Project Description

Oregon The purpose of NOCCS was to promote child safety and permanency through increasing drug and alcohol, mental health and wrap around services to families. The intended families were those with children in an out of home placement or at risk of being placed in an out of home placement as a result of a parent’s or caretaker’s methamphetamine or other substance abuse. Additional goals included the increase of treatment services available to parents and caregivers; family centered treatment and the development of an integrated system of care in a region of the state that was significantly lacking in resources with no funding for expanding services. The RPG funding supported a project manager and six alcohol drug counselors.

Target Population

NOCCS targeted:

  • The NOCCS project specifically targeted services and supports to families with children in an out of home placement or at risk of out of home placement because of parent or caretaker’s methamphetamine or other substance abuse. 

Major Project Goals

  • Benefit the well-being, permanency, and safety of children in the region.
  • Serve an additional 240 families annually with drug, alcohol, and mental health services.
  • Build upon and share the collective strengths of the individual service providers in the three-county region.
  • Increase the effectiveness of the existing drug courts.
  • Ensure continued and enhanced efficient and effective coordination between the Child Welfare System and the treatment providers.

Key Major Program Services

Case Management and In-Home Services

  • Intensive/Coordinated Case Management
  • Wraparound/Intensive In-Home Comprehensive Services

Mental Health and Trauma Services for Adults

  • Mental Health Services; Trauma-Informed Services; Trauma-Specific Services – Seeking Safety

Substance Abuse Treatment for Adults

  • Intensive Outpatient – Matrix Model
  • Aftercare/Continuing Care/Recovery Community Support Services

Specialized Outreach, Engagement and Retention

  • Cognitive Behavioral Strategies – Motivational Interviewing, Moral Reconation Therapy
  • Co-location of Staff
  • NIATx

Substance Abuse Prevention Services

  • Information Dissemination and Education
  • Environmental Approach

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

  • Screening and Assessment for Child Welfare Issues

Screening and Assessment – Substance Use and Other Adult Issues

  • Screening and Assessment for Substance Use Disorders
  • Other Specialized Adult Screening and Assessment – Family Functioning, Mental Health/Co-Occurring Disorders, Trauma/Domestic Violence, Health/Medical

Children’s Services

  • Mental Health Counseling

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

Partner Agencies and Organizations

The NOCCS Project includes the following partners:

Child Welfare

  • State Child Welfare Agency and Regional/County Child Welfare Agency

Substance Abuse

  • Regional/County Substance Abuse Agency
  • Community Based Substance Abuse Treatment Agency/Providers

Courts

  • Adult Drug Court

Mental Health/Health Services

  • Mental Health Services Providers
  • County Public Health-MCH
  • Managed Care Entity or FQHC

Education

  • Early Childhood Council/Coalition

Other Community and Child and Family Services

  • State/County Temporary Assistance for Needy Families (TANF) or Welfare Office
  • Other Child/Family Services Provider

Other Evaluation and Training

  • Evaluator (University-Affiliated or Other)l

Performance Indicators

Safety

Occurrence of child maltreatment: Over the course of the grant period, 164 children had at least one disposition of an investigation or assessment of allegations of maltreatment. This constitutes approximately 19 percent of the 848 children of adults in the treatment sample. The majority of maltreatment episodes took place prior to adult entry into treatment (n = 167; 78 percent). Twenty maltreatment episodes took place in the first 6 months after treatment entry (9 percent), 10 episodes took place 6-12 months aft.

Permanency

Children remain at home: During the grant period, 132 of the 848 children (16 percent) of adult clients were placed into foster care at least once, while there was no record of removal for the remaining 712 children (84 percent). Average length of stay in foster care and Timeliness of Reunification: While the grantee selected these indicators, the State Reunification and Foster Care Discharge Dates were not available.

Well-Being

Children assessed for supported services: Of the 436 parents/caregivers who participated in NOCCS treatment, child assessments for supportive services data were available for 435 clients—one child per client.

Recovery

Adult Indicators- Access to Treatment: Across all 452 treatment episodes with available AMH data, 440 had valid data regarding treatment assessment and entry dates. Of these, the average number of days between assessment and treatment entry was 2.5 days. The majority (n = 371; 84 percent) of treatment episodes began on the same day as the assessment, which suggests access to treatment was timely. Retention in Substance Abuse Treatment: Of the 388 NOCCS clients treated and with available AMH data, 161 (41 percent) remained in treatment until it was completed.

Sustainability Status

The treatment agencies sustained three of their six Substance Abuse Specialists post-grant funding. They were not able to sustain the wraparound funding, which was identified as one of the most critical elements of services for families. However, all three counties continue to collaborate to serve families in this region and report that the following services and programs that were developed and implemented with RPG funds have been sustained:

  • Evidenced-based programs and services including Seeking Safety, the Matrix Model, Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Motivational Interviewing
  • Counselors are now addressing substance use and co-occurring mental health disorders
  • The intake process is streamlined, treatment providers are engaged in multi-disciplinary teams for families, and case management and advocacy for the children and whole family by the treatment provider will continue

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Project Details

  • Lead Agency:
    Baker County/ Northeast Oregon Collaborative
  • Geographic Area and Congressional District Served:
    Baker County; Congressional District 2
  • Federal Grant:
    $500,000/5 years
  • Evaluation Design and Comparison Group Type:
    process and outcomes evaluation
  • Proposed Number Served (5 years):
    Children: 843
    Adults: 494
    Families: 494
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