division of alcohol and substance abuse

Division of Alcohol and Division of Alcohol and Substance AbuseSubstance Abuse

Pregnant and Parenting Pregnant and Parenting Women (PPW) with Women (PPW) with

Chemical Dependency Chemical Dependency IssuesIssues

DASA Services in the DASA Services in the Prevention of FASDPrevention of FASD

What is FASD?What is FASD?Fetal Alcohol Spectrum DisordersFetal Alcohol Spectrum Disorders: the umbrella term for:: the umbrella term for:-Fetal Alcohol Syndrome (FAS)-Fetal Alcohol Syndrome (FAS)-Fetal Alcohol Effect (FAE)-Fetal Alcohol Effect (FAE)-Alcohol Related Neurological Disorders (ARND)-Alcohol Related Neurological Disorders (ARND)-other prenatal alcohol exposure related effects-other prenatal alcohol exposure related effects

These effects may include physical, mental, behavioral, These effects may include physical, mental, behavioral, developmental and/or learning disabilities with possible developmental and/or learning disabilities with possible lifelong implications. lifelong implications.

FASD are 100% preventable and occur when a pregnant FASD are 100% preventable and occur when a pregnant woman drinks alcohol during pregnancy. There is no safe woman drinks alcohol during pregnancy. There is no safe amount of alcohol consumption during pregnancy.amount of alcohol consumption during pregnancy.

What does What does DASADASA offer? offer?

Chemical dependency treatment for women that includes Chemical dependency treatment for women that includes the families, especially the babies and toddlers.the families, especially the babies and toddlers.

Intervention on a pregnant chemically dependent woman, Intervention on a pregnant chemically dependent woman, which may which may prevent a drug or alcohol exposed babyprevent a drug or alcohol exposed baby..

Intervention on a chemically dependent woman may Intervention on a chemically dependent woman may prevent an unintended pregnancy,prevent an unintended pregnancy, which could lead to a which could lead to a baby that is drug or alcohol exposed.baby that is drug or alcohol exposed.

Priority access into outpatient and residential chemical Priority access into outpatient and residential chemical dependency treatment services.dependency treatment services.

With Prevention and Treatment With Prevention and Treatment Funding:Funding:

Maternal drinking during the last 3 months of pregnancy Maternal drinking during the last 3 months of pregnancy was significantly reduced between 1993 and 1998 in was significantly reduced between 1993 and 1998 in Washington State. (PRAMS data)Washington State. (PRAMS data)

9393 94 94 95 95 96 96 9797 98 98 14.6% 7.8% 8.2% 8.3% 6.2% 3.9%14.6% 7.8% 8.2% 8.3% 6.2% 3.9%

Of the children placed in foster care (King County specific) Of the children placed in foster care (King County specific) from 1993 to 1998, there was significant reduction in the from 1993 to 1998, there was significant reduction in the number of children being born and diagnosed with Fetal number of children being born and diagnosed with Fetal Alcohol Syndrome.Alcohol Syndrome.

93 94 95 96 97 9893 94 95 96 97 98 6.7% 4.8% 0% 0% 2.2% 0%6.7% 4.8% 0% 0% 2.2% 0%

Source: Source: Fetal Alcohol Syndrome Diagnostic and Prevention NetworkFetal Alcohol Syndrome Diagnostic and Prevention Network

DASA ServicesDASA ServicesPPW Residential Chemical Dependency PPW Residential Chemical Dependency programsprograms 10 sites statewide, for a total of 148 beds.10 sites statewide, for a total of 148 beds.

PPW Housing Support Services programsPPW Housing Support Services programs 9 sites statewide, for a total of 143 support 9 sites statewide, for a total of 143 support services slots.services slots.

Outpatient chemical dependency Outpatient chemical dependency treatmenttreatment services, many specific to the needs services, many specific to the needs of PPW, that include on-site or off-site childcare.of PPW, that include on-site or off-site childcare.

Crisis NurseriesCrisis Nurseries in Yakima and King Counties. in Yakima and King Counties.

PPW Residential Housing Support Services DASA Supported Crisis Nursery

Parent–Child Assistance Program Safe Babies Safe Moms (TICM) PPW ServicesPPW Services

October 2004

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Whatcom

Snohomish

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King

®Kitsap

Pierce

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Yakima

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Grant

Benton Franklin

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Spokane

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Spokane

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PPW ResidentialPPW Residential

Chemical dependency treatment services for Chemical dependency treatment services for pregnant, postpartum, and parenting women.pregnant, postpartum, and parenting women.

Addresses the issues specific to women in Addresses the issues specific to women in relation to chemical dependency and their relation to chemical dependency and their children.children.

Service provision and length of stay is variable Service provision and length of stay is variable and is determined by the needs of the woman.and is determined by the needs of the woman.

Maximum length of stay is six months.Maximum length of stay is six months.

Therapeutic ChildcareTherapeutic Childcare

Developmental assessmentDevelopmental assessmentPlay therapyPlay therapyBehavioral modificationBehavioral modificationIndividual counselingIndividual counselingSelf esteem buildingSelf esteem buildingFamily intervention to modify parenting Family intervention to modify parenting behavior and/or the child’s environment to behavior and/or the child’s environment to eliminate/prevent the child’s dysfunctional eliminate/prevent the child’s dysfunctional behaviorbehaviorParent education and parenting planParent education and parenting plan

PPW Housing Support ServicesPPW Housing Support Services

Up to 18 months of housing support services for women Up to 18 months of housing support services for women who are pregnant, postpartum or parenting and for their who are pregnant, postpartum or parenting and for their children who reside in drug and alcohol free residences.children who reside in drug and alcohol free residences.

These services are classified as support services, rather These services are classified as support services, rather than treatment services.than treatment services.

Eligibility:Eligibility: PPW at the time they enter housing; andPPW at the time they enter housing; and Currently in treatment for chemical dependency or have Currently in treatment for chemical dependency or have

completed treatment in the last 12 months; andcompleted treatment in the last 12 months; and At or below 185% of the Federal Poverty Level at the time they At or below 185% of the Federal Poverty Level at the time they

enter housing; andenter housing; and Are not actively involved in using alcohol or other drugsAre not actively involved in using alcohol or other drugs

Crisis NurseriesCrisis Nurseries

Crisis nursery services to children of Crisis nursery services to children of parents with chemical dependency issues.parents with chemical dependency issues.

Care for children birth through six years of Care for children birth through six years of age, while their parents participate in age, while their parents participate in chemical dependency services.chemical dependency services.

Includes both day childcare and respite Includes both day childcare and respite care.care.

Other ServicesOther Services

Parent Child Assistance Program Parent Child Assistance Program (PCAP)(PCAP)Safe Babies Safe Moms (SBSM)Safe Babies Safe Moms (SBSM)Parent TrustParent TrustFASDPNFASDPNIceberg NewsletterIceberg NewsletterFAS*FRIFAS*FRICUPCUPFASIAWGFASIAWG

Parent Child Assistance Parent Child Assistance Program (Program (PCAPPCAP))

King, Pierce, Yakima, Cowlitz, Spokane, and Grant King, Pierce, Yakima, Cowlitz, Spokane, and Grant CountiesCounties

90 slots at each site, for a total of 450 statewide 90 slots at each site, for a total of 450 statewide (Spokane and Grant are considered one site)(Spokane and Grant are considered one site)

For the highest risk women who abuse alcohol For the highest risk women who abuse alcohol and/or drugs during pregnancy.and/or drugs during pregnancy.

These women are not successful or effectively These women are not successful or effectively engaged with community service providers.engaged with community service providers.

PCAP Services Include:PCAP Services Include:Paraprofessional advocacy services for up to the Paraprofessional advocacy services for up to the target child’s third birthday.target child’s third birthday.

Identification and prioritization of realistic goals, Identification and prioritization of realistic goals, steps to meet goals, and evaluation of progress steps to meet goals, and evaluation of progress towards goals.towards goals.

Referral to chemical dependency treatment, Referral to chemical dependency treatment, recovery, and follow-up, to include residential and recovery, and follow-up, to include residential and outpatient treatment.outpatient treatment.

Support for utilization of local resources.Support for utilization of local resources.

Provision of funds for food, unmet health needs, Provision of funds for food, unmet health needs, other necessities, and incentives as needed.other necessities, and incentives as needed.

Safe Babies Safe MomsSafe Babies Safe Moms

Snohomish, Benton-Franklin, and Snohomish, Benton-Franklin, and Whatcom CountiesWhatcom Counties260 slots statewide260 slots statewideFor the highest risk women who abuse For the highest risk women who abuse alcohol and/or drugs during pregnancy.alcohol and/or drugs during pregnancy.Comprehensive program that includes:Comprehensive program that includes: PPW Residential and Outpatient Chemical PPW Residential and Outpatient Chemical

Dependency TreatmentDependency Treatment PPW Housing Support ServicesPPW Housing Support Services Targeted Intensive Case Management (TICM) Targeted Intensive Case Management (TICM)

up to three years.up to three years.

Targeted Intensive Case Management Targeted Intensive Case Management – Safe Babies Safe Moms– Safe Babies Safe Moms

Intensive case management and behavior Intensive case management and behavior rehabilitative services for pregnant and parenting rehabilitative services for pregnant and parenting alcohol and drug abusing women.alcohol and drug abusing women.

For women who have a history of multiple system For women who have a history of multiple system involvement and need services of longer duration and involvement and need services of longer duration and greater intensity than women enrolled in or served by greater intensity than women enrolled in or served by other resources.other resources.

Children of these women may suffer from Children of these women may suffer from developmental disabilities and behavioral/emotional developmental disabilities and behavioral/emotional disorders that prevent them from functioning normally disorders that prevent them from functioning normally in their home, communities, and other settings.in their home, communities, and other settings.

TICM Services Include:TICM Services Include:

Milieu TherapyMilieu Therapy Activities with children to normalize their psychosocial Activities with children to normalize their psychosocial

development, promote safety, and stabilize their development, promote safety, and stabilize their environment. environment.

Crisis CounselingCrisis Counseling Immediate short term intervention to assist the Immediate short term intervention to assist the

mother/child in responding to the crisis and/or stabilizing mother/child in responding to the crisis and/or stabilizing the situation until problems can be addressed in the situation until problems can be addressed in regularly scheduled counseling or therapy sessions.regularly scheduled counseling or therapy sessions.

Regularly Scheduled Counseling and TherapyRegularly Scheduled Counseling and Therapy Work on specific dysfunctions identified in a continually Work on specific dysfunctions identified in a continually

updated formal service/treatment plan. Therapy may be updated formal service/treatment plan. Therapy may be individual or group setting and directed toward the individual or group setting and directed toward the mother, child, or family.mother, child, or family.

Parent TrustParent TrustFamily support groups for families recovering Family support groups for families recovering from chemical dependency.from chemical dependency.

Using a family support philosophy and creating Using a family support philosophy and creating community networks with family support community networks with family support agencies in participating communities.agencies in participating communities.

Develop and maintain Develop and maintain Families in RecoveryFamilies in Recovery groups, which provide family support and skills groups, which provide family support and skills development with specific focus on the parenting development with specific focus on the parenting and family issues of recovering families.and family issues of recovering families.

Available in most of the PPW residential chemical Available in most of the PPW residential chemical dependency treatment programs.dependency treatment programs.

Fetal Alcohol Syndrome Diagnostic Fetal Alcohol Syndrome Diagnostic and Prevention Network (and Prevention Network (FASDPNFASDPN))

Community and Professional Training – University Community and Professional Training – University of Washingtonof WashingtonRegional Network Site Training (Spokane, Yakima, Regional Network Site Training (Spokane, Yakima, Pullman, and Everett)Pullman, and Everett)

Trainings include:Trainings include: Fetal alcohol related diagnosis;Fetal alcohol related diagnosis; The roles in providing complex intervention needs for The roles in providing complex intervention needs for

individuals diagnosed as fetal alcohol related; individuals diagnosed as fetal alcohol related; How to identify birth mothers of children diagnosed with How to identify birth mothers of children diagnosed with

prenatal alcohol damage and assist them in avoiding prenatal alcohol damage and assist them in avoiding subsequent fetal alcohol exposed births by referral to subsequent fetal alcohol exposed births by referral to existing alcohol treatment and/or family planning existing alcohol treatment and/or family planning programs.programs.

FASDPN Trainees Will Learn:FASDPN Trainees Will Learn:What FAS and alcohol related brain damage is and how it is What FAS and alcohol related brain damage is and how it is diagnosed.diagnosed.

What services the FASDPN provides and how to utilize them.What services the FASDPN provides and how to utilize them.

What each professional’s role is in the referral, diagnostic, What each professional’s role is in the referral, diagnostic, and service provision process.and service provision process.

What information is needed to conduct a diagnostic What information is needed to conduct a diagnostic evaluation.evaluation.

Who benefits from a diagnostic evaluation.Who benefits from a diagnostic evaluation.

How to link birth mothers to community intervention How to link birth mothers to community intervention services.services.

Iceberg NewsletterIceberg Newsletter

IcebergIceberg is a quarterly international is a quarterly international educational newsletter on FASD educational newsletter on FASD (Fetal Alcohol Spectrum Disorders) (Fetal Alcohol Spectrum Disorders) published by the Fetal Alcohol published by the Fetal Alcohol Syndrome Information Services Syndrome Information Services (FASIS), a parent/professional (FASIS), a parent/professional partnership. partnership.

““Because the problems we readily see Because the problems we readily see are only the tip of the iceberg.”are only the tip of the iceberg.”

Fetal Alcohol Syndrome Fetal Alcohol Syndrome Family Resource Institute (Family Resource Institute (

FAS*FRIFAS*FRI))This service provides the citizens of the This service provides the citizens of the State of Washington a service dedicated to State of Washington a service dedicated to improving the lives of children and families improving the lives of children and families impacted by fetal alcohol exposure.impacted by fetal alcohol exposure.

This service is provided from the viewpoint This service is provided from the viewpoint of parents who have been directly affected of parents who have been directly affected by fetal alcohol exposure, whether they by fetal alcohol exposure, whether they are birth, adoptive, foster, grand, or step are birth, adoptive, foster, grand, or step parents.parents.

FAS*FRI Activities Include:FAS*FRI Activities Include:

TrainingTraining

AdvocatesAdvocates

Information and resourcesInformation and resources 1-800-999-34291-800-999-3429

Newsletter publisher (quarterly)Newsletter publisher (quarterly) FAS TimesFAS Times

Assists with FASD conference Assists with FASD conference planningplanning

Chemical Using Pregnant Chemical Using Pregnant (CUP) Detoxification(CUP) Detoxification

DSHS funded inpatient hospital program for acute DSHS funded inpatient hospital program for acute detoxification and medical stabilization of detoxification and medical stabilization of pregnant chemically dependent women and their pregnant chemically dependent women and their fetus.fetus.Provides both medical and drug/alcohol treatment Provides both medical and drug/alcohol treatment services at pre-approved hospitals statewide.services at pre-approved hospitals statewide.Available at:Available at:

Grays Harbor Community Hospital/AberdeenGrays Harbor Community Hospital/Aberdeen Swedish Medical Center/BallardSwedish Medical Center/Ballard Providence Medical Center/EverettProvidence Medical Center/Everett Valley General Hospital/MonroeValley General Hospital/Monroe St. Peter Hospital/LaceySt. Peter Hospital/Lacey

Fetal Alcohol Syndrome Fetal Alcohol Syndrome Interagency Workgroup (FASIAWG)Interagency Workgroup (FASIAWG)

Established by the Legislature in 1995Established by the Legislature in 1995Legislatively mandated state agencies that attend:Legislatively mandated state agencies that attend:

DSHS (DASA, CA, MA, JRA, DDD, MHD)DSHS (DASA, CA, MA, JRA, DDD, MHD) DOCDOC OSPIOSPI DOHDOH

The state agencies listed above executed an interagency The state agencies listed above executed an interagency agreement to ensure the coordination of identification, agreement to ensure the coordination of identification, prevention, and intervention programs for children who prevention, and intervention programs for children who have fetal alcohol exposure, and for women who are at high have fetal alcohol exposure, and for women who are at high risk of having children with fetal alcohol exposure.risk of having children with fetal alcohol exposure.A process for community advocacy groups to participate in A process for community advocacy groups to participate in the review and development of identification, prevention, the review and development of identification, prevention, and intervention programs administered or contracted for and intervention programs administered or contracted for by the agencies executing the agreement.by the agencies executing the agreement.

How to Access ServicesHow to Access Services

Direct admission into PPW Direct admission into PPW Residential or CUP sitesResidential or CUP sites

Can access through an ADATSA Can access through an ADATSA Assessment EntityAssessment Entity

PPW Resource GuidePPW Resource Guide

24 Hour Alcohol/Drug Helpline 24 Hour Alcohol/Drug Helpline 1-800-562-12401-800-562-1240

Additional InformationAdditional Information

Sue GreenSue Green

Women/Special Services LeadWomen/Special Services Lead

Division of Alcohol and Substance AbuseDivision of Alcohol and Substance Abuse

360-725-3732360-725-3732

[email protected]@dshs.wa.gov

WebsitesWebsites

DASA DASA http://www1.dshs.wa.gov/DASA/http://www1.dshs.wa.gov/DASA/

DASA Greenbook DASA Greenbook http://www1.dshs.wa.gov/DASA/services/certification/GB.shtmlhttp://www1.dshs.wa.gov/DASA/services/certification/GB.shtml

(directory of all DASA certified programs statewide)(directory of all DASA certified programs statewide)

FASDPN FASDPN http://depts.washington.edu/fasdpn/http://depts.washington.edu/fasdpn/

FASD Center for ExcellenceFASD Center for Excellence http://www.fascenter.samhsa.gov/http://www.fascenter.samhsa.gov/

FAS*FRI FAS*FRI http://www.fetalalcoholsyndrome.org/http://www.fetalalcoholsyndrome.org/

Iceberg Newsletter/FASISIceberg Newsletter/FASIS http://www.fasiceberg.org/http://www.fasiceberg.org/

Parent TrustParent Trust http://www.parenttrust.org/http://www.parenttrust.org/

PCAP PCAP http://depts.washington.edu/fadu/http://depts.washington.edu/fadu/

Washington State Alcohol/Drug ClearinghouseWashington State Alcohol/Drug Clearinghouse http://clearinghouse.adhl.orghttp://clearinghouse.adhl.org

Washington State Fetal Alcohol Spectrum DisordersWashington State Fetal Alcohol Spectrum Disorders http://www.fasdwa.orghttp://www.fasdwa.org(includes FASIAWG)(includes FASIAWG)

PPW Residential ProvidersPPW Residential ProvidersEvergreen Manor Evergreen Manor – Unit 1 (Everett)– Unit 1 (Everett)

Contact: Linda GrantContact: Linda Grant

(425) 258-2407 (425) 258-2407 [email protected]@evergreenmanor.org

Triumph Treatment ServicesTriumph Treatment Services: Casita del Rio : Casita del Rio (Kennewick)(Kennewick)

Contact: Beth DannhardtContact: Beth Dannhardt

(509) 248-1800 (509) 248-1800 [email protected]@triumphtx.org

Evergreen Manor Evergreen Manor – Unit 2 (Everett)– Unit 2 (Everett)



Triumph Treatment Services: Riel House Triumph Treatment Services: Riel House (Yakima)(Yakima)



Perinatal Treatment Services Perinatal Treatment Services (Tacoma)(Tacoma)

Contact: Vicky StarkContact: Vicky Stark

(253) 471-2782 (253) 471-2782 [email protected]@ptswa.org

Perinatal Treatment Services Perinatal Treatment Services (Seattle)(Seattle)

Contact: Kay SeimContact: Kay Seim

(206) 223-1300 (206) 223-1300 [email protected]@ptswa.org

Genesis House (Seattle)Genesis House (Seattle)

Contact: Jeff BottContact: Jeff Bott

(206) 328-0881 (206) 328-0881 [email protected]@genesishouse.com

Drug Abuse Prevention Center (Longview)Drug Abuse Prevention Center (Longview)

Contact: Gus NolteContact: Gus Nolte

Sundown M Ranch Sundown M Ranch (Selah)(Selah)

Contact: Scott MunsonContact: Scott Munson

(509) 457-0990 (509) 457-0990 [email protected]@sundown.org

New Horizon Care Centers: Isabella House New Horizon Care Centers: Isabella House (Spokane)(Spokane)

Contact: Fariba NikdelContact: Fariba Nikdel

(509) 624-1244 (509) 624-1244 [email protected]@newhorizoncarecenters.org

PPW Housing Support Services PPW Housing Support Services ProvidersProviders

Evergreen Manor Evergreen Manor (Everett)(Everett)



Triumph Treatment Services: Casita del Rio Triumph Treatment Services: Casita del Rio (Kennewick)(Kennewick)



Agape (Bremerton)Agape (Bremerton)

Contact: Robin Lund-KolpContact: Robin Lund-Kolp

(360) 373-1529 (360) 373-1529 [email protected]@netzero.net

Triumph Treatment Services: Sage House Triumph Treatment Services: Sage House (Yakima)(Yakima)



New Horizon Care Centers (Spokane)New Horizon Care Centers (Spokane)

Contact: Fariba NikdelContact: Fariba Nikdel

(509) 624-1244 (509) 624-1244 [email protected]@newhorizoncarecenters.org

Triumph Treatment Services: Parkway Place Triumph Treatment Services: Parkway Place (Yakima)(Yakima)



Recovery Centers of King County (Seattle)Recovery Centers of King County (Seattle)

Contact: Darlene BattlesContact: Darlene Battles

(206) 568-8231(206) 568-8231

Catholic Community Services (Everett)Catholic Community Services (Everett)

Contact: Marcia GlendenningContact: Marcia Glendenning

(425) 258-5277 (425) 258-5277 [email protected]@ccsww.org

Action Associations: Another Chance for Women Action Associations: Another Chance for Women (Tacoma)(Tacoma)

Contact: Tommie CebrunContact: Tommie Cebrun

(253) 572-8170 (253) 572-8170 [email protected]@aol.com

Drug Abuse Prevention Center (Longview)Drug Abuse Prevention Center (Longview)

Contact: Gus NolteContact: Gus Nolte

CUP ProvidersCUP Providers

Grays Harbor Community Hospital/Eastcenter Recovery Alcohol Grays Harbor Community Hospital/Eastcenter Recovery Alcohol and Drug Unit and Drug Unit (360) 533-8500(360) 533-8500

Swedish Medical Center/Ballard Community Hospital Addiction Swedish Medical Center/Ballard Community Hospital Addiction Recovery ServicesRecovery Services(206) 781-6350(206) 781-6350

Providence General Medical Center/Providence Recovery Program Providence General Medical Center/Providence Recovery Program - Behavioral Health Services- Behavioral Health Services(425) 258-7390(425) 258-7390

Valley General Hospital/Behavioral Health ServicesValley General Hospital/Behavioral Health Services(360) 794-1405(360) 794-1405

St. Peter Hospital/St. Peter Chemical Dependency CenterSt. Peter Hospital/St. Peter Chemical Dependency Center(360) 456-7575(360) 456-7575

AcronymsAcronymsADATSAADATSA Alcoholism and Drug Addiction Treatment and Support ActAlcoholism and Drug Addiction Treatment and Support ActCACA Children’s AdministrationChildren’s AdministrationCUPCUP Chemical Using PregnantChemical Using PregnantDASADASA Division of Alcohol and Substance AbuseDivision of Alcohol and Substance AbuseDDDDDD Division of Developmental DisabilitiesDivision of Developmental DisabilitiesDOCDOC Department of CorrectionsDepartment of CorrectionsDOHDOH Department of HealthDepartment of HealthDSHSDSHS Department of Social and Health ServicesDepartment of Social and Health ServicesFAEFAE Fetal Alcohol EffectFetal Alcohol EffectFASFAS Fetal Alcohol SyndromeFetal Alcohol SyndromeFASDFASD Fetal Alcohol Spectrum DisordersFetal Alcohol Spectrum DisordersFASDPNFASDPN Fetal Alcohol Syndrome Diagnostic and Prevention NetworkFetal Alcohol Syndrome Diagnostic and Prevention NetworkFAS*FRIFAS*FRI Fetal Alcohol Syndrome Family Resource InstituteFetal Alcohol Syndrome Family Resource InstituteFASIAWGFASIAWG Fetal Alcohol Syndrome Interagency WorkgroupFetal Alcohol Syndrome Interagency WorkgroupFASISFASIS Fetal Alcohol Syndrome Information ServicesFetal Alcohol Syndrome Information ServicesJRAJRA Juvenile Rehabilitation AdministrationJuvenile Rehabilitation AdministrationMAMA Medical AssistanceMedical AssistanceMHDMHD Mental Health DivisionMental Health DivisionOSPIOSPI Office of the Superintendent of Public InstructionOffice of the Superintendent of Public InstructionPCAPPCAP Parent Child Assistance ProgramParent Child Assistance ProgramPPWPPW Pregnant and Parenting WomenPregnant and Parenting WomenSBSMSBSM Safe Babies Safe MomsSafe Babies Safe MomsTICMTICM Targeted Intensive Case ManagementTargeted Intensive Case Management

division of alcohol and substance abuse

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