Family Centered Treatment Women with Substance Use and CoOccurring Mental Health Disorders who are P

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Family Centered Treatment Women with
Substance Use and Co-Occurring Mental Health
Disorderswho are Pregnant, Postpartum and/or
Parenting and their Children A Case Study

• Francine Feinberg, Psy.D., LCSW, Meta House, Inc.

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Meet Paula

• Homeless
• Substance use disorder alcohol, cocaine, heroin
• Constantly feels anxious, cries easily, has
  difficulty concentrating
• Sexual abuse hx. starting age 15
• Diabetes Hypertension
• Probation
• TANF
• Unemployed no HS diploma

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Paulas Vision

• To live my life as a good mother to my children

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Meet Paulas Children

• One daughter in kinship care (18 mos)
• Two sons children with her (ages 2 3)
• Daughter
• 18 Months Old
• Lived with grandmother since birth
• Withdrawn
• Limited speech
• Mother describes as frozen
• Mother most troubled by lack of interaction

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Paulas Children

• 2 year old
• Cerebral palsy
• Poor vision
• Unable to walk
• Fearful
• Nightmares
• Difficulty adjusting to new situations people
• Bites
• Difficult to calm
• Mother most troubled by inability to walk

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Paulas Children

• 3 Year Old
• Speech disorder phonological
• Tantrums
• Bites
• Fights
• Refuses to eat
• Mother most troubled by speech

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• Counseling
• Relapse Prevention for Women
• Depression and Substance Use
• Post-Acute Withdrawal
• 12 Steps for Women

Meta House Core Services

• The Substance Exposed Child
• Self-Identity
• Relationships
• Sexuality
• Spirituality
• Family Dynamics

Paula
AODA Tx
Mental Health Tx
Trauma Treatment
Anger Management
Case Management Coordination of Services
Child Welfare
Housing
Literacy
Transportation
Mental Health
Voc. Soft Skills
RN Medical Services Education
Drug Screening
Dental Care
Medical Care
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Meta House Core Services
Paulas Family Services
Child Welfare
Head Start
Case Management
Nurturing Program
Parenting- trauma informed
Nurturing Lab
Education Substance
exposed child Alcohol Drug Abuse Family
Dynamics
Paulas Mother
Child-Play Therapy
Childrens Father
Daily help with children
Family Therapy
All Children
Father Parenting Ed.
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Meta House Core Services
Childrens Services
Child Welfare
Case Management coordination of Services
Head Start

Birth to Three
Easter Seals
Referrals
Physical Therapy
Psychosocial Developmental Assessments
Dental Services
Play Therapy
Mental Health Therapy
Art Therapy
Family Therapy
Speech Therapy
Medical Care
Transportation
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Child Welfare Stipulations for Reunification

• Stay in touch and cooperate with worker, meet
  with worker weekly to check progress
• Have a safe, suitable and stable home
• Have regular successful visits with your child
• Call child regularly
• Complete a psych evaluation
• Complete programs recommended by evaluation
• Resolve all criminal charges and cooperate with
  probation officer
• Complete
• AODA program have negative urine tests
• Parenting program
• Nurturing program
• Anger Management
• Have successful extended visits
• Drug testing

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Rules of Community Supervision

• Complete AODA program and sign consent to release
  information to your agent
• Get a mental health evaluation and follow-through
  on recommendations
• Provide urine for analysis
• Meet with officer weekly
• Attend anger management classes
• Obtain employment
• Pay restitution, fines and supervision and court
  fees
• Obtain safe housing
• Drug Testing

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TANF Employment Plan

• Basic Education/GED Hrs/wk 10
• Employment Search Hrs/wk 15
• Ongoing Dr. appts Hrs/wk 5
• Report to worker weekly
• Drug testing

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SINGLE COORDINATED CARE PLAN (SCCP)
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Today

• Lives in Meta Housing with all three children
• Got G.E.D.
• Currently in Culinary School
• Member of Sacred Authority
• No longer on Probation
• Peer Mentor
• Speech improved in older son eating, improved
  behavior
• Younger son ambulatory with a walker- less
  fearful
• Daughter animated and with appropriate attachment
  to mother

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