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Families with H.A.R.T. Program

Families with H.A.R.T. Program. Tiffany Howard MS LCADC ASE. Demographics for Worcester County . Outlooks & Outcomes 2006 Annual Report Number of admissions has increased from 100 in FY03 to 135 in FY06 Increased referrals outside of the county. Family Focused Programs.

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Families with H.A.R.T. Program

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  1. Families with H.A.R.T. Program Tiffany Howard MS LCADC ASE

  2. Demographics for Worcester County • Outlooks & Outcomes 2006 Annual Report • Number of admissions has increased from 100 in FY03 to 135 in FY06 • Increased referrals outside of the county

  3. Family Focused Programs • Prevention Services • Mental Health • Adult Addictions • External agencies/services None specifically focus on substance use disorders and adolescents

  4. Brief Strategic Family Therapy • Family Systems Approach • Addresses Patterns of Interaction • Targeted & Practical Ways to Change Patterns

  5. Benefits of BSFT • Targets self-sustaining family changes • 8 to 24 Sessions • Extensively evaluated • “Manualized” • Flexible approach • Respects family culture

  6. What BSFT Does • Engages client and families • Diagnoses family dysfunction as related to client’s treatment issues • Orchestrates change within the family that gives opportunity for long-term change within family communication

  7. Goals of Family Program • Reduce/eliminate substance use of adolescent • Change family patterns surrounding adolescent substance use • Sustain BSFT treatment approach in Worcester County

  8. Planning for Implementation • Identify Population • Train Staff • Accumulating experience to train & supervise staff • Planning for group & individual live supervision • Project Oversight • Outcome measurements • Budget Issues • Identify Family Assessment Tool • Family Assessment Device (FAD) • FACES • Scheduling of Care • Continued Recruitment (sustainability)

  9. Population • Identified Population: • Pilot Group: IOP Enrolled • Future Growth Expectation • IOP Enrolled • Drug Court Enrolled • Inpatient Referred

  10. Outcomes Measurements • Family interaction pre/post screening tool • Substance use comparison, admission & discharge (80% decrease) • Percentage of families successfully completing BSFT (90%) • Percentage of adolescents remaining in treatment =or>90 days (62%) • Percentage of adolescents completing/transferring/referred entering another level of treatment within 30 days of discharge (40%) • Percentage of adolescents improving school attendance (85%) • Recidivism rates (*70% decrease in completers) Based on ADAA 2007 Program Performance Strategies

  11. Brief Strategic Family Therapy for Adolescent Drug Abuse Therapy Manuals for Drug Abuse: Manual 5 Authors José Szapocznik, Ph.D. Olga Hervis, M.S.W., L.C.S.W. Seth Schwartz, Ph.D. Center for Family Studies Department of Psychiatry and Behavioral Sciences University of Miami School of Medicine

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