2.7: Addressing the Substance Abuse Challenges of Homeless Families

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2.7: Addressing the Substance Abuse Challenges of Homeless Families

Presentation by Susan Dargon Hart

Published in: Education, Health & Medicine
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2.7: Addressing the Substance Abuse Challenges of Homeless Families

  1. 1. Helping Homeless Families Find Their Strength andBuild Stability One Step at a Time Susan Dargon-Hart, LICSW Institute for Health and Recovery susanhart@healthrecovery.org Institute for Health and Recovery
  2. 2. Philosophy of Care Hope Rising IHR Video Institute for Health and Recovery
  3. 3. Who are our clients?• Homeless families struggling with SUD/COD – Children of clients – Partners not living in the shelter• Temporarily housed in state Department of Housing and Community Development (DHCD)-funded motels, shelters, and temporary housing• DHCD/Housing Authority/Housing First Programs Institute for Health and Recovery 3
  4. 4. Engagement• Reluctant to meet with yet another provider• Assessment – whole person, family-based, resiliency approach• Children – Present during assessment – Focusing on children’s needs Institute for Health and Recovery 4
  5. 5. Goal is to Reduce Harm:Creating a safer environment for ALLfamily members no matter where they are living Institute for Health and Recovery 5
  6. 6. Client-Driven Process• Family-based, “home visiting” interventions – Going to where the family is located – Driving family to appointments• Tools integrated from: – MI, Stages of Change, CBT, Care Coordination, SUD/COD psycho- education, SUD/COD treatment, Trauma- Informed Care - Seeking Safety & Nurturing Program Institute for Health and Recovery 6
  7. 7. Philosophy of CareRISE is:• Family focused• Evidence-based• Consumer directed• Trauma informed• Culturally relevant• Strength-based• Relationship valuing Institute for Health and Recovery 7
  8. 8. Motivational Interviewing• Provide evidence-based practices based on MI• Focuses on strengths and competencies of each person so she/he can become a leader in her/his own service plan and personal progress• Provide MI training to shelter/DHCD staff Institute for Health and Recovery 8
  9. 9. Seeking Safety• Cognitive-behavioral integrated, trauma- substance use recovery curriculum, specific strategies and tools to promote physical and emotional safety• Provides tools to avoid/prevent relapse from substance use, mental health issues and trauma• A non-judgmental approach towards active use• RISE conducts Seeking Safety individually• Provides Trauma-Informed Services training to DHCD and shelter staff Institute for Health and Recovery 9
  10. 10. The Nurturing Program for Families in Substance Abuse Treatment and Recovery• Nurturing Program (NP) Parenting group is a well established, evidence-based parenting intervention, on NREPP• Cognitive-behavioral model; encourages women to explore similarities between ways they were parented and ways they are currently parenting• NP curriculum also integrated within individual sessions Institute for Health and Recovery 10
  11. 11. “Those who work well, play well, love well, and expect well.” (Werner and Smith, 1982) Institute for Health and Recovery 11
  12. 12. Stabilization Skills• Sharing, teaching and modeling life management skills – Better reactions, better results – Motivate to take action around job and/or education – Housing and tenancy skills• Relapse Responsive• Risk Reduction• Treatment retention issues Institute for Health and Recovery 12
  13. 13. Graduation• Determine a good time to end services – “They end us” – Mutually agreed closure• Satisfaction Survey Institute for Health and Recovery 13
  14. 14. IHR Homeless Services Systems IntegrationAgency Level• Regional cross trainings – SUD, COD, trauma-informed services – Motivational Interviewing – Impact on family & housing stability• TA, support & consultation on families impacted by SUD/CODs, treatment & recovery – Emergency family shelter staff, Transitional Housing, Housing First – Other agencies providing services to homeless families – Domestic Violence organizations – Local child welfare offices Institute for Health and Recovery 14
  15. 15. How does this model fit into Healthcare Reform?• Shift model to fit into a traditional 3rd party payer design without losing non-judgmental approach• Using paperwork as engagement tools• Outpatient home-based services• Doing a diagnostic evaluation in a risk reduction framework Institute for Health and Recovery 15
  16. 16. How do you engage homeless families? Institute for Health and Recovery

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