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Celebrating Families! ™
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Transcript of Celebrating Families! ™
Celebrating Families!Celebrating Families! ™™
An intergenerational, cognitive- behavioral group model for families in early recovery
““Celebrating Families! Celebrating Families! ™™ sets the standard sets the standard with this with this
comprehensive, clear, step-by-step, in-comprehensive, clear, step-by-step, in-depth guide. This encyclopedic curriculum depth guide. This encyclopedic curriculum should be the starting point for anyone who should be the starting point for anyone who wants to intervene positively with adults wants to intervene positively with adults and children to build healthy families.and children to build healthy families. Celebrating Families!™Celebrating Families!™ is richly is richly layered on a solid base of research, layered on a solid base of research, practical experience and evaluation.practical experience and evaluation.
This is a curriculum that works!”This is a curriculum that works!” Stephanie Brown, Ph.D., Director of The Addictions Stephanie Brown, Ph.D., Director of The Addictions
Institute, Menlo Park, Ca. Author of numerous books Institute, Menlo Park, Ca. Author of numerous books including including Treating the Alcoholic – A Development Treating the Alcoholic – A Development ModelModel
Substance Abuse and Substance Abuse and AddictionAddiction
Substance abuse Substance abuse contributes to contributes to almost three almost three fourths of incidents fourths of incidents of child abuse and of child abuse and neglect of children neglect of children in foster care. in foster care. (U.S Department of Health and Human (U.S Department of Health and Human Services, 1999.)Services, 1999.)
Are primary causes Are primary causes of rise in child of rise in child
abuse, neglect and abuse, neglect and immeasurable immeasurable increase in the increase in the complexity of cases.*complexity of cases.* Contribute to 75% of Contribute to 75% of incidents of child incidents of child abuse and neglect of abuse and neglect of children in foster care. children in foster care. **** **CASA, 1999. **National Center on Addiction and Substance CASA, 1999. **National Center on Addiction and Substance Abuse, 1999 Abuse, 1999
Why A Family Program ?Why A Family Program ? Parents have Parents have not receivednot received sufficient sufficient
parenting themselvesparenting themselves
Court mandated holistic and culturally Court mandated holistic and culturally competent child-centered program competent child-centered program can can improveimprove parenting capabilities parenting capabilities
Belief parents Belief parents love their childrenlove their children
Best place for children is with Best place for children is with their birth their birth families, when safefamilies, when safe
Children ultimately at riskChildren ultimately at risk to continue to continue cyclescycles
Family InterventionsFamily InterventionsWORK!WORK!
Meta Analytic reviews of randomized Meta Analytic reviews of randomized clinical trials conclude that clinical trials conclude that treatments that involve family treatments that involve family result inresult in
Higher levels of abstinence (50 vs. 30%)Higher levels of abstinence (50 vs. 30%) Fewer drug related arrests (8 vs. 28 %) Fewer drug related arrests (8 vs. 28 %) Fewer inpatient treatment episodes Fewer inpatient treatment episodes
(13 vs. 35%) (13 vs. 35%)
Science Practice Perspectives. Vol. 2 No 2 August 2004 NIDA.Science Practice Perspectives. Vol. 2 No 2 August 2004 NIDA.
Family InterventionsFamily Interventions Save Money Save Money
Estimated cost per participant (40) Estimated cost per participant (40) Year I $ 990 Year I $ 990
Year II $ 740Year II $ 740 Estimated cost per child/month in Estimated cost per child/month in child welfare system (CWS) child welfare system (CWS) **$ 1,945$ 1,945 including indirect including indirect **** $ 2,123 $ 2,123 Estimated cost including systemEstimated cost including system (medical, law, special education)(medical, law, special education) ****
$17,584$17,584
Cost per month to house youth in county Cost per month to house youth in county ******$ $ 2,6002,600
Cost per month to house a youth at CYACost per month to house a youth at CYA $ 6,666$ 6,666
* California Child Welfare System – Child and Family Futures * California Child Welfare System – Child and Family Futures ** Edna McConnell Clark Foundation** Edna McConnell Clark Foundation***Legislative Analyst's Office, 2002-03 George Kita, Former Deputy District Attorney***Legislative Analyst's Office, 2002-03 George Kita, Former Deputy District Attorney
Why a Specialized Why a Specialized Program?Program?
All members of a chemically dependentAll members of a chemically dependent
family need to learn:family need to learn:
Healthy living skills Healthy living skills
Communication skillsCommunication skills
How to sustain recoveryHow to sustain recovery
How to have positive How to have positive relationshipsrelationships
About the diseaseAbout the disease
Why a Specialized Why a Specialized Program? Program? (2)(2)
How participants have been How participants have been affectedaffected
About recoveryAbout recovery
BoundariesBoundaries
They are not alone They are not alone
The Truth StatementsThe Truth Statements
““Celebrating Families!Celebrating Families! is a historic ground-is a historic ground-breaking program that will serve as a model breaking program that will serve as a model to help families in other court systems.”to help families in other court systems.” Annual Evaluation Report, Center for Local Applied Research, 2004.Annual Evaluation Report, Center for Local Applied Research, 2004.
HistoryHistory 2003: Judge Leonard Edwards 2003: Judge Leonard Edwards
requests programrequests program
SAMHSA grant SAMHSA grant Children Screened and AssessedChildren Screened and Assessed Parents Medically Assessed Parents Medically Assessed Head StartHead Start Family Night Family Night (Celebrating Families!) (Celebrating Families!) with with
Transportation and Child CareTransportation and Child Care
TeamTeam JudgeJudge Attorneys: Parent’s, Child’s, District, Attorneys: Parent’s, Child’s, District,
County CounselCounty Counsel Social Workers and Family Night Social Workers and Family Night
CoordinatorCoordinator Drug and Alcohol AssessorDrug and Alcohol Assessor Public Health Nurse, Mental Health Public Health Nurse, Mental Health
Assessor, Domestic Violence Advocate, Assessor, Domestic Violence Advocate, Cal-Works, Community Based Agency Cal-Works, Community Based Agency Representatives (Friends Outside)Representatives (Friends Outside)
Family Treatment Drug Family Treatment Drug CourtCourt
60 parents and 125 children annually60 parents and 125 children annually
Holistic approachHolistic approach
Drugs and Alcohol - Primary drug of Drugs and Alcohol - Primary drug of choice - methchoice - meth
Domestic ViolenceDomestic Violence
Mental HealthMental Health
Diverse PopulationDiverse Population
Serves A Diverse Population -Serves A Diverse Population -Study shows Study shows CF! CF! most most effective with Hispanic effective with Hispanic
FamiliesFamilies
20062006
Study shows Study shows CF!CF! most effective with most effective with Hispanic Families Hispanic Families
SCC Department of Social Services SCC Department of Social Services General Funds provide two nights of General Funds provide two nights of Celebrating Families!Celebrating Families! for ALL for ALL Dependency CourtsDependency Courts
ALL courts in SCC referring ALL ALL courts in SCC referring ALL families with substance abuse issues families with substance abuse issues to community based sites, using First to community based sites, using First Five supportFive support
Breaks the cycle of addiction Breaks the cycle of addiction and abuse in familiesand abuse in families
Impacts the Impacts the family systemfamily system
Increases Increases successful family successful family reunificationreunification
Is Unique!Is Unique!
Uses teaching strategies effective Uses teaching strategies effective with individuals with learning with individuals with learning differencesdifferences
Integrates teaching of parenting skills Integrates teaching of parenting skills with strategies to break the cycle of with strategies to break the cycle of addiction in familiesaddiction in families
Is Unique! Is Unique! (2)(2)
Reinforces and explains what clients Reinforces and explains what clients learn in treatment and recovery learn in treatment and recovery programsprograms
Is fully scripted, including role-plays, Is fully scripted, including role-plays, handouts, children’s stories and handouts, children’s stories and activity sheets activity sheets
TeachesTeaches
Facts about ATOD & Chemical Facts about ATOD & Chemical DependencyDependency
Recognition of Influence of Media & Recognition of Influence of Media & AdvertisingAdvertising
Facts about Domestic ViolenceFacts about Domestic Violence
Teaches Teaches (2)(2)
Caring & Empathy: Acts of KindnessCaring & Empathy: Acts of Kindness
We are part of something larger than We are part of something larger than ourselves (WOW Moments)ourselves (WOW Moments)
Centering & ReflectionCentering & Reflection
Teaches Teaches (3)(3)
About the diseaseAbout the disease Facts about ATOD Facts about ATOD It’s a brain diseaseIt’s a brain disease That impacts families That impacts families
Self Worth & Self Efficiency: Self Worth & Self Efficiency: recognizing and celebrating each recognizing and celebrating each person’s uniquenessperson’s uniqueness
HelpsHelpsAllAll family members learn and family members learn and
incorporate the Truth incorporate the Truth Statements into their lives Statements into their lives
I did not CAUSE the disease.I can not CURE the disease.I cannot CONTROL the disease.I can take CARE of myself – One day at a time
Intergenerational,Intergenerational,Strength Based, Strength Based, Building Family Skills Building Family Skills In Early RecoveryIn Early Recovery
Typical SessionTypical Session
CHILDREN’SCHILDREN’S PARENT PARENT
GROUPSGROUPS GROUP GROUP
Childcare Childcare 90 Minutes Simultaneously
FAMILY STYLE MEALFAMILY STYLE MEAL
+30
Minutes
FAMILY FAMILY ACTIVITYACTIVITY
TransportationTransportation
Typical SessionTypical SessionFamily DinnerFamily Dinner
Age-Appropriate GroupsAge-Appropriate GroupsOpeningOpening
CenteringCenteringGroup Agreements & Opening Activity Group Agreements & Opening Activity Review (Acts of KindnessReview (Acts of Kindness))
Insights for Living Insights for Living ClosingClosing
Reflection Reflection WOW MomentsWOW Moments
Connecting With My FamilyConnecting With My Family Family Story Group AgreementsFamily Story Group AgreementsChildren’s Sharing ActivityChildren’s Sharing ActivityClosing Closing
Why Dinner?Why Dinner?
Kids who eat dinner with their Kids who eat dinner with their families are less likely to use families are less likely to use
ATODATOD
Those who did not were 3x more likely to Those who did not were 3x more likely to try marijuana, more than 2x as likely to try marijuana, more than 2x as likely to smoke, and 1.5x more apt to drink alcohol smoke, and 1.5x more apt to drink alcohol
"One factor that does more to reduce "One factor that does more to reduce teens' substance-abuse risk than almost teens' substance-abuse risk than almost any other is by having frequent family any other is by having frequent family dinners“dinners“
The National Center for Addiction & Substance Abuse at Columbia University (9/04/2005 and 1998The National Center for Addiction & Substance Abuse at Columbia University (9/04/2005 and 1998
Four Aspects of Healthy LivingFour Aspects of Healthy Living
TopicsTopics OrientationOrientation Healthy Living Healthy Living NutritionNutrition CommunicationCommunication FeelingsFeelings Anger Anger
ManagementManagement Facts about ATODFacts about ATOD Chemical Chemical
DependencyDependency CD Affects the CD Affects the
whole familywhole family
Goal SettingGoal Setting Health ChoicesHealth Choices Healthy Healthy
BoundariesBoundaries Healthy Healthy
Friendships & Friendships & RelationshipsRelationships
How We LearnHow We Learn UniquenessUniqueness Celebration!Celebration!
CF! CF! Program Program FoundationsFoundations
Life Life SkillsSkills
SupporSupport Groupt Group
Family Family SystemSystem
Teaches Healthy Teaches Healthy Living SkillsLiving Skills
Anger Management Anger Management
Communication Communication
Feelings/DefensesFeelings/Defenses
Nutrition – Brain Chemistry, Nutrition – Brain Chemistry, HALTHALT
Problem Solving & Goal SettingProblem Solving & Goal Setting
Support GroupSupport Group
Helps participants break the Helps participants break the rules rules
Don’t TalkDon’t Talk Don’t’ FeelDon’t’ Feel
Don’t TrustDon’t Trust
Integrates recovery in every Integrates recovery in every session with every family session with every family membermember
Family SystemFamily System
How to incorporate recovery How to incorporate recovery into into daily lives as parentsdaily lives as parents Risk & resiliency factorsRisk & resiliency factors How to break the cycle of How to break the cycle of addiction:addiction:
Saying “I love you” Affirming their children Spending one-on-one time
Evaluation StudiesEvaluation Studies
“This is a curriculum that “This is a curriculum that works!”works!”
Stephanie Brown, Ph.D.Stephanie Brown, Ph.D.
““This group is different – this is This group is different – this is not another parenting class. not another parenting class.
This is a class on being a This is a class on being a family”family”
From Parent Focus Group From Parent Focus Group
Preliminary Evaluations Preliminary Evaluations RevealReveal
Time to reunification Time to reunification significantly decreased to 6 - 12 significantly decreased to 6 - 12 monthsmonths
Reunification rate increased to Reunification rate increased to 73% with Drug Treatment Court73% with Drug Treatment Court
Large positive effect on Large positive effect on parentingparenting
Significant OutcomesSignificant Outcomes
Protective FactorProtective Factor Sig. Level (p=_) Effect Size(d’) Sig. Level (p=_) Effect Size(d’)
Positive Parenting Positive Parenting .000.000 2.35 (very 2.35 (very large)large)
Parent InvolvementParent Involvement .000.000 1.91 (large) 1.91 (large)
Parenting SkillsParenting Skills .009.009 .95 (large) .95 (large)
Parenting EfficacyParenting Efficacy .000.000 2.81 (very 2.81 (very large)large)
Parenting Supervision Parenting Supervision .000 .000 2.76 2.76 (very large)(very large)
Significant Outcomes Significant Outcomes (2)(2)
Protective FactorProtective Factor Sig. Level (p=_) Effect Size(d’) Sig. Level (p=_) Effect Size(d’)
Family Organization Family Organization .000 .97 (very .000 .97 (very large)large)
Family CohesionFamily Cohesion .000 2.27 (very .000 2.27 (very large)large)
Family Communication Family Communication .000 .000 2.89 2.89 (very large)(very large)
Family ConflictFamily Conflict .063.063 .72 (large) .72 (large)Family Strengths/Family Strengths/Resilience Resilience .0000.0000 3.12 3.12
(very large)(very large)
Significant OutcomesSignificant Outcomes (3)(3)
Protective FactorProtective Factor Sig. Level (p=_) Effect Size(d’) Sig. Level (p=_) Effect Size(d’)
Child ConcentrationChild Concentration Problems Problems .000.000 2.49 (very 2.49 (very large)large)
Hyperactivity Hyperactivity .004 .004 1.42 (very large)1.42 (very large)Child Overt Child Overt AggressionAggression .04 .04 -.74 (large, but -.74 (large, but negative result)negative result)
The one negative change is predictable - occurring when children The one negative change is predictable - occurring when children finally feel safe due to reduced fear and parentification.finally feel safe due to reduced fear and parentification.
Celebrating Families!Celebrating Families! TMTM
Year II SummaryYear II Summary
““Findings show Findings show significant significant accomplishmentsaccomplishments have taken place. have taken place.
Classes helped parents and children Classes helped parents and children learn and apply new skillslearn and apply new skills, such as, , such as, identifying issues of chemical identifying issues of chemical dependency and understanding how dependency and understanding how these issues affect their families.”these issues affect their families.”
Spontaneous Responses of Spontaneous Responses of 4-10 year olds on post test4-10 year olds on post test
1. I can help my 1. I can help my parent stop drinking parent stop drinking if I try hard enough.if I try hard enough.
2. I can change how 2. I can change how other people feel.other people feel.
3. I can make healthy 3. I can make healthy choices for myself.choices for myself.
1. I can’t cure it.1. I can’t cure it.
2. I can’t control 2. I can’t control it.it.
3. I can take care 3. I can take care of myself.of myself.
Replication Replication
&&
ImplementationImplementation
Replication Replication
Santa Clara and San Mateo Counties Family Treatment Drug Court (FTDC) Friends Outside House on the Hill EMQ – Addiction Prevention Services YWCA Child Care Coordinating Council SCC First 5 Collaboration
Currently being implementedCurrently being implemented
Replication Replication (2)
California Counties: El Dorado, California Counties: El Dorado, Kern, Kings County, and Yuba/SutterKern, Kings County, and Yuba/Sutter
Out of State: Idaho (3), Georgia, Out of State: Idaho (3), Georgia, Indiana, Connecticut. Professionals Indiana, Connecticut. Professionals trained in Colorado and New Jerseytrained in Colorado and New Jersey
Internationally: Argentina and Internationally: Argentina and numerous sites in Russia (shelters, numerous sites in Russia (shelters, orphanages, schools, camps)orphanages, schools, camps)
CF!CF! Course Materials: Course Materials: (Distributed on CDs(Distributed on CDs))
ManualsManuals:: Age-graded Session Plans for Parents, Age-graded Session Plans for Parents, Youth and Children’s Groups and all Family Activities Youth and Children’s Groups and all Family Activities
Preface & Appendix: IPreface & Appendix: Implementation and mplementation and
research foundationsresearch foundations
Evaluation:Evaluation: Parent and Youth instruments, Parent and Youth instruments, Fidelity Checklists, Client Satisfaction Surveys, Fidelity Checklists, Client Satisfaction Surveys, Leader RatingsLeader Ratings
ReplicationReplication TrainingTraining
At your site up to 25 staff ORAt your site up to 25 staff OR Attend training in San Jose, CAAttend training in San Jose, CA
Logistics: space, food, Logistics: space, food, suppliessupplies
Supervision/Technical Supervision/Technical Assistance Assistance
Evaluation Evaluation Continued Learning for TeamContinued Learning for Team
StaffingStaffing
Site Coordinator Site Coordinator (10 hrs a week)(10 hrs a week)
Clinical Supervisor Clinical Supervisor
6-10 Group Leaders 6-10 Group Leaders (2 per group)(2 per group)
Balance by gender, ethnicity, Balance by gender, ethnicity, recoveryrecovery
Leader QualificationsLeader Qualifications
Desire to help families learnDesire to help families learn
Desire to learn the modelDesire to learn the model
Personal Skills: one to one & Personal Skills: one to one & groupgroup
Understanding of chemical Understanding of chemical dependencydependency
Balance teams by gender, Balance teams by gender, ethnicity, recoveryethnicity, recovery
Sample BudgetSample Budget 3-DayTraining 3-DayTraining at your site at your site $ 4,000+exp.$ 4,000+exp.
San Jose Trainings $395/person. San Jose Trainings $395/person.
Registered Sites: Registered Sites: Technical AssistanceTechnical Assistance $6,000+exp.$6,000+exp.
Contract with LutraGroup for data analysis Contract with LutraGroup for data analysis evaluation report. evaluation report.
Group Leaders:Group Leaders: (10 x 18 weeks x $20/hr x 5 hrs/week) $18,000(10 x 18 weeks x $20/hr x 5 hrs/week) $18,000
Site Coordinator/Clinical SupervisorSite Coordinator/Clinical Supervisor(18 weeks x $30/hr x 10hrs/week)(18 weeks x $30/hr x 10hrs/week) $ 6,400 $ 6,400
Food:Food: (16 sessions x 15 families x $10/family)(16 sessions x 15 families x $10/family) $ 2,400 $ 2,400
Child Care: Child Care: (16 wks x 2 staff x $15/hr x 3 hrs)(16 wks x 2 staff x $15/hr x 3 hrs) $ 1,650 $ 1,650
Supplies: Supplies: (paper products, toys)(paper products, toys) $ 500$ 500
Manual Duplication:Manual Duplication: (10 x $65/each)(10 x $65/each) $ 650$ 650
Total: $39,600+ $29,600Total: $39,600+ $29,600 Year One Year TwoYear One Year Two
SitesSites Reduced costs ($5-10,000) byReduced costs ($5-10,000) by
Using Using trainedtrained interns and volunteers interns and volunteers In-kind donations of food, spaceIn-kind donations of food, space Using flex time with staffUsing flex time with staff
Received funding fromReceived funding from Grants: SAMHSA, local FoundationsGrants: SAMHSA, local Foundations Healthy Families InsuranceHealthy Families Insurance Contracts from First Five, Departments Contracts from First Five, Departments
of Social Services & Alcohol & Drugs of Social Services & Alcohol & Drugs ServicesServices
Child Abuse Child Abuse
Recovering Families Can Be Recovering Families Can Be Healthy And Happy !Healthy And Happy !
Recovering Parents Recovering Parents Can & Do Change!Can & Do Change!
“I now call my son twice a day. I used to think of calling him once a week.”
How to Contact UsHow to Contact UsRosemary Tisch Rosemary Tisch
[email protected] or [email protected] or 408-406-0467
OrOr
Linda Sibley Linda Sibley [email protected] or [email protected] or 805-614-2824
www.celebratingfamilies.netwww.celebratingfamilies.net
Additional Additional InformationInformation
SavesSaves
LivesLivesFamilies Families MoneyMoney
Saves LivesSaves Lives
JuvenilesJuveniles
2/3’s reported a family member abused 2/3’s reported a family member abused substances while they were growing up.substances while they were growing up.
1/3 experienced abuse.1/3 experienced abuse.
Research and public policy series. No. 67: Alcohol, drugs and crime : a study of juveniles in Research and public policy series. No. 67: Alcohol, drugs and crime : a study of juveniles in detention. detention. Jeremy Prichard and Jason Payne ISBN 0 642 53891 3 ; ISSN 1326-6004. Canberra: Jeremy Prichard and Jason Payne ISBN 0 642 53891 3 ; ISSN 1326-6004. Canberra: Australian Institute of Criminology: 2005 Australian Institute of Criminology: 2005
Saves Lives Saves Lives (2)
Domestic ViolenceDomestic Violence Alcohol present in 70% to 90% Alcohol present in 70% to 90% (court files vs. self report)(court files vs. self report) of of
DV cases.DV cases.
Exposure to DV increases risks for kids to abuse Exposure to DV increases risks for kids to abuse drugs/alcohol. drugs/alcohol.
Re-involvement in relationship can make clients more Re-involvement in relationship can make clients more vulnerable to relapse. vulnerable to relapse.
(Substance abuse does not cause violence.)(Substance abuse does not cause violence.)
Saves FamiliesSaves Families
At 12 months,At 12 months, not used in last 30 not used in last 30 daysdays
• 100% marijuana or prescription 100% marijuana or prescription drugs. drugs.
• 96% alcohol or other illegal drugs.96% alcohol or other illegal drugs.
• 74% tobacco. 74% tobacco.
Saves Families Saves Families (2)
Parents understandParents understand How to set goals
How to have more control of their lives
To think things through before taking action.
Saves Families Saves Families (3)
100% know it is important to 100% know it is important to recognize their feelings.recognize their feelings.
86% “Important to tell children 86% “Important to tell children you you love themlove them.”.”
80% understand how their addiction 80% understand how their addiction affected their childrenaffected their children
Saves Families Saves Families (4)
74% believe their children’s 74% believe their children’s ability to connect with safe people ability to connect with safe people has improved.has improved.
“ “Almost all” parents attended Almost all” parents attended an organized group where they an organized group where they felt accepted and respected.felt accepted and respected.
Saves Families Saves Families (5)
Children StateChildren State Parent’s addiction is not their fault.Parent’s addiction is not their fault.
Chemical dependency is a disease.Chemical dependency is a disease.
How to choose and make healthy How to choose and make healthy friendships with safe people.friendships with safe people.
Alcohol and drug use (for them) is Alcohol and drug use (for them) is harmful. harmful.
Family InterventionsFamily Interventions Save Money Save Money
Cost per participant (40) Year I $ 990 Cost per participant (40) Year I $ 990 Year II $ 740Year II $ 740
Cost per child/month in Cost per child/month in child welfare system (CWS) child welfare system (CWS) **$ $
1,9451,945 including indirect including indirect **** $ 2,123 $ 2,123
Estimated cost including systemEstimated cost including system (medical, law, special education)(medical, law, special education) ****
$17,584$17,584
Cost per month to house youth in county Cost per month to house youth in county ******$ $ 2,6002,600
Cost per month to house a youth at CYACost per month to house a youth at CYA $ 6,666$ 6,666
* California Child Welfare System – Child and Family Futures * California Child Welfare System – Child and Family Futures ** Edna McConnell Clark Foundation** Edna McConnell Clark Foundation***Legislative Analyst's Office, 2002-03 George Kita, Former Deputy District Attorney***Legislative Analyst's Office, 2002-03 George Kita, Former Deputy District Attorney
Strength - Based Strength - Based
Utilizing Current Utilizing Current ResearchResearch
Strength Based
Writing team.Writing team.
Teaching strategies Teaching strategies effective for individuals effective for individuals with cognitive deficits.with cognitive deficits.
Focus on children & Focus on children & families.families.
Empowers by teachingEmpowers by teaching Healthy living skillsHealthy living skills
Facts (ATOD, CD, Facts (ATOD, CD, DV), Risk and DV), Risk and Resiliency.Resiliency.
Strength Based
Integrates strategies Integrates strategies to break the cycles of to break the cycles of addiction and DV.addiction and DV.
Reinforces recovery.Reinforces recovery.
Asset Asset DevelopmentDevelopment
Positive Values:Positive Values:CaringCaringEqualityEquality
Social justiceSocial justiceIntegrityIntegrity
Responsibility.Responsibility.
Sense of personal Sense of personal power and power and identity.identity.
Sense of purposeSense of purpose..
Positive view of Positive view of life and world.life and world.
Asset Asset DevelopmentDevelopment
Social Social Competencies – Competencies – Healthy Living Healthy Living
Skills:Skills:
Planning/Decision Planning/Decision Making.Making.
Interpersonal Interpersonal Competence Competence
FeelingsFeelings Empathy Empathy FriendshipFriendship
Resistance.Resistance.
Family Risk Family Risk FactorsFactors
Lack of love, Lack of love, caring, and caring, and support.support.
Low expectations Low expectations for children.for children.
Lack of adult Lack of adult supervision. supervision. Severe or Severe or inconsistent inconsistent discipline.discipline.
Lack of family Lack of family rituals.rituals.
Family Risk Family Risk FactorsFactors
David Hawkins, Richard Catalano, David Hawkins, Richard Catalano, and D.M. Lisher, and D.M. Lisher,
Poor family Poor family management or management or communication.communication.
Sexual and physical Sexual and physical abuse.abuse.
Family history Family history (4x risk). (4x risk).
Parental drug use ORParental drug use OR Positive attitude.Positive attitude.
Individual Individual Risk FactorsRisk Factors
Friends who useFriends who use
Favorable attitudes Favorable attitudes toward drug usetoward drug use
Use prior to age 15 Use prior to age 15 increases the risk increases the risk two to five timestwo to five times
David Hawkins, Richard Catalano, and D.M. Lisher, University of David Hawkins, Richard Catalano, and D.M. Lisher, University of Washington, 1986. J. Howell, Juvenile Justice & Delinquency Washington, 1986. J. Howell, Juvenile Justice & Delinquency Prevention, US Dept. of Justice, 1995.[1] Dr. Hoover Adger, Prevention, US Dept. of Justice, 1995.[1] Dr. Hoover Adger, John Hopkins University, John Hopkins University, Time Time 6/18/016/18/01
Individual Individual Risk FactorsRisk Factors
Early antisocial behavior combined with withdrawal and/or hyperactivity
Alienation, rebelliousness, lack of social bonding
Early and persistent antisocial behavior - juvenile delinquency behavior precedes drug abuse, fighting and general aggressiveness
David Hawkins, Richard Catalano, David Hawkins, Richard Catalano,
Protective Protective FactorsFactors
Core Identity.Core Identity.
Boundaries.Boundaries.
Allocation of roles.Allocation of roles.
Problem Solving.Problem Solving.
Communication.Communication.
FAS FAS Protective Protective FactorsFactors
Stable, nurturing Stable, nurturing home (ages 8-12)home (ages 8-12)
Minimum Minimum household household changes (2.8 changes (2.8 years)years)
Protection from Protection from violence: violence: witnessing or witnessing or being victimized.being victimized.
ResilienceResilience
Development of Development of Autonomy:Autonomy: tendency to perceive tendency to perceive
experiences experiences constructively, even constructively, even if they cause pain if they cause pain and suffering.and suffering.
Sense of purpose Sense of purpose and future: and future: strong ability to use strong ability to use
faith in order to faith in order to maintain positive maintain positive vision of meaningful vision of meaningful lifelife. .
E. E. Werner, in S. Brown, E. E. Werner, in S. Brown, 2005.2005.
FAS FAS Protective Protective FactorsFactors
Early diagnosis Early diagnosis (before age of (before age of 6)6)
Early Early intervention intervention services.services.
Protective Protective Factors For Factors For All ChildrenAll Children
At least one caring At least one caring adult in child’s lifeadult in child’s life
Opportunities to Opportunities to contribute/help contribute/help othersothers
Social skills, Social skills, increasing increasing effectiveness at effectiveness at work, school and work, school and homehome
Self-disciplineSelf-discipline
Healthy Healthy ExperiencesExperiences
ResilienceResilience
Social Social competence:competence: ability to gain other ability to gain other
people’s positive attentionpeople’s positive attention Communication: Communication: Direct, Direct,
clear and containing a full clear and containing a full range of feelings.range of feelings.
Problem Solving Problem Solving Skills:Skills: active, evocative approach active, evocative approach
toward solving life’s toward solving life’s problemsproblems
E. E. Werner, in S. Brown, 2005.E. E. Werner, in S. Brown, 2005.
Family Family ResilienceResilience
Core Identity:Core Identity: attitudes, family rituals attitudes, family rituals and practices.and practices.
Boundaries:Boundaries: Clear Clear and appropriate rules. and appropriate rules.
Allocation of roles: Allocation of roles: Delegate functions Delegate functions appropriate to family appropriate to family member’s age, ability, member’s age, ability, and available time. and available time.
SCC Court DemographicsSCC Court Demographics
2003 children exiting court 2003 children exiting court jurisdiction :jurisdiction :
Reunification: 1,205Reunification: 1,205Adoption: 306Adoption: 306Legal Guardianship: 604Legal Guardianship: 604Subsidized guardianships: 231Subsidized guardianships: 231
SavingsSavings
For every dollar spent on treatment, For every dollar spent on treatment, taxpayers save more than 7taxpayers save more than 7 in other in other services: reduced crime, medical fees, services: reduced crime, medical fees, emergency room visits and increasedemergency room visits and increased
productivity.productivity.
University of California at Los Angeles (UCLA)University of California at Los Angeles (UCLA): : Health Services ResearchHealth Services Research. .
NY Times Magazine 2/10/02 RAND corporation NY Times Magazine 2/10/02 RAND corporation
Drug Court SavingsDrug Court SavingsParticipation in drug court program saved the Participation in drug court program saved the countycounty $2,102,641 in public assistance, foster $2,102,641 in public assistance, foster care, substance-free births, and child support:care, substance-free births, and child support:
$1,349,154 in public assistance, food stamps, $1,349,154 in public assistance, food stamps, Medicaid. Medicaid.
$206,588 by family members in public assistance. $206,588 by family members in public assistance. Over $58,000 annual savings in foster care: children Over $58,000 annual savings in foster care: children
returned to their homes, pr allowed to stay in their returned to their homes, pr allowed to stay in their homes because of a parent's involvement in drug homes because of a parent's involvement in drug court. court.
$360,000 9 healthy babies born,. $360,000 9 healthy babies born,. $97,392. improved child support by graduates $97,392. improved child support by graduates
reducing public assistance payments. reducing public assistance payments. $15,000 in child support collected in arrears $15,000 in child support collected in arrears
paymentspayments. .
Study SourceStudy Source
Drug Court Savings Extend Beyond Drug Court Savings Extend Beyond Prison Costs: Prison Costs: New York State's New York State's Lackawanna Drug Court and Erie County Lackawanna Drug Court and Erie County Department of Social Services.Department of Social Services.
Population’s NeedsPopulation’s Needs
Children of Children of Alcoholics/AddictsAlcoholics/Addicts
Are Stressed Are Stressed
Difficult TemperamentDifficult Temperament Behavioral DisinhibitionBehavioral Disinhibition Hyperactivity or Rapid TempoHyperactivity or Rapid Tempo Autonomic Hyper- reactivityAutonomic Hyper- reactivity Rapid Brain Waves - alcohol medicatesRapid Brain Waves - alcohol medicates
Children of Alcoholics/Addicts Children of Alcoholics/Addicts (2)
Have Cognitive Dysfunctions Have Cognitive Dysfunctions High Visual-Spatial AbilitiesHigh Visual-Spatial Abilities Analytic AbilitiesAnalytic Abilities Kinesthetic TalentsKinesthetic Talents
More likely to be arrested as a More likely to be arrested as a juvenile juvenile (2/3’s of youth reported a family member (2/3’s of youth reported a family member abused substances while they were growing up; abused substances while they were growing up; Alcohol, drugs and crime: a study of juveniles in detentionAlcohol, drugs and crime: a study of juveniles in detention" " http://www.aic.gov.au/publications/rpp/67/http://www.aic.gov.au/publications/rpp/67/) )
Children of Alcoholics/Addicts (3)Children of Alcoholics/Addicts (3)
Are at Risk of Addiction Are at Risk of Addiction
Different Liver Metabolism (quick Different Liver Metabolism (quick acetaldehyde build-up, drunk on little acetaldehyde build-up, drunk on little alcohol, lose control rapidly) alcohol, lose control rapidly)
2-18 x greater risk of addiction 2-18 x greater risk of addiction
COA/A’sCOA/A’sExperiencing AbuseExperiencing Abuse
Are often angry, antisocial, physically Are often angry, antisocial, physically aggressive and violent. aggressive and violent.
Can suffer from low self-esteem, Can suffer from low self-esteem, depression, hopelessness, suicide, depression, hopelessness, suicide, and self-mutilation. and self-mutilation.
May behave compulsively, suffer May behave compulsively, suffer panic attacks, be highly distrustful of panic attacks, be highly distrustful of othersothers..
COA/A’s Experiencing Abuse (2)COA/A’s Experiencing Abuse (2)
Tend towards dangerous play and Tend towards dangerous play and sexual promiscuity.sexual promiscuity.
At high risk of developing their At high risk of developing their own substance abuse. own substance abuse.
Likely to repeat the cycle of Likely to repeat the cycle of abuse and neglect. abuse and neglect.
Many are affected in utereo by their Many are affected in utereo by their parents alcohol/drug use.parents alcohol/drug use.
RResearch with esearch with Addicted MothersAddicted Mothers
““Universal” horrific abuse Universal” horrific abuse 50% experienced physical violence during pregnancy 50% experienced physical violence during pregnancy 33% had been sexually abused33% had been sexually abused 44% raped44% raped 30% had experienced loss due to violent death30% had experienced loss due to violent death
74% were pregnant by age 1974% were pregnant by age 19
25% had died by the time of 5-25% had died by the time of 5-year follow upyear follow up
Mothers(2)Mothers(2)
80-85% had mental health issues: co-80-85% had mental health issues: co-morbid issues averaged 3-5 per birth morbid issues averaged 3-5 per birth MomMom
35% were children of alcoholics/35% were children of alcoholics/ addictsaddicts
20% had Fetal Alcohol Spectrum 20% had Fetal Alcohol Spectrum Disorders themselves.Disorders themselves.
All lacked support systems or sources All lacked support systems or sources of potential help. of potential help.
Ira Chasnoff, MD, and Sterling Clarren, MD.Ira Chasnoff, MD, and Sterling Clarren, MD.