Project Description

Nevada Coordinate and expand service capacity in Clark County to increase timely access to appropriate substance abuse treatment, integrate child welfare and substance abuse and ultimately improve the safety, permanency and well-being of children and families affected by methamphetamine abuse and child maltreatment.

Target Population

DMDC targeted:

  • Women and children in Clark County who are involved in the welfare system and are meth abusers

Major Project Goals

  • Promote reduction in the number of out-of-home placements for children, or the number of children who are at risk of being placed in an out-of-home placement in Clark County through the development of strengthened system of care for methamphetamine-affected families in child welfare.

Key Major Program Services

Case Management and In-Home Services

  • Intensive/Coordinated Case Management
  • Family Group Decision Making/Family Case Conferencing
  • Wraparound/Intensive In-Home Comprehensive Services

Parenting/Family Strengthening

  • Enhanced Parenting Services
  • Evidence-Based Parenting or Family Strengthening Program – Nurturing Families

Visitation Services

  • Supportive Supervised Visitation

Engagement/Involvement of Fathers

  • Targeted Outreach

Mental Health and Trauma Services for Adults

  • Mental Health and Psychiatric Care Including Medication Management
  • Trauma-Informed Services
  • Trauma-Specific Services – Covington Programs

Substance Abuse Treatment for Adults

  • Long-Term Residential/Inpatient (more than 30 days)
  • Residential/Inpatient Treatment – Specialized for Parents with Children
  • Aftercare/Continuing Care/Recovery Community Support Services

Specialized Outreach, Engagement and Retention

  • Cognitive Behavioral Strategies – Motivational Interviewing
  • Co-location of Staff
  • Peer/Parent Mentor

Substance Abuse Prevention Services

  • Prevention Education

Screening and Assessment – Child Welfare and Other Children’s Issues

  • Screening and Assessment for Child Welfare Issues
  • Other Specialized Child Screening and Assessment – Developmental, Psycho-Social

Screening and Assessment – Substance Use and Other Adult Issues

  • Screening and Assessment for Substance Use Disorders
  • Other Specialized Adult Screening and Assessment – Mental health/Co-Occurring Disorders, Parenting

Children’s Services

  • Early Intervention and Developmental Services
  • Trauma Services for Children/Youth – Trauma-Focused Cognitive/Behavioral Therapy (TF-CBT)

Cross-Systems/Interagency Collaboration

  • Clinical and Program Training; Cross-systems Policies and Procedures; Regular Joint Case Staffing Meetings
  • Co-location of Staff; Cross-systems Information Sharing and Data Analysis; Partner Meetings.

Other

  • Employment/Job Readiness

Housing Services

  • Housing Support and Assistance Services

Partner Agencies and Organizations

The DMDC Project includes the following partners:

Child Welfare

  • State Child Welfare
  • Regional/County Child Welfare

Substance Abuse

  • State Substance Abuse Agency
  • Substance Abuse Treatment Agency

Courts

  • Family Treatment Drug Court (FTDC)
  • Other Dependency Court
  • State Court

Criminal Justice, Law Enforcement, Legal and Related Organizations

  • Attorney

Mental Health Services

  • State Mental Health
  • Mental Health Service Provider

Other Evaluation and Training

  • Evaluator (University-Affiliated or Other)

Performance Indicators

Upon completion of treatment, 100% of women were employed and lived in transitional housing.

  • At the conclusion of treatment, all women maintained custody of children born while in treatment.
  • All children that were part of an open case at the start of treatment were reunified with their mother, and remained in mother’s custody at successful treatment completion. This represents a 100% reunification rate for women who complete treatment.
  • Mothers completing treatment leave with significantly lower parental stress when compared to mothers at intake, post-reunification (if applicable), and post-birth (if applicable). Mothers showed significant increases in parental stress after reunification or birth of a newborn, but generally reported less stress at the next admission of the PSI, demonstrating the effectiveness of the RPG in promoting healthy parent/child attachment and interaction.

Sustainability Status

Based on the Nevada award under RPG2, the Dependency Mothers Drug Court (DMDC), which was formed as part of the original RPG program, will continue to operate within the Clark County Family Court System. Most existing program components will remain stable, and a variety of refinements and enhancements will be made to various program components to create a better comparison group design and adhere to the existing and proposed EBPs. The group of RPG stakeholders will be narrowed and no longer include the Court Improvement Project (CIP) or the Attorney General (AG)’s Office. The DMDC has ongoing access to training and CIP resources because the Clark County Family Court is part of Nevada’s Eighth Judicial District. All judicial districts in the state currently work with the CIP as part of its statewide training and improvement activities.

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Reports

Project Details

  • Lead Agency:
    State of Nevada
  • Geographic Area and Congressional District Served:
    Clark County; Congressional District 1 and 3
  • Federal Grant:
    $5 million/5 years
  • Evaluation Design and Comparison Group Type:
    Pre-experimental, No group
  • Proposed Number Served (5 years):
    Children: 135
    Adults: 67
    Families: 74
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