5.2 services optional: using a voluntary services approach

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Voluntary Services and Harm Reduction Kathy Daniher, MA, LCPC FACT Project Director 773.233.3821 [email protected] Beacon Therapeutic Diagnostic and Treatment Center

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5.2 Services Optional: Using a Voluntary Services Approach Speaker: Kathy Daniher Programs increasing rely on voluntary services and harm reduction strategies to successfully work with vulnerable families and youth. This workshop will examine how providers have made the transition to a voluntary-services approach and how it has impacted their program outcomes.

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Page 1: 5.2 Services Optional: Using a Voluntary Services Approach

Voluntary Services and Harm Reduction

Kathy Daniher, MA, LCPCFACT Project Director

[email protected]

Beacon Therapeutic Diagnostic and Treatment Center

Page 2: 5.2 Services Optional: Using a Voluntary Services Approach

Four projects aimed to improve the housing, health, and development of young at-risk and homeless mothers and children.

1. Family Assertive Community Treatment (FACT), Chicago, Illinois

2. Strengthening Young Families, Antelope Valley, California3. Hope & Home, Pomona, California4. STRong: Strengthening Our New Generation, Minneapolis,

MinnesotaThe initiative was managed by Coordinating Center (The

National Center on Family Homelessness, National Alliance to end Homelessness, and Zero to Three)

http://www.hiltonfoundation.org/mothers

Beacon Therapeutic Diagnostic and Treatment Center

Page 3: 5.2 Services Optional: Using a Voluntary Services Approach

• Homeless or at-risk of homelessness

• Where mother is between the ages of 18 and 25, with at least one child 5 years old or younger

• Where mother is diagnosed with a mental health disorder and may have a substance use disorder

• Where mother may have a history of foster care or be involved with the child welfare system

• In the city of Chicago

Beacon Therapeutic Diagnostic and Treatment Center

Page 4: 5.2 Services Optional: Using a Voluntary Services Approach

• A set of practical strategies that reduce negative consequences of drug use and other high-risk behaviors

• Incorporates strategies that range from safer use to managed use to abstinence (“a buffet of services”)

Beacon Therapeutic Diagnostic and Treatment Center

Page 5: 5.2 Services Optional: Using a Voluntary Services Approach
Page 6: 5.2 Services Optional: Using a Voluntary Services Approach

Practical strategies that reduce negative consequences in the context of the family relationship

Every family has “problems”. Every family chooses which problems to deal with on a daily basis that are most important to them at that time and that will keep their family functioning. They may not be the same choices that we would make for our families but who are we to judge what works for them. There are always natural consequences and we never forget that we are mandated reporters.

Beacon Therapeutic Diagnostic and Treatment Center

Page 7: 5.2 Services Optional: Using a Voluntary Services Approach

Build rapport and trust

See small changes as successes

Recognize ambivalence as normal

Beacon Therapeutic Diagnostic and Treatment Center

Page 8: 5.2 Services Optional: Using a Voluntary Services Approach

Be nonjudgmental, including avoiding potentially judgmental labels

Avoid having preconceived goals

Provide choices

Value the individual’s information and input

Beacon Therapeutic Diagnostic and Treatment Center

Page 9: 5.2 Services Optional: Using a Voluntary Services Approach

Treatment Goals Court Dates School Family Transitioning from program to program

Multiple Workers (agencies)

Beacon Therapeutic Diagnostic and Treatment Center

Page 10: 5.2 Services Optional: Using a Voluntary Services Approach

Training

Regular consultation

Regular staff meetings

Beacon Therapeutic Diagnostic and Treatment Center

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Administration support

Regular supervision*

Reflective practice

Open, honest communication

Beacon Therapeutic Diagnostic and Treatment Center

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FACT evaluation conducted by Dr. Sue Pickett, Ph.D. and team at University of Illinois at Chicago (UIC)◦ Baseline◦ 6 months◦ 12 months◦ 24 months

Beacon Therapeutic Diagnostic and Treatment Center

Page 13: 5.2 Services Optional: Using a Voluntary Services Approach

67% of participants report that they lived in a foster home before age 18

Mothers experienced an average of 1 – 7 episodes of homelessness as adults

Beacon Therapeutic Diagnostic and Treatment Center

Page 14: 5.2 Services Optional: Using a Voluntary Services Approach

Prior to FACT, 8% of mothers lived in their own apartment. After working with FACT for 12 months 87% of mothers had their own apartment (62 families in permanent housing)

Prior to FACT, 58% of mothers experienced an average of four psychiatric hospitalizations. After 12 and 24 months of working with FACT only one mother experienced hospitalization once (total = 2)

Beacon Therapeutic Diagnostic and Treatment Center

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Prior to FACT, 45% of mothers had attempted suicide an average of four times. After receiving services from FACT, one suicide attempt was made by one mother.

Beacon Therapeutic Diagnostic and Treatment Center

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Building a trusting relationship is key in any working relationship

Continued training and support to make any transition in practice is needed

Harm Reduction aims at elimination of harmful behavior while treating the participant “where they are at” in their own process

Beacon Therapeutic Diagnostic and Treatment Center

Page 17: 5.2 Services Optional: Using a Voluntary Services Approach

Questions?

Beacon Therapeutic Diagnostic and Treatment Center