Amethyst, Inc.

1. Amethyst, Inc. Amethyst exists to nurture and sustain healthy women and families. We have been providing gender specific and trauma informed alcohol, tobacco and and other drug treatment, transitional and permanent supportive housing services to homeless women and their children since 1983

2. Amethyst Program Philosophy • Client focused treatment, program design and evaluation through clustering • Blending treatment and housing components to provide the time and resources necessary for meaningful life changes • Gender specific, trauma informed treatment to create an environment where women and children are welcomed.

3. Treatment Model • Alcohol and Drug Treatment • Orientation • Entry Level • RSvP/RIP • Four levels of Care • Transitional Housing • Permanent Supportive Housing

4. Treatment Model • Additional clinical services include: • FamilyQuest, SummerQuest and KidsQuest • Spirituality • Cultural Exploration • Art Therapy

5. Treatment Model • Trauma Services • Trauma Counselors (2) • EMDR • Crisis Counselor • Transition Counselor

6. Client Services • Case management • Education and employment • Life skills development • Physical health • Reunification

7. Continuous Quality Improvement • Goal Sheets • Organizational Culture • Evaluation • Quarterly Client Satisfaction Surveys • Consumer input

8. Amethyst Housing • Transitional (RSvP/RIP) • 13 one and two bedroom units • On site Resident Manager • Permanent Supportive: • 77 one and two bedroom units • 18 one bedroom units • On site Resident Manager • Scattered sites

9. RSvP Program Components • Daily exercise, relaxation, leisure • Child care, after school activities • Transportation • Staff and peer support 24 hours a day, seven days a week

10. RIP Program Components • Return to intensive level of care • Crisis counseling • Relapse autopsy • Relapse prevention planning • Nutrition, exercise

11. RIP Program Components • Return to intensive level of care • Crisis counseling • Relapse autopsy • Relapse prevention planning • Nutrition, exercise

12. Amethyst Facts • In 2005: • 145 women and 83 children lived in Amethyst permanent supportive housing • Average length of stay is 30 months • Average age of client is 40 • 100% of the women were homeless and chronic substance abusers

13. Amethyst Facts • 84% of the women in the program had co-existing mental health issues • 94% of the women in the program had trauma issues • 4% of the women in the program were HIV+

14. Amethyst Facts • In 2005: • 92% maintained sobriety throughout participation in the program • 65% maintained sobriety for more than one year • 80% maintained sobriety for six months or more

15. 66% participated in education/employment training 35% volunteered in the community 19% were working full or part time jobs 96% of those working maintained employment for six or more months Amethyst Facts

16. Amethyst Facts • 100% of the women had no new contacts with the criminal justice system AND……. • 11 Families were reunited with 14 children returning to their mothers from foster care • An additional 26 women were in process of reunifying with 46 children • 3 babies were born drug-free

17. Amethyst Fiscal Year 2005

18. Cluster Planning and Outcome Management (Women) MORE MATURE WOMEN WHO ABUSE CRACK YOUNGER ADULT WOMEN ADDICTED TO CRACK COCAINE SUBSTANCE ABUSERS WITH MORE SEVERE MENTAL HEALTH PROBLEMS WOMEN ADDICTED TO PRESCRIPTION DRUGS MORE MATURE WOMEN WHO ABUSE ALCOHOL

19. Cluster Planning and Outcome Management (Children) CHILDREN AND ADOLECENTS WHO HAVE ADHD OR OTHER NEUROBEHAVIORAL CONDITIONS CHILDREN AND ADOLESCENTS WHO ARE DEPRESSED AND/OR SUICIDAL CHILDREN AND ADOLESCENTS WHO HAVE BEEN SEXUALLY, PHYSICALLY OR EMOTIONALLY ABUSED CHILDREN AND ADOLESCENTS WITH SERIOUS BEHAVIOR PROBLEMS

20. Cluster Planning and Outcome Management (Children) CHILDREN AND ADOLESCENTS WITH SUBSTANCE ABUSE ISSUES WITNESSES OF CHRONIC TRAUMA INFANTS AND TODDLERS WITH EARLY DEVELOPMENTAL AND BEHAVIORAL DIFFICULTIES ANXIOUS CHILDREN

21. Amethyst Treatment Model Levels of Care Amethyst Treatment Model Levels of Care

22. Amethyst Treatment Models • Level One • Level Two • Level Two-B • Level Three • Level Four • Aftercare

23. Level One • Relapse Triggers and Prevention Plans • Budgeting and Financial Planning • Volunteer Work Experience • Case Management/Life Skills Development • Cluster Groups

24. Level Two • Adult Children of Dysfunctional Families • Anger, Guilt, Shame and Grief • Negative Messages, Negative Attitudes • Assertiveness • Career exploration

25. Level Two • Art Therapy • Abuse Issues • Parenting • Budgeting • Spirituality

26. Levels Three and Four • School • Work • Day and evening schedules • Economic independence • Homeownership

27. FamilyQuest • Orientation for Families and Children • Child and Family Assessments • Medication Assessments and Monitoring • Treatment Planning • Children’s Groups • Individual Counseling For Children • Family Counseling • Evidence-Based Parenting Classes Assigned by Cluster • Home Visits • Crisis Intervention and Support • Treatment Team Meetings • Coordination with collateral service providers and systems • Transportation • SummerQuest

28. Trauma Specific Outcomes For All Women’s Clusters • Understanding and Acceptance of Trauma • Toxic Shame • Interference From Post Traumatic Stress Responses • Ability to Deal with Transitions

29. Results • Successful family cohesion • Retention of women in treatment • Breaking the cycle of addiction and trauma • Prevention of children and families from replicating the harmful behaviors that have been passed down • Reduction in the problematic use and harmful effects of alcohol and other drugs • Reduction in the rate of and generational cycle of violence • Reduction in the number of families involved with protective services • Reduction in criminal justice contacts for both women and children • Improved education, employment and income for participants