Chadwick Conference 2015

 

The San Diego Conference focuses on multi-disciplinary best-practice efforts to prevent, if possible, or otherwise to investigate, treat, and prosecute child and family maltreatment.

 

The objective of the San Diego Conference is to develop and enhance professional skills and knowledge in the prevention, recognition, assessment and treatment of all forms of maltreatment including those related to family violence as well as to enhance investigative and legal skills. In-depth issues include support for families, prevention, leadership, policy-making. Translating the latest research into action is also addressed.
 

 

Presentations by Children and Family Futures:

 

Wednesday, January 28, 2015
8:00-9:30 am Nancy K. Young  Policy Considerations and Collaborative Partnerships: Working with Opiod Dependent Preganant and Parenting Women

This workshop presentation will challenge preconceptions and shatter myths about addiction and drug treatment by exploring the brain science of addiction and the relationship between addiction and choice.

The presenter will discuss the disease model of addiction and review evidence-based practices in addiction treatment, including implications for addressing the recent increase in prescription drug and heroin abuse. The presenter will also review issues specific to working with opioid dependent pregnant women.  An analysis of Treatment Episode Data Set (TEDS) data between 2002 and 2011 indicates an increase in the percent of admissions to substance abuse treatment facilities that reported heroin or prescription drugs as one of the substances of abuse. While male treatment admissions increased from 21.8% to 31.0%, female treatment admissions increased from 26.6% to 39.7% during this ten year period.

Each professional and the organizations that they represent are responding to directives from their organizations, or in the absence of directives, using their professional judgments. SAMHSA’s National Center on Substance Abuse and Child Welfare (NCSACW) organized a working group to articulate the questions and policy considerations that guide practice for a wide range of professionals working with pregnant opioid dependent women. This session will share the information developed by this working group and these State practices. 

The session will also highlight the work of the Children and Recovering Mothers (ChARM) collaborative in Vermont that is coordinated by the Kids Collaborative of Chittenden County. The focus of the collaborative is meeting the needs of pregnant and postpartum women and babies where there is a history of opiate use. This initiative has worked out many of the policy and communication protocols for addressing the needs of the families and could present their lessons learned at the session. In addition, SAMHSA’s Pregnant and Postpartum Women’s grants have experience with the use of MAT with their clients. Information about the experiences of the grantees, including best practices as well as challenges, will be shared.

1:00-2:30 pm Alexis Balkey Why Won't They Just Go to Treatment? Engaging Families Affected by Substance Use Disorders

Research and practical experience has long demonstrated the prevalence of parental substance use disorders among families in the child welfare system. The accountable, time-limited mandate for achieving permanency for children set forth in the 1997, Adoption and Safe Families Act (ASFA) drove the demand for a better and coordinated system response to meet the needs of families affected by parental substance use.

This workshop presentation will provide an overview of substance abuse, including the brain science of addiction and implications for engagement in services. The presenter will explore the impact of parental substance use disorders on the parent-child relationship and the essential service components needed to address these complex issues, such as: ensuring quality visitation and contact; implementation of evidence-based services, including parent education and therapeutic services; and access to ongoing family recovery support.

The workshop will also explore family treatment readiness as a collaborative practice issue by raising the need for coordinated case plans and effective communication protocols across child welfare, treatment, and family court systems. The presenter will also highlight two models that have been shown to increase family engagement: Family Drug Courts (FDCs) and Recovery Support Specialists (RSS). Research indicates that FDCs produce positive outcomes, including: 1) significantly higher rates of parental participation in substance abuse treatment; 2) longer stays in treatment; 3) higher rates of family reunifications; and, 4) less time for children in foster care (Marlowe & Carey, 2012). Recovery coaches offer non-clinical services that assist clients in accessing a broad range of support services, improve timely assessment and access to treatment for parents, encourage engagement and retention in treatment, and offer consultation to child welfare and dependency court workers (Austin & Osterling, 2006). This workshop presentation will review available outcome data regarding implementation of these key strategies.

3:00- 4:30 pm Amanda Kellerman, Vivian Brown What Can You Do Tomorrow to Become More Trauma-Informed in Serving Families Affected by Intergenerational Trauma and Substance Abuse?

Children, parents and families in the child welfare, substance abuse treatment and family court systems often have histories of trauma and abuse. Mothers, in particular, are often coping with the combined effects of their own early trauma, substance abuse and mental health disorders, requiring trauma-informed interventions (Marcenko, Lyons, & Courtney, 2011).

Women with substance abuse problems were found to have a 30% to 59% rate of dual diagnosis of posttraumatic stress disorder and substance abuse, most commonly stemming from a history of childhood physical and/or sexual assault (Najavits, Weiss, & Shaw, 1997). Families affected by substance use disorders and who are involved in the child welfare system need a system of care that recognizes the impact of trauma on their recovery. Evidence-based trauma services should be provided within the context of a trauma-informed organizational culture that avoids triggering or unintentional retraumatization for both parents and children. Responding to trauma in substance abuse and mental health treatment improves treatment effectiveness and fosters healing.

This presentation will explore the interconnectedness of substance abuse and trauma among parents involved in the child welfare system and the impact it has on child and family well-being. The presenters will provide an overview of the need for trauma-informed care for these families and key strategies for organizations to become more trauma-informed.

The presenters will offer lessons learned and findings from the National Center on Substance Abuse and Child Welfare’s (NCSACW) Trauma-Informed Care Assessment Project. This project offered system “walkthroughs” to collaborative partnerships across the country that serves families affected by substance abuse and child maltreatment. These walkthrough assessments—based on the work of Brown, Harris and Fallot (2014)—enable organizations to better understand the experience of service delivery from their clients’ points of view; assist staff members to understand how they may be inadvertently re-enact trauma dynamics; uncover assumptions, inconsistencies, and limitations of systems; and generate ideas for improving organizational processes. During this workshop session, the presenters will provide key findings from the walkthrough project and identify common strategies your organization can take to become more trauma-informed.