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5.2 Services Optional: Using a Voluntary Services Approach
5.2 Services Optional: Using a Voluntary Services Approach
5.2 Services Optional: Using a Voluntary Services Approach
5.2 Services Optional: Using a Voluntary Services Approach
5.2 Services Optional: Using a Voluntary Services Approach
5.2 Services Optional: Using a Voluntary Services Approach
5.2 Services Optional: Using a Voluntary Services Approach
5.2 Services Optional: Using a Voluntary Services Approach
5.2 Services Optional: Using a Voluntary Services Approach
5.2 Services Optional: Using a Voluntary Services Approach
5.2 Services Optional: Using a Voluntary Services Approach
5.2 Services Optional: Using a Voluntary Services Approach
5.2 Services Optional: Using a Voluntary Services Approach
5.2 Services Optional: Using a Voluntary Services Approach
5.2 Services Optional: Using a Voluntary Services Approach
5.2 Services Optional: Using a Voluntary Services Approach
5.2 Services Optional: Using a Voluntary Services Approach
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5.2 Services Optional: Using a Voluntary Services Approach

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5.2 Services Optional: Using a Voluntary Services Approach …

5.2 Services Optional: Using a Voluntary Services Approach

Speaker: Kathy Daniher

Programs increasing rely on voluntary services and harm reduction strategies to successfully work with vulnerable families and youth. This workshop will examine how providers have made the transition to a voluntary-services approach and how it has impacted their program outcomes.

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  • 1. Voluntary Services and Harm Reduction Kathy Daniher, MA, LCPC FACT Project Director 773.233.3821 [email_address] Beacon Therapeutic Diagnostic and Treatment Center
  • 2. <ul><li>Four projects aimed to improve the housing, health, and development of young at-risk and homeless mothers and children. </li></ul><ul><li>Family Assertive Community Treatment (FACT), Chicago, Illinois </li></ul><ul><li>Strengthening Young Families, Antelope Valley, California </li></ul><ul><li>Hope &amp; Home, Pomona, California </li></ul><ul><li>STRong: Strengthening Our New Generation, Minneapolis, Minnesota </li></ul><ul><li>The initiative was managed by Coordinating Center (The National Center on Family Homelessness, National Alliance to end Homelessness, and Zero to Three) </li></ul><ul><li>http://www.hiltonfoundation.org/mothers </li></ul>Beacon Therapeutic Diagnostic and Treatment Center
  • 3. <ul><ul><li>Homeless or at-risk of homelessness </li></ul></ul><ul><ul><li>Where mother is between the ages of 18 and 25, with at least one child 5 years old or younger </li></ul></ul><ul><ul><li>Where mother is diagnosed with a mental health disorder and may have a substance use disorder </li></ul></ul><ul><ul><li>Where mother may have a history of foster care or be </li></ul></ul><ul><ul><li> involved with the child welfare system </li></ul></ul><ul><ul><li>In the city of Chicago </li></ul></ul>Beacon Therapeutic Diagnostic and Treatment Center
  • 4. <ul><ul><li>A set of practical strategies that reduce negative consequences of drug use and other high-risk behaviors </li></ul></ul><ul><ul><li>Incorporates strategies that range from safer use to managed use to abstinence (“a buffet of services”) </li></ul></ul>Beacon Therapeutic Diagnostic and Treatment Center
  • 5. &nbsp;
  • 6. <ul><li>Practical strategies that reduce negative consequences in the context of the family relationship </li></ul><ul><li>Every family has “problems”. Every family chooses which problems to deal with on a daily basis that are most important to them at that time and that will keep their family functioning. They may not be the same choices that we would make for our families but who are we to judge what works for them. There are always natural consequences and we never forget that we are mandated reporters. </li></ul>Beacon Therapeutic Diagnostic and Treatment Center
  • 7. <ul><li>Build rapport and trust </li></ul><ul><li>See small changes as successes </li></ul><ul><li>Recognize ambivalence as normal </li></ul>Beacon Therapeutic Diagnostic and Treatment Center
  • 8. <ul><li>Be nonjudgmental, including avoiding potentially judgmental labels </li></ul><ul><li>Avoid having preconceived goals </li></ul><ul><li>Provide choices </li></ul><ul><li>Value the individual’s information and input </li></ul>Beacon Therapeutic Diagnostic and Treatment Center
  • 9. <ul><li>Treatment Goals </li></ul><ul><li>Court Dates </li></ul><ul><li>School </li></ul><ul><li>Family </li></ul><ul><li>Transitioning from program to program </li></ul><ul><li>Multiple Workers (agencies) </li></ul>Beacon Therapeutic Diagnostic and Treatment Center
  • 10. <ul><li>Training </li></ul><ul><li>Regular consultation </li></ul><ul><li>Regular staff meetings </li></ul>Beacon Therapeutic Diagnostic and Treatment Center
  • 11. <ul><li>Administration support </li></ul><ul><li>Regular supervision* </li></ul><ul><li>Reflective practice </li></ul><ul><li>Open, honest communication </li></ul>Beacon Therapeutic Diagnostic and Treatment Center
  • 12. <ul><li>FACT evaluation conducted by </li></ul><ul><li>Dr. Sue Pickett, Ph.D. and team at University of Illinois at Chicago (UIC) </li></ul><ul><ul><li>Baseline </li></ul></ul><ul><ul><li>6 months </li></ul></ul><ul><ul><li>12 months </li></ul></ul><ul><ul><li>24 months </li></ul></ul>Beacon Therapeutic Diagnostic and Treatment Center
  • 13. <ul><li>67% of participants report that they lived in a foster home before age 18 </li></ul><ul><li>Mothers experienced an average of 1 – 7 episodes of homelessness as adults </li></ul>Beacon Therapeutic Diagnostic and Treatment Center
  • 14. <ul><li>Prior to FACT, 8% of mothers lived in their own apartment. After working with FACT for 12 months 87% of mothers had their own apartment (62 families in permanent housing) </li></ul><ul><li>Prior to FACT, 58% of mothers experienced an average of four psychiatric hospitalizations. After 12 and 24 months of working with FACT only one mother experienced hospitalization once (total = 2) </li></ul>Beacon Therapeutic Diagnostic and Treatment Center
  • 15. <ul><li>Prior to FACT, 45% of mothers had attempted suicide an average of four times. After receiving services from FACT, one suicide attempt was made by one mother. </li></ul>Beacon Therapeutic Diagnostic and Treatment Center
  • 16. <ul><li>Building a trusting relationship is key in any working relationship </li></ul><ul><li>Continued training and support to make any transition in practice is needed </li></ul><ul><li>Harm Reduction aims at elimination of harmful behavior while treating the participant “where they are at” in their own process </li></ul>Beacon Therapeutic Diagnostic and Treatment Center
  • 17. <ul><li>Questions? </li></ul>Beacon Therapeutic Diagnostic and Treatment Center

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