I want to try to keep our family close, reunite us. I want to go to counseling for us
Teach them to rinse their dishes off
Get our pumpkins ready for Halloween
Go to church; Go to movie
Start bowling threetimes a week, the library one time a week, and have one family
night a week
Ongoing service provision to parents. In addition to the face-to-face meetings (either at weekly groups or individual meetings) and weekly check-in calls with participants, service provision in all regions included telephone follow-up, advocacy, and mediation on behalf of participants with community resources such as Adult Probation, BPA, and the SA providers. Ongoing educational efforts with CPS continued throughout the project, via staff meetings, special trainings by SALs, and caseworker visits to local substance abuse treatment providers. Service provision also included frequent meetings and telephone calls with CPS social work- ers regarding status of parents. In Region I, the SAL designed and sent a monthly report to communicate the current status of participants’ attendance and participation, stabilization of family environment, ability to be effective parents, extent parents are addressing own needs, and other relevant issues. When parents began treatment, the PTP case was closed.
From October 2003 to April 2004, there was a consistent wait list in Region I. The SAL in this region had enough parents waiting for treatment in that period that she was able to maintain a Pre-Treatment Group that met weekly. However, since then, referrals have dropped and there has been little or no wait period for treatment. In Region III, it was more difficult to set up a group because parents were referred from four different CFS locations. Consequently, contacts were individual meetings with parents and not group meetings. In Region IV, a small group did meet regularly for a short period during two separate time periods.
Challenges in Implementation
Parents at high risk. There were many challenges presented by families served. One of the most difficult was that the majority of parents’ substance abuse problems in these regions revolved around the abuse of methamphetamines. The effects of methamphetamine abuse can be mood swings, anxiety, anger, violence, paranoia, isolation, depression, insomnia, hallucina- tions, convulsions, kidney failure, and suicide. Consequently, methamphetamine abusers are more difficult to engage than other, more “traditional” DOA addicts.
Idaho Pre-Treatment Program