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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
governmentcorrections, labor, human services, and social serviceshave
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 changedthere's no garbage outside the home, no
trash inside, the mom is workingthat 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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