PUBLIC HEALTH ALWAYS WORKING FOR A SAFER AND HEALTHIER WASHINGTON

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PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON
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Solutions/SBSM
PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON

• Solutions that create emotionally strong,
  personally confident and socially resilient women
  who can thrive in the real world
• Helping women and their children become healthy,
  safe and self-sufficient

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Washington State
PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON
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Rural Location Data
PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON
Benton County Benton County Franklin County Franklin County
Population Population
Benton City 2,840 Connell 3,195
Kennewick 60,410 Kahlotus 220
Prosser 5,045 Mesa 440
Richland 43,520 Pasco 44,190
West Richland 10,210
Retrieved from the 2005 Data Book from the Office
of Financial Management State of Washington
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PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON
Benton County Benton County Franklin County Franklin County
Ethnicity Ethnicity
White 45,632 White 53,478
Black 1,520 Black 1,228
American Indian 1,371 American Indian 468
Asian 3,600 Asian 993
Hispanic 22,815 Hispanic 31,798
Births 10,923 Births 6,247
Net Migration 9,834 Net Migration 6,320
Retrieved from the 2005 Data Book from the Office
of Financial Management State of Washington
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Drug of Choice2005 Present
PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON
208 Total Clients 208 Total Clients
Methamphetamines 77
Marijuana 11
Alcohol 8
Cocaine 1
Heroin .05
Prescription .05
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Benton Franklin Health DistrictWhere is Safe
Babies, Safe Moms in the scheme of things?
PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON
Preventive Health
W.I.C.
Immunizations
Safe Babies, Safe Moms
First Steps MSS/MCM
Safe Kids
Comm Disease
A.R.S. E.I.P
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PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON
COMPONENTS OF THE PROGRAM
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Newsletters
PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON
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Behavioral Health Classes
PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON

• Support Group
• Lunch Bunch
• Creative Discovery
• MRT class in Inpatient treatment
• Parenting Class-Love and Logic

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Creative DiscoveryFun Times, Fun Projects
PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON
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The reality is
PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON

• Due to the range and complexity of family issues,
  it is not feasible to expect that one counselor,
  one treatment provider or one discipline be able
  to adequately provide the full range of services.
• Because of this reality, it is necessary to
  establish effective partnerships.

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Multiple Service Providers
PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON
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Needs of the family must be met!
PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON

• Trust, rapport, partnership must be consistently
  offered
• Needs change-continual assessment is critical
• Expectations should be clear
• Meet the family where they are
• Assess and respond to changing needs
• Educational, financial, safety, counseling,
  recovery, communication, bonding, supports, etc.

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PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON

• Housing other basic needs
• More than just bricks and mortar
• Sense of permanencyhome
• Transportation
• Safe, reliable transit for both parents and
  children
• Safety/Sense of security
• Minimize vulnerabilities
• Domestic violence
• Abuse
• Consistent, reliable, developmentally appropriate
  child care

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PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON

• Provide assistance with legal challenges
• Legal aid organizations
• Advocacy
• Engage in social life skills development
• Provide array of counseling
• Individual/group
• Couples
• Family
• Benefits/entitlements
• Assist in navigating complex service systems
• Increase treatment options/access
• Be sure that family needs fit with service
  providers

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PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON

• Identify/develop reliable support networks 
• Educate on healthy coping skills
• Provide safe forum for exploring shame, guilt,
  embarrassment, failure, loss, anger, etc.
• Engage parents/children in positive change talk
• Establish positive family modeling

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PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON

• Assess and develop work ethic, valuing
• Develop person-centered vocational goals
• Clear
• Measurable
• Doable
• Explore employment experiences (sober or using)
• Employment preparedness
• Work skills
• Validate pressures/stress of raising a family
• Explore options for reducing stress
• Discuss parent/child roles and expectations

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PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON

• Explore time management strengths/weaknesses
• Provide opportunities for the family to practice
  prioritizing, decision making, judgment, recovery
• Use both positive and negative experiences as
  opportunities for learning
• Determine financial needs
• Develop person-centered plan for reducing
  financial strain
• Address both immediate and long-term

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PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON

• Evaluate health care needs for all members of the
  family
• Physical
• Mental health
• Spiritual
• Identify options for sustainable employment
• Job market
• Wages
• Benefits
• Work place supports/threats
• Work with the family to identify use triggers
• In workplace
• Home
• Family
• Develop plans to neutralize triggers

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PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON

• Practice delayed gratification
• Savings accounts/bonds/budgeting
• Accepting a job-working toward a career
• Work vs. using
• Ambivalence
• Practice the positive
• Thinking before acting
• Consider the consequences
• Think of others first
• Expand life views beyond black and white,
  success or failure, good or bad
• Work on flexibility
• Recognize Institutionalized, self-fulfilling
  thinking

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Program OutcomesBased on 208 clients-2005-present
PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON

Entered the program pregnant 44
Had a subsequent child while in the program 20
Gave birth to a low birth weight baby 6.9
Baby tested positive for illegal substance 14
Target child had developmental delays 7
Had a CPS case 37
CPS case was dismissed before client exited the program 45
Received counseling services at SBSM 44
Was on a method of birth control 44
Had a tubal ligation 18
Was employed while in the program 48
Furthered education while in the program 12
Committed a new crime while in the program 20
Was in a domestic violence situation while in the program 17
Was involved in drug court while in the program 10
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Success Stories
PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON
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Shelley Little RN, BSNPreventive Health
SupervisorSafe Babies Safe Moms
PUBLIC HEALTHALWAYS WORKING FOR A SAFER
ANDHEALTHIER WASHINGTON

• 100 N. Fruitland, suite D
• Kennewick, WA 99336
• 1-509-582-0834 x-31
• shelleyl_at_bfhd.wa.gov