identifying effective substance use disorder treatment for ... · three specifics related to...

NADCP 2018 | Houston, TXAdvancing Justice for All Families

Theresa Lemus, National Center on Substance Abuse and Child Welfare| June 1, 2018

What Does Quality Treatment Look Like? Identifying Effective Substance Use Disorder Treatment for Families

A program funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Administration for Children and Families (ACF), Children’s Bureau

www.ncsacw.samhsa.gov | [email protected]

Acknowledgement

Bringing Systems Together for Family Recovery, Safety and Stability

Learning Objectives Identify key elements of quality

substance use treatment for families affected by substance use disorder.

Learn about treatment and recovery processes, and how they impact family well-being and court cases.

Identify strategies and opportunities for judicial leaders to partner with substance use treatment providers to better serve families.

All Treatment Courts are Family Courts…

when their clients include parents with children

Recovery Occurs in the Context of the Family

• Substance use is a disease that affects the family

• Adults (who have children) primarily identify themselves as parents

• The parenting role and parent-child relationship cannot be separated from treatment

• Adult recovery should have a parent-child component including prevention for the child

Source: ASPE Research Brief (2018). Substance use, the opioid epidemic, and the child welfare system: Key Findings from a mixed methods study. Retrieved from https://aspe.hhs.gov/system/files/pdf/258836/SubstanceUseChildWelfareOverview.pdf

ASPE Research Brief. (2018). The relationship between substance use indicators and child welfare caseloads. Retrieved from https://aspe.hhs.gov/system/files/pdf/258831/SubstanceUseCWCaseloads.pdf

Change is Good

The Families First Prevention Services ActFebruary 2018

Three specifics related to Substance Abuse and Mental Health Services Allowing Title IV-E funds to reimburse states for substance use and mental health prevention and treatment services

Foster Care Maintenance Funding can go directly to Family Residential Substance Use Disorder Treatment Effective October 1, 2018

Use of Title IV-E Funds for substance abuse treatment, mental health services and parenting to prevent child placement in out-of-home care Effective October 1, 2019

Reauthorization of Regional Partnership Grants

Brain Science of Addiction

We know more about

Diagnosing Substance Use Disorders: DSM 5 Criteria

1. Impaired Control

Larger amounts or over a longer time than originally intended

Persistent desire to cut down

A great deal of time spent obtaining the substance

Intense craving

3. Risky Use

Recurrent use in situations physically hazardous

Continued use despite persistent physical or psychological problem that is likely to have been caused or exacerbated by use

Mild2-3 Criteria

Moderate4-5 Criteria

Severe6+ Criteria

4. Pharmacological Criteria

Tolerance: Need for markedly increased dose to achieve the desired affect

Withdrawal: Syndrome that occurs when blood or tissue concentrations of a substance decline in an individual who had maintained prolonged heavy use

2. Social Impairment

Failure to fulfill work or school obligations

Recurrent social or interpersonal problems

Withdraw from social or recreational activities

10

ASAM Definition“Addictionisaprimary,chronicdiseaseofbrainreward,motivation,memoryandrelatedcircuitry.Dysfunctioninthesecircuitsleadstocharacteristicbiological,psychological,socialandspiritualmanifestations.Thisisreflectedinanindividualpathologicallypursuingrewardand/orreliefbysubstanceuseandotherbehaviors.”

AdoptedbytheASAMBoardofDirectors4/12/2011

A Chronic, Relapsing Brain Disease

Brain imaging studies show physical changes in areas of the brain that are critical to:

• Judgment

• Decision making

• Learning and memory

• Behavior control

These changes alter the way the brain works and help explain the compulsion and continued use despite negative consequences

Substance Use Disorders and Other Chronic Conditions

JAMA, 284:1689‐1695, 2000

0

20

40

60

80

100

40-60% 30-50%50-70% 50-70%

SUDs Type 1 Diabetes Hypertension Asthma

Comparison of Relapse Rates

%of Patients W

ho Relapse

These images of the dopamine transporter show the brain’s remarkable potential to recover, at least partially,

after a long abstinence from drugs - in this case, methamphetamine.9

Brain Recovery with Prolonged Abstinence

Healthy Person Meth Abuser1 month abstinence

Meth Abuser14 months abstinence

Substance use disorders are preventable and treatable Discoveries in the science of addiction have led to advances

in substance use treatment that help people stop abusing drugs and resume productive lives Treatment enables people to counteract addiction's powerful

disruptive effects on the brain circuitry and behavior and regain areas of life function Successful substance use treatment is highly individualized

and entails: Medication Behavioral Interventions Peer Support

‐ Dr. Nora Volkow, National Institute on Drug Abuse

"Groundbreaking discoveries about the brain have revolutionized our understanding of addiction, enabling us to respond effectively to the problem"

Longo, D.L. (2016). Neurobiological Advances from the Brain Disease Model of Addiction. The New England Journal of Medicine, 374, 372-386.

A Treatable Disease

The impact on child development is well known: substance use

disorders weaken relationships –which are critical to healthy

development

Substance Use Disorders as a Family Disease

Child well-being is about relationships that ensure family

well-being

= Severe Family DisruptionImpact of substance use

combined with added trauma

Parental substance use affects the whole

family

Psycho-social impact

Impact on parenting

Generational impact

Developmental impact

• How do the collaborative partners view the disease of substance use disorders?

• How does your jurisdiction respond to continued use and relapse?

• Is there a coordinated, collaborative response to continued use for parents in treatment?

Questions to Ask

“Here’s a referral, let me know when you get into treatment.”

“They’ll get into treatment if they really want it.”

“Don’t work harder than the client.”

“Call me Tuesday.”

Missed Opportunities

Substance Use Disorders

Common Perceptions

• Once an addict, always an addict

• They don’t really want to change

• They lie

• They must love their drug more than their child

• If they really wanted it they would just stop

• They need to get to rock bottom, before…

Understanding How People Change

Effective Substance Use Disorder Treatment

National Institute on Drug Abuse, 2012

• Is readily available

• Attends to multiple needs of the individual (vs. just the drug abuse)

• Uses engagement strategies to keep clients in treatment

• Uses counseling, behavioral therapies (in combination with medications if necessary)

• Addresses co-occurring conditions

• Uses continuous monitoring

1. Addiction is a chronic disease that requires long-term management

2. Addiction is a complex but treatable disease that affects brain function and behavior

3. No single treatment is appropriate for everyone

4. Treatment needs to be readily available

5. Effective treatment attends to multiple needs of the individual

6. Remaining in treatment for an adequate period of time is critical

7. Behavioral therapies are the most commonly used forms of drug abuse treatment

8. Medications are an important element of treatment for many patients, especially when combined with counseling and other behavioral therapies

9. An individual’s treatment and services plan must be continually assessed and modified

10.Many drug-addicted individuals also have other mental disorders

11.Medically assisted detoxification is only the first stage of addiction treatment

12.Treatment does not need to be voluntary to be effective

13.Drug use during treatment must be monitored continuously as lapses do occur

14.Treatment programs should test patients for infectious diseases

National Institute on Drug Abuse (Revised January 2018). Principles of Drug Addiction Treatment: A Research‐Based Guide. (Third Edition). Bethesda, MD: National Institutes of Health; U. S. Department of Health and Human Services.

Principles of Effective Drug Addiction Treatment: A Research Based Guide

Early Identification, Screening, and Brief Intervention Done at earliest point possible

Continuing Care and Recovery Support

Help parents sustain recovery, maintain family safety and stability

Timely and Appropriate Substance Use Disorder Treatment

Address substance use disorder and co‐occurring issues

Comprehensive Assessment

Determine extent and severity of disease

Via medically supervised detoxification, when necessary

Stabilization

Overview of the Treatment Processes

The best treatment programs provide a

combination of therapies and other services to meet the needs of the

individual patient.

Full Spectrum of Treatment and Services

ASAM Criteria & Continuum of Care

ASAM

Questions to Ask

• Does the treatment program use a standardized, valid, and reliable substance use assessment tool?

• How are clients matched to the appropriate level of care?

• How often are clients reassessed to meet their changing treatment plan needs?

EBPs for trauma survivors:• Addiction and Trauma Recovery Integration Model (ATRIUM)

• Essence of Being Real

• Risking Connection

• Sanctuary Model

• Seeking Safety

• Trauma, Addictions, Mental Health, and Recovery (TAMAR) Model

• Trauma Affect Regulation: Guide for Education and Therapy (TARGET)

• Trauma Recovery and Empowerment Model (TREM and M-TREM)

Treatment Should be Evidence-Based

Medication Assisted Treatment (MAT)

A variety of medications are used to complement substance use treatment for different types of substance use disorders including:

• Tobacco

• Alcohol

• Opioids

• Methadone, Buprenorphine,

Naltrexone, Naloxone

Prescribers of medication determine the appropriate type of medication, dosage and duration based on each person’s:

• Biological makeup

• Addiction history and severity

• Life circumstances and needs

Fullerton, C.A., et al. November 18, 2013. Medication‐Assisted Treatment with Methadone: Assessing the Evidence. Psychiatric Services in Advance; doi: 10.1176/appi.ps.201300235The American College of Obstetricians and Gyneocolgoists. (2012) Committee Opinion No. 524: Opioid Abuse, Dependence, and Addiction in Pregnancy. Obstetrics & Gynecology, 119(5), 1070‐1076. Dolan, K.A., Shearer, J., White, B., Zhou, J., Kaldor, J., & Wodak, A.D. (2005). Four‐year follow‐up of imprisoned male heroin users and methadone treatment: Mortality, reincarceration and hepatitis C infection. Addiction, 100(6), 820–828. Gordon, M.S., Kinlock, T.W., Schwartz, R.P., & O’Grady, K.E. (2008). A randomized clinical trial of methadone maintenance for prisoners: Findings at 6 months post‐release. Addiction, 103(8), 1333–1342. Havnes, I., Bukten, A., Gossop, M., Waal, H., Stangeland, P., & Clausen, T. (2012). Reductions in convictions for violent crime during opioid maintenance treatment: A longitudinal national cohort study. Drug and Alcohol Dependence, 124(3), 307–310. Kinlock, T.W., Gordon, M.S., Schwartz, R.P., & O’Grady, K.E. (2008). A study of methadone maintenance for male prisoners: Three‐month post release outcomes. Criminal Justice & Behavior, 35(1), 34–47.

MAT Cont.

As part of a comprehensive treatment program, MAT has been shown to:• Increase retention in treatment

• Decrease illicit opiate use

• Decrease criminal activities, re-arrest and re-incarceration

• Decrease drug-related HIV risk behavior

• Decrease pregnancy related complications

• Reduce maternal craving and fetal exposure to illicit drugs


Combating Stigma

Affects the attitudes of…• Medical and healthcare professionals• Social service agencies and workers• Families and friends

• Creates barriers to treatment, and access to programs

• Influences criminal justice policies


Barriers to MAT Treatment

• Lack of coverage for medication

• Lack of availability

• Stigma

• MAT availability for justice-involved individuals

Questions to Ask

• Are there policies or practices in place that are barriers to accessing MAT?

• Is MAT available to an expectant mother? How does your jurisdiction respond to individuals on MAT?

Principles of Family-Centered Treatment

Treatment is comprehensive and inclusive of substance use disorder, clinical support services, and community supports for parents and their families

Families are dynamic, and thus treatment must be dynamic

The caretaker defines “family” and treatment identifies and responds to the effect of substance use disorders on every family member

Cross-system coordination is necessary to meet complex family needs

Conflict within families is resolvable, and treatment builds on family strengths to improve management, well-being, and functioning

Principles of Family-Centered Treatment

Family-centered treatment requires an array of professionals and an environment of mutual respect and shared training

Safety of all family members comes first

Treatment must support creation of healthy family systems

Services must be gender- and culturally responsive

Family Engagement and Ongoing Support

Ensure family treatment and recovery success by:

• Understanding, changing and measuring the cross-system processes for referrals, engagement and retention in treatment

• Recruiting and training staff who specialize in outreach and motivational (i.e. Motivational Interviewing) approaches and who monitor processes of recovery and aftercare

• Jointly monitoring family progress through a combination of case management, coordinated case planning, information sharing, timely and ongoing communication

• Aftercare, Community and Family Supports, and Alumni Groups

5 Signs of Quality Treatment

• The program is licensed or certified

• Is in good standing and

• staff are qualified and receive training

1 Accreditation

Finding Quality Treatment for Substance Use Disorders

The program offers FDA-approved medication or recovery from alcohol and opioid use disorders

2 Medication



The program offers treatments that are proven to be effective


3 Evidence-Based

Practices

Source: Finding Quality Treatment for Substance Use Disorders

The program includes family members in the treatment process


4 Families


The program provides ongoing treatment and supports beyond the substance issues


5 Supports


Questions to Ask

• Does the program conduct satisfaction surveys?

• Does the program offer FDA approved MAT?

• Does the program provide or help obtain medical care for physical health issues?

• Does the program include family members in the treatment process?

• Does the program provide ongoing treatment and supports beyond treatment for SUDs?

• “Tough love”- in the hopes that they will hit rock bottom and wanting to change their life.

• Collective knowledge in the community is to “cut them off, kick them out, or stop talking to them.”

• Addiction as a disease of isolation

Rethinking Treatment Readiness

Re-thinking “Rock Bottom”

• Getting off on an earlier floor• Has realistic expectations and

understands both the neuro-chemical effects on people with substance related and addiction disorders and difficulties and challenges of early recovery

• Readiness • Recovery occurring in the context of

relationships

“Raising the bottom”

What is recovery?

“Recovery is a process of change through which individuals improve their health and wellness, live self-directed lives, and strive to reach their full potential.” Access to evidence-based substance use disorder treatment and recovery support services are important building blocks to recovery.

SAMHSA’s Working Definition

SAMHSA

The Impact of Recovery Support

• Recovery Support Specialists

• Family-Centered Services

• Evidence-Based Parenting

• Successful Visitation

• Evidence-Based Treatment

• Reunification Groups

• Ongoing Support

Liaison• Links participants to ancillary supports; identifies

service gapsTreatment Broker

• Facilitates access to treatment by addressing barriers and identifies local resources

• Monitors participant progress and compliance• Enters case data

Advisor• Educates community; garners local support• Communicates with FDC team, staff and service

providers

Functions of Recovery Support Specialists

Comprehensive Screening & Assessment

Positive Outcomes

Early Access to Treatment

Recovery Coach

Ryan, Perron, Moore, Victor & Park (2017) “Timing matters: A randomized control trial of recovery coaches in foster care, Journal of Substance Abuse Treatment (77): 178‐184.

A Randomized Control Trial – Cook County, IL (n=3440)

Recovery Support Matters

Ensure aftercare and recovery success beyond FDC and CWS participation:• Personal Recovery Plan – relapse prevention, relapse• Peer-to-peer support – alumni groups, recovery groups• Other relationships – family, friends, caregivers, significant others• Community-based support and services – basic needs (childcare,

housing, transportation), mental health, physical health and medical care, spiritual support

• Self-sufficiency – employment, educational and training opportunities

Aftercare and Ongoing Support

Questions to Ask

• Is there a formal aftercare phase as part of the treatment continuum?

• What type of continuing care (including relapse prevention and recovery supports) are provided during and after treatment. How long is involvement in continued care monitored?

• How long is continuing care available and required after treatment discharge?

Focusing only on parent’s recovery without addressing the needs of children…

can threaten parent’s ability to achieve and sustain recovery and establish a healthy relationship with their children, thus risking: Recurrence of maltreatment Re-entry into out-of-home care Relapse and sustained sobriety Additional substance-exposed infants Additional exposure to trauma for

child/family Prolonged and recurring impact on child

well-being

Parents’ recovery must occur in the context of family relationships

Rethinking Family Recovery

Services that strengthen families and support parent-child relationships helps keep children safe

Continuum of Family-Based Services

Parent’s Treatment With Family Involvement

Services for parent(s) with substance use disorders. Treatment plan includes family

issues, family involvement

Goal: improved outcomes for parent(s)

Parent’s Treatment with

Children Present

Children accompany parent(s) to

treatment. Children participate in child care but receive no

therapeutic services. Only parent(s) have treatment plans

Goal: improved outcomes for parent(s)

Parent’s and Children’s Services

Children accompany parent(s) to

treatment. Parent(s) and attending children have

treatment plans and receive appropriate

services.

Goals: improved outcomes for parent(s) and children, better

parenting

Family Services

Children accompany parent(s) to treatment;

parent(s) and children have

treatment plans. Some services provided to other family members

Goals: improved outcomes for parent(s) and children, better

parenting

Family-Centered Treatment

Each family member has a treatment plan and receives individual and family services.

Goals: improved outcomes for

parent(s), children, and other family members; better parenting and

family functioning

Continuum of Family-Based Services

Engagement of Fathers in Family-Based Services

• Make father engagement a priority• Identify and locate fathers as early as possible• Ensure quality father-child visits• Ensure fathers receive gender-responsive services• Ensure that treatment is gender-responsive

A Family Focus

Parent RecoveryParenting skills and

competenciesFamily connections and

resourcesParental mental health

Medication management

Parental substance useDomestic violence

Family Recovery and Well-beingBasic necessities

EmploymentHousing

Child careTransportation

Family counselingSpecialized Parenting

Child Well-beingWell-being/behavior

Developmental/healthSchool readiness

TraumaMental health

Adolescent substance abuse

At-risk youth prevention

Developmental & behavioral screenings

and assessments

Quality and frequent visitation

Early and ongoing peer recovery support

Parent-child relationship-based interventions

A Family Focus: Parent and Child Service Components

Evidence-based parenting programs

Trauma-informed care

Community and auxiliary supports

Family-Centered Treatment and Completion

• A study conducted in a residential treatment program for women and their children found that that mothers who participated in the Celebrating Families! Program and received improved integrated case management system showed significant improvements in recovery, including reduced mental health symptoms, reduction in risk behaviors, and longer program retention (Zweben et al., 2015).

• Women who participated in programs that included a “high” level of family and children’s services and employment/education services were twice as likely to reunify with their children as those who participated in programs with a “low” level of these services. (Grella, Hser & Yang, 2006).

• Retention and completion of treatment have been found to be the strongest predictors of reunification with children for parents with substance use disorders. (Green, Rockhill, & Furrer, 2007; Marsh, Smith, & Bruni, 2010).

Treatment Outcomes

Reduce the major symptoms of the illness

Improve health and social functioning

Teach and motivate individuals to monitor their condition and manage threats of relapse

Treatment Outcomes

Facing addiction in America: The Surgeon general’s report on Alcohol, drug, and health

Questions to Ask

• What services are provided to address the specific needs of children and other family members?

• Can children accompany their parent to treatment? If so, are there any restrictions on age and number of children?

• What evidence-based parenting or family strengthening programs are provided?

Q&Aand Discussion

Resources

Download Resource: Substance Use Disorder Treatment

Designed to help CWS and Court professionals increase their knowledge of effective treatment

• Part 1: Overview of Effective Treatment

• Part 2: DiscussionTo download:

https://www.ncsacw.samhsa.gov/files/Quality_Treatment_Guiding_Questions_March2017_508.pdf

Download Resource: Finding Quality Treatment for

Substance Use Disorders

This fact sheet provides a list of the five signs of a quality treatment center

To download: https://store.samhsa.gov/product/PEP18-TREATMENT-LOC

View and Discuss FDC Learning Academy Webinars

Each presentation is 30 minutes long and includes a Team Discussion Guide

Parent‐Child Relationships Supporting Families in Family Drug Courts for Recovery, Reunification and Permanency

Screening & AssessmentHow Effective FDCs Match Service to Need

Visit @www.familydrugcourts.blogspot.com

https://www.ncsacw.samhsa.gov/

Additional Resources

1. Understanding Substance Abuse and Facilitating Recovery: A Guide for Child Welfare Workers

2. Understanding Child Welfare and the Dependency Court: A Guide for Substance Abuse Treatment Professionals

3. Understanding Substance Use Disorders, Treatment and Family Recovery: A Guide for Legal Professionals

NCSACW Online Tutorials

Free CEUs!

Updated September 2015: New content including updates on

opioids and Family Drug Courts!

https://ncsacw.samhsa.gov/training/default.aspx

Contact the NCSACW TTA Program

• Connect you with programs that are developing tools and implementing practices and protocols to support their powerful collaborative

• Training and technical assistance to support collaboration and systems change

[email protected]@

Session Name: __________________________________Presenter Name(s):__________________________________During this session, I identified the following immediate action steps that I can take in my role as a leader/champion in my state or jurisdiction to advance the FDC movement:

1)_____________________________2)_____________________________3)_____________________________

LEADERS CALL TO ACTION!

Contact Information

Theresa Lemus, M.B.A., B.S.N., R.N., [email protected]

Visit our table in the Exhibit Hall

Bringing Systems Together for Family Recovery, Safety and Stability

Children and Families Program

#nadcp

#forallfamilies #TakingAction4Families

#CFFStrengtheningPartnershipsImprovingFamilyOutcomes

www.cffutures.org www.nadcpconference.org

NADCP ANNUALTRAINING CONFERENCE

May 30 - June 2, 2018 | Houston, Texas

Advancing Justice for all

Children and Families

A c k now led g ement: This proj ec t w as supported by G rant # 2 0 1 6 - D C- B X - K 0 0 3aw ard ed by the O ffic e of J uvenile J ustic e and D elinq uenc y P revention, O ffic e ofJ ustic e P rog rams, U . S . D epartment of J ustic e. The opinions, find ing s, and c onc lusionsor rec ommend ations ex pressed in this public ation/ prog ram/ ex hibition are those ofthe author( s) and d o not nec essarily reflec t those of the D epartment of J ustic e.

Welcome

1994

2004

2007

Welcome to Houston - the city of champions (see#AstrosWSChamps) and strength and resiliency (see#HoustonStrong). This is a perfect place to convene thelargest gathering of drug court professionals.

The Center for Children and Family Futures and theNational Association of Drug Court Professionals areexcited to partner once again to develop workshops andplenary sessions focused on better meeting the needs ofchildren and families. These sessions will cut across alltypes of drug courts to bring a family-focus to treatmentand recovery. This year we also begin to exploreopportunities to take on a "new approach" by takingwhat works in Family Treatment Courts (FTCs) intoserving the larger child welfare population in acontinuum of care. The vision is that FTCs be part oflarger systems change in their states and communities sothat all families can have access to the services andsupports they need to successfully achieve recovery andfamily safety.

The vision is big because the need is huge. We continueto see an increase in the foster care population,particularly infants affected by parental substance use. The opioid epidemic is drawing both public attention andfederal resources to address this national tragedy. In themost recent appropriations, the Substance Abuse andMental Health Services Administration (SAMHSA) willbe funding over $70 million dollars in drug courts. Funding will also be provided to support states meet therequirements of the Child Abuse Prevention andTreatment Act (CAPTA), which includes the developmentof Plans of Safe Care for infants and their family/caregivers. The Families First Prevention Services Act(2018) was recently enacted and makes landmarkchanges to federal child welfare financing. Thisimportant piece of legislation will allow for federal TitleIV-E dollars to reimburse states for substance use andmental health prevention and treatment services forfamilies with children at imminent risk of being placed infoster care. These federal investments and legislativeaction will certainly open opportunities for the drugcourt field, including FTCs and their partner agencies.

But with added resources comes added responsibilityand accountability. For the FTC field, this meansadhering to quality implementation and evidence-basedpractices and examining issues of inclusion and equity inits programs. The FTC model was designed to mitigatethe poor outcomes of families previously marginalized asa result of their substance use. Going forward, it isimperative that FTCs move beyond operating as set-asideprojects and separate from the larger court, treatment,and child welfare systems. FTCs like all drug courts areproblem-solving courts. By focusing on becoming part ofthe solution rather than contributing to existingproblems, FTCs will ensure that they will seize theopportunity and leverage expanded resources to serve allchildren and families.

We encourage you to read the National Strategic Plan forFamily Drug Courts released in March 2017. The Planoffers a roadmap for a coordinated national strategy toenhance and expand the FTC model to reach morechildren and families. Each of the presentations in theChildren and Families track will connect to the Plan'sgoals. Session attendees will be encouraged to completea Call to Action Card to help direct their next steps. Wehope you find this Children and Families Program helpful asyou plan your conference session attendance and takewhat you learned back to your community.

We have resources and a roadmap to achieve the bigvision "for all families." We need champions, leadership,and every one of us to bring hope and promise to everycommunity. After these few days in Houston, we want tohear about the steps you are taking to realize the FTCvision in your communities. Please be in touch with usand thank you for all you do for our nation's children andfamilies.

2002

First Family Drug Courtestablished in Reno, NV

Six Family DrugCourt ingredients

identified

Federal funding forFamily Drug Courts,including Office ofJuvenile Justice andDelinquency Prevention,Substance Abuse andMental Health ServicesAdministration,Children's Bureau

Programimprovements -children’sservices,trauma,evidence-basedprogramming

Phil Breitenbucher, MSW Director of the National Family Drug Court

Training and Technical Assistance Program

Terrence Walton, MSW. CSAC Chief Operating Officer, National

Association of Drug Court Professionals

This conference will spotlight innovative leadershipthat brings systems together to help children andparents. The challenge from here forward, as youreturn home, is to assess how well your collaborativecourts are moving in that direction—and how toaccelerate that progress.

Good luck on your journey!

2018

Drug courts are about serving families, whether ornot they are family treatment courts, because asizable segment of every drug court includesparents. And when parents are involved with thejustice system and treatment systems, their childrenare often affected in ways that can last a lifetime.

Serving all families in drug court requires the kind ofleadership that acts beyond the boundaries of asingle project. Families in the child welfare systemwho are affected by substance use disorders needhelp from whole systems, not just isolated projects.

That kind of leadership demands specific strategiesthat respond to entire systems—the court system,the treatment system, the child welfare system, andthe other child- and family-serving systems that canwork together as a team. The kind of leadership thatcan move systems toward change has been visible inthe most outstanding drug courts in the nation.

Asking about children in the caseload—caring enoughto count the whole family

Setting goals that can be measured as part of adashboard or score card that the collaborative courtteam uses as guideposts that measures not whatagencies are doing, but whether families are doingbetter

Using benchmark outcomes in the “business as usual”system to ask are we producing better results inreunification, remaining at home, recovery, re-entry,and re-occurrence—which can be summarized as “the5Rs”

Preparing sustainability plans that ask the questionwhat results do we need to prove to justify continued andexpanded funding for our collaborative court, andemphasizing to all partners in the collaborative courtthat accountability for better results means fidelity tonational standards in staffing, data capacity, andevaluation of the impact on children and families.

Common strategies include:

2017

2013

.

2014

2010

Family DrugCourt Standards

(planned releasein Fall 2018)

450 Family DrugCourts inoperatonnationwide

Statewide SystemsImprovement initiatives;Prevention and FamilyRecovery (privatefoundation-funded)

Family DrugCourt Guidelinespublished

Continued federally-funded initiatives,including ChildrenAffected byMethamphetamines

For All Children and Families

by Sidney L. Gardner, MPA, MA President, Center for Children

and Family Futures

What is it? On February 9, 2018, the Family First Prevention Services Act (FFPSA), as part of Division E ofthe Bipartisan Budget Act of 2018 (H.R. 1892) wassigned into law. The bill makes historic changes to federal child welfare financing, including allowing, forthe first time, federal Title IV-E dollars to reimbursestates for substance use and mental health preventionand treatment services for children at imminent risk ofbeing placed in foster care and their families.

There are three areas of FFPSA that relate to familiesaffected by substance use and mental health services:

What YouNeed to Know

Family First PreventionServices Act (2018)

How can I learn more? On April 12, 2018, the Children'sBureau of the Administration for Children and Familiesreleased an Information Memorandum (IM) providinginformation on Family First Act (PL 115-123). Please visit:https://www.acf.hhs.gov/cb/resource/im1802

For more information, please contact your assigned RegionalProgram Managers of the Children Bureau (see AttachmentD of the IM)

For information on child welfare financing, Child Trends hascreated an infographic Child Welfare Financing 101(December 2017). To download, visit:

https://www.childtrends.org/wp-content/uploads/2017/12/ChildWelfareFinancing_Childtrends_December2017.pdf

Reimbursement for Family Residential SubstanceUse Disorder Treatment - Beginning October 1,2018, states can receive Title IV-E reimbursementfor up to 12 months for a child who has beenplaced with a parent in a licensed residentialfamily-based treatment facility for substanceabuse, provided that the child's case planrecommends this placement, the facility providesparenting skills training and individual and familycounseling, and the treatment services be trauma-informed.

Reauthorization of Regional Partnership Grants -FFPSA extends the RPG program in the Title IV-B,Subpart through FY2021 and makes some changesto the program effective October 1, 2018.

Use of Title IV-E Funds to Prevent ChildPlacement in Out-of-Home Care - BeginningOctober 1, 2019, states will have the option to useTitle IV-E funds for prevention services forchildren who are considered “candidates” forfoster care – meaning, at imminent risk of enteringfoster care but able to safely remain at home or ina kinship placement if provided services. Thisincludes children whose adoption or guardianshiparrangement is at risk of disruption, and it includesyoung people in foster care who are pregnantand/or parenting. Parents or kin caregivers ofthese young people are also eligible to receiveservices.

Title IV-E dollars can only be used to provide services for amaximum of 12 months beginning on the date the child isidentified in a prevention plan as a candidate for fostercare or a pregnant and parenting foster youth in need ofservices. Children and families can receive these servicesmore than once if they are later identified again as acandidate for foster care.

Two primary categories of services and programs are eligible: (1) Mental health and substance abuseprevention and treatment services provided by a qualifiedclinician; (2) In-home parent skill-based programs, whichinclude parenting skills training, parent education, andindividual and family counseling.

These services and programs must be trauma-informed,and they must meet certain evidence-based requirementsthat follow promising, supported, or well-supportedpractices as defined in the bill.

What is it? The Child Abuse Prevention and TreatmentAct (CAPTA) was created in 1974 to provide Federalfunding to States to support prevention, assessment,investigation, prosecution, and treatment activitiesrelated to child abuse and neglect. Since its initialpassage, there have been three changes to CAPTApertinent to infants with prenatal substance exposure.

Most recently are amendments in the ComprehensiveAddiction and Recovery Act (CARA) of 2016.

What does it do? CARA makes several changes toCAPTA, including:

What is a Plan of Safe Care? POSC help systems andfamilies prepare for a baby's safe arrival and beyond. Inpractice, POSC may be defined as a document thatinventories and directs services and supports to ensurethe safety and well-being of an infant affected bysubstance abuse, withdrawl symptoms or Fetal AlcoholSpectrum Disorders, including services for the infantand their family/caregiver. POSC are collaborative andinvolve systems outside of child welfare services. POSCcan specify the agencies that provide specific services,outline communication procedures among the familyand provider team, and guide the coordination ofservices across various agencies with the family. POSCare family-focused to assess and meet the needs of eachfamily member as well as overall family functioning andwell-being. POSC are completed, when possible, in theprenatal period to facilitate early engagement of thefamily.

How is a Plan of Safe Care different than a CWS SafetyPlan, Substance Use Disorder Treatment Plan, orHospital Discharge Plan? CPS safety plans may focuson immediate safety of a child, while POSC focus on thesafety and well-being of infants by addressing thehealth and substance use disorder treatment needs ofthe infant and family or caregiver.

Wh at YouNeed to K now

This process may include more extensive follow-upplans that support families and focus on the longer-termwell-being of the infant and caregiver. Substance usetreatment plans may focus on treatment of adults, whilePOSC may include the treatment and broad services ofthe whole family including the infant and parent-childdyad. Hospital discharge plans may focus on the healthand well-being of the infant, while POSC include theongoing health and development of the infant as well asthe educational and substance use disorder treatmentneeds of the family/caregiver who will be caring for theinfant. Why is this important? Children under age 1 are thelargest number of children placed in protective custody,nearly 50,000 infants in 2016. FDCs can play animportant role to respond to this population. Built on afoundation of cross-system collaboration andcomprehensive family-focused services, FDCs are well-positioned to partner with larger child welfare,substance use disorder treatment, court, and healthcare systems to implement POSC and other CAPTAprovisions.

How do I learn more?

Attend the Concurrent General Session (CG-28):D eveloping a P lan of S afe Care: W hat Y ou Need to K nowabout S erving P reg nant and P arenting W omen w ith O pioidU se D isord ers on Friday, June 1st at 3:15 pm. You willlearn from Dr. Nancy Young strategies to expand FTCcollaborative approach to effectively serve mothers andtheir infants and how collaborative teams can developan approach to implement comprehensive and effectivePlans of Safe Care. Register for our upcoming Family Drug Court LearningAcademy Webinar on this same topic. A pre-recordedwebinar is currently available and a live panel discussion is scheduled for June 14th. Additionallearning materials and resources will be provided. Please visit: www.cffutures.org

Requires that the Plan of Safe Care address the needsof both infant and the family or caregiver

Specified data to be reported by States, to the extentpractical , through National Child Abuse and NeglectData System (NCANDS)

Specified increased monitoring and oversight to ensurethat Plans of Safe Care (POSC) are implemented andthat families have access to appropriate services

Removes the term "illegal" in regard to substance abuse

How do I learn more? Attend the Concurrent General Session (CG-28):D eveloping a P lan of S afe Care: W hat Y ou Need to K nowabout S erving P reg nant and P arenting W omen w ith O pioidU se D isord ers on Friday, June 1st at 3:15 pm. You willlearn from Dr. Nancy Young strategies to expand FTCcollaborative approach to effectively serve mothers andtheir infants and how collaborative teams can developan approach to implement comprehensive and effectivePlans of Safe Care.

Child AbusePrev ention &Treatment Act( CAPTA) andComp rehensiv eAddiction andRecov ery Act( CARA) OF 2016

2018 NADCP ANNUAL TRAINING CONFERENCE

CHILDREN AND FAMILIES PROGRAM

AT-A-GLANCE

WEDNESDAY, MAY 30, 2018

SESSION TIME &

LOCATION TRACK SESSION TITLE PRESENTER(S)

7:15am – 8:30am

Room 320 C

DSB-3 Discipline Specific Breakout: Judges – Juvenile, Family, and Mental Health

Courts

Hon. Jeri Beth Cohen, Hon. Stephen Goss, Hon. Gail Meinster

7:15am – 8:30am

Room 381 A/B

DSB-16 Discipline Specific Breakout: Family

Treatment Court Practitioners

Russ Bermejo, Tessa Richter

8:45am – 11:45am

Room 381 A/B

SB-13 Leading Change – Transforming, Expanding, and Advancing the Family Treatment Court Movement to Better Serve Children and Families

Alexis Balkey, Phil Breitenbucher,

Theresa Lemus

1:15pm – 2:30pm

Room 340 A/B

TS-13 Moving Beyond Guidance: A Sneak Preview of the Upcoming National Family Drug Court Standards

Phil Breitenbucher, Jane Pfeifer, Terrence Walton, Meghan Wheeler

THURSDAY, MAY 31, 2018

SESSION TIME &


9:30am – 10:45am

Room 370 A/D

A–4 Checklist to Change – Readiness to

Reality

Alexis Balkey, Tessa Richter

11:00am – 12:15pm

Room 370 A/D

B-4 Part of the Problem or Solution? Ensuring Equity and Inclusion in Family Treatment Courts

Russ Bermejo, Phil Breitenbucher

11:00am – 12:15pm

General Assembly C

B-16 What Does Quality Treatment Look Like? Identifying Effective Substance Use Disorder Treatment for Families

Theresa Lemus

11:00am – 12:15pm

Room 340 A/B

VCC-B-3 Connecting Veteran Treatment Courts

and Veteran Justice Outreach Services Through Collaborative Court

Staffing: Improving Service Delivery to Veterans, Their Children, and Families Through Family-Centered Approaches

Jeremiah Jones, Larisa Owen,

Hon. Mary Kreber Varipapa

1:45pm – 3:00pm

Room 370 A/D

C-4 Strengthening Families and

Supporting Success Jennifer Foley, Margaret Lloyd, Jill Murphy, Hon. William Owens, Semret Nicodimos, Michelle Thomas


SESSION TIME &


3:15pm – 4:30pm

Room 370 A/D

D-4 Ready-Set-Go! 5 Key Planning Decisions to Help You Successfully Launch Your Family Treatment Court

Alexis Balkey, Jane Pfeifer

3:15pm – 4:30pm

Room 361 C/F

D-7 Healing the Family: Tribes and Counties Working Together Within the Family Treatment Court and Family Tribal Healing to Wellness Court

Hon. Mary Cardoza, Jennifer Foley, Hon. Charlene Jackson, Lauren van Schilfgaarde,

4:45pm – 6:00pm

Room 370 A/D

E-4 A New Approach – Family Treatment

Courts as Part of a Continuum of Care Theresa Lemus, Judge Gail Meinster, Judge William Owens, Brenidy Rice, Tessa Richter

FRIDAY, JUNE 1, 2018

SESSION TIME &


10:30am – 12:00pm

Room 310, Level 3

Closed

Meeting 2018 Annual OJJDP Family Drug Court Training and Technical Assistance Grantee Gathering

Alexis Balkey, Phil Breitenbucher,

Jennifer Foley

1:45pm – 3:00pm

Grand Ballroom A CG-17 Family Matters – Transitioning to a

Family-Centered Approach in All Drug

Courts

Phil Breitenbucher, Carolyn

Hardin

3:15pm – 4:30pm

Grand Ballroom A

CG-28 Developing a Plan of Safe Care: What You Need to Know about Serving Pregnant and Parenting Women with Opioid Use Disorders

Nancy K. Young

Discip line Sp ecific Break out - J udges-J uv enile, Family, andMental Health Court

W EDNE SDAY, MAY 30, 2018

Wednesday, May 30, 20187:15am – 8:30am

Session: DSB-3 Room: 320 C

Facilitators: Hon. Jeri Beth Cohen, Hon. StephenGoss, & Hon. Gail Meinster

Want to know what sessions youshould attend? Have questions aboutthe conference agenda? Need todiscuss burning issues impacting yourprogram? This year’s discipline-specific sessions are for you! Thisyear’s conference includesopportunities for disciplines to meetand resolve burning issues and criticalquestions. Starting on Wednesdaymorning at 7:15am, expertpractitioners who share your role onthe team will facilitate the breakoutdesignated for your discipline. Thefacilitator will review the conferenceprogram, identify sessions specificallydesigned for your role on the team,and lead discussion to address yourburning issues.

Family Treatment Courts (FTCs) areproblem-solving courts that emerged duringthe 1990s as an adaptation of the adultcriminal drug court model to address theunique and complex needs of familiesaffected by substance use disorders who areinvolved in the child welfare system. Well-functioning FTCs rely on multi-

disciplinary and collaborative family-centered approaches, and experienceoutcomes that include significantly higherrates of participation and longer stays intreatment, higher rates of family re-unification, and less time for children infoster care when compared to standardservices.

This skills-building workshop provides a briefhistory of the FTC movement, highlights thestate of the movement today, and identifiesthe issues that threaten to disrupt the futureof FTCs. Using the National Strategic Planfor FTCs as a framework for thispresentation, practitioners will discover thecritical role of FTCs in achieving largersystems change including solution-orientedstrategies to advance justice for all familiesaffected by substance use disorders. Practitioners will develop their leadershipskills by engaging in breakout discussions toexplore innovative approaches thattransform operations, expand the reach ofservices, and promote systems change. Learning Objectives: 1. Explore progression of FTC movementfrom inception, to program enhancementand expansion, and towards systems change 2. Understand the goals of the NationalS trateg ic P lan and how they provide aroadmap for larger systems change 3. Develop leadership capacity to become achampion for the FTC movement andadvance policy and practice in yourjurisdiction

Discip line Sp ecific Break out- FamilyTreatment CourtPractitioners

Wednesday, May 30, 20187:15am – 8:30am

Session: DS-16 Room: 381 A/B

Facilitators: Russ Bermejo &Tessa Richter

L eading Change –Transforming, Ex p anding,and Adv ancing the FamilyTreatment Court Mov ementto Better Serv e Childrenand Families

Wednesday, May 30, 2018 8:45am – 11:45am

Session: SB-13 Room: 381 A/B

Presenters: Alexis Balkey, Phil Breitenbucher, & Theresa Lemus

A ccess to effective F D C s isurgent as child welfare

agencies struggle with theincreasing number of

children, particularly infants,entering out-of-home care as

a result of the opioid crisisand the resurgence of meth-

amphetamine and other drugs. Most importantly,

F D C s hold promise to engageand motivate families in a

way that gives hope forfuture generation.

- D r. N ancy K . Y oung,E x ecutive D irector of

C hildren and F amily F utures.

Holding Promise Giving Hope A ccess to effective F D C s is

urgent as child welfareagencies struggle with the

increasing number ofchildren, particularly infants,entering out-of-home care as

a result of the opioid crisisand the resurgence of meth-

amphetamine and other drugs. Most importantly,

F D C s hold promise to engageand motivate families in a

way that gives hope forfuture generation.

- D r. N ancy K . Y oung,E x ecutive D irector of

C hildren and F amily F utures.

Holding PromiseGiving Hope

Mov ing Beyond Gu idance:A Sneak Prev iew of theUp coming N ational FamilyDrug Court Standards

W EDNE SDAY, MAY 30, 2018

Wednesday, May 30, 2018 1:15pm – 2:30pm

Session: TS-13 Room: 340 A/B

Presenters: Phil Breitenbucher, Jane Pfeifer,Terrence Walton, & Meghan Wheeler

In 2017, the National S trateg ic P lan for F amily D rugCourts ( F D Cs) was released outlining a coordinatednational strategy to enhance and expand the useof FDCs to reach more children and families. Development of National FDC Standards isdocumented as one of the strategies and builds onthe work of the G uid anc e to S tates:Reco mmend ations for D eveloping F amily D rug CourtG uid elines. The Center for Children and FamilyFutures and the National Association of DrugCourt Professionals through the support of the Office of Juvenile Justice and DelinquencyPrevention have partnered in the development ofthe National Family Drug Court Standards. Thegoal of this effort is to create model standards toguide the daily operations of FDCs.

These Standards will help advance the FDC movement as they 1) provide a mutualunderstanding of the components necessary for a quality family treatment court and 2) guidethe planning, implementation, operation, andassessment of FDCs. The Standards are expectedto be published in late 2018. This listening sessionwill provide an update on the developmentprocess of the National FDC Standards. This willalso be an interactive session designed for FDCprofessionals to share their feedback and helpadvance the work of the National FDC Standards.

N otes

Ah- Ha Moments

N etw ork ing

Follow - Up s

Learning Objectives:

1. Explore the need and development of NationalFDC Standards and how they align with the NationalFDC Strategic Plan

2. Gain understanding of how National FDCStandards are aimed at both practice-level and systems-level change

3. Learn how states and local jurisdictions can useNational FDC Standards to improve FDC practice

N otes

Ah- Ha Moments

N etw ork ing

Follow - Up s

Check list to Change –Readiness to Reality


Thursday, May 31, 20189:30am – 10:45am

Session: A-4 Room: 370 A/D

Facilitators: Alexis Balkey & Tessa Richter

Families involved in the child welfaresystem and affected by parentalsubstance use disorders face a difficultand arduous journey towards achievingtheir recovery and reunification goalswithin the time limits set forth by theAdoption and Safe Families Act (1997). Family Treatment Courts (FTCs)provide a pathway for achievingpositive outcomes through interagency collaboration, coordinatedand comprehensive service delivery,and enhanced accountability. Thephasing system of the FTC model, inparticular, provides participants and theteam visible steps for measuringprogress and success. Many FTCs havemoved beyond the traditional pre‐setphasing structure focused oncompliance and completing a checklistof requirements to one that accountsfor parents’ strengths, readiness, anddesired behavioral change. While someFTCs have redesigned their phasingsystem to align with the stages ofreunification, others have integrated behavioral benchmarks into theircurrent phasing structure. Thispresentation will explore the innovativeand meaningful approach FTCs haveadopted to better assess and preparefamilies for successful recovery andreunification. Attendees will beencouraged to define what “success”means for participant families byexamining program requirements around perfect vs. safe, compliance vs.behavior change, and treatment vs.recovery.


1. Understand phasing structureand assessing client progress andfamily readiness as acollaborative practice issue byraising the need for coordinatedcase plans and effectivecommunication protocols acrosschild welfare, treatment, andcourt systems

2. Highlight different FTCprogram designs and phasingstrategies which align with thetiming and phasing ofreunification, family maintenance supervision, andcase termination in thedependency case

3. Learn strategies to shift courtstaffing sessions frommonitoring check boxes toidentifying true behavior change

- Family Drug CourtParticipant ( from theNational S trateg ic P lanfor F amily D rug Courts)

- Family Drug CourtParticipant ( from theNational S trateg ic P lanfor F amily D rug Courts)

I l ov e my childr enmo re th a na nything e l se,th a t' s why Ista y ed in F a milyDrug Court.

Part of the Problem orSolution? Ensuring Equity and Inclusion inFamily Treatment Courts

Family Treatment Courts (FTCs) havebeen identified as a promising model inachieving positive outcomes for familiesaffected by substance use disorders andinvolved in the child welfare system. In2017, the National Strategic Plan forFTCs was released outlining acoordinated national strategy to expandthe reach, ensure quality implementation,and build the evidence base of FTCs. AsFTCs work towards these goals, it isimportant to assess whether theimproved recovery, safety, andpermanency outcomes achieved for FTCparticipants are similarly experienced byindividuals of diverse racial and ethnicgroups. The issue of racial injusticeremains a national concern withcontinued attention on how varioussystems, including the courts, treatmentand child welfare are serving families ofcolor.

This session will share key opportunitiesfor the FTC field and partner agencies tomore closely examine their programs toensure fairness, equal access, and propermatching of services for participantfamilies. This session will share thedescriptive findings of a data set from afederal initiative on whether racialdisproportionality and disparities existedamongst a cohort of families participatingin FTCs. This session will also highlightexamples of FTCs that have examined thisissue in their programs and takenimportant steps to ensure fairness andequity for families of color.

Thursday, May 31, 201811:00am – 12:15pm

Session: B-4 Room: 370 A/D

Presenters: Phil Breitenbucher& Russ Bermejo



1. Explore the topic of equity andinclusion along age, gender, raceand ethnicity in court, treatmentand child welfare systems

2. Understand how FTCs are in aunique position to be part of thesolution to ensure equity andinclusion

3. Learn how other FTCs aremonitoring and addressing racialdisproportionality and disparitiesin their programs

4. Identify practical next steps forFTC practitioners and teams toensure equity and inclusion for allparticipant families

8.7M children have

parents who needtreatment for

substance usedisorder

All Drug Courts h a v e a na ffirm a tiv e obliga tion toexa mine, in a n o ng oingm a nne r, whe the r the re a repo ten tia l r ac ia l or ethni cdi sp a rities in the ir pr ogra m s.

All Drug Courts h a v e a na ffirm a tiv e obliga tion to t a k erea son abl e ac tion s topr ev en t or correct a nd r ac ia lor ethni c di sp a rities th a tm a y be found to exi st.

All Drug Courts h a v e a na ffirm a tiv e obliga tion toexa mine, in a n o ng oingm a nne r, whe the r the re a repo ten tia l r ac ia l or ethni cdi sp a rities in the ir pr ogra m s.

All Drug Courts h a v e a na ffirm a tiv e obliga tion to t a k erea son abl e ac tion s topr ev en t or correct a nd r ac ia lor ethni c di sp a rities th a tm a y be found to exi st.NADCP Resolution of the Board ofDirectors , June 2010 - O n the E q uivalent Treatment of Ra c ial and E thnic M inorityP artic ipants in D rug Courts

More than 1/5

Drug Courts could not report reliable

information on the representation of racial

and ethnic minorities in their programs

(NADCP, 2010)

More than 1/5

Drug Courts could not report reliable

information on the representation of racial

and ethnic minorities in their programs

(NADCP, 2010)

NSDUH Data, 2017

W hat Does Qu alityTreatment L ook L ik e? Identifying Effectiv eSubstance Use DisorderTreatment for Families


Thursday, May 31, 2018 11:00 am – 12:15 pm

Session: B-16 Room: General Assembly C

Presenter: Theresa Lemus

Court-involved families affected bysubstance use disorder often havecomplex and co-occurring needs whichmake them a challenging population toserve, especially when dependent children are involved.

A client’s successful involvement in aneffective substance use treatmentprogram is essential to promote familywell-being and achieve positive courtoutcomes. When caregivers are referred to treatment as a condition to keeping orreunifying with their children, courtsystems must ensure that the mosteffective treatment for overall familyrecovery is available. It is critical that allsystems and community partners have acommon and thorough understanding ofwhat effective and quality substanceabuse treatment programs look like. The National Center on Substance Abuseand Child Welfare (NCSACW) hasdeveloped a discussion guide designed tohelp court and other professionalsincrease their knowledge andunderstanding of the treatment availablein their communities, and how it may (ormay not) align with their clients’ needs. These guiding questions can helpgenerate discussion with treatmentpartners, and assist court and otherprofessionals to gain a betterunderstanding of the types of servicesthat fit the multiple needs of families.

The presenter will provide an overviewof quality treatment, along with keyconcepts to consider that best alignswith the needs of parents, children, andfamilies. The session will also provideattendees with an introduction toother cross-system training andtechnical assistance resources offeredthrough NCSACW.


1. Identify key elements of qualitysubstance use treatment for familiesaffected by substance use disorder

2. Learn about the treatment andrecovery processes and how it impactsfamily well-being and the court case

3. Identify strategies and opportunitiesfor judicial leaders to partner withsubstance use treatment providers tobetter serve families

273,506

children enteredfoster care

during FY2015

Co mp a red to e fforts byindividua l ag enc ies a ndsys tem s, co lla bo ra tion a crossmul tipl e a genc ies a nd sys tem s,coupl ed wi th s trong l ea de rshipa nd co n sisten t communi ca tion,offers a mo re effectiv ea ppr oach, a mo re efficien t wa yof do ing bu sine ss a ndul tim a tely l eads to be tteroutcome s.

Str engt he ning Pa rtne rship s Impr oving F a mily Ou tcome s

- from Collaborative A pproac h to theTreatment of P reg nant W omen w ithO pioid U se D isord ers ( 2 0 1 6 )

AFCARS Data, 2016

Connecting VeteranTreatment Courts and Veteran Justice OutreachServices throughCollaborative CourtStaffing: ImprovingService Delivery toVeterans, their Children,and Families through Family-CenteredApproaches

All collaborative courts are familycourts when their participants includeadults who have children. Recentsurvey results indicate that more thanhalf of the participants served byVeteran Treatment Courts (VTCs) areparents with children. Prioritizing family-centered approaches in VTCs isjustified based upon the trauma andsubstance use disorder service needs ofveterans, their children, and families.

This session will explore the need toestablish connections between VTCswith Veteran Justice Outreachprograms while drawing upon existingfamily- and child-servicing agencieswithin the community. Participants willgain a greater understanding about howto improve service delivery byexamining the collaborative strategieswithin the Ten Element VTCFramework. Highlights of thispresentation include particularattention to parental stress, familytrauma, and the associative factors ofdisrupted parent-child relationshipsincluding deployment, reintegration,and separation from service.

Thursday, May 31, 201811:00am – 12:15pm

Session: VCC-B-3 Room: 340 A/B

Presenters: Jeremiah Jones,Larisa Owen, & Hon. MaryKreber Varipapa


Presenters will make the case forfamily-centered approaches bydrawing upon their collectiveexperience as part of a coalition inOrange County, California whichcollaboratively operates serviceprovisions to veterans involved incollaborative courts (i.e., VeteransTreatment Court, Domestic Violence Court) and mental healthsystems.


1. Develop an understanding aboutthe importance of applying family-centered approaches through acontinuum of services to address theunique needs of veterans, their children, and families

2. Learn how to apply the keyprinciples of the Ten Element VTCFramework to enhance collaboration, develop communitypartnerships, and improve servicedelivery to VTC participants

3. Increase an awareness andadvance knowledge about theassociative factors affecting parent-child relationships includingdeployment, reintegration, andseparation from service

90% of those who need

SUD treatment donot receive them

Center for BehavioralHealth Statistics and Quality, SAMHSA. (2014)

Strengthening Families and SupportingSuccess


Thursday, May 31, 2018 1:45pm – 3:00pm

Session: C-4 Room: 370 A/D

Presenters: Jennifer Foley,Margaret Lloyd, Jill Murphy,Hon. William Owens, Semret Nicodimos, & Michelle Thomas

Ready‐Set‐Go! 5 KeyPlanning Decisions toHelp You Successfully Launch Your FamilyTreatment Court

Thursday, May 31, 20183:15pm – 4:30pm

Session: D-4 Room: 370 A/D

Presenters: Alexis Balkey & Jane Pfeifer

The accountable, time-limited mandatefor achieving permanency for children setforth in the 1997 Adoption and SafeFamilies Act (ASFA) drove the demand fora better and coordinated system responseto meet the needs of families affected byparental substance use. This presentationwill explore the impact of parentalsubstance use on the parent-

child relationship and the essentialservice components needed to addressthese issues. The King County FamilyTreatment Court (KCFTC) with thesupport of SAMHSA funds, enhancedservices and achieved stronger outcomesfor all clients through the addition of anew peer support position called theFamily Recovery Support Specialist(FRSS). KCFTC will share how the FRSSposition was created, the role it plays inthe KCFTC program, and what wasdiscovered through their processevaluation.

Judge Owens of Wapello County FamilyTreatment Court and Margaret Lloyd,PhD from the University of Kansas, willpresent the expansion of their court viathe five-year federally-funded RegionalPartnership Grant (RPG) project. Thegoal of this project was to provide asystem of service coordination andimplementation of Celebrating Families!and Strengthening Families programs. Attendees will examine evaluationoutcomes including an increasedlikelihood of reunification and significantcost savings for those receiving theseservices.


1. Understand the impact of parentalsubstance use on the parent-childrelationship and the essential servicecomponents needed to supporthealing, recovery, and reunification

2. Understand the importance offamily recovery support andevidence-based parenting inachieving desired outcomes

3. Highlight the importance ofevaluation to demonstrateeffectiveness and secure resourcesfor sustainability

As the number of children in fostercare continue to rise, communitiesacross the nation are seekingstrategies to improve outcomes forchildren and families involved in thechild welfare system affected byparental substance use disorders(SUDs). The Family Treatment Court(FTC) model continues to garnerattention nationwide as a promisingsolution for families affected by SUDand state and local leaders areseeking guidance on how tothoughtfully plan and launch an FTCprogram.

Workingtogether

for all childrenand families

Thursday, May 31, 2018 3:00pm - 4:30 pm

Session: D-7 Room: 361 C/F

Presenters: Honorable Mary Cardoza, HonorableCharlene Jackson, JenniferFoley, & Lauren vanSchilfgaarde

This presentation will explore essentialdecision points your Planning Team willencounter to ensure that your FamilyTreatment Court (FTC) is truly acollaborative effort designed to achieveimproved outcomes for children andfamilies. Drawing from the experiences ofsuccessful FTC leaders and the stepsoutlined in the newly published FamilyDrug Court Planning Guide (National DrugCourt Institute, 2018), this presentationwill share strategies and lessons to helpmake your planning process a success, Regardless of your role or discipline orwhere you are in the planning andimplementation process, thispresentation and highlighted resourceswill equip your team with the knowledgeneeded to successfully accomplish yourmission and vision for children andfamilies.


1. Identify key decision and planningpoints for all Family Treatment Courts

2. Explore the important role ofgovernance structure, leadership, anddata during the planning process

3. Learn from the experiences of FTCteams that have successfully launched aFTC and hear about a newly publishedresource, Family Treatment Court PlanningGuide

The drug court movement led tonumerous adaptations by jurisdictionsand communities who wanted to take aproblem-solving approach to better serveindividuals and families affected bysubstance use disorders and other co-

occurring issues. Child welfare anddependency court advocates developedthe Family Treatment Court (FTC) modelto improve the poor recovery, safety, andpermanency outcomes for families affected by parental substance use. Fortribal communities, the development ofFamily Tribal Healing to Wellness courtsintegrated drug court principles withtribal values, laws, and resources.

This workshop will discuss bothmovements, best practices, and strategiesto improve collaboration between countyand tribal communities. Each of thepresenters will draw from availableresearch and their own professionalexperience and expertise working with amultitude of programs.

Healing the Family: Tribesand Counties WorkingTogether Within theFamily Treatment Court and Family Tribal Healingto Wellness Court


"Ready-Set-Go" continued


A New Approach – FamilyTreatment Courts as Partof a Continuum of Care

Families affected by substance usedisorders who enter the dependencysystem are often given two options:standard dependency court or familytreatment court. Yet, these familieshave a wide range of needs andprotective and risk factors that requirea more tailored approach. Thispresentation will explore how to builda continuum of care in your jurisdictionby matching service to need for allfamilies in the child welfare systemaffected by SUDs. Family TreatmentCourts (FTCs) are one part of thislarger system of care designed toimprove safety, permanency, and well‐being outcomes for high-risk/high-need families.

Presenters will share lessons from theStatewide System ImprovementProgram (SSIP) where statesinstitutionalized effective practicesused by FTCs and incorporated theminto the larger dependency systems toensure all families have timely accessto comprehensive and coordinatedscreening, assessment, and enhancedservice delivery.

Thursday, May 31, 20184:45pm - 6:00pm

Session: E-4 Room: 370 A/D

Presenters: Theresa Lemus,Judge Gail Meinster, JudgeWilliam Owens, Brenidy Rice, &Tessa Richter

The presentation will highlight howtribal child welfare systems differfrom State and County systems andhow the family-centered approachof both models uniquely promotefamily recovery and stability. Attendees who want to increasetheir understanding of tribalcommunities and learn strategies tobetter serve tribal families in theirjurisdiction are invited to attend thissession.


1. Highlight the achievements andchallenges of the Family TreatmentCourt and Tribal Healing toWellness Court movements asadaptations of the drug court model

2. Explore the unique role andimportance of tribal justice systems,family and holistic approach torecovery, and cultural valuesimbedded in Healing to WellnessCourts

3. Increase knowledge about thereferral and other partnershipconsiderations between tribes and counties

"Healing the Family" continued

Panelists from Colorado and Iowa willdiscuss how they are applying FTCresearch to create “a new approach” independency court while utilizing theFTC intervention for families who needa more intensive level of care. Learning Objectives: 1. Discuss opportunities andchallenges of building a continuum ofcare responsive to families’ needs thatprovides proven practices to all familiesin your child welfare system affected bysubstance use disorders

2. Explore the lessons and experiencesof Jefferson County, Colorado andWapello County, Iowa as they integratetheir FTC into a continuum of care 3. Identify opportunities to apply keylessons from the Statewide SystemImprovement Program (SSIP) initiative

THURSDAY, MAY 31, 2018 " A New A pproac h" c ontinued

N etw ork ing

Follow - up s

N otes

Ah- HaMoments

N otes

Ah- HaMomentsMoments

N etw ork ingN etw ork ing

Follow - up sFollow - up s

Family Matters – Transitioning To a Family-Centered Ap p roach in AllDrug Courts

Friday, June 1, 2018 1:45pm - 3:00 pm

Session: CG-17 Room: Grand Ballroom A

Presenters: Phil Breitenbucher& Carolyn Hardin

All collaborative courts are family courtsif their clients are part of a family system. Substance use disorders have a profoundeffect on all relationships in the familyunit and recovery support must extendbeyond the client to a more family-

centered approach. This concurrentgeneral session will offer judicial leadersand drug court professionals working inany drug court key strategies forimplementing a family-focused approach. This presentation will make the case forwhy all drug courts should pay greaterattention to children and families and thatcross-system collaboration andcommunication are critical for familysafety and recovery. This concurrent session will draw fromthe findings of the recently publishedstudy by Center for Children and FamilyFutures and NADCP - Transitioning to aF amily Centered A pproac h: B est P rac tic esand L essons L earned from Three A d ult D rugCourts. Presenters will share lessons fromthree drug courts that transitioned from atraditional adult drug court to one that expanded services to families andchildren.

FRIDAY, J UNE 1, 2018


1. Gain a greater understanding of theeffect of substance use on the family,and the importance of addressing theirneeds as a critical part of recovery

2. Learn how cross-systemscollaboration, communication, andcommunity partnerships are critical in serving the complex needs ofchildren and families in your drug court

3. Highlight key lessons, take-aways,and challenges from case studiesconducted with three adult drug courtprograms at different points intransition to a family-centeredapproach

T h e p a re n ti n g rol eof b ot h wom e n a n dm e n wit h sub st a n ced isor d ers is acom p l e x m a ttert h a t c a n n ot b esep a r a te d fromt h eir trea t m e n t.

T h e p a re n ti n g rol eT h e p a re n ti n g rol eof b ot h wom e n a n dof b ot h wom e n a n dm e n wit h sub st a n cem e n wit h sub st a n cem e n wit h sub st a n ced isor d ers is ad isor d ers is acom p l e x m a ttercom p l e x m a ttercom p l e x m a ttercom p l e x m a ttert h a t c a n n ot b et h a t c a n n ot b esep a r a te d fromsep a r a te d fromt h eir trea t m e n t. t h eir trea t m e n t.

Transitioning to a Family-Centered Approach, 2017

Dev elop ing a Plan of SafeCare: W hat You N eed toK now about Serv ingPregnant and ParentingW omen w ith Op ioid Use Disorders

The nation’s prescription drug and theopioid crisis have led to an increase inopioid use disorders among pregnant andparenting women. Best practices suggestthe need for a collaborative responseacross systems to improve outcomes,reduce risks and adverse consequencesfor pregnant and parenting women andtheir infants, and help families remaintogether safely.

In July 2016, the ComprehensiveAddiction and Recovery Act (CARA) wassigned into law including amendments tothe Child Abuse Prevention andTreatment Act (CAPTA). The CAPTAamendments focused on improving well-being and safety for infants affectedby prenatal substance exposure and theirfamilies or caregivers by: including bothlegal and illegal substances in thecategories of infants to be identified,specifying requirements for notification to child protective services,stipulating the development of a plan ofsafe care that includes the treatmentneeds of the family/caregiver in the plan,and increasing the monitoringrequirements

Friday, June 1, 2018 3:15pm - 4:30pm

Session: CG-28 Room: Grand Ballroom A

Presenters: Nancy K. Young

FRIDAY, J UNE 1, 2018

Family treatment courts are uniquelypositioned to implement the changes toCAPTA because of their emphasis oncollaborative practice and improvingoutcomes for families involved in thechild welfare system who are affected bysubstance use disorders. This workshopwill highlight strategies and bestpractices for serving pregnant andparenting women with opioid usedisorders, expanding services within thefamily treatment court to serve theneeds of mothers, families and theirinfants, and developing a family-

centered Plan of Safe Care to improvethe well-being and safety of infants withprenatal exposure and their families.


1. Understand best practices in servingparenting and pregnant women withopioid use disorders and their infants

2. Identify strategies to expand thefamily treatment court collaborativeapproach to effectively work withparenting and pregnant women affectedby opioid use disorders and theirfamilies

3. Learn how collaborative teams candevelop an approach to implementcomprehensive and effective CAPTAPlans of Safe Care

88%

of states (N=44) had an increased rate of

infants placed in out-of-home care from

2012 to 2016 (AFCARS Data, 2012-2016)

88%88%88%88%88%88%of states (N=44) had an increased rate ofof states (N=44) had an increased rate ofof states (N=44) had an increased rate of

infants placed in out-of-home care frominfants placed in out-of-home care frominfants placed in out-of-home care from

2012 to 2016 (AFCARS Data, 2012-2016)2012 to 2016 (AFCARS Data, 2012-2016)2012 to 2016 (AFCARS Data, 2012-2016)

BIO SUMMARIES

FDC TTA Program Manager Center for Children and Family Futures, Inc.,

25371 Commercentre Drive, Suite 250 | Lake Forest, CA 92630 (714) 505-3525 | [email protected]

Alexis Balkey currently serves as the Program Manager for the National FDC Training and Technical AssistanceProgram at Center for Children and Family Futures (CCFF). She assists with project management and reportingtasks to compile and synthesize information on the lessons, results and policy and practice innovations of theFDC TTA Program. Additionally, she provides training and technical assistance to FDCs across the nationresponding to over 900 requests in less than five years. Ms. Balkey is a Change Leader for the Statewide Systemreform initiative aimed at spreading the reach of Family Treatment Courts to all families within the child welfaresystem impacted by substance use disorders. Additionally, Ms. Balkey is a Change Leader for the Prevention andFamily Recovery (PFR) initiative funded by the Duke Foundation Charitable Trust assisting jurisdictions toadvance the capacity of their FDCs to provide more comprehensive family-centered care to children, parentsand families affected by substance use disorders through integration and institutionalization of provenparenting services and developmental and therapeutic services for children.

Previous to her employment with CCFF, Ms. Balkey was the Program Manager for Riverside County FamilyPreservation Court, located in Indio, CA where she successfully managed a Family Treatment Court withmultiple funding streams including the SAMHSA Children Affected by Methamphetamine (CAM) Federal grant. Ms. Balkey is an instructor for the William R. Mead Academy located in San Diego, CA with a teaching emphasison case management, criminal justice, ethics, gender studies, cultural competency and co-occurring disorders.

Ms. Balkey is a certified addictive disorder counselor by the Breining Institute, College for the Advanced Studyof Addictive Disorders with robust knowledge of alcohol and other drug treatment programs. Ms. Balkeyreceived a Bachelor of Arts in Psychology and Bachelor of Arts in Criminal Justice from Temple University and aMasters of Public Administration from California State University, San Bernardino.

Alexis Balkey, MPA, RAS

Senior Program Associate Center for Children and Family Futures

25371 Commercentre Drive, Suite 250 | Lake Forest, CA 92630 (714) 505-3525 | [email protected]

Russ Bermejo currently serves as a Senior Program Associate with the National Center on Substance Abuse andChild Welfare at Center for Children and Family Futures (CCFF). In this capacity, he facilitates technicalassistance regarding child welfare and substance use disorder related issues for multiple projects. He hasmanaged the Family Drug Court Learning Academy since 2010 and currently serves as a Change LeaderAssociate for the State-wide Systems Improvement Program (SSIP) supporting state leaders to develop andsuccessful implement statewide plans to expand the reach of Family Treatment Courts (FTCs) and institutionalizeFTC practices across state systems to serve more families. Mr. Bermejo also served as the PerformanceManagement Liaison providing support to six FTCs awarded by the Children Affected by Methamphetamine(CAM) federal grant program (2010-2014).

Mr. Bermejo has 12 years of experience in public child welfare practice, including nearly 10 years as a SeniorSocial Worker with Orange County Children and Family Services. Prior to joining CCFF, Mr. Bermejo served inthe Philippines as an Aftercare Fellow for International Justice Mission, where he worked on numerous aftercareprojects focused on rescue and protection, reintegration, and economic self-sufficiency.

Mr. Bermejo earned a BA in Sociology from the University of California, Los Angeles and a Masters in SocialWork, from California State University, San Bernardino.

Russ Bermejo, MSW

Director of Family Drug Court Programs Center for Children and Family Futures

25371 Commercentre Drive, Suite 250 Lake Forest, CA 92630

(714) 505-3525 [email protected]

Phil Breitenbucher is a nationally recognized expert, author and speaker on family treatment courts. He currentlyis a Director at Center for Children and Family Futures, where he manages multiple programs and initiatives. Mr.Breitenbucher currently directs the National Family Drug Court Training and Technical Assistance Program andthe Statewide System Improvement Program supported by the U.S. Office of Juvenile Justice and Delinquency Prevention. He is directing the Family Drug Treatment Court Grantee Performance Measurement and TechnicalAssistance project of the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) and thePrevention and Family Recovery Initiative supported by the Doris Duke Charitable Foundation and DukeEndowment.

He has nearly 20 years of experience in the management of public child welfare and community-based preventionservices, including the implementation and management of three Family Drug Court programs and four FamilyResource Centers as well as various prevention, diversion and early intervention programs for children andfamilies. He Co-Directed the Children Affected by Methamphetamine program supported by SAMHSA. Hemanaged the design and implementation of an effective national training model, utilizing a wide range ofcomputer-based and communications technologies. He directed the development and co-authored the FamilyDrug Court Guidelines publication and created the nation’s first Family Drug Court Mentor sites. He serves as aconsultant to states and local jurisdictions for the National Center on Substance Abuse and Child Welfare. He isthe Vice-President and co-Founder of the California Collaborative Justice Courts Foundation.

Mr. Breitenbucher received his Master of Social Work from California State University, San Bernardino, Bachelorof Arts in Psychology from California Baptist University and his certificate in Addiction and Recovery from LightUniversity.

Phil Breitenbucher, MSW

Chief Judge, Lummi Tribal Court

2665 Kwina Road, Bellingham, WA 98226 [email protected]

Mary Cardoza has been Chief Judge of the Lummi Tribal Court since 2012 and is a Lummi Tribal member. She graduated from Hastings College of the Law in San Francisco and Seattle University as anUndergraduate. After working for a major Insurance Defense firm in San Francisco she honed her trialskills in the Alameda County District Attorney’s Office in Oakland California trying over 100 cases. Afterreturning home to the Bellingham Washington area she practiced as a Private Defense Attorney for theLummi Nation for several years prior to taking the Bench.

Honorable Mary Cardoza

Senior Program Associate

Center for Children and Family Futures 25371 Commercentre Drive, Suite 250 Lake Forest, CA 92630

(714) 505-3525 | [email protected]

Jennifer Foley currently serves as Senior Program Associate at Center for Children and Family Futures(CCFF). In this role, Ms. Foley provides training and technical assistance to FTCs across the U.S., is a ChangeLiaison for grantees in the Regional Partnership Grant program and also provides training and consultation toassist with the implementation of the OH START program. Previous to her employment at CCFF, Ms. Foleyspent 11 years in Eugene, Oregon at the Relief Nursery’s Accessing Success Recovery Support Program. Initially a Peer Support Specialist, she advanced to Alcohol & Drug Counselor, eventually managing therecovery support program for six years. Ms. Foley’s focus was serving parents with substance use disorderswho were involved in the child welfare system.Then, she spent seven years as a child welfare caseworker.In2013, she accepted the position as the Women’s Treatment Services Coordinator and the Access to RecoveryProject Director with the Oregon Health Authority, and Oregon’s (NASADAD) Women’s Service NetworkCoordinator.

Originally from California, she moved to Oregon for college, receiving a B.S. degree from the University ofOregon in Sociology, with an area of concentration in Substance Abuse and Prevention

Jennifer Foley, BS, CADC

Chief of Training & Research

National Association of Drug Court Professionals 625 N. Washington, Suite 212

Alexandria, VA 22314 (703) 575-9400 | [email protected]

Carolyn Hardin is the chief of training and research for the National Association of Drug Court Professionals(NADCP), a non-governmental organization based in Washington, DC. Hardin oversees daily operations forNADCP’s three divisions: the National Drug Court Institute, National Center for DWI Courts and Justice ForVets. Hardin oversees the development and implementation of training for the organization. She currentlytravels nationally and internationally, assisting drug court teams with planning and operating successful drugcourts. She received her master’s degree in public administration from the University of Akron in Ohio. Shereceived her bachelor's degree in public administration from Talladega College in Alabama. Her workexperience includes resource development and acquisition, program planning and evaluation, and databasemanagement. Hardin has supervised probationers, parolees, and federal inmates. She has supervised specialcaseloads to include sex offenders, dual-diagnosis offenders and violent offenders.

Carolyn Hardin, MPA

Owner/Managing Attorney

Jackson Law Firm, PLLC 18521 E Queen Creek Road # 105-494

Queen Creek, Arizona 85142 [email protected]

Charlene Jackson is the Owner/Managing Attorney of the Jackson Law Firm, PLLC in Arizona. Herpractice focuses primarily on representing and assisting Tribes with various legal issues as well as policyand organizational development and improvement. In addition to her legal practice, Charlene serves asan Associate Judge for the Town of Paradise Valley, Arizona, Chief Judge of the Fort Mohave Tribal Courtof Appeals, Chief Judge of the Cedarville Rancheria Court of Appeals, Associate Justice for the ColoradoRiver Indian Tribe, Judge Pro Tem for the Tonto Apache Tribe and Judge Pro Tem for the Washoe Tribe ofCalifornia and Nevada. In addition, Charlene is a consultant for the Tribal Law & Policy Institute in WestHollywood, California providing training and technical assistance to tribes throughout Indian Country. She is also a consultant for the National Drug Court Institute, the training division of the NationalAssociation of Drug Court Professionals in Alexandria, Virginia.

In 2007, Charlene was invited to serve on the faculty of the National Tribal Justice Center at the NationalJudicial College and frequently trains tribal court judges from across the on issues including civil andcriminal jurisdiction, domestic violence, child custody and protective orders. Prior to returning toprivate practice, Charlene previously served as the Chief Judge of the Fort McDowell Yavapai Nation, aJudge for the Gila River Indian Community, the Ak-Chin Indian Community and as a Judge Pro Tem forthe City of Chandler. She also has served as an Appellate Judge for the Hualapai. Before herappointment to the bench, Charlene served as assistant counsel for two Arizona tribes.

Honorable Charlene Jackson

Peer Navigator Strong Families, Strong Children

525 N. Cabrillo Park Drive, Suite 300 Santa Ana, CA 92701

(714) 953-4455, ext. 625 | [email protected]

Jeremiah Jones is a combat veteran who served five years as a 25S (satellite communication systemsoperator-maintainer) with the U.S. Army. Deployed in 2007, he spent 15 months in the Diyala Province ofIraq in support of Operation Iraqi Freedom (OIF). Following his honorable discharge, Jeremiah returnedhome to his native California and earned an associate’s degree in business administration and an associate’sdegree in sociology.

He is currently pursuing his bachelor’s in sociology at California State University, Los Angeles. When he’s notworking or studying, Jeremiah can be found interacting with his fellow veterans through his affiliation withseveral veteran organizations, including Wounded Warrior Project (alumni), Team RWB (member) and TheMission Continues (member).

Jeremiah Jones, AB, AS

Ms. Lemus has considerable knowledge and experience in program management, cross-systemcollaboration, integrated service delivery, program and resource development, sustainability, persuasiveand technical writing, needs assessment and planning, research, evaluation, and policy analysis. She hasextensive experience working with multidisciplinary teams, problem-solving courts, and collaborativepractice programs. She is an effective facilitator and consensus builder. Ms. Lemus communicateseffectively and draws upon her knowledge of effective clinical and business practice in substance use andmental health services, health care, child welfare, and the courts to provide the highest quality support tostates and localities.

Ms. Lemus is a Registered Nurse, Licensed Alcohol and Drug Counselor, and a Certified Clinical Supervisor. She is a co-author and contributor to several publications, including the Family Drug Court Training andTechnical Assistance Needs Assessment and the Family Drug Court Guidelines.

Assistant Professor UCONN School of Social Work

38 Prospect Street Hartford, CT 06103 (959) 200-3653

[email protected]

Margaret H. Lloyd, Ph.D. is an Assistant Professor at the University of Connecticut School of Social Work. Dr.Lloyd’s research focuses on practice and policy addressing substance use disorders in child welfare, withparticular attention to mothers of young children. Dr. Lloyd has over six years of experience evaluating familydrug treatment courts in Iowa and Oklahoma and currently serves as Principal Investigator of a five-yearSAMHSA‐funded expansion of services for parents and children ages 0‐5 in the Oklahoma County Family DrugCourt. Additionally, Dr. Lloyd is investigating state-level changes to policies requiring child protective servicesnotification of newborns prenatally exposed to substances, and whether these policies increase rates of childwelfare referrals and foster care placement. She teaches MSW‐level courses on policy and research.

Margaret H. Lloyd, Ph.D.




Theresa Lemus is a Senior Program Associate at Center for Children and Family Futures where she worksacross multiple programs and initiatives to provide guidance, technical assistance, coaching, and training tostates, counties, and jurisdictions across the United States and U.S. territories. She is nationally recognized forthe work she does with family treatment courts and for her expertise in developing comprehensive withdrawalmanagement services. In her role as Senior Program Associate, she works with programs and initiativesthrough the U.S. Office of Juvenile Justice and Delinquency Prevention (OJJDP), U.S. Substance Abuse andMental Health Services Administration (SAMHSA), the Doris Duke Charitable Foundation, and The DukeEndowment. Ms. Lemus serves as a consultant to state and local jurisdictions at the National Center onSubstance Abuse and Child Welfare (NCSACW).

Her past experience includes administering and providing direct clinical services in the Health and HumanServices field, in both physical and behavioral healthcare. She is the former Executive Director of a large non-profit treatment organization where she managed a multi-million dollar budget and a comprehensivecontinuum of care which included modified medical detoxification services. Her non-profit organization was atreatment partner in the nation’s first family treatment court in Reno, Nevada. Ms. Lemus served as aconsultant to the National Drug Court Institute (NDCI) for almost a decade where she was an expert speaker/

trainer and facilitated the development of new and expanding family treatment courts throughout the country.

Theresa Lemus, MBA, RN, LADC

District Court Judge, 1st JD Division 10-Juvenile

100 Jefferson County Parkway Golden, CO 80401


Ann Gail Meinster, was appointed as a District Court Magistrate in the First Judicial District in Colorado inJanuary 2009 and heard primarily juvenile and domestic matters. In 2011, she was appointed as the PresidingJuvenile Judge for the First Judicial District. Judge Meinster hears dependency, delinquency and adoptionmatters and presides over the Family Integrated Treatment (FIT) Court which is a dependency drug court.Prior to her appointment to the bench, she was a partner in the firm of Meinster & Meinster, PC, where shepracticed as a Guardian Ad Litem (GAL), Child and Family Investigator (CFI), and attorney for respondentparents throughout the state. Judge Meinster is a graduate of Mt. Holyoke College in Massachusetts, receivedher law degree from the University of San Diego School Of Law in California, and is licensed to practice law inCalifornia, Colorado, and Maryland. She formerly served as Assistant Park County Attorney representing theDepartment of Human Services. She has taught and facilitated trainings across the country relating todependency and juvenile matters. Prior to her appointment to the bench, Judge Meinster served on variousnon-profit boards including the board for the Office of the Child’s Representative in Colorado.

In 2004 she was awarded the Linda T. Palmieri Award for Outstanding Service on Behalf of Children. JudgeMeinster was named the Family Treatment Drug Court Judge of the Year at the Colorado Best Practice TeamConvening in April 2015. In May 2016 Judge Meinster received the Leader of the Year Award from theColorado Association of Addiction Professionals. Judge Meinster holds a Child Welfare Legal Expertaccreditation (CWLE) from the ABA and NACC.

Honorable Gail Meinster

Program Supervisor King County Family Treatment Court

516 Third Avenue Seattle, WA 98104


Jill Murphy is the Program Supervisor of Washington’s King County Family Treatment Court, a therapeuticcourt designed to assist substance using parents who have lost custody of their children. She is also theProgram Supervisor for the Parents for Parents Program in King County. This program pairs parents new tothe dependency system with peer mentors to provide the new parents with additional support andeducation as they encounter the child welfare process. Prior to moving to Seattle, Mrs. Murphy worked forthe Cook County Juvenile Court Clinic (CCJCC), where she facilitated requests for clinical information,evaluated parents’ ability to surrender their parental rights, and provided training and consulting on theCCJCC model. She has worked internationally helping legal professionals interview traumatized prisonersand conducting mental health evaluations for incarcerated men and women in Malawi.

She holds a Master of Arts degree in Clinical Social Work from the School of Social Service Administrationat the University of Chicago and is licensed in the State of Washington.

Jill Murphy, MA

Research Associate

University of Washington, Division of Behavioral Health and Justice Policy

2815 Eastlake Ave, Suite 200 Seattle, WA 98102


Semret Nicodimos is a Research Associate in the Division of Public Behavioral Health and Justice Policy inthe Department of Psychiatry and Behavioral Sciences at the University of Washington (UW). She earnedher master’s degree in epidemiology in the School of Public Health at UW. She has over 5 years ofexperience in evaluation research methodologies for social, educational and behavioral interventions. Shealso has experience in population-based research in a variety of settings including Family Treatment Courts,Public Schools and school-based mental health clinics. She is currently the evaluator for the King CountyFamily Treatment Court Expansion and Enhancement project.

Semret Nicodimos, MPH

Director, Veterans Programs Center for Children and Family Futures



Dr. Larisa Owen is a Program Director with the Center for Children and Family Futures (CCFF) since 2004. Dr. Owen serves as a Veterans and Special Projects Program Director who works on several programs including leading the Veterans and Military Families (VMF) projects within the organization in addition toresearch and evaluation of VMF projects. She is responsible for all veteran projects, including assistance inthe planning and implementation of veteran treatment courts evaluation and technical assistance involvingfamilies in the VTC. Dr. Owen also coordinates the review of extensive resources and of new projectdevelopment in several areas, including veterans and military families, health care reform, home visiting, andlegal remedies for children and families affected by substance use disorders. She is the Co-Chair of theCenter for Children and Families subcommittee working group of the Orange County Veterans and MilitaryFamilies Collaborative.

Dr. Owen has extensive experience with issues facing active military personnel, veterans, reservists and theirfamilies. She managed the tracking and monitoring of all training and technical assistance provided by theNational Center on Substance Abuse and Child Welfare (NCSACW), one of CCFF’s primary training andtechnical assistance programs. Prior to her work at CCFF, she held several senior management roles withexperience in corporate and nonprofit organizations, where she was responsible for financial, administrative,human resources, legal, operations process improvements and decision making including the trainingcurricula and logistics for corporate-wide training events focused on legal, human resources, safety, IT andrisk management. She negotiated with government agencies on compliance issues, and on external fundingdevelopment including identifying and preparing proposals for foundation and corporate funding prospects.

Dr. Owen currently serves as a member of the California State Military Reserve (CSMR). CSMR is a state-

supported agency with the primary mission of supporting the Soldiers and Airmen of the California NationalGuard (CNG) in its Homeland Defense, Homeland Security missions and service to California during times ofstate emergencies. Captain Owen works with the Legal Support Command which provides legal services todeploying and returning military personnel. Dr. Owen is the wife of a Marine Corps veteran and the daughterof an Army veteran.

Dr. Owen received her Bachelor of Science in Criminology and Legal Studies, holds a Master’s degree inBusiness Administration, and has a Ph.D. in Public Policy and Law.

Larisa Owen, PhD, MBA

Associate Juvenile Judge Wapello County Courthouse

101 West Fourth Street, Suite 401 Ottumwa, Iowa 52501


Judge William Owens was appointed as an Associate Juvenile Judge in November 1998. Judge Owensreceived his Bachelor of Arts degree from the University of Kansas in May 1981, and his Juris Doctordegree from Drake University Law School in May 1984.

Prior to his appointment to the bench Judge Owens served as Assistant Monroe County Attorney from1984-1989, and Monroe County Attorney from 1990-1998. At the time of his appointment to the benchJudge Owens was President-Elect of the Iowa County Attorney’s Association. Judge Owens also wasengaged in the private practice of law until his appointment to the bench, and at the time of his appointmentwas a partner in the law firm of Owens & Albers, L.L.P.

Judge Owens currently serves as co-chair of the Iowa Supreme Court’s Advisory Committee for Children'sJustice; is a member of the State Council of the Iowa Supreme Court Commission for Children's Justice; andis chair of the Juvenile Judge Committee of the Iowa Judge’s Association.

Judge Owens was the recipient of the Outstanding Contributor to Recovery Award from Harold HughesHall Association in Ottumwa, Iowa in 2007 for his work with drug courts. In 2008 Judge Owens receivedthe Supreme Court of Iowa Court Innovation Award for initiating a Family Treatment Court in WapelloCounty that serves the five counties where Judge Owens serves as an Associate Juvenile Judge. In 2013Judge Owens received the Harold E. Hughes, Exceptional Rural Professional - Award of Excellence. Thisaward is given annually by the National Rural Drug Abuse Network and goes to a rural professional whoexemplifies outstanding contribution to the rural alcohol and drug abuse field. In 2015 the Wapello CountyFamily Treatment Court was selected as a National Peer Learning Court by Center for Children and FamilyFutures, Inc., and United States Department of Justice, Office of Juvenile Justice and DelinquencyPrevention.

Judge Owens is a member of the Iowa State Bar Association, Iowa Judges Association, and NationalAssociation of Drug Court Professionals. In 2015, in honor of their 150th Anniversary, Drake Law Schoolnamed Judge Owens one of 150 alumni, students or faculty members who have best demonstrated thevalues of the Law School and have helped shape Drake Law into what it is today. In 2018 Judge Owens wasappointed to the National Court Appointed Special Advocate (CASA) Judicial Leadership Council.

Judge Owens and his wife Heidi reside in Ottumwa, Iowa, and they have three daughters. Judge Owens isan avid runner and has competed in nine marathons.

Honorable William S. Owens

Colorado State Problem Solving Court Coordinator and Manager of Criminal Justice Programs Unit

Colorado Judicial Branch 1300 Broadway Avenue, 12th Floor

Denver, CO 80201 (720)625-5945 | [email protected]

Brenidy Rice attended the University of Colorado, Denver where she received a graduate degree in PublicAdministration with a concentration in local government and policy. She has worked with the judicialdepartment and problem-solving courts for over twelve years. She was the Colorado State Problem SolvingCourt Coordinator for six years and is now the Criminal Justice Programs manager with the State CourtAdministrator’s Office overseeing problem-solving courts, diversion and restorative justice programs. Brenidyhas extensive experience in strategic planning, group facilitation, program implementation and evaluation. Shespeaks nationally on problem-solving courts, trauma-informed courtrooms and implicit bias and the impact onthe criminal and child welfare system.

Brenidy Rice, MPA


Center for Children and Family Futures, Inc. 25371 Commercentre Drive, Suite 250

Lake Forest, CA 92630 (714) 505-3525 | [email protected]

Jane Pfeifer currently serves as Senior Program Associate at Center for Children and Family Futures(CCFF). In this role, Ms. Pfeifer provides training and technical assistance to jurisdictions across the US, is aProgram Management Liaison for grantees in the Regional Partnership Grant project and also acts asChange Liaison for Quality Improvement Center—Collaborative Community Court Teams. Pastassignments include leading the Family Drug Court Peer Learning Court Project and the Family Drug Court Guidelines Project. Prior to her employment at CCFF she worked in the justice system, focusing onsystems improvement and collaborative justice. As a consultant, Ms. Pfeifer has worked with public andprivate organizations providing training and technical assistance, grant writing and community resourcedevelopment with an emphasis on case management, cultural proficiency, and effective collaboration.

Ms. Pfeifer has served as faculty to national organizations including the National Judicial College, theNational Development and Research Institutes, the National Council of Juvenile and Family Court Judges,the National Drug Court Institute and the Justice Management Institute. Her teaching and trainingexperience includes in-person as well as remote/virtual events and distance learning settings. She was alsoan adjunct professor at California State University—Chico in the Department of Political Science andDepartment of Sociology.

Ms. Pfeifer holds Bachelor’s Degrees in Social Work and Psychology, and a Master’s Degree in PublicAdministration and has been published in peer-reviewed journals.

Jane Pfeifer, MPA

Program Associate SSIP Program Manager



Tessa Richter currently serves as a Program Associate for the National Family Drug Court Training andTechnical Assistance Program at the Center for Children and Family Futures (CCFF). In this role, she providestechnical assistance and support to FDCs across the nation. Additionally, Ms. Richter serves as the ProgramManager for the Statewide System Improvement Program (SSIP), where she supports and oversees efforts toimprove outcomes for families impacted by substance use disorders within the child welfare system through theinstitutionalization of effective FDC practices into larger statewide systems. Prior to her position with Centerfor CCFF, Ms. Richter was the Problem Solving Court Coordinator and Juvenile Programs Coordinator for the1st Judicial District in Colorado, where she coordinated the family treatment court program in JeffersonCounty, Colorado. She also has experience as a child welfare caseworker. She completed the Women’sAddiction Services Leadership Institute (WASLI) through the Substance Abuse and Mental Health ServicesAdministration (SAMHSA) in 2015.

Ms. Richter received her MSW from the University of Denver with an emphasis in Child Welfare and holds aBachelor of Science in Human Development and Family Studies from the University of Missouri. She is aLicensed Clinical Social Worker.

Tessa Richter, LCSW, MSW

King County Family Treatment Court 516 Third Avenue, Seattle, WA 98104 (206)477-6902 | [email protected]

Michelle Thomas is a Family Recovery Support Specialist employed by King County Family Treatment Court(KCFTC). She previously worked as a supervisor for Seattle Goodwill working as a liaison for the Job TrainingProgram. In this position, she was able to help families find and reach employment while navigating barriers,such as criminal background, single parenting, and citizenship concerns. She is also a graduate from King CountyDrug Diversion Court (KCDDC) and continues to be a peer support for KCDDC participants, sharing her storyand giving hope to those in need. As a Drug Court Alumni, she is active in helping find ways to improve theprogram, and making suggestions and supporting clients in their recovery. She helps run a recovery retreat forwomen twice a year. As a parent in recovery who has previous experience with both tribal and state child welfaresystems, Ms. Thomas also brings a wealth of personal experience to this position.

Michelle Thomas

Tribal Law SpecialistTribal Law and Policy Institute

8235 Santa Monica Blvd., Suite 211 West Hollywood, CA 90046


Lauren van Schilfgaarde serves as the Tribal Law and Policy Institute’s Tribal Law Specialist, which includesfacilitating technical assistance to tribal courts, including Healing to Wellness Courts, and researching legal andpolicy issues as they face tribal governance and sovereignty. Prior to TLPI, Lauren served as law clerk for theNative American Rights Fund and the Legal Aid Foundation of Los Angeles. Lauren is licensed in the State ofCalifornia, and currently serves on the board of the National Native American Bar Association, the American BarAssociation's Center for Racial and Ethnic Justice, and the American Bar Association's Tribal Courts Council. She recently finished serving a 3-year term on the board of the California Indian Law Association. Lauren graduated from the UCLA School of Law, where she focused her studies on tribal and federal Indian law. While in law school, she served as president of the Native American Law Students Association and on the boardof the National Native American Law Students Association. Lauren participated in two tribal clinics, includingthe Tribal Legal Development Clinic and the Tribal Appellate Court Clinic.

Lauren van Schilfgaarde

Veteran Treatment Court Judge Superior Court of California County of Orange Community Court

909 N. Main Street Santa Ana, CA 92701


Judge Mary Kreber Varipapa, has served as an attorney in the Orange County Public Defender’s Office since 1998.She was an adjunct professor at the University of Phoenix Criminology Department from 2004 to 2007 and anattorney at Orange County Juvenile Defenders from 1996 to 1998 and at Santa Clara Juvenile Defenders from1996 to 1997. Hon. Kreber Varipapa earned a Juris Doctor degree from the Western State University College ofLaw and a Bachelor of Arts degree from California State University, Long Beach. She fills the vacancy created by theretirement of Judge Ronald P. Kreber. Kreber Varipapa is registered without party reference. Hon. Mary Kreberpresides over the programs at the Community Court. The sessions of the Drug Court and DUI court held there toserve residents of the Central Justice Center jurisdiction, while the several mental health courts, the VeteransTreatment Court, and the Homeless Outreach Court programs which are held there serve residents of the entirecounty. Veterans Treatment Court, which is convened at the Community Court, has attracted national attention asan innovative and effective way to help veterans overcome the issues that impede their full re-integration intosociety, while protecting public safety and reducing the costs associated with recidivism. The program, guidedinitially in 2016 by Hon. Joe Perez and thereafter by Hon. Mary Kreber, served during the year as a Mentor Court,as designated by Justice for Vets and the National Drug Court Institute.

Honorable Mary Kreber Varipapa

Chief Operating OfficerNational Association of Drug Court Professionals

625 N. Washington, Suite 212 Alexandria, VA 22314


Terrence D. Walton, chief operating officer for the National Association of Drug Court Professionals(NADCP), is among the nation’s leading experts in providing training and technical assistance to drug courts and other problem solving courts. Prior to being named COO in October 2015, Mr. Walton was theNADCP's chief of standards. In addition to being responsible for the daily operation of NADCP and planningthe national conference, he retains his responsibility for establishing and implementing best practicestandards nationwide. Mr. Walton was director of treatment for the Pretrial Services Agency for theDistrict of Columbia (PSA). During his nearly 15 years at PSA, he was responsible for directing operationsproviding substance use disorder and mental health assessment, treatment, and social services for all adultsreleased under PSA supervision in the District of Columbia. His responsibilities included, overseeing thecity’s adult drug court, the DWI initiative, the mental health units and various other programs for assessing,treating and supervising justice system involved men and women. Previously, he excelled as the director ofwhat was then the District of Columbia’s leading adolescent outpatient substance abuse treatment center.

Mr. Walton has directed programs in Dayton, Ohio and Milwaukee, Wisconsin. He has helped evaluate amulti-million dollar White House anti-drug media campaign and served on the substance abuse task force asa part of the White House Best Practices Collaborative. In addition to his extensive work domestically, hehas assisted addiction treatment programs in Bangladesh, Barbados, Guam, Mexico and Bermuda.

Mr. Walton is an internationally certified alcohol and other drug abuse counselor with over twenty-fiveyears of experience helping individuals and organizations champion positive change. He holds a Bachelor ofArts in Psychology and a Master of Social Work degree with specializations in program administration andsubstance abuse. Noted for his practical strength-based approaches to complex issues, Mr. Walton is actively sought out for insight on treating and supervising justice system involved individuals who are livingwith substance use and mental health disorders. Mr. Walton is a member of the Motivational InterviewingNetwork of Trainers (MINT). A gifted and entertaining speaker, Mr. Walton travels extensively informingand inspiring audiences across the globe.

Terrence D. Walton, MSW

Executive Director Center for Children and Family Futures



Dr. Nancy K. Young is the Executive Director of Center for Children and Family Futures (CCFF), a California-basedresearch and policy institute whose mission is to improve safety, permanency, well-being and recovery outcomesfor children, parents and families affected by trauma, substance use and mental disorders. CCFF operates anumber of evaluation and technical assistance programs. Since 2002, she has served as the Director of thefederally-funded National Center on Substance Abuse and Child Welfare and the Director of the Administration onChildren and Families technical assistance program for the Regional Partnership Grants since 2007. In 2010, Dr.Young began serving as the Director of the Office of Juvenile Justice and Delinquency Prevention’s technicalassistance program for Family Drug Courts and the Statewide System Improvement Program in 2014. She led theeffort to create the foundation-funded Prevention and Family Recovery Program to implement evidence-basedparenting and children’s intervention in family drug courts in 2013.

In addition, Dr. Young has been involved in numerous projects related to public policy analysis, strategic planningand program evaluation through her work with these programs and serving as a consultant to various states,counties, tribes, communities and foundations on behalf of the children, parents and families affected by substanceuse and mental disorders involved in the child welfare and judicial systems.

Dr. Young is a graduate of California State University Fullerton and received her M.S.W. and her Ph.D. from theUniversity of Southern California, School of Social Work.

Nancy K. Young, PhD, MSW

RESOURCES

The following training and technicalassistance (TTA) resources are available at nocost and can be accessed on our website. Please contact us if you have any questionsregarding any of our resources or if we canbe of any further assistance.

Our Materials

Training and Technical Assistsance

Visit

www.cffutures.org

Email

[email protected]

National FamilyDrug CourtStrategic Plan

A coordinated national strategyto enhance and expand the

use of FDCs to reach morechildren and families

Every family in the child welfare systemaffected by parental/caregiver substance usedisorders will have timely access tocomprehensive and coordinated screening,assessment and service delivery for family’ssuccess

The Vision

| Ensure Quality Implementation | Expand FDC Reach | Expand Research Base

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www.cffutures.org

3 GOALS

Guidance to States:Recommendations

for DevelopingFamily Drug Court

Guidelines

Research Update - 2015

This publication provides informationon best practices and collaborativeprinciples to develop and sustainFamily Drug Courts, and incorporatesup-to-date research supporting keystrategies. The Guidelines will assistpolicy makers and practitioners toenhance and expand these programs.

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www.cffutures.org

Family TreatmentPlanning Guide

The Family Treatment Court(FTC) Planning Guidepublished by the National Drug Court Institute and theCenter for Children andFamily Futures (2018) isdesigned to provide step-by-step instructions for a teamplanning to start andimplement an FTC in theircommunity.

Just Released!

Workshop Session (D-4)on Thursday, May 31st

3:15 - 4:30 pm at Room 370 A/D

Attend the Session!

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www.cffutures.org

50+

Webinar PresentationsVisit our website @ www.cffutures.org to

view our archived libriary

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www.cffutures.org

4,000 Attendees

from all 50 states with a level of satisfactionof 3.65 out of 4.0

Ready-Set-Go! Key PlanningDecisions to Help YouSuccessfully Launch YourFamily Drug Court

F amily D rugCo urt L earningAc ademy

Watch Video Presentation

Team Discussion Guide

Attend Live Café

Conversation

Take an Action Step

April 2018

JUne 2018Planning for Safe Care - What Your FDC Needs to KnowAbout Women and InfantsAffected by Opioid UseDisorders

2 018 Café Conversations

August 2018 Part of the Problem or

Solution? Addressing RacialDisproportionality andDisparities in FDC

September 2018Change vs. Checklist -Rethinking Phases, Recovery,and Readiness in Your FDC

L e a r n | S h a r e | D o

Lau nched in 2010, the F DC L earning Ac ademy offers a series of web-based training events to help FDCs assess their needs, initiatestrategic planning, improve programs, evaluate performance andsustain their programs. The L earning Ac ademy meets the widerange of learning needs of the FDC field by offering different levelsof "lear ning communities" that fo cus on the needs of FDCs atdifferent developmental stages ( i.e., planning, early implementation,enhanced and advanced practices, systems change) .

V isitwww. cffutures. org

for registrationinformation!

Join Us!

Family DrugCourt PeerLearning CourtProgram

New sites recently awarded!

The eight mentor courts, selected through a rigorousapplication process, have each demonstrated commitment to evidence-supported practices, innovativestrategies to improve outcomes for children and families,and a strong foundation of collaboration among the court,child welfare, and substance use treatment agencies. The2018 Peer Learning Courts will help to advance the familydrug court movement by furthering the exchange of learningthrough peer-to-peer technical assistance. Family drug courtprofessionals and those interested in learning more aboutthe model are encouraged to visit these mentor courts andwitness their teams in action.

Dunklin County Family Treatment Court, Missouri· Jefferson County Family Integrated Treatment Court, Colorado

King County Family Treatment Court, Washington Miami-Dade County Dependency Drug Court, Florida

Sacramento County Early Identification Family Drug Court, California Tompkins County Family Treatment Court, New York

Tulsa County Family Drug Court, Oklahoma Wapello County Family Treatment Court, Iowa

..with 450 family drug courts across the nation, morejurisdictions moving to a continuum of care for all familiesaffected by substance use disorders, and the upcomingrelease of the National Family Drug Court Standards meanswe look to our Peer Learning Courts to share theirinvaluable experiences overcoming barriers andimplementing collaborative solutions. We recognize theimportance of peer-to-peer learning and look forward topartnering with these mentor courts to deliver timely andresponsive training and technical assistance to the field.”

Dr. Nancy Young, Executive Director of the Center for Children and Family Futures.

"Nowmorethanever..

Visit the PLCs @

ExhibitHall

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www.cffutures.org

Family Drug Court Online Tutorials

Visit

www.fdctutorials.org

In July 2017, the Center for Children and FamilyFutures launched the Family Drug Court Tutorial whichprovides self-paced learning opportunities for anyonewanting to gain a basic and introductory knowledge ofthe FDC model and operations. Designed using a web-based platform and using the FDC Guidelines as aframework for instruction, the tutorial is divided intofive learning modules consisting of updated content,video clips, links to additional training and technicalassistance resources, and quiz questions to enhancethe learning experience.

The Tutorials take approximately 4-5 hours to complete, and offer a

Certificate of Completion uponsuccessful completion of all fivemodules and passing a Final Quiz.

5 LEARNING

MODULES

Overview of the

FDC Movement and

Model

Foundation of

Shared Mission and

Values

Services to Children

and Parents

Agency Collaboration

and Information

Sharing

Learning Modules

Achieve Shared

Outcomes

The free tutorials focus on the subj ects ofsubstance abuse and child welfare; theysupport and facilitate collaboration betweenthe child welfare system, the substance abusetreatment system and the courts. ContinuingE ducation U nits ( CE U s) are available uponsuccessful completion of a tutorial.

CHILD WELFARE SUBSTANCE ABUSE TREATMENT

LEGAL

Visit

www. n cs a cw.s a m h s a .go v

OnlineTutorials

Tutorial 1: U nderstanding Child W elfare and theDependency Court: A G uide for S ubstance AbuseTreatment P rofessionals Tutorial 2: U nderstanding S ubstance U seDisorders, Treatment and Family R ecovery:

A G uide for Child W elfare P rofessionals Tutorial 3: U nderstanding S ubstance U seDisorders, Treatment, and Family R ecovery:

A G uide for L egal P rofessionals

NCS A CW is fund ed by the S ubstanc e A buse and M ental H ealthS ervic es A d ministration ( S A M H S A ) and the A d ministration onChild ren, Y outh and F amilies ( A CY F ) , Child ren' s B ureau.

Professionals

This publication provides an overview of the extentof the opioid use by pregnant women and theeffects on the infant and highlights recommendations for treatment approaches fromleading professional organizations based onevidence-based practices. An in-depth case studyis also included so collaborative teams can adoptand adapt key components and lessons in theirju risdiction. The publication also includes aG uide for Collaborative P lanning to support teamsin their planning and implementation efforts.

P lease contact ncsacw@ cffutures.org or visitwww.ncsacw.samhsa.gov if you have any questionsregarding this publication or need additionalresources to help you address the opioid crisis inyour community.

A C ollaborativeAp proach to theTreatment ofP regnantW omen W ithOpioid U seD isorders

Visit www. n cs a cw.s a m h s a .go v

NCS A CW is fund ed by the S ubstanc e A buse and M ental H ealth S ervic esA d ministration ( S A M H S A ) and the A d ministration on Child ren, Y outhand F amilies ( A CY F ) , Child ren' s B ureau.

P revention &F amily R ecovery

The P revention and Family R ecovery ( P FR ) initiativeseeks to advance the capacity of Family Drug Courts( FDCs) and their partner agencies to provide andsustain a comprehensive family-centered approachto improve child, parent and family outcomes.

Th e P rev entio n and F am ilyR eco v ery initiativ e is g enero u slysu ppo rted b y th e D o ris D u k eC h aritab le F o u ndatio n and

Th e D u k e E ndo wm ent.

P ro v ides co ntex t rich sto ries andlesso ns o n h o w each G ranteeim p lem ented a f am ily- centeredap p ro ach in th eir F D C p ro g ram

P FR G rantees R ound 1 included: P imaCounty, A Z ; S an Francisco, CA;R obeson County, N C; and TompkinsCounty, N Y

PFR Grantee Case Studies

H ig h lig h ts cro ss- cu tting lesso ns and ex pe riences o f P F R G rantees ( R o u nd 1 )B est pr actices to h elp F D C s m o v e f ro m an indepe ndent pr o g ram with in th eco u rt to an integ rated cro ss- system s co llab o rativ e centered o n th e wh o lef am ily u nit

B rief 1 : O v erv iew o f th e P F R I nitiativ eB rief 2 : K ey L esso ns f o r I m pl em enting a F am ily- C entered A ppr o ach

B rief 3 : C ro ss- S ystem s C o llab o ratio n, G o v ernance and L eadersh ip: Th e F D CT rif ecta f o r S ystem s C h ang e

B rief 4 : E v idence- B ased P ro g ram I m pl em entatio n with in th e F D C C o ntex t:F inding th e R ig h t F it

B rief 5 : B u ilding th e P erf o rm ance M o nito ring and E v alu atio n C apa city o fF am ily D ru g C o u rt

PFR Briefs

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www.cffutures.org

Transitioning to aFamily-CenteredApproach

This publication released by Children and Family Futures and theNational Drug Court Institute, offers professionals working in adultdrug courts key strategies for implementing a family-focusedapproach, with particular focus on enhanced collaboration,communication, shared knowledge, addressing the needs of familiesand children, funding, sustainability, and outcomes. This publicationhighlights three adult drug courts from Florida, Michigan, andMontana and their process of transitioning from a traditional adultdrug court to one that has expanded services to families and children.

Best Practices andLessons Learnedfrom Three AdultDrug Courts

Check-out the

Concurrent GeneralSession (CG-17) on

Friday June 1st 1:45 - 3 pm

at Grand Ballroom A

Attend the Session!

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www.cffutures.org

NationalQualityImprovementCenter forCollaborativeCommunityCourt Teams

The National Quality Improvement Center for CollaborativeCommunity Court Teams is funded by the Children’s Bureau,Administration on Children, Youth and Families,Administration for Children and Families, U.S. Department of Health and Human Services. The goal of this grantinitiative is to improve outcomes for infants and familiesaffected by substance use disorders and prenatal substance exposure.

A total of 15 demonstration sites were selected through a competitive and rigorous application process. With theassistance of dedicated Training and Technical AssistanceChange Teams, each of the demonstration sites will design,implement and test new and innovative approaches thatmeet the requirements of the Comprehensive Addictionand Recovery Act (CARA) amendments to the Child AbusePrevention and Treatment Act (CAPTA) and that bettermeet the needs of infants and families. Evaluation findingsand lessons from demonstration sites will provide the fieldand local courts across the country with valuableinformation on the most effective multi-system strategiesand approaches to improve the way in which parents andcaregivers and their children are served.

The QIC-CCCT demonstration sites are:

Oklahoma Department of Mental Health andSubstance Abuse Services - Oklahoma CountyFamily Drug Court; Okmulgee County Family DrugCourt; Tulsa County Family Drug Court

Yurok Tribe for Northern California Tribal CourtCoalition - Humboldt County – Yurok, Hoopa Valleyand Karuk Tribe; Del Norte County – Yurok Tribe

Alabama Administrative Office of Courts - JeffersonCounty; Jackson County

Supreme Court of Ohio - Coshocton County Probateand Juvenile Court; Fairfield County Juvenile andProbate Court; Trumbull County Family Court

Supreme Court of Georgia, Committee on Justicefor Children - Douglas County Juvenile Court

Family Support Services of North Florida, Inc. Arizona Superior Court in Maricopa County,

Juvenile Department Alaska Court System - Palmer Therapeutic Courts

Harris County, Texas

Visit

www.cffutures.org/qic-ccct

Our Mission - To improve safety, permanency, well-being, and recoveryoutcomes for children, parents, and families affected by trauma,substance use, and mental health disorders

For more information, visit: www.cffutures.org

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