Specifically, the evaluation addressed the following questions (see Logic Model, Appendix A):
Are parents in the PTP more likely to access and complete Alcohol or Other Drug Addiction (AODA) treatment?
Are children in the PTP more likely to be reunified safely with their parents or able to remain at home?
Are families in the PTP less likely to experience subsequent maltreatment?
Will the advent of the PTP positively affect the collaboration between the IDHW and substance abuse treatment providers via the work of SALs?
Sources of Data The evaluation of the PTP utilized multiple sources of data and multiple methods of data collection. Data pertaining to placement, permanence, and child safety came from the IDHW database. Substance abuse treatment data came from the statewide substance abuse treatment provider system, Business Psychology Associates (BPA), and IDHW. Demographic and Pre- Treatment service data came from forms completed by SALs and participants in each region. A final source of data came from interviews and surveys of clients, caseworkers, supervisors, managers, and substance abuse professionals
Implementation and Services Between October 2003 and November 2005, 130 parents or caregivers (a total of 115 fami- lies) in Regions I, III, and IV were referred to the PTP and signed the consent form. The typi- cal participant was female, white, 27 years of age, the mother of two young children, unem- ployed, and economically poor, with an 11th grade education and using methamphetamines for an average of five to six years. SALs (located in the main IDHW office of each region) immediately were available to meet with parents and, using motivational interviewing (MI) techniques, engaged them in recognizing their substance abuse problems and taking steps to resolve them. Alcohol/drug assessments were completed by SALs, who connected parents to available substance abuse treatment services. The hypothesis was that addressing the sub- stance abuse problems in a timely manner and supporting parents during the wait periods for treatment helps parents achieve family reunification and child safety.
Summary of Findings
1. Are parents in the Pre-Treatment Program more likely to access and complete Alcohol or Other Drug Addiction (AODA)] treatment?
In the PTP, 89% of parents or caregivers among the 115 families were assessed by SALs as needing substance abuse treatment, indicating that in the majority of cases, the social workers’ initial assessment that parents or caregivers were impaired by substance abuse was corrobo- rated. Of parents who were assessed as needing treatment, 63% actually entered treatment.
1 Of these, one rarely appeared, did not follow through, and did not take the SOCRATES instrument. Thus, the overall N used for all who participated in the program is 129.
Idaho Pre-Treatment Program