ACHIEVEMENT CENTER

1
UNLVACHIEVEMENT CENTER

• ACHIEVEMENT CENTER
• LOCATED BETWEEN UNIVERSITY ROAD AND JOE DELANEY
  LANE, JUST WEST OF UNIVERSITY SQUARE
• TRAILER 1, STS COMPLEX
• (THE STS COMPLEX SITS JUST NORTH OF THE
  ARCHITECTURE BUILDING)
• WEBSITE WWW.UNLV/CENTERS/ACHIEVEMENT/INDEX.HTML
• E-MAIL ACHIEVEMENTCENTER_at_NEVADA.EDU
• PHONE [phone] MAIN LINE
• [phone] SECOND LINE
• [phone] CONFERENCE LINE
• FAX [phone]
• HOURS MONDAY TO FRIDAY
• 800AM 500 PM

2
Study

• AC is an outcome study with a goal to develop
  evidence based family behavior therapy.
• Our population
• Mother reported to Department of Family Services
  for child neglect within the past 4 months.
• Mother is living with child responsible for DFS
  referral or it is the intention of Court to
  attempt to return child to mothers home.
• Mother identified to use drugs during past 4
  months.
• Mother has at least 1 adult significant other who
  will participate in treatment.
• The referral is NOT due to domestic violence or
  sexual abuse.
• Mother can NOT be receiving another formal drug
  abuse counseling at time of referral.
• This treatment provides fourteen standardized
  adult modules. The client and the therapist
  choose the order of the modules at the beginning
  of treatment. In addition, this therapy involves
  participation of a significant other and child
  (ren), which has been shown to increase the
  likelihood of positive outcome. It is
  hypothesized that FBT compared to Treatment as
  usual will become the optimal standard for
  therapy in the substance abusing population

3
Success Stories

• The Achievement Center has been open since 2000.
  We have come a long way, since the beginning.
  Here are some cases that have found our program
  to be beneficial
• (ADD STORIES, ASK SENIOR MEMBERS OR
  ADMINSTRATORS, YOU CAN EVEN DO SUCCESS STORIES OF
  STUDENTS).

4
Staff

• AC Director is Dr. Bradley C. Donohue
• Professor at UNLV with extensive
• experience in the field of FBT and
• substance abuse.
• E-mail Address bradley.donohue_at_unlv.edu
• Business Phone [phone]
• Home Phone [phone]
• AC Staff is very diverse, it includes students
  that are at all different levels in their career.
  Our staff consists of Post Doctoral, Graduate,
  and Undergraduate Students.
• Post Doctoral and Graduate Students
• They make up most of our administrative staff.
• Their experience while diverse comes together for
  a common goal to continue developing a therapy
  that is unique.

5
Staff

• Undergraduate Students
• They are the volunteers at the AC. Helping
  administrators develop FBT program while
  enhancing their education.
• Many of our volunteers vary in their career
  goals. They may be psychology or counseling
  majors. However, they all have one goal in mind,
  obtaining research experience.
• There are different teams at the AC.
• In the following slides we will introduce these
  teams and the different roles they play in the
  AC.

6
Referral Process

• Here is the referral form that agencies fill out
  and send to the AC
• S\Psychology-NIDA\Client Forms\Referral
  Prescreen Forms\ReferralForm.11.07.08.doc
• The Intake Coordinate processes this form along
  with a phone interview that they do with the
  client to make sure they are a valid candidate
  for our research project.
• If the pass our criteria then an assessment is
  set up promptly.
• If they do not qualify the caseworker will need
  to find another treatment.
• Many of our administrators work closely with
  caseworkers and rapport with these caseworkers
  has become and essential part of the success in
  our research project.

7
Assessment Team

• After referral or intake process has been
  completed an assessment is scheduled. There are
  three parts to the assessment process
• Pre assessment
• This is a four hour assessment is used to find
  out the psychological state of a client, the
  satisfaction of the client with their life, and
  many other values that they may have regarding
  family life.
• The assessment uses
• The SCID, a psychological assessment.
• Life Satisfaction Scale.
• Home Safety Tour is used to assess the living
  conditions in which the client lives. This
  includes looking for dangerous objects such as
  harmful chemicals, sharp objects, and exposed
  outlets or cables.
• (ADD FORM)
• Post Assessment
• This is an assessment used to track the clients
  progress in our program.
• It is completed after the client completes that
  program.
• Many of the scales used in the pre are also used
  in the post.
• Follow up Assessment
• This assessment is completed with the clients
  four months after the post assessment.
• It helps us determine if the treatment was
  successful.

8
Assessment Team

• After Assessment the client is assigned to
  treatment
• This can include both our treatment or TAU
  (Treatment as Usual ) where they are then
  referred back to the caseworker)
• Please note that drug testing is a vital part of
  our assessment to see if our client is still
  abusing substances. Note that this test is
  confidential and is meant for our records. Also,
  be aware that DFS also drug tests them.
• Opportunity to be a Child Management Specialist
  or secondary assessor
• This is an opportunity for the undergraduate
  members to assist with assessments. The main
  assessor will usually be a graduate student that
  is trained on the SCID.
• However, our drug testing requires us to have two
  assessors to witness the test. As a child
  management specialist you act as a second
  assessor, your responsibilities include
• checking the drug test
• taking care of any children while the assessor
  works with the mom.
• If you need help with understanding these
  responsibilities please refer to the urine
  analysis protocol.
• In addition, if you want to be a child management
  specialist you need to be urine certified, refer
  to orientation manual if necessary.
• Our Assessors work closely with Dr. Allens Lab
• This is the Neuropsychology lab on campus, they
  are experts in assessments.
• They have there weekly meetings at Dr. Allens
  lab on Thursday.

9
Enlistment Team

• Enlistment team makes calls to the clients
  weekly. It acts as a client service team that
  helps with issues that may come up such as
• Rapport building, improving our program to meet
  their needs.
• Attendance concerns
• Case worker updates
• Court dates
• Intervention concerns and homework
• The Enlistment Team serves as a client service
  team. There are three types of calls
• Pretreatment call, this call serves as a
  welcoming, confirming and motivating call. It is
  done three days prior to the first session.
• Ongoing call, this call is done weekly to see how
  a client is doing with their treatment.
• Post treatment call, this call is to find out the
  clients satisfaction with the treatment program.
• ADD Example protocol Ongoing.
• As you can see in the protocol for the
  enlistment calls, one empathizes with the client,
  congratulates on their successes and tries to
  figure out what they want to work on or if they
  need help.

10
Therapist

• Implement the protocols
• Number protocols
• Once a week for every 6 months
• In home therapy
• Start treatment with behavioral goals, then let
  client choose order of interventions through a
  treatment plan
• Example protocol (Treatment Plan)
• Child Interventions
• Teaching children how to be independent and
  proactive with safety
• Example safety storie (ADD)

11
Quality Assurance Team

• Treatment Files are legal files, so we have a
  team that checks them.
• Examples of common errors with legal files
• No Cross outs, should only be one line
• Sloppy handwriting, handwriting needs to be
  legible
• Missing Signatures, Signatures are necessary for
  forms to be valid.
• Quality Assurance checks files and databases for
  accuracy and to minimize error.
• Ex. Of forms they use and what do therapist have
  to do. Quality Assurance Client Chart Review. ADD

12
Protocol Adherence

• Protocol checklist validate evidence based
  practice through standardization of
  interventions.
• Checklist include step by step procedures for
  therapist to follow while in session.
• Sessions are audiotape and reviewed for accuracy
  and competency of intervention.
• We currently utilize for all jobs at the AC
• Checklist include step by step procedures for
  therapist to follow while in session.
• Assessment Team Checklist of what do before,
  during, and after an assessment.
• Enlistment Team Checklist on the steps on should
  review with the client.
• Data Management Team Directions on how to enter
  data efficiently
• Quality Assurance Instructions on how to check
  all other AC teams.
• Example QA Protocol Checklist ADD

13
Data Management Team

• The Data Management Team uses SPSS to input data.
  In addition, we always input date with two
  people, this is to assure that there are no
  errors.
• We have databases for assessment, treatment, and
  enlistment.
• For assessment we are hoping to see the
  improvements from pre, post, and follow up.
• For treatment we are hoping to observe therapist
  competency of 90 or above to assure treatment
  integrity.
• For enlistment we are hoping to notice and
  increase in attendance and retention rates within
  our clients.
• Ex. Of database (Old one) ADD

14
Additional Projects

• Future projects
• Implementing and expanding the child
  interventions
• Heather Hills dissertation involves educating
  child(ren) to better recognize signs of potential
  harm (i.e., chemicals, toxins, pools, weapons) in
  the home. It is hypothesized that if child(ren)
  learn safety skills, parent dependency for safety
  will be reduced and increased levels of safety
  can be obtained. Therapist(s) will support child
  safety with social stories and role playing
• Kendra Tracys dissertation involves
  reestablishing a positive relationship between
  mother and child(ren), in goal of decreasing
  neglectful behaviors while increasing family
  time. Therapist(s) will support positive child
  reinforcement with treatment modules such as
  catch my parent being good, offers to help
  and why I am special talent show.
• Implementing healthy lifestyles including
  healthy diet and exercise regimen
• Holly LaPotas dissertation involves reducing
  unhealthy eating behavior and increasing healthy
  lifestyle behaviors (i.e., exercise and
  activity). According to research, it has been
  shown that a large relationship exists between
  substance abuse, child neglect and disordered
  eating. The goal of this dissertation is to
  achieve healthier levels of Body Mass Index and
  decreased measurements in waist, arm, hip and/or
  bust. Therapist(s) will support healthy behaviors
  with the treatment module, behavioral goals.
  Each week the therapist(s) will focus on the
  individual goals of a family through dieting
  tips, family physical activity, money management
  for groceries, etc.