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8/2/2010 Family Drug Court Thank you for joining us today! Learning Academy Planning Community If you haven’t dialed into the audio (telephone) portion, please do so now: Module 3: Module 3: 1-866-516-5393 Access Code: 33403311 Screening and Assessment If you are experiencing technical problems with the GoToWebinar program (visual portion), contact the help desk: 1-800-263-6317 Reference Webinar ID: Children and Family Futures Office of Juvenile Justice and Office of Juvenile Justice and https://www1.gotomeeting.com/register/351561161 https://www1 gotomeeting com/register/351561161 Delinquency Prevention Family Drug Court Today’s presentation and handouts are available for download at: Technical Assistance Program http://www.cffutures.com/webinars This project is supported by Award No. 2009-DC-BX-K069 4940 Irvine Blvd, Suite 202 awarded by the Office of Juvenile Justice and Delinquency Prevention, Irvine, CA 92620 The webinar will begin shortly. Office of Justice Programs 714.505.3525 1 2 www.cffutures.org 1

8/2/2010 Welcome! Introductions AGENDA • Phil Breitenbucher, MSW • Opening Remarks • Opening Remarks Program Director, Children and Family Futures Program Director Children and Family Futures • Understanding Screening and Assessment in the • Sid Gardner, MPA Larger Context: Project vs. System President, Children and Family Futures • Drug Testing • Theresa Lemus, RN, MBA, LADC • Introduction to Family Drug Court Screening and Program Associate, Children and Family Futures Assessment • Family Drug Court: Core Screening Elements • Family Drug Court: Core Assessment Elements • Next Steps • Questions and Discussion 3 4 2

8/2/2010 Overview of Learning Academy How do I ask questions? Module Format • Polling Questions For your convenience, there are two ways to ask questions during this ways to ask questions during this • Live Questions & Discussion webinar presentation: 1. Type and send your questions • Webinar Evaluations through the Question and Answer log located on the bottom half on your panel/dashboard. 2 2. There will also be time at the end There will also be time at the end of the webinar for you to ask questions via the conference line. 5 6 3

8/2/2010 Early Early Planning Planning Enhanced Enhanced Implementation Implementation Community Community Community Community Community Community Moving Moving Module 1 Module 1 Mission and Joint & Mission and Joint & Towards Towards Underlying Shared Underlying Shared System-wide System-wide Values Outcomes Values Outcomes Change Change Principles of Running a Engaging Where we’ve been thus Principles of Running a Engaging Module 2 Module 2 What is the FDC Online Collaborative FDC the Collaborative FDC the Practice Practice Program Community Program Community far… Learning Academy? Pre-filing or Pre-filing or Screening & Screening & Services to Alternative Services to Alternative Module 3 Module 3 Assessment Children Response Assessment Children Response Programs Programs Training & Special Topics Training & Special Topics Engagement Engagement Staff Staff Module 4 Module 4 & Retention • Engaging Defense Attorneys & Retention • Engaging Defense Attorneys Development Development • Engaging Fathers • Engaging Fathers • Understanding • Understanding Disproportionality & Disparity Disproportionality & Disparity Information Information • Understanding Trauma • Understanding Trauma Budget & Budget & Sharing & Sharing & Module 5 Module 5 Sustainability • Marketing to Stakeholders Sustainability • Marketing to Stakeholders Data Systems Data Systems • Cost Benefits Analysis • Cost Benefits Analysis 7 8 4

8/2/2010 Polling Question #1 Which best describes your position? • Attorney or Judge Att J d • Drug Court Coordinator • Social Worker • Substance Abuse Treatment Provider • Other Understanding Screening and Assessment in the Larger Context: Project vs. System Sid Gardner, MPA 9 10 5

8/2/2010 Re-visiting Module 1: Mission Screening and Assessment and Underlying Values Screening and assessment differ across How does your mission impact screening systems. t and assessment? d t? • Screening: Determines eligibility and • Whom do you serve? appropriateness for participation in • Difference in perception of the drug court. primary client: the parent, the child, • Assessment: Helps to identify specific • Assessment: Helps to identify specific the family the family. types of services and determine the • Difference in perception of the target intensity of treatment needed. population 11 12 6

8/2/2010 What is the intent of your screening Drop-off Analysis and assessment protocol? 50,000 Children with Substantiated Abuse/Neglect Who is your target population? 33,000 Parents • Scope Scope 60% of Parents Need Assessment – Universality vs. Specific Segments of the 19,800 Population 50% Go for Assessment 9,900 – Screening In vs. Screening Out 80% Need Treatment – Does your program address other issues that 7,920 families are experiencing? families are experiencing? 50% Go to First Session • Scale 3,960 – Are you experiencing difficulty filling slots? 30% Complete 90 Days – 1,188 – Do you need more slots? 50% Reunify or Stay with Parents 594 13 14 7

8/2/2010 Current Screening Practices Polling Question #2 • No state currently has universal In your jurisdiction, what is the percentage of child welfare cases affected by parental child welfare cases affected by parental screening for child welfare cases i f hild lf substance use? • Some states and localities report much • 0-20% higher rates of substance abuse based • 20-40% on • 40-60% – Worker training Worker training • 60-80% – Agreement on the tool to be used • 80-100% – Interagency agreements on what will happen as a result of a positive screen 15 16 8

8/2/2010 Parental Substance Use Cited as Use During Pregnancy Factor in Child Welfare Case* SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2007-2008 Annual Average Substance Abuse as Primary Reason Parental or Alcohol Drug Abuse as Total U.S. Births 2007: 4,317,000 for Case Opening Factor in Cases of Child Removal Substance Used (Past 1st Trimester 2nd Trimester 3rd Trimester 2007 AFCARS Data 2007 AFCARS Data CFSR R CFSR Round 1 Review d 1 R i CFSR Round 2 Review CFSR R d 2 R i Month) Parental Alcohol or Drug Abuse as Factor 2001-2004 2007-2010 in Cases of Child Removal (N=50 Cases) (N=65 Cases) (N=190,900 Cases) Any Illicit Drug 7.2% 5.0% 2.8% State Percent Percent Percent 4.4 16 20 A 56,000 women 46,000 women 24,000 women B 5.8 16 Alcohol Use 20.7% 7.8% 3.5% C 9.2 2 D ** 10.0 8 160,000 women 71,000 women 30,000 women E E 11.8 11 8 4 4 14 14 42.6 2 F Binge Alcohol Use 10.3% 1.9% 1.3% G 46.4 18 79,000 women 17,000 women 11,000 women H 51.0 8 31 I 58.0 8 8 Cigarettes 23.7% 12.9% 13.7% J ** 63.6 27 *This chart depicts 10 of 52 states. **In Round 1, these data were not included in the first cohorts of States reviewed, it was an added item in subsequent States. 9

8/2/2010 Drug Testing Why are we addressing this? • Drug testing is the most frequently used indicator for g g q y substance use in child welfare practice • Test results may influence decisions on child removal, reunification and Termination of Parental Rights • Courts often order drug testing as a standard protocol for g g p parents in the child welfare system Drug Testing • Lack of standardized recommendations for drug testing in child welfare practice Theresa Lemus, MBA, RN, LADC 19 20 10

8/2/2010 SPECTRUM OF ADDICTION Polling Question #3 A person that uses substances (drugs and/or alcohol) cannot be a “good” d/ l h l) t b “ d” A Problem for Child Welfare and Court Officers: The parent. most frequently used marker of substance abuse problems • True in child welfare and family court does not tell you anything about the individual’s place on the spectrum • False EXPERIMENT AND USE ABUSE DEPENDENCE 21 22 11

8/2/2010 What Questions Can What Questions Can Drug Drug Testing Answer? Testing Not Answer? • A drug test alone cannot determine the existence or • Whether an individual has used a tested absence of a substance use disorder absence of a substance use disorder substance within a detectable time frame • The severity of an individual’s substance use disorder • Whether a child is safe • The parenting capacity and skills of the caregiver 12

8/2/2010 Drug Testing • For a more in-depth presentation on Drug Testing, please visit: D T ti l i it http://www.cffutures.org/files/presentatio ns/DrugTestingPresentation_05202010. pdf Introduction to Family Drug Court Screening and Assessment Phil Breitenbucher, MSW 25 26 13