working with substance abusing families
TRANSCRIPT
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Working with Substance Working with Substance Abusing FamiliesAbusing Families
Rosemary Tisch, M.A.Author
Rosemary Tisch, M.A.AuthorAuthor
Celebrating Families!
Linda K. Sibley, M.A.Co-Author
Celebrating Families!
AuthorCelebrating Families!
Linda K. Sibley, M.A.Co-Author
Celebrating Families!
“WOW! “WOW! Celebrating Families! ™Celebrating Families! ™ sets the sets the standard with this comprehensive, clear, stepstandard with this comprehensive, clear, step--byby--step, instep, in--depth guide to family education depth guide to family education about addiction. This encyclopedic curriculum about addiction. This encyclopedic curriculum h ld b th t ti i t f hh ld b th t ti i t f hshould be the starting point for anyone who should be the starting point for anyone who
wants to intervene positively with adults and wants to intervene positively with adults and children to build healthy families. children to build healthy families. Celebrating Celebrating Families!™Families!™ is richly layered on a solid base of is richly layered on a solid base of research, practical experience and evaluation.research, practical experience and evaluation.
This is a curriculum that works!”This is a curriculum that works!”
Stephanie Brown, Ph.D., Stephanie Brown, Ph.D., Director of The Addictions Institute, Menlo Director of The Addictions Institute, Menlo Park, Ca. Author of numerous books including Park, Ca. Author of numerous books including Treating the Alcoholic Treating the Alcoholic –– A A Development ModelDevelopment Model
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Why a specialized program for Why a specialized program for recovering families?recovering families?recovering families?recovering families?
All members of a chemically dependent All members of a chemically dependent family need to learn:family need to learn:
How they each have been affected by How they each have been affected by the disease of chemical dependency.the disease of chemical dependency.
How to determine and keep their own How to determine and keep their own boundaries.boundaries.
That they are not alone. That they are not alone. The Truth Statements.The Truth Statements.
Breaks the cycle of addiction Breaks the cycle of addiction and abuse in familiesand abuse in familiesand abuse in families.and abuse in families.
Impacts the Impacts the family system.family system.
Increases Increases successful family successful family reunification.reunification.
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Family InterventionsFamily InterventionsWORK!WORK!
Meta Analytic reviews of randomized clinicalMeta Analytic reviews of randomized clinicalMeta Analytic reviews of randomized clinical Meta Analytic reviews of randomized clinical trials conclude that trials conclude that treatments that involve treatments that involve family result infamily result in
Higher levels of abstinenceHigher levels of abstinenceFewer drug related arrests (8 vs. 28 %) Fewer drug related arrests (8 vs. 28 %) F i ti t t t t i d (13F i ti t t t t i d (13Fewer inpatient treatment episodes (13 vs. Fewer inpatient treatment episodes (13 vs.
35%).35%).
Science Practice Perspectives, Vol. 2, No. 2, August 2004, NIDAScience Practice Perspectives, Vol. 2, No. 2, August 2004, NIDA
Preliminary Evaluation RevealsPreliminary Evaluation Reveals
Time to reunification Time to reunification significantly decreased (to 6 significantly decreased (to 6 -- 12 12 months).months).
R ifi ti t i ifi tlR ifi ti t i ifi tl Reunification rate significantly Reunification rate significantly increased (to 73%) with Drug increased (to 73%) with Drug Treatment Court.Treatment Court.
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Year II SummaryYear II Summary“Findings show“Findings show significantsignificantFindings show Findings show significant significant
accomplishmentsaccomplishments have taken place. have taken place.
Classes helped parents and children Classes helped parents and children learn learn and apply new skillsand apply new skills, such as, identifying , such as, identifying issues of chemical dependency andissues of chemical dependency andissues of chemical dependency and issues of chemical dependency and understanding how these issues affect their understanding how these issues affect their families. families.
Jrapko, A., Ward, D., Leakey D., Hazelton, T. and Foster, T. Jrapko, A., Ward, D., Leakey D., Hazelton, T. and Foster, T. Family Treatment Drug Court head Start Family Treatment Drug Court head Start Program, Annual Report October 1, 2003Program, Annual Report October 1, 2003--September 30, 2004September 30, 2004. Center for Applied Local Research. . Center for Applied Local Research.
TeachesTeaches Facts about ATOD Chemical DependencyFacts about ATOD Chemical Dependency Facts about ATOD, Chemical DependencyFacts about ATOD, Chemical Dependency Recognition of Influence of Media & AdvertisingRecognition of Influence of Media & Advertising Facts about Domestic ViolenceFacts about Domestic Violence Caring & Empathy: Acts of KindnessCaring & Empathy: Acts of Kindness Knowledge that we are part of something larger Knowledge that we are part of something larger
than ourselves (Wonder of the World Moments)than ourselves (Wonder of the World Moments) Centering & ReflectionCentering & Reflection Self Worth & Self Efficiency: recognizing and Self Worth & Self Efficiency: recognizing and
celebrating each person’s uniquenesscelebrating each person’s uniqueness
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Is Unique!Is Unique! Uses teaching strategies effective with individuals Uses teaching strategies effective with individuals g gg g
with learning differences.with learning differences.
Integrates teaching of parenting skills with Integrates teaching of parenting skills with strategies to break the cycle of addiction in strategies to break the cycle of addiction in families.families.
Reinforces and explains what clients learn in Reinforces and explains what clients learn in treatment and recovery programs.treatment and recovery programs.
Is fully scripted, including roleIs fully scripted, including role--plays, handouts, plays, handouts, children’s stories and activity sheets.children’s stories and activity sheets.
Population’s NeedsPopulation’s NeedsPopulation s NeedsPopulation s Needs
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Substance abuse and addiction are the Substance abuse and addiction are the primary causes of the dramatic rise in primary causes of the dramatic rise in child abuse, neglect and the immeasurable child abuse, neglect and the immeasurable i i th l it fi i th l it fincrease in the complexity of cases. increase in the complexity of cases. ((National National
Center on Addiction and Substance Abuse, 1999).Center on Addiction and Substance Abuse, 1999).
Substance abuse contributes to almost Substance abuse contributes to almost three fourths of incidents of child abusethree fourths of incidents of child abusethree fourths of incidents of child abuse three fourths of incidents of child abuse and neglect of children in foster care. and neglect of children in foster care. (U.S Department of Health and Human Services, 1999.)(U.S Department of Health and Human Services, 1999.)
Children of Children of Alcoholics/AddictsAlcoholics/Addicts
A St dA St d Are Stressed Are Stressed
Difficult TemperamentDifficult Temperament Behavioral DisinhibitionBehavioral Disinhibition Hyperactivity or Rapid TempoHyperactivity or Rapid Tempo Hyperactivity or Rapid TempoHyperactivity or Rapid Tempo Autonomic HyperAutonomic Hyper-- reactivityreactivity Rapid Brain Waves Rapid Brain Waves -- alcohol alcohol medicatesmedicates
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Children of Alcoholics/Addicts (2)Children of Alcoholics/Addicts (2)
Have Cognitive Dysfunctions Have Cognitive Dysfunctions High VisualHigh Visual--Spatial AbilitiesSpatial Abilities Analytic AbilitiesAnalytic Abilities Kinesthetic TalentsKinesthetic Talents
More likely to be arrested as a More likely to be arrested as a yyjuvenile juvenile (2/3’s of youth reported a family member (2/3’s of youth reported a family member abused substances while they were growing up)abused substances while they were growing up) Alcohol, Alcohol, drugs and crime: a study of juveniles in detentiondrugs and crime: a study of juveniles in detention" " http://www.aic.gov.au/publications/rpp/67/http://www.aic.gov.au/publications/rpp/67/) )
Children of Alcoholics/Addicts (3)Children of Alcoholics/Addicts (3)
Are at Risk of AddictionAre at Risk of Addiction Are at Risk of Addiction Are at Risk of Addiction
Different Liver Metabolism (quick Different Liver Metabolism (quick acetaldehyde buildacetaldehyde build--up, drunk on little up, drunk on little alcohol lose control rapidly)alcohol lose control rapidly)alcohol, lose control rapidly) alcohol, lose control rapidly)
22--18 x greater risk of addiction18 x greater risk of addiction
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COA/A’sCOA/A’sExperiencing AbuseExperiencing Abuse
Are often angry, antisocial, physically Are often angry, antisocial, physically i d i l ti d i l taggressive and violent. aggressive and violent.
Can suffer from low selfCan suffer from low self--esteem, esteem, depression, hopelessness, suicide, depression, hopelessness, suicide, and selfand self--mutilation. mutilation.
May behave compulsively, suffer May behave compulsively, suffer panic attacks, be highly distrustful of panic attacks, be highly distrustful of othersothers..
COA/A’s Experiencing Abuse (2)COA/A’s Experiencing Abuse (2)
Tend towards dangerous play and sexual Tend towards dangerous play and sexual promiscuitypromiscuitypromiscuity.promiscuity.
At high risk of developing their own At high risk of developing their own substance abuse. substance abuse.
Likely to repeat the cycle of abuse Likely to repeat the cycle of abuse and neglectand neglectand neglect. and neglect.
Many are affected in utereo by their Many are affected in utereo by their parents alcohol/drug use.parents alcohol/drug use.
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Research with Research with Addicted MothersAddicted Mothers
“Universal” horrific abuse “Universal” horrific abuse 50% experienced physical violence during pregnancy 50% experienced physical violence during pregnancy
33% had been sexually abused33% had been sexually abused
44% raped44% raped
30% had experienced loss due to violent death30% had experienced loss due to violent death
74% were pregnant by age 1974% were pregnant by age 19
25% had died by the time of 525% had died by the time of 5--year year follow upfollow up
Addicted Mothers(2)Addicted Mothers(2)
8080--85% had mental health issues: co85% had mental health issues: co--morbid issues averaged 3morbid issues averaged 3--5 per birth 5 per birth Mom.Mom.
35% were children of alcoholics/35% were children of alcoholics/addicts.addicts.
20% had Fetal Alcohol Spectrum 20% had Fetal Alcohol Spectrum Disorders themselves.Disorders themselves.Disorders themselves.Disorders themselves.
All lacked support systems or sources All lacked support systems or sources of potential help. of potential help.
Ira Chasnoff, MD, and Sterling Clarren, MD.Ira Chasnoff, MD, and Sterling Clarren, MD.
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Prenatal Complications Prenatal Complications from Methfrom Meth
Premature births or low birth weight; prone to Premature births or low birth weight; prone to prepre--birth strokes and brain hemorrhagesbirth strokes and brain hemorrhages
Trouble eating and digesting foods Trouble eating and digesting foods
Altered neonatal behavior patternsAltered neonatal behavior patterns, such as , such as abnormal reflexes and extreme irritabilityabnormal reflexes and extreme irritability
Congenital deformities: Congenital deformities: spina bifida, intestinal & skeletal spina bifida, intestinal & skeletal abnormalities, abnormalities, cardiac defects, cleft palate, club footcardiac defects, cleft palate, club foot
Can increase risks of HIV/AIDS and Hepatitis B Can increase risks of HIV/AIDS and Hepatitis B and C.and C.
Domestic ViolenceDomestic Violence Alcohol is present in 70% of domestic violence Alcohol is present in 70% of domestic violence
cases, based on court files.cases, based on court files.
With self reported domestic violence, With self reported domestic violence, the cothe co--occurrence becomes 75% occurrence becomes 75% -- 90%. 90%.
ReRe--involvement in relationship can make clients involvement in relationship can make clients more vulnerable to relapsemore vulnerable to relapse. .
Exposure to domestic violence alone Exposure to domestic violence alone increases increases risks for kidsrisks for kids to abuse drugs/alcohol.to abuse drugs/alcohol.
Alcohol/substance abuse do not cause violence.Alcohol/substance abuse do not cause violence.
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Is Strength BasedIs Strength BasedIs Strength Based, Is Strength Based, IncorporatingIncorporating
Risk/Resiliency & Asset Risk/Resiliency & Asset Development ResearchDevelopment ResearchDevelopment ResearchDevelopment Research
Risk Factors in FamiliesRisk Factors in FamiliesRisk Factors in FamiliesRisk Factors in Families
Lack of love, caring, and supportLack of love, caring, and supportLo e pectations fo child en’s s ccessLo e pectations fo child en’s s ccess Low expectations for children’s success Low expectations for children’s success and school performanceand school performance
Lack of adult supervision and severe or Lack of adult supervision and severe or inconsistent disciplineinconsistent discipline
Lack of family rituals (e.g. family Lack of family rituals (e.g. family y ( g yy ( g ygatherings)gatherings)
Poor family management or Poor family management or communicationcommunication
Sexual and physical abuseSexual and physical abuse
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In Chemically Dependent In Chemically Dependent FamiliesFamilies
Family history (quadruples risk)Family history (quadruples risk)
Parental drug use OR Parental drug use OR positive attitude towards use positive attitude towards use
Family management problemsFamily management problems Family management problemsFamily management problems
Need for loving care and Need for loving care and support.support.
FAS Protective FactorsFAS Protective FactorsLong term outcomes Long term outcomes
CAN significantly improve if a childCAN significantly improve if a childg y pg y p Lives in a stable, nurturing home esp. Lives in a stable, nurturing home esp.
from 8from 8--1212 Has minimum changes in household Has minimum changes in household
(2.8 years)(2.8 years) Is protected from violence: witnessingIs protected from violence: witnessing Is protected from violence: witnessing Is protected from violence: witnessing
or being victimized.or being victimized. Receives early diagnosis before age of 6Receives early diagnosis before age of 6 Obtains early intervention servicesObtains early intervention services
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Protective Factors For Protective Factors For Any ChildAny Child
At least one caring adult in a child’s lifeAt least one caring adult in a child’s life At least one caring adult in a child s lifeAt least one caring adult in a child s life Opportunities to contribute/help othersOpportunities to contribute/help others Social skills, which increase effectiveness Social skills, which increase effectiveness
at work, school and homeat work, school and home SelfSelf--disciplinediscipline Healthy experiencesHealthy experiences
Asset DevelopmentAsset Development
Positive Values:Positive Values:CaringCaring EqualityEqualitySocial justiceSocial justice IntegrityIntegrityResponsibilityResponsibility
Positive Identity: sense of personal Positive Identity: sense of personal powerpower
Sense of purposeSense of purpose Positive view of life and world Positive view of life and world ––
WOWWOW
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Asset DevelopmentAsset DevelopmentTeach Social CompetenciesTeach Social Competencies
(Healthy Living Skills)(Healthy Living Skills)(Healthy Living Skills)(Healthy Living Skills)
Planning and decision makingPlanning and decision making Interpersonal competence: ability to Interpersonal competence: ability to
articulate feelings have empathyarticulate feelings have empathyarticulate feelings, have empathy, articulate feelings, have empathy, and friendship skillsand friendship skills
Resistance SkillsResistance Skills
Children’s ResilienceChildren’s Resilience
Social competence:Social competence: ability to gain other people’s positive attentionability to gain other people’s positive attentiony g p p py g p p p
Problem Solving Skills:Problem Solving Skills: active, evocative approach toward solving life’s active, evocative approach toward solving life’s
problemsproblems
Development of Autonomy:Development of Autonomy: tendency to perceive experiences constructively, even tendency to perceive experiences constructively, even
if they cause pain and sufferingif they cause pain and sufferingif they cause pain and suffering.if they cause pain and suffering.
Sense of purpose and future: Sense of purpose and future: strong ability to use faith in order to maintain positive strong ability to use faith in order to maintain positive
vision of meaningful lifevision of meaningful life. .
E. E. Werner, in S. Brown, 2005.E. E. Werner, in S. Brown, 2005.
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Family ResilienceFamily Resilience Core Identity: Core Identity: images, metaphors, attitudes, images, metaphors, attitudes,
family rituals and practices.family rituals and practices.
Boundaries:Boundaries: Clear and appropriate rules. Clear and appropriate rules.
Allocation of roles: Allocation of roles: Delegate functions Delegate functions appropriate to family member’s age, ability, and appropriate to family member’s age, ability, and available time. available time.
Problem Solving:Problem Solving: Early recognition of Early recognition of gg y gy gproblems, open discussion, contracts, and problems, open discussion, contracts, and review.review.
Communication: Communication: Direct, clear and containing a Direct, clear and containing a full range of feelings.full range of feelings.
Families Need Education and Families Need Education and Support ToSupport To
Develop healthy living skills Develop healthy living skills Foster communication Foster communication Encourage positive relationshipsEncourage positive relationships
Increase the rate of sustainedIncrease the rate of sustained Increase the rate of sustained Increase the rate of sustained recovery from alcoholism/recovery from alcoholism/addiction.addiction.
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What Doesn’t WorkWhat Doesn’t Work
Waivers to Adult (Criminal Courts) Waivers to Adult (Criminal Courts) –– more more likely to relikely to re--offendoffendB tB t 4 tl b ti4 tl b ti Bootcamps Bootcamps –– 4x as costly as probation, 4x as costly as probation, same recidivismsame recidivism
DARE (traditional) DARE (traditional) –– revised under revised under evaluationevaluation
Guided Group Interaction and Positive Guided Group Interaction and Positive Peer CulturePeer Culture
Gun Buyback Programs (2/3’s didn’t work)Gun Buyback Programs (2/3’s didn’t work) Peer Counseling ProgramsPeer Counseling Programs Summer Job ProgramsSummer Job Programs
Delbert Elliott, PhD, Blueprints Conference March 2006Delbert Elliott, PhD, Blueprints Conference March 2006
What Doesn’t Work What Doesn’t Work (2)(2)
Neighborhood WatchNeighborhood Watch Arrests of Unemployed Domestic AbusersArrests of Unemployed Domestic Abusers Arrests of Unemployed Domestic AbusersArrests of Unemployed Domestic Abusers Scared Straight Scared Straight -- harmful, encouraged harmful, encouraged Shock Probation/Parole Shock Probation/Parole Home Detention with Electronic Home Detention with Electronic
MonitoringMonitoring Casework/CounselingCasework/Counseling Casework/CounselingCasework/Counseling
Delbert Elliott, PhD, Blueprints Conference March 2006Delbert Elliott, PhD, Blueprints Conference March 2006
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Video:Video:
Lost Childhood: Growing up Lost Childhood: Growing up In An Alcoholic Family.In An Alcoholic Family.
Available for $12.50 for VHS; $13 for DVD. Available for $12.50 for VHS; $13 for DVD.
Call 1Call 1--800800--729729--66866686
Celebrating Families! TM
Intergenerational St th B d C iti B h i lStrength-Based, Cognitive-Behavioral
Group Model for Families in Early Recovery
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Typical Class SessionTypical Class Session
FAMILY STYLE MEALFAMILY STYLE MEAL
CHILDREN’SCHILDREN’S PARENTPARENTGROUPSGROUPS GROUPGROUPChildcareChildcare
90 Minutes Simultaneously+30
Minutes
FAMILY FAMILY ACTIVITYACTIVITY
TransportationTransportation
Why Dinner?Why Dinner?
Kids who eat dinner with their families are Kids who eat dinner with their families are less likely to use alcohol tobacco or otherless likely to use alcohol tobacco or otherless likely to use alcohol, tobacco, or other less likely to use alcohol, tobacco, or other drugs.drugs.
Those who did Those who did notnot were were 3x more likely to try marijuana, 3x more likely to try marijuana, more than 2x as likely to smoke, more than 2x as likely to smoke, 1.5x more apt to drink alcohol. 1.5x more apt to drink alcohol.
The National Center for Addiction & Substance Abuse at Columbia The National Center for Addiction & Substance Abuse at Columbia University (9/04/2005 and 1998)University (9/04/2005 and 1998)
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Addresses Four Aspects of Addresses Four Aspects of Healthy LivingHealthy LivingHealthy LivingHealthy Living
TopicsTopics OrientationOrientation
Goal SettingGoal Setting Healthy Living Healthy Living NutritionNutrition CommunicationCommunication FeelingsFeelings Anger ManagementAnger Management
Goal SettingGoal Setting Health ChoicesHealth Choices Healthy BoundariesHealthy Boundaries Healthy Friendships Healthy Friendships
& Relationships& Relationships Anger ManagementAnger Management Facts about ATODFacts about ATOD Chemical DependencyChemical Dependency CD Affects the whole CD Affects the whole
familyfamily
How We LearnHow We Learn UniquenessUniqueness Celebration!Celebration!
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First, helps participants break the First, helps participants break the rules rules
Don’t TalkDon’t Talk Don’t’ FeelDon’t’ FeelDon’t TrustDon’t Trust
Then teaches about the disease of Then teaches about the disease of chemical dependencychemical dependencyp yp y
That it is a brain disease.That it is a brain disease. How it impacts families. How it impacts families. Facts about alcohol, tobacco, prescription Facts about alcohol, tobacco, prescription
& illegal drug use.& illegal drug use.
Finally it empowers by teaching Finally it empowers by teaching Healthy Living SkillsHealthy Living Skills Anger Management Anger Management CommunicationCommunication Feelings/DefensesFeelings/Defenses Health Living: NutritionHealth Living: Nutrition Problem Solving & Goal SettingProblem Solving & Goal Setting
Always integrates recovery with Always integrates recovery with every member of the family.every member of the family.
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HelpsHelpsAllAll family members learn andfamily members learn andAllAll family members learn and family members learn and
incorporate the Truth Statements incorporate the Truth Statements into their lives. into their lives.
I did not CAUSE the disease.I can not CURE the diseaseI can not CURE the disease.I cannot CONTROL the disease.I can take CARE of myself –
One day at a time.
Parents Also LearnParents Also Learn• How to incorporate recovery into
their daily lives as parentstheir daily lives as parents.
• Risk & Resiliency Factors.• How to break the cycle of addiction:
Saying “I love you.” Affirming their children.Spending one-on-one time.
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Sample ActivitiesSample Activities
Evaluation OutcomesEvaluation Outcomes
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“I now call my son“I now call my sonmy son twice a day. I used to think of calling him
my son twice a day. I used to think of calling him gonce a week.”
gonce a week.”
Celebrating Families!Celebrating Families! TMTM
Preliminary Evaluation RevealsPreliminary Evaluation Reveals
Time to reunification significantly Time to reunification significantly decreased (to 6 decreased (to 6 -- 12 months).12 months).
Reunification rate significantly Reunification rate significantly i d ( 73%) i h Di d ( 73%) i h Dincreased (to 73%) with Drug increased (to 73%) with Drug Treatment Court.Treatment Court.
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Celebrating Families!Celebrating Families! TMTM
Year II SummaryYear II Summary
“Findings show“Findings show significantsignificantFindings show Findings show significant significant accomplishmentsaccomplishments have taken place.” have taken place.”
Classes helped parents and children Classes helped parents and children learn learn and apply new skillsand apply new skills, such as, identifying , such as, identifying pp ypp y , , y g, , y gissues of chemical dependency and issues of chemical dependency and understanding how these issues affect their understanding how these issues affect their families. families.
CF! CF! Summary II (2)Summary II (2)
Qualitative data from the focus groups, Qualitative data from the focus groups, demonstrated that parents recognize that demonstrated that parents recognize that the program has been a the program has been a tremendous tremendous help to them in becoming closerhelp to them in becoming closer to to their children and in their children and in assisting them in assisting them in their efforts for family reunificationtheir efforts for family reunification.”.”yy
Jrapko, A., Ward, D., Leakey D., Hazelton, T. and Foster, T. Jrapko, A., Ward, D., Leakey D., Hazelton, T. and Foster, T. Family Family Treatment Drug Court head Start Program, Annual Report October Treatment Drug Court head Start Program, Annual Report October 1, 20031, 2003--September 30, 2004September 30, 2004. Center for Applied Local Research.. Center for Applied Local Research.
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CF!CF! Year II ResultsYear II Results
Parents understandParents understand How to set goals How to set goals How to have more control of their lives How to have more control of their lives How to think things through before taking How to think things through before taking
action. action.
CF!CF! Year II Results (2)Year II Results (2)
Stated in last 30 days theyStated in last 30 days they100% had not sed ma ij ana o100% had not sed ma ij ana o 100% had not used marijuana or 100% had not used marijuana or prescription drugs. prescription drugs.
96% had not used alcohol or other illegal 96% had not used alcohol or other illegal drugs.drugs.
74% had not used tobacco74% had not used tobacco..
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CF!CF! Year I ResultsYear I Results
100% of parents now know it is 100% of parents now know it is important to recognize their feelingsimportant to recognize their feelingsimportant to recognize their feelings.important to recognize their feelings.
86% responded it is “Important to 86% responded it is “Important to tell children you love them.”tell children you love them.”
80% understand how their addiction 80% understand how their addiction affected their children.affected their children.
CF! CF! Year I (2)Year I (2)
74% agree that their children’s 74% agree that their children’s ability to connect with safe peopleability to connect with safe peopleability to connect with safe people ability to connect with safe people has improved.has improved.
100% know it is important to 100% know it is important to recognize one’s feelings.recognize one’s feelings.
“Almost all” parents attended an “Almost all” parents attended an organized group where they felt organized group where they felt accepted and respected.accepted and respected.
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Primary Knowledge Primary Knowledge Gained by Children & TeensGained by Children & Teens
Parent’s addiction is not their fault.Parent’s addiction is not their fault. Chemical dependency is a disease.Chemical dependency is a disease. How to choose and make healthy How to choose and make healthy
friendships with safe peers and friendships with safe peers and d ltd ltadults.adults.
Alcohol and drug use even once in Alcohol and drug use even once in awhile (for them) is harmful.awhile (for them) is harmful.
Spontaneous Responses of Spontaneous Responses of 44--10 year olds on post test:10 year olds on post test:True/FalseTrue/False SpontaneousSpontaneousTrue/False True/False StatementStatement
1. I can help my 1. I can help my parent stop drinking parent stop drinking if I try hard enough.if I try hard enough.
Spontaneous Spontaneous ResponseResponse
1. I can’t cure it.1. I can’t cure it.
2 I can’t control it2 I can’t control it2. I can change how 2. I can change how other people feel.other people feel.
3. I can make healthy 3. I can make healthy choices for myself.choices for myself.
2. I can’t control it.2. I can’t control it.
3. I can take care of 3. I can take care of myself.myself.
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Replication Replication Celebrating Families! is currently being Celebrating Families! is currently being implemented at:implemented at: Family Treatment Drug Court (FTDC).Family Treatment Drug Court (FTDC). Families Families
where parents have lost custody of their children due to where parents have lost custody of their children due to abuse/neglect and substance abuse.abuse/neglect and substance abuse.
Friends OutsideFriends Outside. . Families of people in prisons/jails.Families of people in prisons/jails.
House on the Hill.House on the Hill. Santa Clara County’s only Santa Clara County’s only esidential t eatment facilit fo chemicall dependentesidential t eatment facilit fo chemicall dependentresidential treatment facility for chemically dependent residential treatment facility for chemically dependent
women with children.women with children.
EMQ.EMQ. The largest children’s mental health organization The largest children’s mental health organization in Northern California.in Northern California.
El Dorado County Child Protective Services.El Dorado County Child Protective Services.
Replication (2)Replication (2)
Additional sitesAdditional sites are currently being sought.are currently being sought.
Evaluation is provided by Karol Evaluation is provided by Karol Kumpher, Ph.D.,Kumpher, Ph.D., University of Utah and former Director of the Center for Substance Abuse Prevention and Center for Applied Local Research (1988-2000).
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Implementation:Implementation:Materials, Costs & SavingsMaterials, Costs & SavingsMaterials, Costs & SavingsMaterials, Costs & Savings
CF!CF! Course Materials: Course Materials: (Distributed on CDs(Distributed on CDs))
ManualsManuals:: AgeAge--graded Session Plans for Parents, Youth and graded Session Plans for Parents, Youth and Children’s Groups and all Family Activities. Includes stories, songs, Children’s Groups and all Family Activities. Includes stories, songs, role plays, games and worksheets.role plays, games and worksheets.
Preface & Appendix: Preface & Appendix: Information regarding Information regarding implementation and research foundations of curriculum and implementation and research foundations of curriculum and support documents on chemical dependency and its impact on support documents on chemical dependency and its impact on
ffpp p y ppp p y p
children and families.children and families.
Evaluation:Evaluation: Parent and Youth instruments, Fidelity Parent and Youth instruments, Fidelity Checklists, Client Satisfaction Surveys, Leader RatingsChecklists, Client Satisfaction Surveys, Leader Ratings..
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Implementation Implementation
TrainingTraining Up to 25 staff trained at your siteUp to 25 staff trained at your sitep yp y
OROR Attend training in San Jose, CAAttend training in San Jose, CA
Logistics: space, food, suppliesLogistics: space, food, supplies Supervision/Technical AssistanceSupervision/Technical Assistance Supervision/Technical Assistance Supervision/Technical Assistance Evaluation Evaluation Continued Learning for TeamContinued Learning for Team
Leader QualificationsLeader Qualifications
Desire to work with familiesDesire to work with families Desire to work with families Desire to work with families Desire to learn the modelDesire to learn the model Personal Skills: one to one & groupPersonal Skills: one to one & group Understanding of chemical Understanding of chemical
dependencydependencydependencydependency
Balance teams by gender, Balance teams by gender, ethnicity, recoveryethnicity, recovery
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Sample BudgetSample Budget 44--DayTraining DayTraining at your site at your site $ 5,000+exp.$ 5,000+exp.
Registered Sites: Registered Sites: SupervisionSupervision & Evaluation& Evaluation $ 7,000+exp.$ 7,000+exp.
Group Leaders:Group Leaders:pp(10 x 18 weeks x $20/hr x 5 hrs/week)(10 x 18 weeks x $20/hr x 5 hrs/week) $18,000$18,000
Site Coordinator/Clinical SupervisorSite Coordinator/Clinical Supervisor(18 weeks x $30/hr x 10hrs/week)(18 weeks x $30/hr x 10hrs/week) $ 6,400$ 6,400
Food:Food:(16 sessions x 15 families x $10/family)(16 sessions x 15 families x $10/family) $ 2,400$ 2,400
Child Care: Child Care: (16 wks x 2 staff x $15/hr x 3 hrs)(16 wks x 2 staff x $15/hr x 3 hrs) $ 1 650$ 1 650(16 wks x 2 staff x $15/hr x 3 hrs)(16 wks x 2 staff x $15/hr x 3 hrs) $ 1,650$ 1,650
Supplies: Supplies: (paper products, toys)(paper products, toys) $ 500$ 500
Manual Duplication:Manual Duplication: (10 x $65/each)(10 x $65/each) $ 650$ 650
Total: $41,600+ $29,600Total: $41,600+ $29,600Year One Year TwoYear One Year Two
CF!CF! Saves MoneySaves Money
Estimated cost per participant (40) Estimated cost per participant (40) Year I $ 1,040 Year I $ 1,040 Year II $ 740Year II $ 740$$
Estimated cost per child/month in Estimated cost per child/month in child welfare system (CWS) child welfare system (CWS) **$ 1,945$ 1,945including indirect including indirect **** $ 2,123$ 2,123
Estimated cost including systemEstimated cost including system(medical, law, special education)(medical, law, special education) **** $17,584$17,584
Cost per month to house youth in county Cost per month to house youth in county ******$ 2,600$ 2,600Cost per month to house a youth at CYACost per month to house a youth at CYA $ 6,666$ 6,666
* California Child Welfare System * California Child Welfare System –– Child and Family Futures Child and Family Futures ** Edna McConnell Clark Foundation** Edna McConnell Clark Foundation***Legislative Analyst's Office, 2002***Legislative Analyst's Office, 2002--03 George Kita, Former Deputy District Attorney03 George Kita, Former Deputy District Attorney
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SavingsSavings
For every dollar spent on treatment,For every dollar spent on treatment,For every dollar spent on treatment, For every dollar spent on treatment, taxpayers save more than 7taxpayers save more than 7 in other in other services: reduced crime, medical fees, services: reduced crime, medical fees, emergency room visits and increasedemergency room visits and increasedproductivity.productivity.
University of California at Los Angeles (UCLA)University of California at Los Angeles (UCLA): : Health Services Health Services ResearchResearch. . NY Times Magazine 2/10/02 RAND corporationNY Times Magazine 2/10/02 RAND corporation
Drug Court SavingsDrug Court SavingsParticipation in drug court program saved the Participation in drug court program saved the countycounty $2,102,641 in public assistance, foster $2,102,641 in public assistance, foster care substancecare substance--free births and child support:free births and child support:care, substancecare, substance--free births, and child support:free births, and child support:
$1,349,154 in public assistance, food stamps, Medicaid. $1,349,154 in public assistance, food stamps, Medicaid. $206,588 by family members in public assistance. $206,588 by family members in public assistance. Over $58,000 annual savings in foster care: children Over $58,000 annual savings in foster care: children
returned to their homes, pr allowed to stay in their returned to their homes, pr allowed to stay in their homes because of a parent's involvement in drug courthomes because of a parent's involvement in drug courthomes because of a parent s involvement in drug court. homes because of a parent s involvement in drug court.
$360,000 9 healthy babies born,. $360,000 9 healthy babies born,. $97,392. improved child support by graduates reducing $97,392. improved child support by graduates reducing
public assistance payments. public assistance payments. $15,000 in child support collected in arrears payments.$15,000 in child support collected in arrears payments.
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Study SourceStudy Source
Drug Court Savings Extend BeyondDrug Court Savings Extend BeyondDrug Court Savings Extend Beyond Drug Court Savings Extend Beyond Prison Costs: Prison Costs: New York State's New York State's Lackawanna Drug Court and Erie County Lackawanna Drug Court and Erie County Department of Social Services.Department of Social Services.
“This group is different “This group is different –– this is not this is not another parenting classanother parenting classanother parenting class.another parenting class.
This is a class on being This is a class on being a family.”a family.”
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R Ti hR Ti hRosemary TischRosemary [email protected] [email protected] or 408or 408--406406--04670467
Linda SibleyLinda [email protected] [email protected] or 805or 805--614614--28242824
www.celebratingfamilies.netwww.celebratingfamilies.net