This document provides an overview of a training module on understanding substance use disorders, treatment, and recovery for child welfare workers. It covers learning objectives, types of substances and their effects, the continuum of substance use disorders, signs and symptoms of substance use, cultural context, treatment modalities and recovery processes, and recovery support strategies. Key topics include the brain science of addiction, cultural competency in treatment, gender-specific treatment components, family-focused recovery, and the role of continuing care and peer support specialists.
Mental Health Protocol launch, Conwy & Denbighshire LSCB ConferenceScarletFire.co.uk
This document outlines a multi-agency protocol for supporting children and parents where the parent has a mental illness, substance misuse issue, or both. It was created in response to a serious case review where two children were killed by their father who had a history of mental illness. The protocol aims to facilitate coordinated support and safeguard children through improved information sharing and joint working between adult and children's services. It provides guidance on referrals, assessments, and keeping the needs and safety of children as the top priority when working with families affected by parental mental health or substance misuse issues.
The document discusses intensive service interventions for families with disabilities. It describes who these interventions target, including those experiencing homelessness, mental health issues, substance abuse, and more. It discusses how these interventions are provided, including through transitional housing programs, permanent supportive housing, trauma-informed care, and harm reduction approaches. The core goals and philosophies of interventions include housing first, meeting families where they are, and empowering families.
Behavioral Health Staff in Integrated Care Settings | The Vital Role of Colla...CHC Connecticut
NCA Clinical Workforce Development, Team-Based Care 2019 Webinar Series
Webinar broadcast on: May 06, 2019 | 3 p.m. EST
Experts in psychology, psychiatry and nursing will share ways in which they effectively utilize their roles at the top of their license to monitor and support high-risk patients. By examining these various roles, experts will address how you can effectively support integration at your health center to improve outcomes.
Riskilaste konverents 2012: Per jostein Matre: family integrated transitionsSotsiaalministeerium
This document describes Family Integrated Transitions (FIT), an evidence-based program for youth transitioning from residential institutions back into the community. FIT is a family- and community-based treatment model that incorporates cognitive-behavioral and multi-systemic therapy approaches. It aims to reduce recidivism and improve functioning by engaging family/community supports and addressing factors across multiple contexts that influence a youth's behavior. Research found FIT reduced recidivism rates and generated large cost savings compared to traditional aftercare. The program has expanded to multiple sites.
Child Maltreatment and Intra-Familial ViolenceClinical Soc.docxbartholomeocoombs
Child Maltreatment and Intra-Familial Violence
Clinical Social Work with Urban Children Youth & Families
Child
Maltreatment
Broad definition that encompasses a wide
range of parental acts or behaviors that
place children at risk of serious or physical
or emotional harm
It is defined by law in each state
Labels used in state statutes vary
Categories of
Abuse
• Neglect
• Physical Abuse
• Sexual Abuse
• Emotional Abuse
Neglect
Definition of Neglect
The failure of a parent, guardian,
or other caregiver to provide for a
child’s basic needs. This can also
include failure to protect them
from a known risk of harm or
danger.
Examples of Neglect
Child is frequently
absent from school
Begs or steals food
or money
Lacks needed
medical or dental
care, immunizations,
glasses, etc.
Consistently dirty
and has severe body
odor
Lacks sufficient
clothing for the
weather
Abuses alcohol or
drugs
States that there is
no one at home to
provide care
Physical Abuse
Examples of Physical Abuse
• Visible unexplained burns, bites,
bruises, broken bones, or black eyes
• Has fading bruises or other marks
noticeable after an absence from
school
• Seems frightened of the parents and
protests or cries when it is time to go
home
• Shrinks at the approach of adults
• Reports injury by a parent or another
adult caregiver
Definition of Physical Abuse
The non-accidental physical injury of a
child
Sexual Abuse
Definition of Sexual Abuse
Anything done with a child for the
sexual gratification of an adult or
older child
Examples of Sexual Abuse
Has difficulty walking or
sitting
Suddenly refuses to
change for gym or to
participate in physical
activities
Reports nightmares or
bedwetting
Experiences a sudden
change in appetite
Demonstrates bizarre,
sophisticated, or
unusual sexual
knowledge or behavior
Becomes pregnant or
contracts a sexually
transmitted disease
Runs away
Emotional Abuse
Definition of Emotional Abuse
A pattern of behavior that impairs
a child’s emotional development
or sense of self-worth
Examples of Emotional Abuse
• Shows extremes in behavior
• Inappropriately adult or infantile
• Is delayed in physical or
emotional development
• Has attempted suicide
• Reports a lack of attachment to
the parent
Protective Factors
• Protective factors are conditions or attributes of individuals, families,
communities, or the larger society that, when present, promote wellbeing and
reduce the risk for negative outcomes
• Parental Resilience
• Social Connections
• Knowledge of Child Development
• Concrete Support In Times of Need
• Social and Emotional Competence of the Child
Intra-Family Violence
• Intra-family violence: a pattern of abusive behaviors by one family member against
another.
• Domestic and family violence occurs when someone tries to control their partner or
other family members in ways that intimidate or oppress them.
ISPCAN Jamaica 2018 - The Impact of Domestic Violence on Children's Functioni...Christine Wekerle
The Impact of Domestic Violence on Children's Functioning: Care Planning Approaches to Foster Trauma-Informed Care
Shannon Stewart, Yasmin Garad, Natalia Lapshini
Mental Health and Psychosocial Support in Emergencies CORE Group
This document provides an overview of mental health and psychosocial support (MHPSS) in emergency settings according to International Medical Corps. It discusses what MHPSS is, common needs in emergencies, and International Medical Corps' MHPSS programs and interventions. MHPSS aims to promote psychosocial well-being and prevent or treat mental disorders. It outlines their MHPSS intervention pyramid and programs including needs assessments, integrating mental health into general healthcare, early childhood development, and peer support programs. Guidelines and tools for MHPSS in emergencies are also mentioned.
Role of Health Care workers against Drug abuse & Illicit Trafficking among Ch...Smriti Arora
Dr Deepika Khakha presented on drug abuse and illicit trafficking among children in India. She summarized a nationwide study from 2013 that found children began using substances like tobacco at 12 years old on average. Peer pressure and lack of treatment were common factors. During COVID-19, existing mental health issues in children may be exacerbated by school closures. Health care professionals can help by reducing risk factors through family and school programs, as well as treatment including detoxification, counseling, and relapse prevention. Collaboration across sectors is needed to address this issue.
Mental Health Protocol launch, Conwy & Denbighshire LSCB ConferenceScarletFire.co.uk
This document outlines a multi-agency protocol for supporting children and parents where the parent has a mental illness, substance misuse issue, or both. It was created in response to a serious case review where two children were killed by their father who had a history of mental illness. The protocol aims to facilitate coordinated support and safeguard children through improved information sharing and joint working between adult and children's services. It provides guidance on referrals, assessments, and keeping the needs and safety of children as the top priority when working with families affected by parental mental health or substance misuse issues.
The document discusses intensive service interventions for families with disabilities. It describes who these interventions target, including those experiencing homelessness, mental health issues, substance abuse, and more. It discusses how these interventions are provided, including through transitional housing programs, permanent supportive housing, trauma-informed care, and harm reduction approaches. The core goals and philosophies of interventions include housing first, meeting families where they are, and empowering families.
Behavioral Health Staff in Integrated Care Settings | The Vital Role of Colla...CHC Connecticut
NCA Clinical Workforce Development, Team-Based Care 2019 Webinar Series
Webinar broadcast on: May 06, 2019 | 3 p.m. EST
Experts in psychology, psychiatry and nursing will share ways in which they effectively utilize their roles at the top of their license to monitor and support high-risk patients. By examining these various roles, experts will address how you can effectively support integration at your health center to improve outcomes.
Riskilaste konverents 2012: Per jostein Matre: family integrated transitionsSotsiaalministeerium
This document describes Family Integrated Transitions (FIT), an evidence-based program for youth transitioning from residential institutions back into the community. FIT is a family- and community-based treatment model that incorporates cognitive-behavioral and multi-systemic therapy approaches. It aims to reduce recidivism and improve functioning by engaging family/community supports and addressing factors across multiple contexts that influence a youth's behavior. Research found FIT reduced recidivism rates and generated large cost savings compared to traditional aftercare. The program has expanded to multiple sites.
Child Maltreatment and Intra-Familial ViolenceClinical Soc.docxbartholomeocoombs
Child Maltreatment and Intra-Familial Violence
Clinical Social Work with Urban Children Youth & Families
Child
Maltreatment
Broad definition that encompasses a wide
range of parental acts or behaviors that
place children at risk of serious or physical
or emotional harm
It is defined by law in each state
Labels used in state statutes vary
Categories of
Abuse
• Neglect
• Physical Abuse
• Sexual Abuse
• Emotional Abuse
Neglect
Definition of Neglect
The failure of a parent, guardian,
or other caregiver to provide for a
child’s basic needs. This can also
include failure to protect them
from a known risk of harm or
danger.
Examples of Neglect
Child is frequently
absent from school
Begs or steals food
or money
Lacks needed
medical or dental
care, immunizations,
glasses, etc.
Consistently dirty
and has severe body
odor
Lacks sufficient
clothing for the
weather
Abuses alcohol or
drugs
States that there is
no one at home to
provide care
Physical Abuse
Examples of Physical Abuse
• Visible unexplained burns, bites,
bruises, broken bones, or black eyes
• Has fading bruises or other marks
noticeable after an absence from
school
• Seems frightened of the parents and
protests or cries when it is time to go
home
• Shrinks at the approach of adults
• Reports injury by a parent or another
adult caregiver
Definition of Physical Abuse
The non-accidental physical injury of a
child
Sexual Abuse
Definition of Sexual Abuse
Anything done with a child for the
sexual gratification of an adult or
older child
Examples of Sexual Abuse
Has difficulty walking or
sitting
Suddenly refuses to
change for gym or to
participate in physical
activities
Reports nightmares or
bedwetting
Experiences a sudden
change in appetite
Demonstrates bizarre,
sophisticated, or
unusual sexual
knowledge or behavior
Becomes pregnant or
contracts a sexually
transmitted disease
Runs away
Emotional Abuse
Definition of Emotional Abuse
A pattern of behavior that impairs
a child’s emotional development
or sense of self-worth
Examples of Emotional Abuse
• Shows extremes in behavior
• Inappropriately adult or infantile
• Is delayed in physical or
emotional development
• Has attempted suicide
• Reports a lack of attachment to
the parent
Protective Factors
• Protective factors are conditions or attributes of individuals, families,
communities, or the larger society that, when present, promote wellbeing and
reduce the risk for negative outcomes
• Parental Resilience
• Social Connections
• Knowledge of Child Development
• Concrete Support In Times of Need
• Social and Emotional Competence of the Child
Intra-Family Violence
• Intra-family violence: a pattern of abusive behaviors by one family member against
another.
• Domestic and family violence occurs when someone tries to control their partner or
other family members in ways that intimidate or oppress them.
ISPCAN Jamaica 2018 - The Impact of Domestic Violence on Children's Functioni...Christine Wekerle
The Impact of Domestic Violence on Children's Functioning: Care Planning Approaches to Foster Trauma-Informed Care
Shannon Stewart, Yasmin Garad, Natalia Lapshini
Mental Health and Psychosocial Support in Emergencies CORE Group
This document provides an overview of mental health and psychosocial support (MHPSS) in emergency settings according to International Medical Corps. It discusses what MHPSS is, common needs in emergencies, and International Medical Corps' MHPSS programs and interventions. MHPSS aims to promote psychosocial well-being and prevent or treat mental disorders. It outlines their MHPSS intervention pyramid and programs including needs assessments, integrating mental health into general healthcare, early childhood development, and peer support programs. Guidelines and tools for MHPSS in emergencies are also mentioned.
Role of Health Care workers against Drug abuse & Illicit Trafficking among Ch...Smriti Arora
Dr Deepika Khakha presented on drug abuse and illicit trafficking among children in India. She summarized a nationwide study from 2013 that found children began using substances like tobacco at 12 years old on average. Peer pressure and lack of treatment were common factors. During COVID-19, existing mental health issues in children may be exacerbated by school closures. Health care professionals can help by reducing risk factors through family and school programs, as well as treatment including detoxification, counseling, and relapse prevention. Collaboration across sectors is needed to address this issue.
National Consensus Project Clinical Practice Guidelines Disseminationlsmit132
The document summarizes the 3rd edition of the National Consensus Project for Quality Palliative Care Clinical Practice Guidelines. It was created by a consortium of six palliative care organizations to improve palliative care quality in the US. The guidelines provide recommendations for interdisciplinary palliative care delivery across various clinical domains and settings. The 3rd edition features expanded recommendations regarding palliative care delivery requirements and quality standards based on recent healthcare reforms and evidence.
This document provides an overview of issues facing children with special health care needs (CSHCN) in California. It discusses key focus areas like care coordination and family engagement. It notes that California ranks poorly nationally in areas like preventative care, care coordination, and family-centered care for CSHCN. The document also discusses the medical and social complexity of CSHCN, the importance of care coordination systems, and the need to better support families providing care.
The proposed Slow and Steady substance abuse treatment program for juvenile offenders includes mentoring, parenting groups, family therapy, and online support. Youth participants will be mentored by former clients and have opportunities to become mentors or counselors. Parents will participate in parenting groups and family therapy to support treatment. Online support groups will help maintain a community for clients and their families during and after the program. The goal is to successfully treat substance abuse and prevent future drug use through mentoring and family involvement.
FidelityEHR Care Coordination eBook Final PrintMatt Schubert
FidelityEHR is an electronic health record designed to support coordinated care models and improve outcomes for children and youth with behavioral and mental health challenges. It was developed based on evidence-based practices like system of care and wraparound models. FidelityEHR allows for family-driven, youth-guided care by capturing each person's insights and preferences. It also supports culturally competent, individualized, and community-based care. The platform facilitates team collaboration and tracks outcomes to help organizations deliver high-fidelity coordinated care.
FidelityEHR is an electronic health record designed to support coordinated care models and improve outcomes for children and youth with behavioral and mental health challenges. It was developed based on evidence-based practices like system of care and wraparound models. FidelityEHR allows for family-driven, youth-guided care by capturing each person's insights and preferences. It also supports culturally competent, individualized, and community-based care. The platform facilitates team collaboration and tracks outcomes to help organizations deliver high-fidelity coordinated care.
Chapter 10Intervention Reporting, Investigation, and AsseEstelaJeffery653
Chapter 10
Intervention: Reporting, Investigation, and Assessment
Culturally Sensitive Intervention:
Cultural Competence Defined
• Culture: goes beyond race and ethnicity, including religious
identification, gender identity/expression, & sexual
orientation.
• Cultural Competence: “a heightened consciousness of how
culturally diverse populations experience their uniqueness
and deal with their differences and similarities within a larger
social context” (NASW, 2015, p.10)
Culturally Sensitive Intervention: Putting
Cultural Competence into Practice
• Determine family’s level of acculturation and the reason for
their immigration
• Assess how the family views a social worker’s power
• Understand how the family views itself, and their sense of
family cohesion
• Acknowledge varying communication styles
• Learn about culture, but do not over-generalize
• Consult with bilingual and bicultural staff
• Know how one’s (helping professional’s) own values interface
with the client’s
Understanding the Intervention
Process: Reporting
• Mandated reporters: individuals who, in their professional
relationship with the child and family, may encounter child
maltreatment.
• State laws specify repointing agency, reportable conditions,
responsibility of mandated reporters, and the investigation
process
• Although anonymous reports may be accepted, they are not
preferred since they do not allow for follow-up questions
Understanding the Intervention
Process: Child Protection Teams
• Child Protection Teams (CPT): comprised of staff from
different disciplines
• Ex) School-based CPT include an administrator, a guidance
counselor, school nurse, and one or two teachers.
• Suspicions of child maltreatment are brought to CPT.
• If CPT agrees with the report, then the child protection
agency is notified.
• CPTs are effective in medical facilities & churches.
Understanding the Intervention Process:
Investigation & Assessment
• Intake worker meets with the child & his/her family to assess
risk, protective factors, and impact of disclosure on stability of
the family
• If the report is substantiated, the worker identifies goals and
strategies for the family
• If unsubstantiated, the case is referred or closed
• Treatment planning and services begins
• Must evaluate the family’s progress and revise service plan as
necessary
Understanding the Intervention Process:
Family Reactions & Home Visiting
• The family is in a state of crisis, disequilibrium, when
disclosure takes place, experiencing fear: fear of authority,
fear of having the child removed, the fear of helplessness.
• Responses (defense mechanisms) to fear: denial, projection,
blaming the system, antagonism towards social services, or
withdrawal.
• Workers must evaluate the family’s strengths too.
• Home visitation allows assessment, but also requires
additional sensitivity and interviewing skills.
Assessing Risk and Protective
Factors
• Is the ...
The document provides an overview of substance use disorders, treatment, and recovery for child welfare workers. It covers topics like the types of substances and their effects, how substance use affects the brain, screening tools for substance use disorders, the continuum of care in treatment, and how parental substance use can impact family functioning and child development. The goal is to help child welfare workers understand substance use disorders in order to safety plan for children and support parents' recovery processes.
The document provides an overview of substance use disorders, treatment, and recovery for child welfare workers. It covers topics like the types of substances and their effects, how substance use affects the brain, screening tools for substance use disorders, the continuum of care in treatment, and how parental substance use can impact families. The goal is to help child welfare workers understand substance use disorders in order to safely and effectively help families.
The document provides an overview of substance use disorders, treatment, and recovery for child welfare workers. It covers topics like the types of substances and their effects, the continuum of substance use disorders from mild to severe, how substance use affects the brain, signs of substance use, cultural considerations, treatment modalities, and long-term recovery. The goal is for child welfare workers to better understand substance use disorders and how they impact families involved with the child welfare system.
The document provides an overview of substance use disorders, treatment, and recovery for child welfare workers. It covers topics like the types of substances and their effects, the continuum of substance use disorders, how substance use affects brain chemistry, signs and symptoms of substance use, cultural considerations, different treatment modalities and the recovery process. It emphasizes that substance use disorders are medical conditions that are treatable. Family-centered treatment that involves children and other family members leads to better outcomes for parents and children. Monitoring a parent's progress in key areas like knowledge gained, abstinence and relapse prevention planning helps understand their treatment journey.
The document provides an overview of substance use disorders, treatment, and recovery. It discusses the learning objectives which are to identify substances and effects, understand the continuum and brain chemistry of substance use disorders, recognize signs and symptoms, discuss cultural context, and understand treatment and recovery. It then covers topics like the brain science of addiction, screening and assessing for substance use disorders, the treatment process and modalities, principles of effective treatment, family-centered treatment approaches, and understanding treatment progress. The goal is to educate child welfare workers on substance use disorders and improving outcomes for parents and families.
This document summarizes managed care in mental health, specifically focusing on the NorthSTAR program in Texas. It discusses how NorthSTAR contracts with Local Mental Health Authorities to provide services across 7 counties. It also describes programs like Assertive Community Treatment that provide integrated services for those with severe mental illnesses. Finally, it discusses the goals of prevention and promoting mental health through approaches like Texas Resiliency and Recovery.
Sj47 -The State of Youth Mental Health in VirginiaAnne Moss Rogers
Children’s Mental Health: Challenges and Opportunities--This is the presentation by Margaret Nimmo Crowe to a special subcommittee of the commonwealth, Executive Director for Voices for Virginia’s Children. More info here: http://1in5kids.org/2014/10/29/sj-47-workgroup-takes-childrens-mental-health/
The document summarizes key outcomes of systems of care for children's mental health. It finds that systems of care are associated with:
1) Improved clinical outcomes like reduced behavioral and emotional problems, improved functioning, and fewer suicidal thoughts.
2) Cost savings from reduced use of restrictive care settings like inpatient hospitals and residential treatment centers. Savings are also seen from reduced juvenile justice involvement.
3) Better educational outcomes such as improved school attendance and fewer suspensions.
This document provides an overview of substance abuse and treatment. It discusses the definitions of use versus abuse and normal versus problematic substance use. It also outlines the challenges in treating substance abuse disorders, including co-occurring mental health and medical conditions. Finally, it summarizes the levels of substance abuse treatment based on the ASAM criteria and principles of treatment matching to provide the appropriate level and type of care.
Irina Yakhnitskiy has over 15 years of experience in social work and behavioral healthcare. She holds multiple licenses including as an Independent Chemical Dependency Counselor and Independent Social Worker with Supervision Designation in Ohio. Her experience includes positions assessing substance abuse and mental health programs, conducting clinical work, and managing residential facilities and shelters. She is fluent in Ukrainian and Russian.
The “Project Maanasi” is a mission to deliver mental health and primary care services to poor rural women and children in southern India. The goal of the program has been to provide low cost or free care to villagers, sustained outreach to those who cannot access the clinic, and educate patients and others about seeking care to improve their lives.
Tom kimball power point presentation iCAAD StockholmiCAADEvents
This document discusses keys to success in supporting individuals with substance use disorders. It emphasizes the importance of extending care beyond acute treatment through ongoing evaluation, peer support, and creative data collection methods. This improves clinical outcomes by increasing engagement and reduces costs by lowering relapse rates. Peer recovery specialists play an important role by providing long-term support, evaluating risk levels, engaging clients and families, and gathering meaningful outcomes data. Regular contact and monitoring in the first year after treatment helps maintain recovery and reduce readmissions and emergency room visits.
Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
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National Consensus Project Clinical Practice Guidelines Disseminationlsmit132
The document summarizes the 3rd edition of the National Consensus Project for Quality Palliative Care Clinical Practice Guidelines. It was created by a consortium of six palliative care organizations to improve palliative care quality in the US. The guidelines provide recommendations for interdisciplinary palliative care delivery across various clinical domains and settings. The 3rd edition features expanded recommendations regarding palliative care delivery requirements and quality standards based on recent healthcare reforms and evidence.
This document provides an overview of issues facing children with special health care needs (CSHCN) in California. It discusses key focus areas like care coordination and family engagement. It notes that California ranks poorly nationally in areas like preventative care, care coordination, and family-centered care for CSHCN. The document also discusses the medical and social complexity of CSHCN, the importance of care coordination systems, and the need to better support families providing care.
The proposed Slow and Steady substance abuse treatment program for juvenile offenders includes mentoring, parenting groups, family therapy, and online support. Youth participants will be mentored by former clients and have opportunities to become mentors or counselors. Parents will participate in parenting groups and family therapy to support treatment. Online support groups will help maintain a community for clients and their families during and after the program. The goal is to successfully treat substance abuse and prevent future drug use through mentoring and family involvement.
FidelityEHR Care Coordination eBook Final PrintMatt Schubert
FidelityEHR is an electronic health record designed to support coordinated care models and improve outcomes for children and youth with behavioral and mental health challenges. It was developed based on evidence-based practices like system of care and wraparound models. FidelityEHR allows for family-driven, youth-guided care by capturing each person's insights and preferences. It also supports culturally competent, individualized, and community-based care. The platform facilitates team collaboration and tracks outcomes to help organizations deliver high-fidelity coordinated care.
FidelityEHR is an electronic health record designed to support coordinated care models and improve outcomes for children and youth with behavioral and mental health challenges. It was developed based on evidence-based practices like system of care and wraparound models. FidelityEHR allows for family-driven, youth-guided care by capturing each person's insights and preferences. It also supports culturally competent, individualized, and community-based care. The platform facilitates team collaboration and tracks outcomes to help organizations deliver high-fidelity coordinated care.
Chapter 10Intervention Reporting, Investigation, and AsseEstelaJeffery653
Chapter 10
Intervention: Reporting, Investigation, and Assessment
Culturally Sensitive Intervention:
Cultural Competence Defined
• Culture: goes beyond race and ethnicity, including religious
identification, gender identity/expression, & sexual
orientation.
• Cultural Competence: “a heightened consciousness of how
culturally diverse populations experience their uniqueness
and deal with their differences and similarities within a larger
social context” (NASW, 2015, p.10)
Culturally Sensitive Intervention: Putting
Cultural Competence into Practice
• Determine family’s level of acculturation and the reason for
their immigration
• Assess how the family views a social worker’s power
• Understand how the family views itself, and their sense of
family cohesion
• Acknowledge varying communication styles
• Learn about culture, but do not over-generalize
• Consult with bilingual and bicultural staff
• Know how one’s (helping professional’s) own values interface
with the client’s
Understanding the Intervention
Process: Reporting
• Mandated reporters: individuals who, in their professional
relationship with the child and family, may encounter child
maltreatment.
• State laws specify repointing agency, reportable conditions,
responsibility of mandated reporters, and the investigation
process
• Although anonymous reports may be accepted, they are not
preferred since they do not allow for follow-up questions
Understanding the Intervention
Process: Child Protection Teams
• Child Protection Teams (CPT): comprised of staff from
different disciplines
• Ex) School-based CPT include an administrator, a guidance
counselor, school nurse, and one or two teachers.
• Suspicions of child maltreatment are brought to CPT.
• If CPT agrees with the report, then the child protection
agency is notified.
• CPTs are effective in medical facilities & churches.
Understanding the Intervention Process:
Investigation & Assessment
• Intake worker meets with the child & his/her family to assess
risk, protective factors, and impact of disclosure on stability of
the family
• If the report is substantiated, the worker identifies goals and
strategies for the family
• If unsubstantiated, the case is referred or closed
• Treatment planning and services begins
• Must evaluate the family’s progress and revise service plan as
necessary
Understanding the Intervention Process:
Family Reactions & Home Visiting
• The family is in a state of crisis, disequilibrium, when
disclosure takes place, experiencing fear: fear of authority,
fear of having the child removed, the fear of helplessness.
• Responses (defense mechanisms) to fear: denial, projection,
blaming the system, antagonism towards social services, or
withdrawal.
• Workers must evaluate the family’s strengths too.
• Home visitation allows assessment, but also requires
additional sensitivity and interviewing skills.
Assessing Risk and Protective
Factors
• Is the ...
The document provides an overview of substance use disorders, treatment, and recovery for child welfare workers. It covers topics like the types of substances and their effects, how substance use affects the brain, screening tools for substance use disorders, the continuum of care in treatment, and how parental substance use can impact family functioning and child development. The goal is to help child welfare workers understand substance use disorders in order to safety plan for children and support parents' recovery processes.
The document provides an overview of substance use disorders, treatment, and recovery for child welfare workers. It covers topics like the types of substances and their effects, how substance use affects the brain, screening tools for substance use disorders, the continuum of care in treatment, and how parental substance use can impact families. The goal is to help child welfare workers understand substance use disorders in order to safely and effectively help families.
The document provides an overview of substance use disorders, treatment, and recovery for child welfare workers. It covers topics like the types of substances and their effects, the continuum of substance use disorders from mild to severe, how substance use affects the brain, signs of substance use, cultural considerations, treatment modalities, and long-term recovery. The goal is for child welfare workers to better understand substance use disorders and how they impact families involved with the child welfare system.
The document provides an overview of substance use disorders, treatment, and recovery for child welfare workers. It covers topics like the types of substances and their effects, the continuum of substance use disorders, how substance use affects brain chemistry, signs and symptoms of substance use, cultural considerations, different treatment modalities and the recovery process. It emphasizes that substance use disorders are medical conditions that are treatable. Family-centered treatment that involves children and other family members leads to better outcomes for parents and children. Monitoring a parent's progress in key areas like knowledge gained, abstinence and relapse prevention planning helps understand their treatment journey.
The document provides an overview of substance use disorders, treatment, and recovery. It discusses the learning objectives which are to identify substances and effects, understand the continuum and brain chemistry of substance use disorders, recognize signs and symptoms, discuss cultural context, and understand treatment and recovery. It then covers topics like the brain science of addiction, screening and assessing for substance use disorders, the treatment process and modalities, principles of effective treatment, family-centered treatment approaches, and understanding treatment progress. The goal is to educate child welfare workers on substance use disorders and improving outcomes for parents and families.
This document summarizes managed care in mental health, specifically focusing on the NorthSTAR program in Texas. It discusses how NorthSTAR contracts with Local Mental Health Authorities to provide services across 7 counties. It also describes programs like Assertive Community Treatment that provide integrated services for those with severe mental illnesses. Finally, it discusses the goals of prevention and promoting mental health through approaches like Texas Resiliency and Recovery.
Sj47 -The State of Youth Mental Health in VirginiaAnne Moss Rogers
Children’s Mental Health: Challenges and Opportunities--This is the presentation by Margaret Nimmo Crowe to a special subcommittee of the commonwealth, Executive Director for Voices for Virginia’s Children. More info here: http://1in5kids.org/2014/10/29/sj-47-workgroup-takes-childrens-mental-health/
The document summarizes key outcomes of systems of care for children's mental health. It finds that systems of care are associated with:
1) Improved clinical outcomes like reduced behavioral and emotional problems, improved functioning, and fewer suicidal thoughts.
2) Cost savings from reduced use of restrictive care settings like inpatient hospitals and residential treatment centers. Savings are also seen from reduced juvenile justice involvement.
3) Better educational outcomes such as improved school attendance and fewer suspensions.
This document provides an overview of substance abuse and treatment. It discusses the definitions of use versus abuse and normal versus problematic substance use. It also outlines the challenges in treating substance abuse disorders, including co-occurring mental health and medical conditions. Finally, it summarizes the levels of substance abuse treatment based on the ASAM criteria and principles of treatment matching to provide the appropriate level and type of care.
Irina Yakhnitskiy has over 15 years of experience in social work and behavioral healthcare. She holds multiple licenses including as an Independent Chemical Dependency Counselor and Independent Social Worker with Supervision Designation in Ohio. Her experience includes positions assessing substance abuse and mental health programs, conducting clinical work, and managing residential facilities and shelters. She is fluent in Ukrainian and Russian.
The “Project Maanasi” is a mission to deliver mental health and primary care services to poor rural women and children in southern India. The goal of the program has been to provide low cost or free care to villagers, sustained outreach to those who cannot access the clinic, and educate patients and others about seeking care to improve their lives.
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2. Learning Objectives
After completing this training, child welfare workers will:
• Identify the types of substances and their effects, including methods of use
• Outline the continuum of substance use disorders as mild, moderate, or severe
• Understand the basic brain chemistry of substance use disorders
• Recognize the signs and symptoms of substance use in the context of child
welfare practice
• Discuss substance use disorders in a cultural context
• Identify treatment modalities and the continuum of care
• Understand the recovery process, relapse prevention and long-term recovery
maintenance
3. Disagree
Neutral
or
Unsure
Agree
Strongly
Agree
Strongly
Disagree
(Children and Family Futures, 2017)
Collaborative Values Inventory
• In different circumstances, any person could be a parent with a substance
use disorder
• A person with a substance use disorder should not be held accountable
for his or her negative behavior
• If parents with substance use disorders had enough willpower, they would
not need substance use disorder treatment
• The stigma associated with substance use disorders prevents parents
from seeking treatment
4. Individual Factors That Increase Risk
for Substance Use or Misuse
• Developmental
• Environmental
• Social
• Genetic
• Co-occurring mental disorders
(U.S. Department of Health and Human Services, 2016)
10. American Society
of Addiction Medicine
(ASAM)
“Addiction is a primary, chronic disease
of brain reward, motivation, memory and
related circuitry. Dysfunction in these
circuits leads to characteristic biological,
psychological, social, and spiritual
manifestations. This is reflected in an
individual pathologically pursuing
reward and/or relief by substance use
and other behaviors.”
(American Society of Addiction Medicine, 2011)
11. Brain imaging studies show physical changes in
areas of the brain when a drug is ingested that
are critical to:
• Judgment
• Decision making
• Learning and memory
• Behavior control
These changes alter the way the brain works and
help explain the compulsion and continued use
despite negative consequences
(National Institute on Drug Abuse, 2018b)
Drug Use and Addiction
12. Understanding Treatment Progress
Key factors in understanding treatment progress:*
• Participation in treatment
• Knowledge gained about substance use
• Participation in support systems
• Abstinence from substances
• Relapse prevention planning
• Treatment completion
*You can work with your local treatment providers on what information should be included on
progress monitoring updates. Some jurisdictions have created templates for ongoing progress
monitoring communication that the treatment providers sends to child welfare regularly.
13. (Oliveros, 2011; Breshears, 2009; Werner, 2007; Choi 2006)
Treatment Completion
• Progress on treatment goals
• Sobriety and evidence that the parent can live a sober life
• Stabilization/resolution of medical or mental health challenges
• Evidence of a well-developed support system
14. When Treatment Is Unavailable
• Be familiar with care and treatment options in the community
• Provide contacts for 12-step meetings and encourage parents to attend
• While waiting for optimal treatment:
o Help develop safety plans
o Plan regular contact
o Suggest lower levels of care
16. (Center for Substance Abuse Treatment, 2014)
Cultural Competency in
Substance Use Disorder Treatment
Culture refers to:
• Race
• Ethnicity
• Age
• Gender
• Geographical location
• Sexual orientation
• Gender identity
Incorporating community-based values, traditions, and customs can bring
about positive change
17. (Kim, 2017; Guerrero, 2017; Center for Substance Abuse Treatment, 2014)
Culturally Relevant Treatment
Culturally relevant substance use disorder treatment should:
• Be compatible with roles, values, and beliefs
• Identify and remove barriers to treatment
• Address language needs
• Be geographically accessible
• Be family-focused
18. Substance Use Disorder Treatment:
American Indian and Alaska Native Communities
• Federal trust relationship between recognized tribes and federal
government
• Substance use disorder treatment:
o Through Indian Health Service (IHS) network or Indian nonprofit agency under
contract with IHS
• Child welfare services:
o Under Indian Child Welfare Act (ICWA), tribes have jurisdiction over and operate child
welfare services
• Ask about a child's ethnicity to determine if ICWA or IHS should be used
(Park-Lee et al., 2018; Barlow 2018; Center for Substance Abuse Treatment, 2014)
19. (Substance Abuse and Mental Health Services Administration, 2009)
Gender-Specific Components
• Unique Considerations for Women
o Childhood abuse: physical, sexual, and/or emotional trauma
o Co-occurring mental disorder, domestic violence
• Comprehensive Treatment Model for Women
o Clinical treatment services
o Clinical support services
o Community support services
21. What is recovery?
A process of change through
which individuals improve their
health and wellness, live self-
directed lives, and strive to reach
their full potential.
Access to evidence-based substance
use disorder treatment and recovery
support services are important building
blocks to recovery
SAMHSA’s Working Definition
What Is Recovery?
SAMHSA’s Working Definition
(Substance Abuse and Mental Health Services Administration, 2012)
22. (Ghertner et al., 2018; Radel et al., 2018)
Recovery Occurs in the Context of the Family
• Substance use disorder is a disease that affects the family
• Adults (who have children) primarily identify themselves as parents
• The parenting role and parent-child relationship cannot be separated from
treatment
• Adult recovery should have a parent-child component including
prevention for the child
23. Can threaten parent’s ability to achieve and
sustain recovery and establish a healthy
relationship with their children, thus risking:
Recurrence of maltreatment
Re-entry into out-of-home care
Relapse and sustained recovery
Additional infants with prenatal substance
exposure
Additional exposure to trauma for child/family
Prolonged and recurring impact on child
well-being
Focusing Only on Parent’s Recovery Without
Addressing the Needs of Children…
(U.S. Department of Health and Human Services, 2013)
24. Parent Recovery
Parenting skills
and competencies
Family connections
and resources
Parental mental health
Medication management
Parental substance use
Domestic violence
Family Recovery
and Well-being
Basic necessities
Employment
Housing
Child care
Transportation
Family counseling
Specialized parenting
Child Well-being
Well-being/behavior
Developmental/health
School readiness
Trauma
Mental health
Adolescent
substance use
At-risk youth prevention
A Family Focus
(Werner, Young, Dennis, & Amatetti, 2007)
26. (National Institute on Drug Abuse, 2018b)
Post-Treatment Expectations
• Recovery as “one day at a time” for the rest of a person's life
• Relapse
• Ongoing support:
o Economic, vocational, housing, parenting, medical, and social supports
o Re-engagement in the recovery process, should relapse occur
o Supporting recovery
27. Continuing Care or Aftercare:
Strategies To Support Recovery
• Alumni group meetings at the treatment facility
• Home visits from counselors
• Case management
• Parenting education and support services
• Employment services
• Safe and sober housing resources
• Legal aid clinics or services
28. Continuing Care or Aftercare:
Strategies To Support Recovery (cont’d)
• Mental health services
• Medical and healthcare referrals
• Dental health care
• Income supports
• Self-help groups
• Individual and family counseling
• Recovery or peer support specialist
29. Liaison
• Links participants to ancillary supports; identifies
service gaps
Treatment Broker
• Facilitates access to treatment by addressing
barriers and identifying local resources
• Monitors participant progress and compliance
• Enters case data
Advisor
• Educates community; garners local support
• Communicates with team, staff and service
providers
Functions of Recovery or Peer Support Specialists
(Huebner, 2018; Center for Substance Abuse Treatment, 2010)
30. A Program of the
Substance Abuse and
Mental Health Services Administration
Center for Substance Abuse Treatment
and the
Administration on Children, Youth and Families
Children’s Bureau
Office on Child Abuse and Neglect
www.ncsacw.samhsa.gov
ncsacw@cffutures.org
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