidelines for working with American Indian populations • Developing and sustaining effective collaborations is hard work

7. Organization of SAFERR • Building Cross-System Collaboration • Creating the structure to create and sustain change • Collaboration Within and Across Systems • What each system needs to know about itself and its partners • Collaboration in Action: Working Together on the Front Line • Presents activities that create cross-system practice changes

8. Organization of SAFERR • Facilitator’s Guide • Templates and exercises • Fact Sheets • To educate administrators, legislators and stakeholders about the initiative • Understanding the Needs of Children • Screening and Assessment Tools for Substance Use Disorders

9. Organization of SAFERR Appendices • Substance Use, Abuse, Dependence Continuum, and Principles of Effective Treatment • Safety and Risk Assessments for Use by Child Welfare Staff • Sharing Confidential Information • Glossary of Terms • Guide to Compliance with the Indian Child Welfare Act (ICWA)

10. Assessment is a Process Assessment happens along a continuum to determine: • Presence and Immediacy • Is there an issue present? • What is the immediacy of the issue?

11. Assessment is a Process Assessment happens along a continuum to determine: • Presence and Immediacy • Is there an issue present? • What is the immediacy of the issue? • Nature and Extent • What is the nature of the issue? • What is the extent of the issue?

12. Assessment is a Process Assessment happens along a continuum to determine: • Presence and Immediacy • Is there an issue present? • What is the immediacy of the issue? • Nature and Extent • What is the nature of the issue? • What is the extent of the issue? • Developing & Monitoring Change, Transitions & Outcomes of Treatment and Case Plans • What is the response to the issue? • Are there demonstrable changes in the issue? • Is the family ready for transition? • Did the Interventions Work?

13. Definitions of Terms and Processes AOD Services CWS Services Court Services Is there an issue?

14. Definitions of Terms and Processes AOD Services CWS Services Court Services Is there an issue? What is the immediacy of the issue?

15. Definitions of Terms and Processes AOD Services CWS Services Court Services Is there an issue? What is the immediacy of the issue? What is the nature of the issue?

16. Definitions of Terms and Processes AOD Services CWS Services Court Services Is there an issue? What is the immediacy of the issue? What is the nature of the issue? What is the extent of the issue?

17. AOD Services CWS Services Court Services What is the Response?

18. AOD Services CWS Services Court Services What is the Response? Is there demonstra-ble change?

19. AOD Services CWS Services Court Services What is the Response? Is there demonstra-ble change? Is family ready for transition?

20. AOD Services CWS Services Court Services What is the Response? Is there demonstra-ble change? Is family ready for transition? What is to happen after discharge?

21. AOD Services CWS Services Court Services What is the Response? Is there demonstra-ble change? Is family ready for transition? What is to happen after discharge? Did the intervention work?

22. Assessment Information must be Communicated Assessment happens along a continuum to determine: • Presence and Immediacy • Is there an issue present? • What is the immediacy of the issue? • Nature and Extent • What is the nature of the issue? • What is the extent of the issue? • Developing & Monitoring Change, Transitions & Outcomes of Treatment and Case Plans • What is the response to the issue? • Are there demonstrable changes in the issue? • Is the family ready for transition? • Did the Interventions Work?

23. The SAFERR ModelDevelopment Establishes Individual and Cross System Roles and Responsibilities Builds Cross System Collaboration Identifies Front-Line Collaborative Practice Establishes and Monitors Individual and Cross-System Outcomes

24. The SAFERR ModelDevelopment Establishes Individual and Cross System Roles and Responsibilities Builds Cross System Collaboration Identifies Front-Line Collaborative Practice Establishes and Monitors Individual and Cross-System Outcomes

25. Builds Cross System Collaboration • Most senior officials from all systems • Direct staff to give this priority • Provide overall direction • Meet 3-4 times a year • Receive interim reports

26. Builds Cross System Collaboration • Senior managers from within systems • Co-chaired or use facilitator • Have decision-making authority • Receive materials in advance for discussion • Make decisions during meetings • Report collectively to the oversight committee

27. Builds Cross System Collaboration • The Charge to the Steering Committee: • Create a mission statement based on exploration of values and principles • Enhance understanding of current systems & barriers to communication • Establish goals, milestone, products & implement plan to achieve them • Create and oversee subcommittees • Identify training curricula and strategies • Monitor progress and evaluate outcomes • Senior managers from within systems • Co-chaired or use facilitator • Have decision-making authority • Receive materials in advance for discussion • Make decisions during meetings • Report collectively to the oversight committee

28. Identifies Front-Line Collaborative Practice Builds Cross System Collaboration Establishes Individual and Cross System Roles and Responsibilities • The Subcommittee(s) • Comprised of county front line and supervisory staff; • Charged by Steering Committee to conduct specific tasks • Participate in pilot tests of strategies • Report to the Steering Committee

29. Identifies Front-Line Collaborative Practice Builds Cross System Collaboration Establishes Individual and Cross System Roles and Responsibilities

30. Identifies Front-Line Collaborative Practice Builds Cross System Collaboration Establishes Individual and Cross System Roles and Responsibilities

31. The SAFERR ModelDevelopment Establishes Individual and Cross System Roles and Responsibilities Builds Cross System Collaboration Identifies Front-Line Collaborative Practice Establishes and Monitors Individual and Cross-System Outcomes

32. Identifies Front-Line Collaborative Practice Builds Cross System Collaboration Establishes Individual and Cross System Roles and Responsibilities

33. Identifies Front-Line Collaborative Practice Builds Cross System Collaboration Establishes Individual and Cross System Roles and Responsibilities

34. Identifies Front-Line Collaborative Practice Builds Cross System Collaboration Establishes Individual and Cross System Roles and Responsibilities

35. Identifies Front-Line Collaborative Practice Builds Cross System Collaboration Establishes Individual and Cross System Roles and Responsibilities

36. The SAFERR ModelDevelopment Establishes Individual and Cross System Roles and Responsibilities Builds Cross System Collaboration Identifies Front-Line Collaborative Practice Establishes and Monitors Individual and Cross-System Outcomes

37. Identifies Front-Line Collaborative Practice Builds Cross System Collaboration Establishes Individual and Cross System Roles and Responsibilities

38. Identifies Front-Line Collaborative Practice Builds Cross System Collaboration Establishes Individual and Cross System Roles and Responsibilities

39. Identifies Front-Line Collaborative Practice Builds Cross System Collaboration Establishes Individual and Cross System Roles and Responsibilities

40. Identifies Front-Line Collaborative Practice Builds Cross System Collaboration Establishes Individual and Cross System Roles and Responsibilities

41. Identifies Front-Line Collaborative Practice Builds Cross System Collaboration Establishes Individual and Cross System Roles and Responsibilities

42. The SAFERR ModelDevelopment Establishes Individual and Cross System Roles and Responsibilities Builds Cross System Collaboration Identifies Front-Line Collaborative Practice Establishes and Monitors Individual and Cross-System Outcomes

43. Assessment is a Process Assessment happens along a continuum to determine: • Presence and Immediacy • Is there an issue present? • What is the immediacy of the issue? • Nature and Extent • What is the nature of the issue? • What is the extent of the issue? • Developing & Monitoring Change, Transitions & Outcomes of Treatment and Case Plans • What is the response to the issue? • Are there demonstrable changes in the issue? • Is the family ready for transition? • Did the Interventions Work?

48. Establishes and Monitors Individual and Cross-System Outcomes • Increased identification of substance use disorders among families reported for child maltreatment • Increased identification of potential child maltreatment for people assessed/treated for SUDS • Increased communication regarding screening and assessment for SUDS and child maltreatment • Informed decision making by CWS and CS regarding reunification, aftercare, terminations • Reduced duplication and burden with regard to case plan requirements • Increased engagement and retention of parents in treatment • Reduced risk of maltreatment of children • Increased family stability, reunification and well being