Screening and Assessment for Family Engagement, Retention, and ...

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that can be used even if there is need for a larger framework that focuses on collaboration and should be useful to agencies that simply want to improve their internal practices. After a discussion of communication protocols, the remainder of this section provides guidance in developing answers to these questions. 3.1 Developing Communication Structures and Protocols Responding to the questions listed above requires formal and clear patterns of communication. Results from screenings and assessments must be communicated across systems to answer questions regarding what kind of treatment and other services best meet family needs, how families can best be engaged and retained in these services, how well families are progressing and what problems are they experiencing, how transitions are handled, and how systems can know whether they have succeeded? The Pathways of Communication Template on the next page illustrates the communication flow that must occur between community agencies, the alcohol and drug service system, the child welfare service system, and dependency court system during the stages of answering the questions: “What is the response?,” “Are there demonstrable changes?,” “Is the family ready for transition?,” “What happens after discharge or case closure?,” and “Did the interventions work?” Policymakers, administrators, legal experts, and practitioners must consider each of the communication points depicted on the template and provide the policies, procedures, and specific content needed for staff to share information about families with each other and with family members. Each of the communication bridges (shown in areas in between the columns of text on the figure) must be clearly defined within each community and jurisdiction. Local office staff or Subcommittees charged with designing protocols for local offices should use this template as a guide to define the communication bridges, track how communication occurs in their office or jurisdiction, and identify areas in which communication breaks down. (An example of a completed communication template is included in Appendix A.) On the basis of this analysis, local staff or the Steering Committee should establish formal communication guidelines for use by staff from all three systems. The content of information to be exchanged across the bridge must be specified, including the exact information and method for exchange required to make an effective bridge across the systems. The results of this exercise also provide a good basis for creating a cross-system training initiative that is grounded in solid information developed by staff from all systems. 40
Other Community Agencies Screening Community Based Family Support Services Pathways of Communication Template Identification Through Community or Family Awareness of Signs, Symptoms and Behaviors Family and Extended Family Services Alcohol and Drug Services Child Welfare Services Dependency Court Screen Child Abuse Report Immediate Need Triage Diagnosis Multidimensional Assessment Treatment Plan and Services Treatment Monitoring and Transition Planning Recovery Management Outcome Monitoring 41 In-person Safety Assessment In-person Response/Risk Assessment Family Assessment Case Plan Development and Services Case Plan Monitoring, Permanency Determination Family Well Being Outcome Monitoring Detention/ Shelter Hearing Jurisdiction Disposition Hearings •Review Hearings •Family Treatment Court Hearings •Case Closures Outcome Monitoring 3.2 Screening: Is there a substance use or child abuse and neglect issue in the family? What is the immediacy of the substance use or child abuse and neglect? Screening for Substance Use Disorders in Child Welfare System Families When reports of child maltreatment are based on or accompanied by allegations of substance use by parents or when children are born prenatally exposed to substances, child welfare staff do not need to further screen for substance use problems. When substance abuse is not evident from the report of maltreatment or the birth of a child who has been exposed prenatally, the answer to the question “Is there a substance use issue?” is arrived at through a variety of sources such as observations in the home or information gathered from neighbors or other family members. For cases in which the child welfare worker is unsure whether substance use is a problem, the use of a standardized set of questions—a screen—is recommended. Alcohol and drug screens, as those used in this guidebook, refer to brief tools or procedures designed to determine risk or probability that an individual has a given condition, or disorder. Screens should be designed for use by a broad range of people, including those with little clinical expertise. An ideal screen should be short, easy to administer orally or in writing, inexpensive, and capable of detecting a problem or condition when it exists.
Page 1: SCREENING AND ASSESSMENT FOR FAMILY
Page 4 and 5: Acknowledgments Numerous people con
Page 7 and 8: INTRODUCTION This guidebook present
Page 9 and 10: • • • What are the nature and
Page 11 and 12: 8. Developing and sustaining effect
Page 13 and 14: The Layout of the SAFERR Guidebook
Page 15 and 16: SECTION I: BUILDING CROSS-SYSTEM CO
Page 17 and 18: • • • Judicial officers and a
Page 19 and 20: esearching, and raising concerns to
Page 21 and 22: Examples of Shared Principles 1. Al
Page 23 and 24: Is there an issue? SAFERR Terms and
Page 25 and 26: • For the alcohol and drug servic
Page 27: Steering Committee members should c
Page 30 and 31: Child welfare staff also require tr
Page 32 and 33: � Sharing information with alcoho
Page 34 and 35: Responsibilities of staff in the al
Page 36 and 37: advice from colleagues working in c
Page 38 and 39: Child welfare staff are often well
Page 40 and 41: In developing case plans, alcohol a
Page 42 and 43: 2.5 Models for Cross-System Collabo
Page 44 and 45: • • Because team members learn
Page 48 and 49: Screening and the Indian Child Welf
Page 50 and 51: • • • The child is perceived
Page 52 and 53: The questions are as follows: •
Page 54 and 55: Concluding Notes on Screening As no
Page 56 and 57: Use, abuse, and dependence continuu
Page 58 and 59: tool, the “Stages of Change Form
Page 60 and 61: Determining risk to children involv
Page 62 and 63: y professionals through use of vari
Page 64 and 65: Alcohol and drug treatment plans sh
Page 66 and 67: In monitoring progress to determine
Page 68 and 69: untreated psychological or psychiat
Page 70 and 71: closure?” Staff and family member
Page 72 and 73: Magura S., Moses, B. S., & Jones, M
Page 75: Appendix A Facilitator’s Guide A-
Page 78 and 79: LOGO (Court) Sample Project Announc
Page 80 and 81: Steering Committee will not know ea
Page 82 and 83: Day One 8:45 - 9:45 Introductions S
Page 84 and 85: Techniques for Guiding the Kickoff
Page 86 and 87: principles. These discussions are n
Page 88 and 89: Task 1: Complete the Collaborative
Page 90 and 91: includes many “eye opening” mom
Page 92 and 93: A-18 How is risk of child abuse or
Page 94 and 95: A-20 Presence And Immediacy WORKSHE
Page 96 and 97:
A-22 WORKSHEET 2—WHERE DO WE WANT
Page 98 and 99:
• • • • • • • • •
Page 100 and 101:
A-26 Goal 3—Develop online resour
Page 102 and 103:
A-28 Goal 8—Implement Use of a St
Page 104 and 105:
Task 3: Develop a Communication Pro
Page 106 and 107:
A-32 Other Community Agencies Scree
Page 108 and 109:
A-34 Pathways of Communication Temp
Page 110 and 111:
A-36 ADS, CWS, and Dependency Court
Page 112 and 113:
ADS, CWS, and Dependency Court SAFE
Page 114 and 115:
Pilot Colocation of ADS Workers in
Page 116 and 117:
Elicit input from the Office of the
Page 118 and 119:
A-44 Situation • • • • •
Page 121:
Collaborative Values Inventory A-47
Page 124 and 125:
7. Years of professional experience
Page 126 and 127:
21. In our community, dependency co
Page 128 and 129:
40. The messages that youth receive
Page 131:
Collaborative Capacity Instrument
Page 134 and 135:
� Community-Based Organization
Page 136 and 137:
10. When our AOD treatment provider
Page 138 and 139:
17. Rate your State’s AOD treatme
Page 140 and 141:
5. Our State has developed outcome
Page 142 and 143:
5. Our State has developed joint tr
Page 144 and 145:
3. Our State ensures that primary h
Page 146 and 147:
Use of the Collaborative Values Inv
Page 148 and 149:
The analysis should review at least
Page 151 and 152:
SACRAMENTO COUNTY DEPENDENCY DRUG C
Page 153 and 154:
Introduction Synthesis of Cross Sys
Page 155 and 156:
Information and Data Sharing •
Page 157:
Child Welfare and Alcohol and Drug
Page 160 and 161:
Prevention Performance Measures Ref
Page 163 and 164:
Fact Sheet 1—The Extent of People
Page 165 and 166:
Based on these percentages, it is e
Page 167 and 168:
References Ahmed, K. (2006). Data a
Page 169 and 170:
Fact Sheet 2—Special Issues Durin
Page 171 and 172:
Table 2: Substance Use by Pregnant
Page 173 and 174:
Table 5: Infant Development, Enviro
Page 175 and 176:
Fact Sheet 3—Research Studies on
Page 177 and 178:
McNichol and Tash (2001) reported t
Page 179 and 180:
References Besinger, B., Garland, A
Page 181:
Appendix C Understanding the Needs
Page 184 and 185:
fast track termination of parental
Page 186 and 187:
the family. Intervention must be ai
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prenatal care. One key reason for t
Page 190 and 191:
The growing body of literature on t
Page 192 and 193:
The behavioral and cognitive impact
Page 194 and 195:
Lack of Secure Attachment As toddle
Page 196 and 197:
environment in which substance use
Page 198 and 199:
Self-harm is intentional, impulsive
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• Comprehensive—provide a varie
Page 202 and 203:
Children’s Health Insurance Progr
Page 204 and 205:
� The National Dissemination Cent
Page 206 and 207:
Chasnoff, I. J., Neuman, K., Thornt
Page 208 and 209:
May, P. A., & Gossage, J. P. (2001)
Page 210 and 211:
Simpson, J. S., Jivanjee, P., Korol
Page 213 and 214:
Examples of Screening and Assessmen
Page 215 and 216:
ALCOHOL USE DISORDERS IDENTIFICATIO
Page 217 and 218:
CAGE-AID Modification The CAGE has
Page 219 and 220:
DRUG USE SCREENING INVENTORY-REVISE
Page 221 and 222:
MASSACHUSETTS YOUTH SCREENING INSTR
Page 223 and 224:
RAPID ALCOHOL PROBLEMS SCREEN (RAPS
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SUBSTANCE ABUSE SUBTLE SCREENING IN
Page 227 and 228:
TWO-ITEM CONJOINT SCREENING TEST (T
Page 229 and 230:
UNCOPE The UNCOPE is a six-item scr
Page 231 and 232:
COMPREHENSIVE ADDICTION AND PSYCHOL
Page 233 and 234:
GLOBAL APPRAISAL OF INDIVIDUAL NEED
Page 235 and 236:
The following instrument is concern
Page 237 and 238:
SUBSTANCE USE DISORDER DIAGNOSTIC I
Page 239 and 240:
DIAGNOSTIC INTERVIEW SCHEDULE FOR C
Page 241 and 242:
GLOBAL APPRAISAL OF INDIVIDUAL NEED
Page 244 and 245:
Planning and Monitoring Tools Regar
Page 246 and 247:
FAMILY ASSESSMENT FORM (FAF) The FA
Page 248 and 249:
LEVEL OF CARE INDEX-2 REVISED (LOCI
Page 250 and 251:
RISK INVENTORY FOR SUBSTANCE-AFFECT
Page 252 and 253:
Examples of Instruments Used by Sta
Page 254 and 255:
1. Health status 2. Emotional stabi
Page 256 and 257:
ILLINOIS DEPARTMENT OF CHILDREN AND
Page 258 and 259:
Abstinence Parent is currently abus
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Parenting Skills/ Parental Function
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Appendix E Substance Use, Abuse, De
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Alcohol and Drug Use Continuum Use
Page 269:
Appendix F Examples of Safety and R
Page 272 and 273:
Screening Tools for Child Safety Th
Page 274 and 275:
RISK INVENTORY FOR SUBSTANCE ABUSE-
Page 276 and 277:
Assessment Instruments for Child We
Page 278 and 279:
PARENTING STRESS INDEX (PSI) The PS
Page 280 and 281:
STRUCTURED DECISION MAKING (SDM) RI
Page 282 and 283:
RISK INVENTORY FOR SUBSTANCE-AFFECT
Page 284 and 285:
The following three instruments are
Page 286 and 287:
AGES AND STAGES QUESTIONNAIRES (ASQ
Page 288 and 289:
Copyright Copyrighted by Achenbach
Page 291 and 292:
Sharing Confidential Information Un
Page 293:
Appendix H Glossary of Terms H-1
Page 296 and 297:
Family Assessment - evaluates how w
Page 298 and 299:
Recovery - the process by which an
Page 300 and 301:
Face, or content, validity - means
Page 303 and 304:
A Guide to Compliance With the Indi
Page 305 and 306:
Child Eligible for Membership •
Page 307 and 308:
either parent objects to such trans
Page 309 and 310:
Beyond a Reasonable Doubt This mean
Page 311 and 312:
Consent signed by Indian parents or
Page 313:
Appendix J Acknowledgments of Contr
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