Notes
Slide Show
Outline
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S T A R S
Specialized Treatment and Recovery Services
  • ENGAGING AND MOTIVATING FATHERS IN AOD TREATMENT
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PROGRAM SUMMARY
  • Sacramento County – Population 1.5 Million


  • Approximately  17,000 substantiated child abuse cases


  •  70 – 80 percent of all cases involve substance abuse
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Sacramento County Prior to STARS & Dependency Drug Court
  • Reunification rates of approximately 20-25 percent.
  • Parents unable to access AOD treatment.
  • Social Workers, attorneys and the courts often uninformed about parent progress.
  • Drug testing not uniform and results often delayed.
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Sacramento County after STARS and Dependency Drug Court.
  • Reunification rates at 40 – 45 percent.
  • Reunification is occurring twice as fast.
  • Parents truly have “treatment on demand”.
  • All parties involved in the case are informed at every stage of treatment.
  • All parents receive random observed “instant” drug testing.
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STARS GOAL
  • Affect client change – by removing barriers to treatment and providing support


  • Provide CPS/Dependency Courts with accurate and reliable documentation
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Obstacles to Change
  • Late-stage addiction


  • Resistance to “The System”


  • Lack of hope


  • Fathers often dismissed in Dependency cases
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Barriers Facing Fathers
  • The Child Welfare case often originates with the mother, creating or reinforcing fathers denial.
  • Men are less likely to be able to ask for help or show vulnerability.
  • Women dominate the social services field.
  • Women often dominate co-ed treatment.
  • Fathers don’t have healthy role models.
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Achieving our Goals
  • INTAKE


  • SUPPORT


  • PHILOSOPHY


  • INTANGIBLES
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INTAKE
  • Father is immediately assessed for AOD issues at Detention Hearing.  Each parent is assessed individually, helping to break denial surrounding significant other.


  • Facility Location


  • Rapid intake



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"Immediate access to treatment"

  • Immediate access to treatment


  • Immediate contact with Recovery Specialist – gender specific.
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Three Strategies for Working With Fathers
  • Use of Motivational Interviewing Techniques


  • Role-modeling


  • Accountability
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Motivational Interviewing
  • Alternative to theory that denial and resistance must be smashed


  • Described as “Dancing” not “Wrestling”


  • Works well with men as it eliminates the power struggle.



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Incorporating the Four Principles of Motivational Interviewing in the STARS Program
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Expressing Empathy
  • Gender specific – men work with men


  • Recovery Specialist is in recovery


  • Trained to utilize limited self-disclosure


  • Willing to provide help “no matter what”
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Supporting Self-Efficacy
  • Demonstrating that recovery can work


  • Alumni groups


  • Support group on site


  • Motivation, encouragement and support
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Roll with Resistance
  • Father participates in determination of level of treatment


  • Father encouraged to always have a “plan”


  • Recovery Specialists never argue.


  • Support, Support, Support
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Develop Discrepancy

  • Tap in to fathers desire to be “in charge”.



  • Point out behaviors and actions inconsistent with healthy fathers.




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Role Models
  • Recovery Specialists are:
  • Certified addiction specialists


  • Believable and approachable


  • Comfortable with some self disclosure


  • Non-punitive in approach


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Accountability
  • Our belief is that when we combine an empathetic supportive environment with one that stresses accountability we are able to create change in a profound way


  • Each father we work with is encouraged to accept responsibility for every action he participates in.
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Intangibles
  • Belief in Redemption and Recovery


  • Overcome prejudices that exist


  • We give 100% for clients 100%


  • Passion
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A Fathers Perspective
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"Change attitude that it’s mother’s..."
  • Change attitude that it’s mother’s duty


  • Father has a responsibility


  • Create support system for the father – separate from the mother


  • Specific groups targeting fathers


  • Recovery is independent of reunification



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LOVE, PASSION AND HOPE
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