In-Depth Technical Assistance
NCSACW'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.
|Interagency Memorandum of Understanding||Arkansas||State||Interagency Agreements||Attachment|
|Connecticut - ABCs of Medication Assisted Treatment Training||Connecticut ||Contact Us|
|Connecticut - Hospital Association Substance Exposed Infant Survey||Connecticut ||Contact Us|
|Site Profile - Connecticut Round One||Connecticut ||Attachment|
|Delaware - Help Is Here||Delaware||Attachment|
|Site Profile - Delaware Round Two||Delaware||Attachment|
|Evaluation||Florida||State||Logic Models and Evaluation Plans||Contact Us|
|State level Memorandum of Understanding||Florida||State||Interagency Agreements||Attachment|
|Site Profile - Florida||Florida||Attachment|
|Drug Testing Practice Bench Card||Iowa||State||Drug Testing Protocols||Attachment|
|Kentucky - Hospital Discharge Assessment||Kentucky||Contact Us|
|Kentucky - Plan of Safe Care Pilot Package||Kentucky||Contact Us|
|Site Profile - Kentucky Round One||Kentucky||Attachment|
|Best Practices to Implement Adoption and Safe Families Act: Creative Strategies to Achieve Permanence; Family Drug Courts Training Substance Abuse, Child Welfare and the Courts Training Brochure||Michigan||State||Multi-System Training Plans||Contact Us|
|Binsfield Legislation - Legislation Establishing Priority for Admission||Michigan||State||Legislation||Attachment|
|Chippewa County Substance Abuse/Child Welfare Protocol – Sample Interagency Communication Protocol||Michigan||State||Communication, Data and Information Sharing Protocols||Attachment|
|Data Inventory and Information-Sharing Logic Model||Michigan||State||Communication, Data and Information Sharing Protocols||Attachment|
|Director's Statement of Support and Interdepartmental Commitment||Michigan||State||Interagency Agreements||Attachment|
|Evaluation and Research Inventory||Michigan||State||Logic Models and Evaluation Plans||Attachment|
|Marketing Products||Michigan||State||Project Marketing Materials||Contact Us|
|Michigan Substance Abuse/Child Welfare Collaborative Project Summary||Michigan||State||Project Marketing Materials||Attachment|
|Michigan Substance Abuse/Child Welfare Protocol for Screening, Assessment, Engagement, and Recovery (SAER)||Michigan||State||Screening, Assessment, Engagement and Retention Protocols||Attachment|
|Provision of Collaborative Training and Technical Assistance||Michigan||State||Multi-System Training Plans||Contact Us|
|Minnesota - Tribal and Urban Resources for Native Americans in Minnesota||Minnesota||Attachment|
|Site Profile - Minnesota Round One||Minnesota||Attachment|
|Tapping Tribal Wisdom||Minnesota||Screening, Assessment, Engagement and Retention Protocols||Attachment|
|New Jersey - Hospital SEI Survey Recruitment Email||New Jersey||Attachment|
|New Jersey - Hospital SEI Survey: OB Leadership||New Jersey||Attachment|
|New Jersey - Hospital SEI Survey: Pediatric Leadership||New Jersey||Contact Us|
|New Jersey - Hospital SEI Survey: Pediatric Primary Care Providers||New Jersey||Contact Us|
|New Jersey - Maternal Wrap Around Program Requests for Proposals||New Jersey||Attachment|
|Site Profile - New Jersey Round One||New Jersey||Attachment|
|Multi-System Training Framework||New York||State||Multi-System Training Plans||Attachment|
|Site Profile - New York Round Two||New York||Attachment|
|Site Profile - North Carolina||North Carolina||Attachment|
|Cross-Systems Collaboration Survey||Pennsylvania||State||Project Marketing Materials||Attachment|
|Practice Guide||Pennsylvania||State||Policies, Protocols and Procedures||Contact Us|
|Memorandum of Understanding||Texas||State||Interagency Agreements||Attachment|
|Interagency Memorandum of Understanding||Virginia||State||Interagency Agreements||Attachment|
|Site Profile - Virginia Round One||Virginia||Attachment|
|Virginia - Community Service Board Guidelines on Maternal Substance Use and Substance Exposed Infant Referrals||Virginia||Attachment|
|Virginia - Community Service Board Survey||Virginia||Attachment|
|Virginia - Opiate Treatment Program Guidelines for Pregnant Women||Virginia||Attachment|
|Virginia - Opioid Treatment Provider Survey||Virginia||Attachment|
|Virginia - Perinatal Substance Use: Promoting Healthy Outcomes Brochure||Virginia||Attachment|
|Virginia - Plan of Safe Care Toolkit||Virginia||Contact Us|
To access any of the resources without an attachment, please contact NCSACW.
Expand All | Collapse All
As part IDTA, each selected site develops a Score of Work and corresponding work plan that defines the objectives and desired outcomes for the period on in-depth technical assistance. While each site's experience and outcomes are unique, the products developed tend to address similar needs, related to:
Policy and Practice Resources
Brief Focused Technical Assistance Description
(PDF 330 KB)
National Center on Substance Abuse and Child Welfare, 2020
This document provides an overview of the National Center on Substance Abuse and Child Welfare’s (NCSACW) Brief Focused Technical Assistance (BFTA) program. Available to states, communities, and tribes, BFTA supports sites’ development and implementation of collaborative, cross-system strategies to improve outcomes for infants affected by prenatal substance exposure and their families and caregivers.
View DocumentNational Center on Substance Abuse and Child Welfare Graphic
In-Depth Technical Assistance Program Description
(PDF 540 KB)
National Center on Substance Abuse and Child Welfare, 2019
This brief provides an overview of the National Center on Substance Abuse and Child Welfare’s (NCSACW) In-Depth Technical Assistance (IDTA) program, which NCSACW has provided to 26 unique sites since 2003. The brief describes the IDTA program model, including its phases, the role of the IDTA Change Liaison, IDTA’s foundational frameworks, and key lessons of successful collaboration.
View Document In-Depth Technical Assistance Program Description
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.
View Document In-Depth Technical Assistance: Infants with Prenatal Substance Exposure
In-Depth Technical Assistance for Infants with Prenatal Substance Exposure and their Families
(PDF 1.8 MB)
National Center on Substance Abuse and Child Welfare, 2018
The summary for the In-Depth Technical Assistance (IDTA) Program for Infants With Prenatal Substance Exposure (IPSE) and Their Families provides an overview of the work of 11 states that have received IDTA since 2014 or are currently receiving IDTA. The program summary highlights state teams’ efforts to identify barriers and challenges in engaging families affected by prenatal substance exposure, as well as states’ efforts to develop state strategies to improve outcomes for pregnant and postpartum women with opioid misuse disorders, their infants with prenatal substance exposure, and their families. The states identified key cross-cutting lessons of successful collaboration to improve policy and practice.
View Document In-Depth Technical Assistance for Infants with Prenatal Substance Exposure and their Families