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South Dakota's Family Aftercare Program

As a precursor to statewide implementation of welfare reform, the Governor of South Dakota initiated a pilot project targeted to families of youth involved with the Department of Corrections. A major realization of this initiative was that addressing substance abuse issues for youths and families was a critical component in the development of a comprehensive system of services. Other service elements for helping families make a successful transition included education/training (to develop sufficient job and life skills), medical health-related problems, mental health status, and employment services.

Collaboration Promotes Success

State staff realized that the success of the pilot program hinged on collaboration not only within the Department of Human Services, but among all agencies that deal with families and children. One of the realities for States is that families with one or more members suffering from substance abuse problems often face a multitude of concurrent problems. Such families may already be receiving assistance from several separate State agencies or programs, so a comprehensive, systemwide approach is most likely to produce successful outcomes.

Since December 1996, four departments of South Dakota State government—corrections, labor, human services, and social services—have been cooperating on the Family Aftercare Program (FAP) to provide intensive family services to parents and siblings of boys sent to boot camp. FAP's goal is to help these families create an environment to which the boy can be returned and in which he can succeed. Three-quarters of the boys have substance abuse problems and receive treatment in boot camp; half of the boys say their parents have substance abuse problems.

If the Department of Corrections determines that a boy's family needs services in order for him to return home after boot camp, the caseworker contacts the Department of Social Services (DSS) and asks for intensive services. During home visits, DSS workers conduct a comprehensive family-functioning assessment, which includes a screen for parental substance abuse. Yet despite the youths' reports of substance abuse in the home, the social workers came up blank. "Theoretically, we had it covered, but we weren't picking up substance abuse," said Sharon Sonnenschein, DSS Assistant Division Director for Program Management. "We learned that when we had families complete self-screening forms, we got no referrals." That was when FAP clearly demonstrated what interdepartmental cooperation can yield for clients. Because the program is under the aegis of the Department of Corrections, DSS case workers could consult Corrections' records to compare information on the family and make the appropriate referrals, Sonnenschein said.

Until FAP began coordinating casework for these juvenile justice families, "services to kids were disconnected, all bits of a puzzle," according to Gilbert Sudbeck, Director, Division of Alcohol and Drug Abuse. "FAP brings all the pieces together," he says, which for families with a chemical dependency system is of critical importance. "These families are entrenched in denial, they know how to work the system. But FAP helps stop the games, it short-circuits them," he said. "No one can wiggle out of it because we have a network that provides the missing information."

So far, none of the families has dropped out of the program. If the boy is to return home, the family must cooperate. The parents sign a service agreement in which each side agrees to do certain things. "The family has

to work with us," Sonnenschein stressed.

For FAP families in which substance abuse is a problem, this means accepting referral for alcohol and drug treatment, which is paid for by the Division of Alcohol and Drug Abuse. "This is a real benefit," said Kevin McLain, Assistant Secretary for the Department of Corrections. "Not only do you help the juvenile offender, you also help the parents and the siblings." This is especially important when there are three or four younger children in the family, he noted, because of the opportunity for prevention.

  • Not all families choose to take advantage of the intensive services available to them. Sudbeck reported one case where a boy had done well in boot camp and wanted to reenter the family upon graduation. He was motivated. But his mother, a drug addict, refused to let him return home. After his boot camp experience, he had become an intrusion on her life-style. He is now living in an out-of-home placement, and his two younger siblings live with their grandmother.

    Many families want to live a better life, Sudbeck said, but they just don't know how. FAP convinces parents that they have a responsibility to themselves and their children, and helps them live up to those responsibilities. Sudbeck recalled one family's success story. The father hadn't had a job in years. The household was completely chaotic. Both parents went through treatment while their son was in boot camp. The father got a job. The mother learned home management skills and began creating a home. When the boy got out of boot camp, he returned to the family and went back to school. "They're doing great," Sudbeck said.

    This happy ending underscores the importance of FAP's mission to affect the family system. "Families are surprised by the changes that have occurred when the boy gets back from boot camp," McLain observed. "If the family has also changed—there's no garbage outside the home, no trash inside, the mom is working—that makes the boy feel that what he's done is worthwhile."

    McLain, Sudbeck, and Sonnenschein all emphasize that the FAP program is very new and everyone involved with it is still learning. But they are so pleased with the interdepartmental collaboration they have achieved that they plan to start a similar program for girls.

    "You've got to start small and you've got to start someplace," McLain said. "We started with one piece of it (the boot camp) and saw that we could expand to serve other populations." McLain believes that "when you cross agency boundaries, you must have the buy-in, the support, and the involvement of the highest level cabinet members. Here, the agency heads attend monthly meetings, and this is critical. When they read the case histories of these troubled families, they just can't believe how some of the children live. It helps them understand how difficult this work really is."

    From such understanding comes commitment and leadership. "The cabinet members can say `we can change, we don't have to do things the way we've always done them,' and can authorize such change," McClain said. At other levels of the bureaucracy, McClain advised local people working with families to make sure they keep on working together. "Don't get bogged down in policies and procedures that may establish barriers to success," he warned.

    Sudbeck believes that for cross-agency collaboration to succeed, courage is required. "Don't be afraid to lose something, whether it's autonomy, or power, or control, or money. I was afraid of this at first. It didn't happen. Far from losing anything, we gained more abilities. And don't think you have all the answers for the people you serve. The Corrections Department brought many assets to our substance abuse treatment efforts and has been very supportive. We've learned a lot from them."


    CSAT, the Treatment Improvement Exchange, and the editors of the TIE Communiqué thank Gilbert Sudbeck, Director, Division of Alcohol and Drug Abuse, South Dakota Department of Human Services, and his staff members for their assistance in the preparation of this article. Further information on South Dakota's Family Aftercare Program can be obtained from the Division of Alcohol and Drug Abuse, Department of Human Services, Hillsview Plaza, East Highway 34, c/o 500 East Capitol, Pierre, SD 57501-5070; telephone: 605-773-3123; fax: 605-773-5483.

    CSAT's Treatment Improvement Exchange

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