1 / 27

Collaboration Between Agencies to Enhance Client Success

Collaboration Between Agencies to Enhance Client Success. FRESH (Family Recovery Engagement Support of Hampden County) Start Family Recovery Project.

vaughn
Download Presentation

Collaboration Between Agencies to Enhance Client Success

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Collaboration Between Agencies to Enhance Client Success FRESH (Family Recovery Engagement Support of Hampden County) Start Family Recovery Project

  2. “I probably would have got treatment way sooner but I was afraid to lose my kids. I wish I would have had someone to help me through that, to work with me to get in to detox and then a program without having to sign over my kids”

  3. Partners in Family Recovery • Tx providers—co-occurring disorders (SUD, MH, trauma) • Child Protection Services-DCYF • Part C services--Family Centered Early Supports and Services (FCESS) • Prenatal providers and birth hospitals • Legal System and Corrections • Domestic Violence It takes time and effort to build relationships with each other and it works

  4. Collaboration or Building a Family Recovery Team • At Systems Level e.g. cross and joint training, increasing collaboration and communication between providers, workgroups, protocol development • At Family Level e.g. consents, family team meetings, sharing of service/safety/relapse prevention plans, joint goals, regular contact with providers, joint appointments

  5. Barriers to Collaboration • Time and money • Different values, foci, goals • Different language and knowledge base • Fear and loathing • What else?

  6. All You Ever Wanted to Know About Collaboration • National Center on Substance Abuse and Child Welfare http://www.ncsacw.samhsa.gov/ • Children and Family Futures http://www.cffutures.org/ • National Alliance for Drug Endangered Children • http://www.nationaldec.org/

  7. Developing a Shared Knowledge Base • Cross-training Free, trade, formal and informal Use staff meetings and annual conferences, Family Recovery Fairs at child welfare offices Get on training mailing lists for other disciplines On-line trainings Address what you do, methods for connecting with staff, relapse and child safety • Substance Abuse Treatment: Levels of Care • DCF and the Legal Process • 42CFR and communication limitations

  8. Joint Training Topics for trainings should evolve in response to recognized needs, and to stated requests. Topics include identification and referral, client engagement, fetal alcohol spectrum disorders (preventing and working with adults with FASD), trauma informed care, recovery and parenting, and working with families with substance exposed newborns, and families in MAT. Planning a conference across disciplines is a strong relationship-building activity

  9. Consider This… • Relapse is potentially an opportunity for growth given appropriate safety planning and support • The presence of a parental substance use disorder does not solely determine good or bad parenting. • Substance use is just a piece of the puzzle. • The quality of the care giving relationship is key to children’s long-term development. • Keeping children safe is a responsibility that belongs to all of us. • We all share in the responsibility of helping families thrive. • Modeling trust, communication, and collaboration benefits clients, families, and providers. • How we relate to others is what can empower them to change. • Look beyond the challenge of the moment to see the potential of the family. • Look beyond the challenge of the moment to see the potential of the collaboration. • Every family has strengths. • Individuals exist in the context of family, community, and culture. • We need to understand, value and support each other’s work. • Collaboration and communication between providers is key in supporting families. • Every person has something to learn and something to offer.

  10. Training and Other Resources—Free CEUs Abandoned Infants’ Act Resource Center www.aia.berkeley.edu National Center on Substance Abuse and Child Welfare www.ncsacw.samhsa.gov Children and Family Futures http://www.cffutures.org/ The National Alliance for Drug Endangered Children www.nationaldec.org

  11. “Best Practices in Communication: A Guide for DCF and SA Treatment Providers”Areas Addressed: Screening and Engagement ▼ Referral and Consent Forms ▼ Assessment ▼ Treatment & Ongoing Collaboration ▼ Discharge & Aftercare Planning

  12. Included in the Guide: • Best Practices protocol • New tools to aid communication – for example: • List of Local Treatment Providers • Information to Be Shared at Referral • Assessment Form for DCF • Treatment Status Form for DCF • Existing tools (e.g. safety plan samples) • Resources (re: DCF, BSAS, Legal, Collaboration) • DCF Phone Directory and Western MA Substance Abuse Treatment Directory

  13. Family Recovery Council:MAT & Pregnancy/Postpartum Workgroup Goal: To establish best practices across all systems (DCF, treatment providers, hospitals, etc.) to support families with moms in Medication Assisted Treatment during the pregnancy, birth, and postpartum periods. Action Steps: 1) Identify challenges 2) Troubleshoot; identify solutions 3) Develop a “Best Practices Protocol” 4) Develop a “Parent Information Packet” 5) Evaluate, revise, disseminate

  14. Example of Collaboration at Family Level for Mothers in MAT • Begin as a team with consents • Ongoing relationship, not just in times of crisis • Prepare all materials when woman is pregnant—tests, letters from providers, contact info for providers • Contact postpartum social worker at hospital, DCYF if there is an open case • Bring two sets of materials to hospital, one goes to DCYF with filing of 51A • Follow-up on FCESS referral and be at assessment

  15. Collaboration with Other Providers Child Safety and Family Recovery Consents Develop Relationship and Exchange Plans Supporting Family Centered Early Supports and Services (FCESS) Family Conferences

  16. Collaboration with partnersCooperative Family Conferences Helps with engagement and recovery Educates providers about addiction and parenting Expectation of providing resource is meeting together Identify what you have to offer Identify common goals Assign responsibilities Discuss relapse triggers and custody dates Billing codes

  17. Decision-Making Questions What worries us? What works well? What needs to happen?

  18. Safety Mapping Tool for case conferences Invites multiple perspectives Gets people on same page Structure to bridge disagreements Helpful for clients

  19. Guiding Principles Addiction and recovery happen within the context of a family. Single greatest motivation for recovery: retaining the right to parent one’s children. Reinforcing the capacity to parent is important to recovery. Sobriety, and even recovery, is not enough to make a great parent. Systems work must happen concurrently.

  20. Building Relationships with Clients Taking time & making effort to engage Providing concrete resources Showing respect Being honest Advocating Empowering

  21. Engagement Strategies • Peers • Help with DCYF and noncustodial support • Warm handoffs for referrals • Mother-baby groups with critical mass of women in recovery • “I really needed to learn how to be a parent, I never had that in my own childhood, I just didn’t even know where to start”

  22. Groups Lessen isolation Increase parent-child attachment Reinforce role of mother Build recovery community for families Increase use of FCESS Expose children to early education and care

  23. Recruitment & Collaboration When 2 or more agencies collaborate on a group: Equal representation with facilitators Emphasis on team approach Identify the “common thread”- ( i.e. we are all mothers here) Each agency staff recruit but no differentiation between participants

  24. Lessons Learned • Reach for the phone or the keyboard! • Listen to each other. Tolerating the discomfort of differing points of view builds trust and respect. • Balance process and product by identifying the problems and then focusing on possible solutions (take action!). • Be role models: cross-systems partners should plan, lead, and participate in meetings equally. • Reinforce common goals and understanding: “Relapse is a recovery AND a safety issue.” • Each family provides an opportunity to improve collaboration. As challenges arise, we can identify the larger systems issues and then advocate for change!

  25. Contact Information Debra Bercuvitz Debra.bercuvitz@state.ma.us 413-887-1761 FRP website: www.familyrecoveryma.org

More Related