Celebrating Families!Celebrating Families! ™™

An intergenerational, cognitive- behavioral group model for families in early recovery

““Celebrating Families! Celebrating Families! ™™ sets the standard sets the standard with this with this

comprehensive, clear, step-by-step, in-comprehensive, clear, step-by-step, in-depth guide. This encyclopedic curriculum depth guide. This encyclopedic curriculum should be the starting point for anyone who should be the starting point for anyone who wants to intervene positively with adults wants to intervene positively with adults and children to build healthy families.and children to build healthy families. Celebrating Families!™Celebrating Families!™ is richly is richly layered on a solid base of research, layered on a solid base of research, practical experience and evaluation.practical experience and evaluation.

This is a curriculum that works!”This is a curriculum that works!” Stephanie Brown, Ph.D., Director of The Addictions Stephanie Brown, Ph.D., Director of The Addictions

Institute, Menlo Park, Ca. Author of numerous books Institute, Menlo Park, Ca. Author of numerous books including including Treating the Alcoholic – A Development Treating the Alcoholic – A Development ModelModel

Substance Abuse and Substance Abuse and AddictionAddiction

Substance abuse Substance abuse contributes to contributes to almost three almost three fourths of incidents fourths of incidents of child abuse and of child abuse and neglect of children neglect of children in foster care. in foster care. (U.S Department of Health and Human (U.S Department of Health and Human Services, 1999.)Services, 1999.)

Are primary causes Are primary causes of rise in child of rise in child

abuse, neglect and abuse, neglect and immeasurable immeasurable increase in the increase in the complexity of cases.*complexity of cases.* Contribute to 75% of Contribute to 75% of incidents of child incidents of child abuse and neglect of abuse and neglect of children in foster care. children in foster care. **** **CASA, 1999. **National Center on Addiction and Substance CASA, 1999. **National Center on Addiction and Substance Abuse, 1999 Abuse, 1999

Why A Family Program ?Why A Family Program ? Parents have Parents have not receivednot received sufficient sufficient

parenting themselvesparenting themselves

Court mandated holistic and culturally Court mandated holistic and culturally competent child-centered program competent child-centered program can can improveimprove parenting capabilities parenting capabilities

Belief parents Belief parents love their childrenlove their children

Best place for children is with Best place for children is with their birth their birth families, when safefamilies, when safe

Children ultimately at riskChildren ultimately at risk to continue to continue cyclescycles

Family InterventionsFamily InterventionsWORK!WORK!

Meta Analytic reviews of randomized Meta Analytic reviews of randomized clinical trials conclude that clinical trials conclude that treatments that involve family treatments that involve family result inresult in

Higher levels of abstinence (50 vs. 30%)Higher levels of abstinence (50 vs. 30%) Fewer drug related arrests (8 vs. 28 %) Fewer drug related arrests (8 vs. 28 %) Fewer inpatient treatment episodes Fewer inpatient treatment episodes

(13 vs. 35%) (13 vs. 35%)

Science Practice Perspectives. Vol. 2 No 2 August 2004 NIDA.Science Practice Perspectives. Vol. 2 No 2 August 2004 NIDA.

Family InterventionsFamily Interventions Save Money Save Money

Estimated cost per participant (40) Estimated cost per participant (40) Year I $ 990 Year I $ 990

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$ 1,945 including 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 ******$ $ 2,6002,600

Cost per month to house a youth at CYACost per month to house a youth at CYA $ 6,666$ 6,666

* California Child Welfare System – Child and Family Futures * California Child Welfare System – Child and Family Futures ** Edna McConnell Clark Foundation** Edna McConnell Clark Foundation***Legislative Analyst's Office, 2002-03 George Kita, Former Deputy District Attorney***Legislative Analyst's Office, 2002-03 George Kita, Former Deputy District Attorney

Why a Specialized Why a Specialized Program?Program?

All members of a chemically dependentAll members of a chemically dependent

family need to learn:family need to learn:

Healthy living skills Healthy living skills

Communication skillsCommunication skills

How to sustain recoveryHow to sustain recovery

How to have positive How to have positive relationshipsrelationships

About the diseaseAbout the disease

Why a Specialized Why a Specialized Program? Program? (2)(2)

How participants have been How participants have been affectedaffected

About recoveryAbout recovery

BoundariesBoundaries

They are not alone They are not alone

The Truth StatementsThe Truth Statements

““Celebrating Families!Celebrating Families! is a historic ground-is a historic ground-breaking program that will serve as a model breaking program that will serve as a model to help families in other court systems.”to help families in other court systems.” Annual Evaluation Report, Center for Local Applied Research, 2004.Annual Evaluation Report, Center for Local Applied Research, 2004.

HistoryHistory 2003: Judge Leonard Edwards 2003: Judge Leonard Edwards

requests programrequests program

SAMHSA grant SAMHSA grant Children Screened and AssessedChildren Screened and Assessed Parents Medically Assessed Parents Medically Assessed Head StartHead Start Family Night Family Night (Celebrating Families!) (Celebrating Families!) with with

Transportation and Child CareTransportation and Child Care

TeamTeam JudgeJudge Attorneys: Parent’s, Child’s, District, Attorneys: Parent’s, Child’s, District,

County CounselCounty Counsel Social Workers and Family Night Social Workers and Family Night

CoordinatorCoordinator Drug and Alcohol AssessorDrug and Alcohol Assessor Public Health Nurse, Mental Health Public Health Nurse, Mental Health

Assessor, Domestic Violence Advocate, Assessor, Domestic Violence Advocate, Cal-Works, Community Based Agency Cal-Works, Community Based Agency Representatives (Friends Outside)Representatives (Friends Outside)

Family Treatment Drug Family Treatment Drug CourtCourt

60 parents and 125 children annually60 parents and 125 children annually

Holistic approachHolistic approach

Drugs and Alcohol - Primary drug of Drugs and Alcohol - Primary drug of choice - methchoice - meth

Domestic ViolenceDomestic Violence

Mental HealthMental Health

Diverse PopulationDiverse Population

Serves A Diverse Population -Serves A Diverse Population -Study shows Study shows CF! CF! most most effective with Hispanic effective with Hispanic

FamiliesFamilies

20062006

Study shows Study shows CF!CF! most effective with most effective with Hispanic Families Hispanic Families

SCC Department of Social Services SCC Department of Social Services General Funds provide two nights of General Funds provide two nights of Celebrating Families!Celebrating Families! for ALL for ALL Dependency CourtsDependency Courts

ALL courts in SCC referring ALL ALL courts in SCC referring ALL families with substance abuse issues families with substance abuse issues to community based sites, using First to community based sites, using First Five supportFive support

Breaks the cycle of addiction Breaks the cycle of addiction and abuse in familiesand abuse in families

Impacts the Impacts the family systemfamily system

Increases Increases successful family successful family reunificationreunification

Is Unique!Is Unique!

Uses teaching strategies effective Uses teaching strategies effective with individuals with learning with individuals with learning differencesdifferences

Integrates teaching of parenting skills Integrates teaching of parenting skills with strategies to break the cycle of with strategies to break the cycle of addiction in familiesaddiction in families

Is Unique! Is Unique! (2)(2)

Reinforces and explains what clients Reinforces and explains what clients learn in treatment and recovery learn in treatment and recovery programsprograms

Is fully scripted, including role-plays, Is fully scripted, including role-plays, handouts, children’s stories and handouts, children’s stories and activity sheets activity sheets

TeachesTeaches

Facts about ATOD & Chemical Facts about ATOD & Chemical DependencyDependency

Recognition of Influence of Media & Recognition of Influence of Media & AdvertisingAdvertising

Facts about Domestic ViolenceFacts about Domestic Violence

Teaches Teaches (2)(2)

Caring & Empathy: Acts of KindnessCaring & Empathy: Acts of Kindness

We are part of something larger than We are part of something larger than ourselves (WOW Moments)ourselves (WOW Moments)

Centering & ReflectionCentering & Reflection

Teaches Teaches (3)(3)

About the diseaseAbout the disease Facts about ATOD Facts about ATOD It’s a brain diseaseIt’s a brain disease That impacts families That impacts families

Self Worth & Self Efficiency: Self Worth & Self Efficiency: recognizing and celebrating each recognizing and celebrating each person’s uniquenessperson’s uniqueness

HelpsHelpsAllAll family members learn and family members learn and

incorporate the Truth incorporate the Truth Statements into their lives Statements into their lives

I did not CAUSE the disease.I can not CURE the disease.I cannot CONTROL the disease.I can take CARE of myself – One day at a time

Intergenerational,Intergenerational,Strength Based, Strength Based, Building Family Skills Building Family Skills In Early RecoveryIn Early Recovery

Typical SessionTypical Session

CHILDREN’SCHILDREN’S PARENT PARENT

GROUPSGROUPS GROUP GROUP

Childcare Childcare 90 Minutes Simultaneously

FAMILY STYLE MEALFAMILY STYLE MEAL

+30

Minutes

FAMILY FAMILY ACTIVITYACTIVITY

TransportationTransportation

Typical SessionTypical SessionFamily DinnerFamily Dinner

Age-Appropriate GroupsAge-Appropriate GroupsOpeningOpening

CenteringCenteringGroup Agreements & Opening Activity Group Agreements & Opening Activity Review (Acts of KindnessReview (Acts of Kindness))

Insights for Living Insights for Living ClosingClosing

Reflection Reflection WOW MomentsWOW Moments

Connecting With My FamilyConnecting With My Family Family Story Group AgreementsFamily Story Group AgreementsChildren’s Sharing ActivityChildren’s Sharing ActivityClosing Closing

Why Dinner?Why Dinner?

Kids who eat dinner with their Kids who eat dinner with their families are less likely to use families are less likely to use

ATODATOD

Those who did not were 3x more likely to Those who did not were 3x more likely to try marijuana, more than 2x as likely to try marijuana, more than 2x as likely to smoke, and 1.5x more apt to drink alcohol smoke, and 1.5x more apt to drink alcohol

"One factor that does more to reduce "One factor that does more to reduce teens' substance-abuse risk than almost teens' substance-abuse risk than almost any other is by having frequent family any other is by having frequent family dinners“dinners“

The National Center for Addiction & Substance Abuse at Columbia University (9/04/2005 and 1998The National Center for Addiction & Substance Abuse at Columbia University (9/04/2005 and 1998

Four Aspects of Healthy LivingFour Aspects of Healthy Living

TopicsTopics OrientationOrientation Healthy Living Healthy Living NutritionNutrition CommunicationCommunication FeelingsFeelings Anger Anger

ManagementManagement Facts about ATODFacts about ATOD Chemical Chemical

DependencyDependency CD Affects the CD Affects the

whole familywhole family

Goal SettingGoal Setting Health ChoicesHealth Choices Healthy Healthy

BoundariesBoundaries Healthy Healthy

Friendships & Friendships & RelationshipsRelationships

How We LearnHow We Learn UniquenessUniqueness Celebration!Celebration!

CF! CF! Program Program FoundationsFoundations

Life Life SkillsSkills

SupporSupport Groupt Group

Family Family SystemSystem

Teaches Healthy Teaches Healthy Living SkillsLiving Skills

Anger Management Anger Management

Communication Communication

Feelings/DefensesFeelings/Defenses

Nutrition – Brain Chemistry, Nutrition – Brain Chemistry, HALTHALT

Problem Solving & Goal SettingProblem Solving & Goal Setting

Support GroupSupport Group

Helps participants break the Helps participants break the rules rules

Don’t TalkDon’t Talk Don’t’ FeelDon’t’ Feel

Don’t TrustDon’t Trust

Integrates recovery in every Integrates recovery in every session with every family session with every family membermember

Family SystemFamily System

How to incorporate recovery How to incorporate recovery into into daily lives as parentsdaily lives as parents Risk & resiliency factorsRisk & resiliency factors How to break the cycle of How to break the cycle of addiction:addiction:

Saying “I love you” Affirming their children Spending one-on-one time

Evaluation StudiesEvaluation Studies

“This is a curriculum that “This is a curriculum that works!”works!”

Stephanie Brown, Ph.D.Stephanie Brown, Ph.D.

““This group is different – this is This group is different – this is not another parenting class. not another parenting class.

This is a class on being a This is a class on being a family”family”

From Parent Focus Group From Parent Focus Group

Preliminary Evaluations Preliminary Evaluations RevealReveal

Time to reunification Time to reunification significantly decreased to 6 - 12 significantly decreased to 6 - 12 monthsmonths

Reunification rate increased to Reunification rate increased to 73% with Drug Treatment Court73% with Drug Treatment Court

Large positive effect on Large positive effect on parentingparenting

Significant OutcomesSignificant Outcomes

Protective FactorProtective Factor Sig. Level (p=_) Effect Size(d’) Sig. Level (p=_) Effect Size(d’)

Positive Parenting Positive Parenting .000.000 2.35 (very 2.35 (very large)large)

Parent InvolvementParent Involvement .000.000 1.91 (large) 1.91 (large)

Parenting SkillsParenting Skills .009.009 .95 (large) .95 (large)

Parenting EfficacyParenting Efficacy .000.000 2.81 (very 2.81 (very large)large)

Parenting Supervision Parenting Supervision .000 .000 2.76 2.76 (very large)(very large)

Significant Outcomes Significant Outcomes (2)(2)

Protective FactorProtective Factor Sig. Level (p=_) Effect Size(d’) Sig. Level (p=_) Effect Size(d’)

Family Organization Family Organization .000 .97 (very .000 .97 (very large)large)

Family CohesionFamily Cohesion .000 2.27 (very .000 2.27 (very large)large)

Family Communication Family Communication .000 .000 2.89 2.89 (very large)(very large)

Family ConflictFamily Conflict .063.063 .72 (large) .72 (large)Family Strengths/Family Strengths/Resilience Resilience .0000.0000 3.12 3.12

(very large)(very large)

Significant OutcomesSignificant Outcomes (3)(3)

Protective FactorProtective Factor Sig. Level (p=_) Effect Size(d’) Sig. Level (p=_) Effect Size(d’)

Child ConcentrationChild Concentration Problems Problems .000.000 2.49 (very 2.49 (very large)large)

Hyperactivity Hyperactivity .004 .004 1.42 (very large)1.42 (very large)Child Overt Child Overt AggressionAggression .04 .04 -.74 (large, but -.74 (large, but negative result)negative result)

The one negative change is predictable - occurring when children The one negative change is predictable - occurring when children finally feel safe due to reduced fear and parentification.finally feel safe due to reduced fear and parentification.

Celebrating Families!Celebrating Families! TMTM

Year II SummaryYear II Summary

““Findings show Findings show significant significant accomplishmentsaccomplishments have taken place. have taken place.

Classes helped parents and children Classes helped parents and children learn and apply new skillslearn and apply new skills, such as, , such as, identifying issues of chemical identifying issues of chemical dependency and understanding how dependency and understanding how these issues affect their families.”these issues affect their families.”

Spontaneous Responses of Spontaneous Responses of 4-10 year olds on post test4-10 year olds on post test

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.

2. 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.

1. I can’t cure it.1. I can’t cure it.

2. I can’t control 2. I can’t control it.it.

3. I can take care 3. I can take care of myself.of myself.

Replication Replication

&&

ImplementationImplementation

Replication Replication

Santa Clara and San Mateo Counties Family Treatment Drug Court (FTDC) Friends Outside House on the Hill EMQ – Addiction Prevention Services YWCA Child Care Coordinating Council SCC First 5 Collaboration

Currently being implementedCurrently being implemented

Replication Replication (2)

California Counties: El Dorado, California Counties: El Dorado, Kern, Kings County, and Yuba/SutterKern, Kings County, and Yuba/Sutter

Out of State: Idaho (3), Georgia, Out of State: Idaho (3), Georgia, Indiana, Connecticut. Professionals Indiana, Connecticut. Professionals trained in Colorado and New Jerseytrained in Colorado and New Jersey

Internationally: Argentina and Internationally: Argentina and numerous sites in Russia (shelters, numerous sites in Russia (shelters, orphanages, schools, camps)orphanages, schools, camps)

CF!CF! Course Materials: Course Materials: (Distributed on CDs(Distributed on CDs))

ManualsManuals:: Age-graded Session Plans for Parents, Age-graded Session Plans for Parents, Youth and Children’s Groups and all Family Activities Youth and Children’s Groups and all Family Activities

Preface & Appendix: IPreface & Appendix: Implementation and mplementation and

research foundationsresearch foundations

Evaluation:Evaluation: Parent and Youth instruments, Parent and Youth instruments, Fidelity Checklists, Client Satisfaction Surveys, Fidelity Checklists, Client Satisfaction Surveys, Leader RatingsLeader Ratings

ReplicationReplication TrainingTraining

At your site up to 25 staff ORAt your site up to 25 staff OR Attend training in San Jose, CAAttend training in San Jose, CA

Logistics: space, food, Logistics: space, food, suppliessupplies

Supervision/Technical Supervision/Technical Assistance Assistance

Evaluation Evaluation Continued Learning for TeamContinued Learning for Team

StaffingStaffing

Site Coordinator Site Coordinator (10 hrs a week)(10 hrs a week)

Clinical Supervisor Clinical Supervisor

6-10 Group Leaders 6-10 Group Leaders (2 per group)(2 per group)

Balance by gender, ethnicity, Balance by gender, ethnicity, recoveryrecovery

Leader QualificationsLeader Qualifications

Desire to help families learnDesire to help families learn

Desire to learn the modelDesire to learn the model

Personal Skills: one to one & Personal Skills: one to one & groupgroup

Understanding of chemical Understanding of chemical dependencydependency

Balance teams by gender, Balance teams by gender, ethnicity, recoveryethnicity, recovery

Sample BudgetSample Budget 3-DayTraining 3-DayTraining at your site at your site $ 4,000+exp.$ 4,000+exp.

San Jose Trainings $395/person. San Jose Trainings $395/person.

Registered Sites: Registered Sites: Technical AssistanceTechnical Assistance $6,000+exp.$6,000+exp.

Contract with LutraGroup for data analysis Contract with LutraGroup for data analysis evaluation report. evaluation report.

Group Leaders:Group Leaders: (10 x 18 weeks x $20/hr x 5 hrs/week) $18,000(10 x 18 weeks x $20/hr x 5 hrs/week) $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

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: $39,600+ $29,600Total: $39,600+ $29,600 Year One Year TwoYear One Year Two

SitesSites Reduced costs ($5-10,000) byReduced costs ($5-10,000) by

Using Using trainedtrained interns and volunteers interns and volunteers In-kind donations of food, spaceIn-kind donations of food, space Using flex time with staffUsing flex time with staff

Received funding fromReceived funding from Grants: SAMHSA, local FoundationsGrants: SAMHSA, local Foundations Healthy Families InsuranceHealthy Families Insurance Contracts from First Five, Departments Contracts from First Five, Departments

of Social Services & Alcohol & Drugs of Social Services & Alcohol & Drugs ServicesServices

Child Abuse Child Abuse

Recovering Families Can Be Recovering Families Can Be Healthy And Happy !Healthy And Happy !

Recovering Parents Recovering Parents Can & Do Change!Can & Do Change!

“I now call my son twice a day. I used to think of calling him once a week.”

How to Contact UsHow to Contact UsRosemary Tisch Rosemary Tisch

rstisch@aol.com or 408-406-0467rstisch@aol.com or 408-406-0467

OrOr

Linda Sibley Linda Sibley lksibley@mscn.com or 805-614-2824lksibley@mscn.com or 805-614-2824

www.celebratingfamilies.netwww.celebratingfamilies.net

Additional Additional InformationInformation

SavesSaves

LivesLivesFamilies Families MoneyMoney

Saves LivesSaves Lives

JuvenilesJuveniles

2/3’s reported a family member abused 2/3’s reported a family member abused substances while they were growing up.substances while they were growing up.

1/3 experienced abuse.1/3 experienced abuse.

Research and public policy series. No. 67: Alcohol, drugs and crime : a study of juveniles in Research and public policy series. No. 67: Alcohol, drugs and crime : a study of juveniles in detention. detention. Jeremy Prichard and Jason Payne ISBN 0 642 53891 3 ; ISSN 1326-6004. Canberra: Jeremy Prichard and Jason Payne ISBN 0 642 53891 3 ; ISSN 1326-6004. Canberra: Australian Institute of Criminology: 2005 Australian Institute of Criminology: 2005

Saves Lives Saves Lives (2)

Domestic ViolenceDomestic Violence Alcohol present in 70% to 90% Alcohol present in 70% to 90% (court files vs. self report)(court files vs. self report) of of

DV cases.DV cases.

Exposure to DV increases risks for kids to abuse Exposure to DV increases risks for kids to abuse drugs/alcohol. drugs/alcohol.

Re-involvement in relationship can make clients more Re-involvement in relationship can make clients more vulnerable to relapse. vulnerable to relapse.

(Substance abuse does not cause violence.)(Substance abuse does not cause violence.)

Saves FamiliesSaves Families

At 12 months,At 12 months, not used in last 30 not used in last 30 daysdays

• 100% marijuana or prescription 100% marijuana or prescription drugs. drugs.

• 96% alcohol or other illegal drugs.96% alcohol or other illegal drugs.

• 74% tobacco. 74% tobacco.

Saves Families Saves Families (2)

Parents understandParents understand How to set goals

How to have more control of their lives

To think things through before taking action.

Saves Families Saves Families (3)

100% know it is important to 100% know it is important to recognize their feelings.recognize their feelings.

86% “Important to tell children 86% “Important to tell children you you love themlove them.”.”

80% understand how their addiction 80% understand how their addiction affected their childrenaffected their children

Saves Families Saves Families (4)

74% believe their children’s 74% believe their children’s ability to connect with safe people ability to connect with safe people has improved.has improved.

“ “Almost all” parents attended Almost all” parents attended an organized group where they an organized group where they felt accepted and respected.felt accepted and respected.

Saves Families Saves Families (5)

Children StateChildren State 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 people.friendships with safe people.

Alcohol and drug use (for them) is Alcohol and drug use (for them) is harmful. harmful.

Family InterventionsFamily Interventions Save Money Save Money

Cost per participant (40) Year I $ 990 Cost per participant (40) Year I $ 990 Year II $ 740Year II $ 740

Cost per child/month in Cost per child/month in child welfare system (CWS) child welfare system (CWS) **$ $

1,9451,945 including 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 ******$ $ 2,6002,600

Cost per month to house a youth at CYACost per month to house a youth at CYA $ 6,666$ 6,666

* California Child Welfare System – Child and Family Futures * California Child Welfare System – Child and Family Futures ** Edna McConnell Clark Foundation** Edna McConnell Clark Foundation***Legislative Analyst's Office, 2002-03 George Kita, Former Deputy District Attorney***Legislative Analyst's Office, 2002-03 George Kita, Former Deputy District Attorney

Strength - Based Strength - Based

Utilizing Current Utilizing Current ResearchResearch

Strength Based

Writing team.Writing team.

Teaching strategies Teaching strategies effective for individuals effective for individuals with cognitive deficits.with cognitive deficits.

Focus on children & Focus on children & families.families.

Empowers by teachingEmpowers by teaching Healthy living skillsHealthy living skills

Facts (ATOD, CD, Facts (ATOD, CD, DV), Risk and DV), Risk and Resiliency.Resiliency.

Strength Based

Integrates strategies Integrates strategies to break the cycles of to break the cycles of addiction and DV.addiction and DV.

Reinforces recovery.Reinforces recovery.

Asset Asset DevelopmentDevelopment

Positive Values:Positive Values:CaringCaringEqualityEquality

Social justiceSocial justiceIntegrityIntegrity

Responsibility.Responsibility.

Sense of personal Sense of personal power and power and identity.identity.

Sense of purposeSense of purpose..

Positive view of Positive view of life and world.life and world.

Asset Asset DevelopmentDevelopment

Social Social Competencies – Competencies – Healthy Living Healthy Living

Skills:Skills:

Planning/Decision Planning/Decision Making.Making.

Interpersonal Interpersonal Competence Competence

FeelingsFeelings Empathy Empathy FriendshipFriendship

Resistance.Resistance.

Family Risk Family Risk FactorsFactors

Lack of love, Lack of love, caring, and caring, and support.support.

Low expectations Low expectations for children.for children.

Lack of adult Lack of adult supervision. supervision. Severe or Severe or inconsistent inconsistent discipline.discipline.

Lack of family Lack of family rituals.rituals.

Family Risk Family Risk FactorsFactors

David Hawkins, Richard Catalano, David Hawkins, Richard Catalano, and D.M. Lisher, and D.M. Lisher,

Poor family Poor family management or management or communication.communication.

Sexual and physical Sexual and physical abuse.abuse.

Family history Family history (4x risk). (4x risk).

Parental drug use ORParental drug use OR Positive attitude.Positive attitude.

Individual Individual Risk FactorsRisk Factors

Friends who useFriends who use

Favorable attitudes Favorable attitudes toward drug usetoward drug use

Use prior to age 15 Use prior to age 15 increases the risk increases the risk two to five timestwo to five times

David Hawkins, Richard Catalano, and D.M. Lisher, University of David Hawkins, Richard Catalano, and D.M. Lisher, University of Washington, 1986. J. Howell, Juvenile Justice & Delinquency Washington, 1986. J. Howell, Juvenile Justice & Delinquency Prevention, US Dept. of Justice, 1995.[1] Dr. Hoover Adger, Prevention, US Dept. of Justice, 1995.[1] Dr. Hoover Adger, John Hopkins University, John Hopkins University, Time Time 6/18/016/18/01

Individual Individual Risk FactorsRisk Factors

Early antisocial behavior combined with withdrawal and/or hyperactivity

Alienation, rebelliousness, lack of social bonding

Early and persistent antisocial behavior - juvenile delinquency behavior precedes drug abuse, fighting and general aggressiveness

David Hawkins, Richard Catalano, David Hawkins, Richard Catalano,

Protective Protective FactorsFactors

Core Identity.Core Identity.

Boundaries.Boundaries.

Allocation of roles.Allocation of roles.

Problem Solving.Problem Solving.

Communication.Communication.

FAS FAS Protective Protective FactorsFactors

Stable, nurturing Stable, nurturing home (ages 8-12)home (ages 8-12)

Minimum Minimum household household changes (2.8 changes (2.8 years)years)

Protection from Protection from violence: violence: witnessing or witnessing or being victimized.being victimized.

ResilienceResilience

Development of Development of Autonomy:Autonomy: tendency to perceive tendency to perceive

experiences experiences constructively, even constructively, even if they cause pain if they cause pain and suffering.and suffering.

Sense of purpose Sense of purpose and future: and future: strong ability to use strong ability to use

faith in order to faith in order to maintain positive maintain positive vision of meaningful vision of meaningful lifelife. .

E. E. Werner, in S. Brown, E. E. Werner, in S. Brown, 2005.2005.

FAS FAS Protective Protective FactorsFactors

Early diagnosis Early diagnosis (before age of (before age of 6)6)

Early Early intervention intervention services.services.

Protective Protective Factors For Factors For All ChildrenAll Children

At least one caring At least one caring adult in child’s lifeadult in child’s life

Opportunities to Opportunities to contribute/help contribute/help othersothers

Social skills, Social skills, increasing increasing effectiveness at effectiveness at work, school and work, school and homehome

Self-disciplineSelf-discipline

Healthy Healthy ExperiencesExperiences

ResilienceResilience

Social Social competence:competence: ability to gain other ability to gain other

people’s positive attentionpeople’s positive attention Communication: Communication: Direct, Direct,

clear and containing a full clear and containing a full range of feelings.range of feelings.

Problem Solving Problem Solving Skills:Skills: active, evocative approach active, evocative approach

toward solving life’s toward solving life’s problemsproblems

E. E. Werner, in S. Brown, 2005.E. E. Werner, in S. Brown, 2005.

Family Family ResilienceResilience

Core Identity:Core Identity: attitudes, family rituals attitudes, family rituals and practices.and practices.

Boundaries:Boundaries: Clear Clear and appropriate rules. and appropriate rules.

Allocation of roles: Allocation of roles: Delegate functions Delegate functions appropriate to family appropriate to family member’s age, ability, member’s age, ability, and available time. and available time.

SCC Court DemographicsSCC Court Demographics

2003 children exiting court 2003 children exiting court jurisdiction :jurisdiction :

Reunification: 1,205Reunification: 1,205Adoption: 306Adoption: 306Legal Guardianship: 604Legal Guardianship: 604Subsidized guardianships: 231Subsidized guardianships: 231

SavingsSavings

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 increased

productivity.productivity.

University of California at Los Angeles (UCLA)University of California at Los Angeles (UCLA): : Health Services ResearchHealth Services Research. .

NY Times Magazine 2/10/02 RAND corporation NY 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, substance-free births, and child support:care, substance-free births, and child support:

$1,349,154 in public assistance, food stamps, $1,349,154 in public assistance, food stamps, Medicaid. 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 homes because of a parent's involvement in drug court. court.

$360,000 9 healthy babies born,. $360,000 9 healthy babies born,. $97,392. improved child support by graduates $97,392. improved child support by graduates

reducing public assistance payments. reducing public assistance payments. $15,000 in child support collected in arrears $15,000 in child support collected in arrears

paymentspayments. .

Study SourceStudy Source

Drug 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.

Population’s NeedsPopulation’s Needs

Children of Children of Alcoholics/AddictsAlcoholics/Addicts

Are Stressed Are Stressed

Difficult TemperamentDifficult Temperament Behavioral DisinhibitionBehavioral Disinhibition Hyperactivity or Rapid TempoHyperactivity or Rapid Tempo Autonomic Hyper- reactivityAutonomic Hyper- reactivity Rapid Brain Waves - alcohol medicatesRapid Brain Waves - alcohol medicates

Children of Alcoholics/Addicts Children of Alcoholics/Addicts (2)

Have Cognitive Dysfunctions Have Cognitive Dysfunctions High Visual-Spatial AbilitiesHigh Visual-Spatial Abilities Analytic AbilitiesAnalytic Abilities Kinesthetic TalentsKinesthetic Talents

More likely to be arrested as a More likely to be arrested as a juvenile 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, drugs and crime: a study of juveniles in detentionAlcohol, drugs 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 Addiction Are at Risk of Addiction

Different Liver Metabolism (quick Different Liver Metabolism (quick acetaldehyde build-up, drunk on little acetaldehyde build-up, drunk on little alcohol, lose control rapidly) alcohol, lose control rapidly)

2-18 x greater risk of addiction 2-18 x greater risk of addiction

COA/A’sCOA/A’sExperiencing AbuseExperiencing Abuse

Are often angry, antisocial, physically Are often angry, antisocial, physically aggressive and violent. aggressive and violent.

Can suffer from low self-esteem, Can suffer from low self-esteem, depression, hopelessness, suicide, depression, hopelessness, suicide, and self-mutilation. and self-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 Tend towards dangerous play and sexual promiscuity.sexual promiscuity.

At high risk of developing their At high risk of developing their own substance abuse. own substance abuse.

Likely to repeat the cycle of Likely to repeat the cycle of abuse and neglect. abuse and neglect.

Many are affected in utereo by their Many are affected in utereo by their parents alcohol/drug use.parents alcohol/drug use.

RResearch with esearch 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 5-25% had died by the time of 5-year follow upyear follow up

Mothers(2)Mothers(2)

80-85% had mental health issues: co-80-85% had mental health issues: co-morbid issues averaged 3-5 per birth morbid issues averaged 3-5 per birth MomMom

35% were children of alcoholics/35% were children of alcoholics/ addictsaddicts

20% had Fetal Alcohol Spectrum 20% had Fetal Alcohol Spectrum 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.