drug endangered child program (dec) a proposal for a multi-disciplinary integrated response system
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Contents
Overview Purpose Mission and Values Partnerships/Roles Training Protocols/Continuum of Care Evaluation References
Overview
Nationally:
Drugs, $, and weapons are typical seizures by LE agents during “controlled buys” or clandestine lab raids;
Growing phenomenon of children exposed to the production, sale, and use of illicit drugs
Overview
500% increase in cases where Methamphetamine is drug of choice in TX programs (Manning, 1999)
San Diego – Methamphetamine Capital Production: multi-level, organized criminal
enterprise & “mom & pop shops” Every state, county, and city now faced with the
need to respond CY2004: 82/129 CHIPS Petitions - SLC CY2001-04: SLC Sheriff -29 meth labs
Overview
Methamphetamine (Meth)
Man made, extremely addictive, CNS stimulant. It is extremely powerful
Known as: crank, ice, crystal, glass, speed, mud, or chalk, etc
Smoked, snorted, orally ingested, or injected
OverviewEffects on Users
Intense, pleasurable “high” last several hours;
Followed by an equally intense “crash” Addicts: extreme paranoia, anxiety,
confusion, hallucinations, violence, depression, insomnia;
Health: increased BP & heart rate, dopamine depletion, kidney & liver
OverviewMethamphetamine Production
Drug Cartels – Organized Crime
Local Labs – Urbane, Rural Private Homes/Apartments Hotels/Motels Storage Facilities Hunting Shacks/Cabins Ice House, etc
Meth Labs - Dangers
Fires Explosions Toxic Waste Sites Inhalation and exposure to toxic fumes
and chemicals Accidental ingestion of chemicals and
contaminated foods Chaos & poor supervision Adults involved in criminal behavior
Meth Labs/Homes - Hazards
Drugs and drug paraphernalia Booby traps Guns & weapons Exposed wiring Chemicals in refrigerators Strangers
OverviewDangers For Children
Individuals involved in the production, sale, and use of Methamphetamine exhibit chaotic lifestyles;
Their children are at significant risk of physical abuse, sexual abuse, neglect, and drug-related violence by family members and the array of strangers who enter the home to buy or use drugs (Harris, 2004)
Purpose
Community Responses to “Big Problems”
1980’s – Domestic Violence & DAIP
1990’s – Child Sexual Abuse & 1st Witness
2000’s – Drugs and Drug Endangered Child Programs
Purpose
Ensure children exposed to the production, use, and sale of illicit drugs receive community specific service delivery that meets their unique needs;
Facilitate the identification and collaboration of various disciplines
Build coalitions; Meth Task Force Jointly develop discipline-specific protocols
(review, revise, finalize, & publish)
Purpose
Coordinate a multi-disciplinary integrated response to children
Team meetings, cross training, goals Provide direct service to children Organize neighborhoods & communities Participate in the development and
implementation of creative community support programming; Shared Family Care Program
Search for funding Evaluate
Partnerships
Law Enforcement
Assume investigatory duties at the site of the production, sale, or use of illicit drugs
State Municipal Tribal County
Partnerships
Fire, EMT, HAZMAT Team
Assist in the management of environmental hazards from production
Testing Clean-up
Partnerships
Medical
Develop protocols
Conduct medical evaluations & screenings to ensure the child’s physical and mental health needs are met
Partnerships
Justice
County Attorney’s Office, in conjunction with municipalities and Tribal authorities, would be responsible for litigation of criminal drug cases and juvenile child protection (CHIPS) cases;
Public defenders and victim’s advocacy would be a positive addition
Partnerships
Public and Tribal Social Services
Intake workers will provide for immediate protection and safety; gather forensic data; transport for evaluation and address placement need
DEC social worker will initiate the development of the DEC program; assume co-coordination with public health
Identify team members, build coalitions, develop protocols, coordinate responses, facilitate team meetings, etc.
Partnerships
Public & Tribal Social Services
DEC worker will conduct adjunctive home visitations with families and children in concert with pubic and tribal case managers to ensure safety and well-being (Kitzmann, 1997)
DEC worker will assist in the recruitment, initial training, and continuing education of Shared Family Care Providers (Barth, 1994)
Partnerships
Public Health
Public Health Nurse (PHN) will initiate development of the DEC program; assume co-coordination with social services;
Identify team members, build coalitions, develop protocols, coordinate responses, facilitate team meetings, etc
PHN will conduct adjunctive home visitation; track safety, well-being and progress
Foster Care ServiceShared Family Care (SFC)
Dual – Adult & Child Licensed Foster Home
Services to parent with chemical health issues and their child(ren)
Provide assistance, mentoring, parent skill training, independent living skills training
Keep family intact; and prepare them for independence (Barth, 1994, 1999; Barth & Price, 2005)
Foster Care ServicesShared Family Care (SFC)
Human Services Roles Provide dual licensed foster homes Access to chemical health treatment and
support Provide initial training; continuing
education for foster homes Assistance and support services which
facilitates transition to independence within the community
Foster Care ServicesShared Family Care (SFC)
Public Health Role Pre/Post natal care monitoring Child development education to parent and
provider Child development monitoring/on-going
testing Child immunizations Assist with initial training and continuing
education of providers Assist parent(s) with community transition
Training for DEC Teams
Specialized training related to drug cases and child maltreatment – forensic data collection
Drug environments – exposures Develop specific skill sets Develop curriculum and training modules
for SFC providers/mentors UMD – CW Spring Conference
Protocols
Develop a response matrix for each discipline or core agency
Identify important responses or action steps as it relates to: Team member Their location Procedure Timeline Documentation/reporting
Protocols
Law Enforcement
Assess condition of the child
Place child into protective custody
Collect physical evidence
Protocols
Fire – EMT – HAZMET
Coordination with on-site law enforcement
Stabilization – respond to trauma
Field Assessments - samples
Decontaminations
Protocols
Public and Tribal Social Services
Accept transfer of child & notify DEC Team (SW/PHN)
Arrange for any decontamination of the child; medical evaluations; screenings; etc
Protocols
Public & Tribal Social Services
Conduct initial interviews Network with foster care workers/providers Provide community support services Conduct home visitation Organize /communities Provide education/awareness
Protocols
Public Health
Collaborate with law enforcement and child protection services/DEC social worker
Network with the clinical/medical community Conduct home visitation Organize neighborhoods/communities Provide public education/awareness
Protocols
Medical
Emergency Immediate
Treatment
Non-Emergency Medical Exam Screenings Urine/Blood Samples
Protocols
Foster Care – SFC Recruit Train Referral Process Screen placements Provide regular/periodic staffing for team
related to the placement of mother and child in SFC
Provide early and continuing mentorship for parent in care
Evaluation - Outcomes
Creation of a DEC program Participation of core community
agencies Train team members Review, rewrite, publish protocols Regular & periodic DEC program team
meetings Community outreach & education
Evaluation - Outcomes
Children will have safe environments Children will receive appropriate
screenings and evaluations Children will receive appropriate
education SFC participants will remain together Parents will continue treatment and
recovery efforts
Evaluation - Outcomes
Children placed in alternative care will be reunited with parents or achieve alternative permanency
References
Barth, R.P. (1994). Shared Family Care: Child Protection and Family Preservation. Social Work, 79, 515-525.
Barth, R.P (1999). Shared Family Care: Providing Services to Parents and Children Placed Together. Child Welfare, 78, 88-98.
Barth, R.P. & Price, A. (2005) Shared Family Care: Evidence from Implementing an Innovative Child Protection and Family Preservation Program. Forthcoming In J. Scott & H. Ward (Eds). Promoting the Well Being of Vulnerable Children.
Harris, J. (2004). Drug Endangered Children – Police Practice. The FBI Law Enforcement Bulletin, February.
References
Manning, T. (1999). Drug Labs and Endangered Children – Children of Methamphetamine Makers. The FBI Law Enforcement Bulleting, July.
Kitzman, H., Olds, D.L., & Henderson, C.R. (1997). Long-Term Effects of Home Visitation On Maternal Life Course and Child Abuse and Neglect; Fifteen Year Follow-up of a Randomized Trial. Journal of American Medical Association, 278, 637-643.
References
Photos
Kurtz, David. (2004) Northwest Toxicology, Salt Lake City, Utah. Presentation at the 2nd Annual Idaho Drug Endangered Child Conference.
Mendoza, E. (2004). Los Angeles County Department of Children and Family Services, Bureau of Child Protection. Presentation at the 2nd Annual Idaho Drug Endangered Children Conference.
Poppenberg, B. (2004) St. Louis County Public Health and Human Services. Presentation at the St. Louis County Human Service Confernece.
Websites
http://www.nationaldec.org/index.asp http://www.azag.gov/DEC/ http://www.colodec.org/index.asp http://dec.co.riverside.ca.us/ http://www.whitehousedrugpolicy.gov/ http://www.practicenotes.org/vol10_n2/ref_v10n
2.htm http://www.isp.state.id.us/DEC_Conference/mat
erials.html http://www.health.state.mn.us/divs/eh/meth/lab/
children.html