Substance Abuse Video

In celebration of our 25th anniversary, The National Family Preservation Network (NFPN) is pleased to announce the release of a video training on Substance Abuse and In-Home Services.

The new video training comes at a time when substance abuse, particularly opioids, is the most urgent health and social issue. The addictive power and potency of opioids have had devastating effects on families. These include a high number of fatalities due to overdose, high number of children removed from their homes and placed in foster care, and suicides of young children in families where a parent is addicted to opioids. Every agency that provides services to children and families is grappling with this issue.

However, it does help to keep in mind that this is not the first drug epidemic.

The crack cocaine epidemic in the 1980’s caused widespread panic due to fears of children being irreparably damaged from being born addicted through exposure in the womb to the mother’s drug use. But a study by the University of Florida showed that the babies determined safe to be left with their addictive mothers were more developmentally advanced at six months than babies removed from their mothers and placed in foster care. It is possible to provide treatment to the substance abusing parent(s) and protect children while keeping the family safely together.

The purpose of NFPN’s video is to contribute to the resources and training for in-home services in order to help families involved with substance abuse. NFPN recommends at least two days of initial training for practitioners and ongoing training should also be provided.

One way to begin is by viewing some free resources that are available online:
For a brief overview of substance abuse and the child welfare system visit: https://www.childwelfare.gov/pubs/factsheets/parentalsubabuse/

For a comprehensive overview of addiction including neurobiology, prevention, treatment, recovery and more view the Surgeon General’s Report at https://addiction.surgeongeneral.gov/.

To help motivate families to make needed changes, view “Listening and The Six Stages of Change” at http://www.nfpn.org/products/247-nfpn-ifd-webcast-video.

NFPN’s 90-minute substance abuse video was filmed in the state of Missouri and all presenters are from that state. There are seven segments with a presenter for each segment: Interviewer, State Child Welfare Administrator, Judge, Service Provider, Supervisor, Trainer, and Therapist/Client. Also included are 25 supplemental online resources with links provided for information and training.

For quick reference, here is the link to the online information on the video: http://www.nfpn.org/videos/substance-abuse-and-in-home-services

Pricing for the video starts at $275 for up to 25 workers.

To order, contact Priscilla Martens, NFPN Executive Director, director@nfpn.org Phone 888-498-9047.

Posted by Priscilla Martens, NFPN Executive Director

Comprehensive Family Assessment

As we head into fall, this is the time of year when many agencies are looking at new programs and tools, including reliable and valid assessment tools. While the social services field has always sought to understand the families they are trying to assist, it has only been in the past two decades that there has been an emphasis on comprehensive assessment of families.

Pat Schene was among the first to define comprehensive family assessment which involves looking at the “big picture” of the family in terms of both strengths and weaknesses, not just symptoms or one incident. It further involves identifying, gathering, and weighing information and begins with the first contact with the family and continues until the case is closed. The purpose is to develop a service plan or intervention that addresses the major factors affecting a child’s well-being, safety, and permanency. The plan aims at helping the family get on the right track for improved functioning. Schene goes on to describe the steps involved in assessment and provides an excellent case example. Her article remains the best starting place to understand comprehensive family assessment and is available here https://www.acf.hhs.gov/sites/default/files/cb/family_assessment.pdf.

It so happens that an assessment tool for the “big picture” was in development about the same time that Schene wrote her article (it has since been updated). The original North Carolina Family Assessment Scale (NCFAS) included the domains of environment, parental capabilities, family interactions, safety, and child well-being. The initial ratings are completed at case opening are used to prioritize goals and services. The final ratings, completed at case closure, show the improvement in family functioning from the time of the initial ratings. The key to training on the tool is the case example that gives workers the opportunity to compare their ratings with the recommended ratings.

Proliferation nationwide of assessment tools created a need for evaluating the instruments. The most comprehensive evaluation, involving 85 family assessment instruments, was conducted by a research team at the University of Berkeley in 2006. The NCFAS and NCFAS-R (for use with reunifying families) ranked at the top. The study is available here http://www.nfpn.org/articles/top-assessment-tools-for-cws.

The various versions of the NCFAS tools have been involved in dozens of studies and have consistently demonstrated reliability and validity across a wide variety of programs including family preservation, differential response, supportive housing, schools, etc. For an overview of the research visit http://www.nfpn.org/assessment-tools/ncfases-scale-development-report.

There have been two recent developments involving the NCFAS tools. The first is the addition of two domains to address trauma and healing from trauma, the Trauma/Post-Trauma Well-Being tool. The tool was developed in response to mandates by the federal and state governments to include trauma-informed practice in all government funded services. Information on the trauma tool is available here http://www.nfpn.org/assessment-tools/trauma-assessment-tool.

The second development is a web database for the NCFAS tools (NCFAS-G, NCFAS-G+R, and Trauma). The web database is accessed through any internet-linked device and allows the worker to enter ratings and other information about the family. It produces aggregate reports that can be saved, printed, or exported to Excel with graph features also available. NFPN recommends that all current users of the NCFAS tools transition to the web database. More information is available here http://www.nfpn.org/assessment-tools/ncfasgrt-database. Free demos are available upon request and introductory pricing is in effect this calendar year.

To schedule a demo of the web database or for any questions about the assessment tools, please contact Priscilla Martens, Executive Director, director@nfpn.org, 888-498-9047.

Posted by Priscilla Martens, Executive Director

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