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Family-Based Recovery (FBR) is an intensive in-home clinical treatment program for parents who have a substance use disorder and have children ages 0–5. FBR aims to ensure children can develop in a substance-free, safe, and stable home with their parents. FBR includes three components delivered by a team of providers: parental substance use treatment and individual psychotherapy, attachment-based parent-child therapy, and case management. FBR also includes Social Club peer support meetings to promote recovery. For the parental substance use treatment and individual psychotherapy component, clients work with a substance use clinician. The substance use clinician helps clients to develop and implement substance use recovery plans and to explore and discuss life issues related to substance use. Clients complete a substance use screening at the beginning of each session. For each negative screen, clients receive a voucher that they can redeem for a gift card.
Wellness Recovery Action Plan (WRAP) is a facilitated peer group program designed to support individuals who want to improve their wellness that can be applied to a range of areas individuals want to change, including mental health or substance use recovery. WRAP aims to teach individuals how to:
The Colorado Kinnected Kinship Navigator Program (Colorado Kinnected) is designed for children and families with open child welfare cases who are entering a new kinship placement. Colorado Kinnected aims to strengthen the support community around children and their families. Colorado Kinnected’s Kinship Navigators use an approach that integrates multiple trauma-informed interventions and coordinates support for kinship caregivers and families.
Group Combined Parent-Child Cognitive Behavioral Therapy (Group CPC-CBT) is designed for families with children ages 3–17 in which parents are at-risk of engaging in or have already engaged in abusive behavior towards their children. Group CPC-CBT aims to help children heal from abusive experiences, empower parents, strengthen caregiver-child relationships, and enhance family safety. The model supports parents who engage in a continuum of coercive parenting behaviors, ranging from verbal threats to unsubstantiated or substantiated physical abuse. All caregivers in the child’s life (e.g., biological parents, foster parents, grandparents) and siblings are encouraged to participate in the program. Unlike Individual CPC-CBT, Group CPC-CBT involves treating multiple families together.
Multisystemic Therapy (MST) is an intensive treatment for troubled youth delivered in multiple settings. This program aims to promote pro-social behavior and reduce criminal activity, mental health symptomology, out-of-home placements, and illicit substance use in 12- to 17-year-old youth. The MST program addresses the core causes of delinquent and antisocial conduct by identifying key drivers of the behaviors through an ecological assessment of the youth, his or her family, and school and community. The intervention strategies are personalized to address the identified drivers. The program is delivered for an average of three to five months, and services are available 24/7, which enables timely crisis management and allows families to choose which times will work best for them. Master’s level therapists from licensed MST providers take on only a small caseload at any given time so that they can be available to meet their clients’ needs.
Ohio’s Kinship Supports Intervention/ProtectOHIO is designed to promote and support kinship placements. The goal of the intervention is to meet children’s physical, emotional, financial, and basic needs by connecting kinship caregivers with federal, state, and local resources. The kinship caregiver support plan is a key component of the intervention. This plan focuses on case management activities and may address topics such as financial assistance, referral services, and training for kinship caregivers. This plan is intended to be individualized, incorporating information from tools such as the home assessment and needs assessment, and to be reviewed and updated regularly. Monthly home visit services with a kinship coordinator are also offered. These face-to-face interactions are an opportunity to establish trust between the kinship caregiver and coordinator. They are designed to promote more effective communication, education, assessment, planning, and support for the family.
In Parent-Child Interaction Therapy (PCIT), parents are coached by a trained therapist in behavior-management and relationship skills. PCIT is a program for two to seven-year old children and their parents or caregivers that aims to decrease externalizing child behavior problems, increase positive parenting behaviors, and improve the quality of the parent-child relationship. During weekly sessions, therapists coach caregivers in skills such as child-centered play, communication, increasing child compliance, and problem-solving. Therapists use “bug-in-the-ear” technology to provide live coaching to parents or caregivers from behind a one-way mirror (there are some modifications in which live same-room coaching is also used). Parents or caregivers progress through treatment as they master specific competencies, thus there is no fixed length of treatment. Most families are able to achieve mastery of the program content in 12 to 20 one-hour sessions. Master’s level therapists who have received specialized training provide PCIT services to children and caregivers.
Sobriety Treatment and Recovery Teams (START) is designed to serve families involved in the child welfare system with at least one child age 5 or younger and one parent diagnosed with a substance use disorder (SUD). The START model was designed to recruit, engage, and retain parents in SUD treatment while keeping children safe. The goals of START are to prevent out-of-home placements, promote child safety and well-being, increase permanency for children, encourage parental SUD recovery, and improve family stability and self-sufficiency.