Families with H'A'R'T' Program

1
Families with H.A.R.T. Program

• Tiffany Howard MS LCADC ASE

2
Demographics for Worcester County

• Outlooks Outcomes 2006 Annual Report
• Number of admissions has increased from 100 in
  FY03 to 135 in FY06
• Increased referrals outside of the county

3
Family Focused Programs

• Prevention Services
• Mental Health
• Adult Addictions
• External agencies/services
• None specifically focus on substance use
  disorders and adolescents

4
Brief Strategic Family Therapy

• Family Systems Approach
• Addresses Patterns of Interaction
• Targeted Practical Ways to Change Patterns

5
Benefits of BSFT

• Targets self-sustaining family changes
• 8 to 24 Sessions
• Extensively evaluated
• Manualized
• Flexible approach
• Respects family culture

6
What BSFT Does

• Engages client and families
• Diagnoses family dysfunction as related to
  clients treatment issues
• Orchestrates change within the family that gives
  opportunity for long-term change within family
  communication

7
Goals of Family Program

• Reduce/eliminate substance use of adolescent
• Change family patterns surrounding adolescent
  substance use
• Sustain BSFT treatment approach in Worcester
  County

8
Planning for Implementation

• Identify Population
• Train Staff
• Accumulating experience to train supervise
  staff
• Planning for group individual live supervision
• Project Oversight
• Outcome measurements
• Budget Issues
• Identify Family Assessment Tool
• Family Assessment Device (FAD)
• FACES
• Scheduling of Care
• Continued Recruitment (sustainability)

9
Population

• Identified Population
• Pilot Group IOP Enrolled
• Future Growth Expectation
• IOP Enrolled
• Drug Court Enrolled
• Inpatient Referred

10
Outcomes Measurements

• Family interaction pre/post screening tool
• Substance use comparison, admission discharge
  (80 decrease)
• Percentage of families successfully completing
  BSFT (90)
• Percentage of adolescents remaining in treatment
  orgt90 days (62)
• Percentage of adolescents completing/transferring/
  referred entering another level of treatment
  within 30 days of discharge (40)
• Percentage of adolescents improving school
  attendance (85)
• Recidivism rates (70 decrease in completers)
• Based on ADAA 2007 Program Performance Strategies

11
Brief Strategic Family Therapy for Adolescent
Drug Abuse

• Therapy Manuals for Drug Abuse Manual 5
• Authors
• José Szapocznik, Ph.D.
• Olga Hervis, M.S.W., L.C.S.W.
• Seth Schwartz, Ph.D.
• Center for Family Studies
• Department of Psychiatry and Behavioral Sciences
• University of Miami School of Medicine