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
6
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)

7
Addiction
  • A chronic, relapsing brain disease that is
    characterized by compulsive drug seeking and use,
    despite harmful consequences Source NIDA
    (The Science of Addiction)

8
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.

10
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

11
DSHS Priority Groups
  • pregnant injecting drug users
  • pregnant substance abusers
  • injecting drug users
  • parents with children in foster care and
  • veterans with honorable discharges

12
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

14
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

15
Communications
  • Areas That Could be Improved
  • (Open Discussion)

16
QUESTIONS?
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