CPS AND SUBSTANCE ABUSE Milton Ayala, LMSW milton'ayaladfps'state'tx'us 5124383863 - PowerPoint PPT Presentation
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CPS AND SUBSTANCE ABUSE Milton Ayala, LMSW milton'ayaladfps'state'tx'us 5124383863
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Title: CPS AND SUBSTANCE ABUSE Milton Ayala, LMSW milton'ayaladfps'state'tx'us 5124383863
1
CPS AND SUBSTANCE ABUSE Milton Ayala,
LMSWmilton.ayala_at_dfps.state.tx.us 512-438-3863
2
- OVERVIEW
- CPS Mission
- Data
- Addiction
- Key Components of Effective Treatment
- OSAR
3
CPS Mission
- The mission of Child Protective Services is to
protect children and to act in the childrens
best interest. To seek active involvement of the
childrens parents and other family members to
solve problems that lead to abuse and neglect
4
Substances Abuse Trends in Texas June 2009
- Increased heroin inhalation by young Hispanics
- Youth in their twenties are shifting to injecting
illicit drugs - based on treatment admission - Decrease in cocaine and methamphetamine
indicators (drug violence, drug seizures,
increased price) - Decrease in proportion of African American crack
users - Primary drug of abuse at admission to treatment
(2007) - Heroin (10)
- Cocaine (24)
- Methamphetamine (11)
- Source DSHS and UT Center for Social Work
Research
5
Drug or Alcohol Related Investigation During FY
2008
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Analysis
- About 40 of Child Abuse and Neglect
Investigations had a drug or alcohol person
characteristic - Nationally, figure ranges from 33-66(samsha.gov)
- 60 of removals were connected to the existence
of drug or alcohol use/abuse - In 88 child deaths, alcohol and/ or drugs was a
factor in the childs death - 222 Meth Intakes/570 cases Discovered or
Confirmed during Investigation - Source DFPS Data Warehouse (2008)
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Addiction
- A chronic, relapsing brain disease that is
characterized by compulsive drug seeking and use,
despite harmful consequences Source NIDA
(The Science of Addiction)
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Effective Treatment
- The key components of effective treatment as
defined by DFPS are - (1) Abstinence
- (2) Involvement in treatment or aftercare
- (3) Acquisition and demonstration of parenting
skills to include bonding - (4) Problems that led to abuse and neglect
have been solved. - (5) Relapse Safety Plan.
9
OSAR
- DRAFT PSA OSAR
- OSAR
- DFPS encourages the primary use of the OSAR
contractors. - Local Treatment Contractors
- The DFPS caseworker can make a direct referral to
local treatment contractors when there is not an
OSAR appointment available within 14 days or the
distance to an OSAR site is excessive and the
OSAR can not make arrangements to travel to the
client's location.
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DFPS-DSHS MOU (Proposed)
- DSHS agrees to place parents with children in
foster care as a priority population to be served
by DSHSs contractors. Additionally, DSHS agrees
to give priority admission to all other clients
referred by DFPS, behind the DSHS Priority
Populations. DFPS clients include children and
adults
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DSHS Priority Groups
- pregnant injecting drug users
- pregnant substance abusers
- injecting drug users
- parents with children in foster care and
- veterans with honorable discharges
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DFPS-DSHS MOU (Proposed)
- DFPS staff will complete the standardized
referral form that includes details concerning
potential substance misuse issues for each client
referred to a DSHS contractor.
13
DFPS Referrals by SVCS 2009
- Detoxification
5 - Specialized Female Outpatient 45
- Specialized Female Residential 29
- Women and Children Residential 45
- Reference DSHS Data
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Communications
- Best Practices
- ----Reminding Client about
Appointment - ----Scheduling CPS Clients when a
cancellation occurs in the OSAR appointment
calendar - ---- OSAR Co-located in a CPS
Office on Specific Days and Times
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Communications
- Areas That Could be Improved
- (Open Discussion)
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QUESTIONS?
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