# Presentation: 195472

**Developing Knowledge and Providing Technical Assistance **
**to Federal, State, Local Agencies and Tribes**
**to Improve Outcomes for Families with Substance Use Disorders**
**in the Child Welfare and Family Court Systems   **

## 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

**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**

**Notes:**
The NCSACW will develop and implement a comprehensive program of information gathering and dissemination, knowledge development and application and provide technical assistance to promote practice, organizational, and systems change at the local, state, and national levels. 

## The Scope of the Issue

## National Estimates of Children Living With At Least One Substance Abusing Parent

**Notes:**
6,000 CHILDREN IN FOSTER CARE IN 1997

## ESTIMATES OF AOD PROBLEMSAMONG PARENTS IN CHILD WELFARE

**Oregon - State Reporting System****	****	****  62%**
**Connecticut - Case Review****	**** ****	****         ******** 60%**
**Social Workers from CWLA**
**AOD is among top three causes of rise**
**   ****in child maltreatment****	****	****	****  ****	****  72%**
**AOD causes or contributes to at least                         half of all cases****	**
**Orange 2001/02 - Women Only **
**    ****over Age 18****	****  ****	****	****	****	****	****  40%**
**Sacramento 2002 - All Parents Named in                    Petition****	****	****	****	****	****	****	****  70%****	****	****	****	****	**

**Notes:**
Most detailed studies performed document % of children in CWS affected by AOD use of parents range from 60% to 75%

The estimate varies based on where in the system one is looking, type of method being used and if it's a primary, or secondary contributing factor

## THE FIVE CLOCKS

** ****Temporary Assistance for Needy Families   **
**	**** ****(TANF)**
**24 Months Work Participation; 60 Month Lifetime**

** ****ADOPTION AND SAFE FAMILIES ACT (ASFA)**
**12 Months Permanent Plan**
**15 Months out of 22 in Out of Home Care Must Petition for TPR**

** ****RECOVERY**
**One Day at a Time for the Rest of Your Life**

** ****CHILD DEVELOPMENT**
**     ****Clock doesn’t stop**
**     ****Moves at Fastest Rate from Prenatal to Age 5**
**The Clock that is Ticking on Us  **

## Responding to the Issue:The SAMHSA-ACYF Partnership

## SAMHSA/ACYF Partnership

**Adoption and Safe Families Act (ASFA)**
**Report to Congress**
**Stakeholders Meeting**
**Confidentiality Forum**
**CSAT-ACYF Regional Workshops**
**National Center on Substance Abuse and Child Welfare**

## A Consortium Approach
Children and Family Futures - implementing the NCSACW under contract with CSAT and ACYF
CWLA – Child Welfare League of America
NASADAD – National Association of State Alcohol and Drug Abuse Directors
NCJFCJ – National  Council of Juvenile and                  Family Court Judges
APHSA – American Public Human Services Association
NICWA – National Indian Child Welfare Association

**Children and Family Futures**** - ****implementing the NCSACW under contract with CSAT and ACYF**
**CWLA**** – ****Child Welfare League of America**
**NASADAD**** – ****National Association of State Alcohol and Drug Abuse Directors**
**NCJFCJ ****– ****National  Council of Juvenile and                  Family Court Judges**
**APHSA**** – ****American Public Human Services Association**
**NICWA**** – ****National Indian Child Welfare Association**

**Notes:**
Assembled a consortium of national organizations and leaders

to facilitate communication among the service systems working with families affected by substance use disorders in the child welfare and family court systems

Represent the various constituents and stakeholders in the work of NCSACW, including
	families
	professionals and national leaders
	on practice and policy issues in substance abuse, child welfare, family courts, the Tribes, and policymakers

## NCSACW Tasks

**	**
**Collection and Dissemination of Information; For example:**
**Conducting a Comprehensive Literature Review**
**Conducted a Needs Assessment**
**Anticipated release of report—June 2003**

**Notes:**
Several components to the NA

Questionnaire for our consortium members

Questionnaire for the Children’s Bureau Resource Centers

On-line consultation tool being sent to our members constituents and other interested groups/stakeholders

## NCSACW Tasks

**Providing Technical Assistance**
**	****There are several levels of technical assistance to be provided through the NCSACW.  These include:**
**Brief contacts**
**Materials, questions, referrals**
**Requires research or expert consult**
**Statistics, special topic consultant**
**On Site**
**Facilitate work group, conference speakers, specialized training**
**In-Depth**
**Selection of sites and provision of on-going technical assistance to implement systems, policy and practice changes**

## NCSACW Tasks

**Developing  Materials**
**	**
**Compendium of training materials and curricula – May 2003 through NCADI www.health.org**
**Compilation of State and Local Policy Instruments – Fall 2003**
**The Basics of Alcohol and Drug Services for Child Welfare Practice**** – ****Fall 2003**
**Confidentiality and Communication Protocol Guidelines – Winter 2003**
**Tool kit on measuring risk to children based on the severity of the substance use disorder – Spring 2004**

**Notes:**
Will be available through the National Clearinghouses  for Alcohol and Drug Information and Child Abuse and Neglect Information

## NCSACW Tasks

**Developing Web-based Access to Information and Tutorials**
**Web site NCSACW.SAMHSA.GOV **
**Web-based tutorials – ****audiences will include:**
**Child welfare workers**
**Substance abuse counselors**
**Court and judicial officers**
**State legislators**

## NCSACW Tasks

**Conducting Conferences and Meetings**
**Three regional meetings per year on specialized topics **
**Facilitate the Development of a Research Community**
**September 2003                **
**National conferences**
**July 14 & 15, 2004 – Baltimore and in 2006**

## In-Depth TA Solicitation for Requests

**Solicitation for Requests released to states and selected territories & tribes in April 2003**
**States/Territories/Tribes will need to demonstrate sustainable collaborative efforts between substance abuse, child welfare, tribes and family judicial systems**
**Proposal deadline May 12, 2003**

## General Approach to In-Depth TA

**Based on work conducted for CSAT and published in Technical Assistance Publication #27**
**Established a framework for defining areas of collaboration and methods to assess effectiveness of collaborative work**
**Working with States in concert with their Child and Family Service Reviews and Program Improvement Plans**

## Underlying Values
Daily Practice-Screening and Assessment
Daily Practice-Client Engagement and Retention in Care
Daily Practice-AOD Services to Children 
Joint Accountability   
    and Shared Outcomes

**Daily Practice-Screening and Assessment**
**Daily Practice-Client Engagement and Retention in Care**
**Daily Practice-AOD Services to Children **
**Joint Accountability   **
**    ****and Shared Outcomes**

**Information Sharing **
**Training/Staff Development**
**Budgeting/Program Sustainability**
**Building Community Supports**
**Working with Related Agencies and Support Systems**

**From CSAT Technical Assistance Publication (TAP) 27: Navigating the Pathways *Revised March 2003**

**How to Connect the AOD, CPS, Court Systems:**** **
**Elements of System Linkages***

## Policy Tools

**Development of Policy Tools to Facilitate Collaborative Work Across Systems**
**Collaborative Values Inventory**
**Collaborative Capacity Instrument**
**Matrix of Progress in Linking Substance Abuse and Child Welfare Services**

## Models of Changed Practice

**Workers out-stationed in collaborative settings**
**Increased case management and monitoring of recovery progress**
**New methods and protocols on sharing information**
**Increased judicial oversight and family drug treatment courts**
**New priorities for treatment access for child welfare-involved families**
**New safe and sober housing initiatives**

## Thank you for your interest in NCSACW.  If you would like to be placed on our email list for updates and information please email us at:

 ncsacw@cffutures.org

** ****ncsacw@cffutures.org**