In-Depth Technical Assistance

National Center on Substance Abuse and Child WelfareNCSACW's In-Depth Technical Assistance (IDTA) program advances the capacity of states, tribes, and their community partner agencies to improve the safety, health, permanency, well-being, and recovery outcomes for families affected by substance use disorders. This 18- to 24-month program strengthens cross-system collaboration and linkages among the child welfare and substance use disorder treatment systems and the courts, as well as maternal and infant health care providers, public health providers, early care and education systems, home visiting providers, and other key partners. Since the program’s inception in 2003, 26 unique sites have engaged in IDTA, including two county sites, four tribal sites, and 20 states.

In 2014, NCSACW focused the IDTA program on assisting states and tribes with addressing the needs of infants and families affected by prenatal substance exposure and the recovery of pregnant and parenting women and their families. IDTA also assists states in developing policies and protocols to align with the prenatal substance exposure provisions in the Comprehensive Addiction and Recovery Act (CARA) of 2016, which amended sections of the Child Abuse Prevention and Treatment Act (CAPTA).

The IDTA model is based on the premise that sites are more likely to successfully implement meaningful and sustainable policy and practice change when they receive targeted training, technical assistance, and coaching in sufficient depth and duration, through strategic phases and with the support of a dedicated Change Liaison (CL). Establishing or augmenting a collaborative governance structure is the foundation for implementing policy and practice changes. Several key factors for success identified through this extensive engagement include:

  • Partnering with agencies who are committed to implementing effective policy and practice changes.
  • Engaging systems leaders who not only support the work of collaborative teams but also are willing to address barriers to strengthening collaboration.
  • Measuring cross-system outcomes.
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Hawaii Hawaii Vermont Vermont New Hampshire New Hampshire Rhode Island Rhode Island Massachusetts Massachusetts Connecticut Connecticut New Jersey New Jersey Delaware Delaware Maryland Maryland Washington, DC District of Columbia Alaska Alabama Arkansas Arizona California Colorado Florida Georgia Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania South Carolina South Dakota Tennessee Texas Utah Virginia Washington Wisconsin West Virginia Wyoming VT 0 NH 0 MA 0 RI 0 CT 0 NJ 0 DE 0 MD 0 DC 0 HI 0 AK 0 AL 0 AR 0 AZ 0 CA 0 CO 0 FL 0 GA 0 IA 0 ID 0 IL 0 IN 0 KS 0 KY 0 LA 0 ME 0 MI 0 MN 0 MO 0 MS 0 MT 0 NC 0 ND 0 NE 0 NM 0 NV 0 NY 0 OH 0 OK 0 OR 0 PA 0 SC 0 SD 0 TN 0 TX 0 UT 0 VA 0 WA 0 WI 0 WV 0 WY 0 Number of Sites 0 1-3 4-8 9+

  • Highlighted Resource

    • In-Depth Technical Assistance: Infants with Prenatal Substance Exposure
      In-Depth Technical Assistance: Infants with Prenatal Substance Exposure(PDF 1.8 MB)

      National Center on Substance Abuse and Child Welfare, 2019

      This brief summarizes the accomplishments, key findings, and conclusions that emerged from three In-Depth Technical Assistance (IDTA) Infants with Prenatal Substance Exposure (IPSE) sites: Delaware, Minnesota, and New York. Between 2016 and 2018, the program focused on developing policies and protocols with state teams to successfully implement Child Abuse Prevention and Treatment Act requirements, especially those that pertain to hospital notifications to Child Protective Services, Plans of Safe Care, and data collection and reporting. This brief presents lessons generated over the course of their engagement with IDTA-IPSE that are related to partnerships and collaboration as well as to practices and policies that affect outcomes for infants and families. More information about the work of these three sites can be found in the complete Infants with Prenatal Substance Exposure Initiative Final Report 2016-2018.

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