Posted: October 4th, 2024

Essay on Substance Abuse Treatment Programs

Essay on Substance Abuse Treatment Programs.

Women who struggle with substance abuse have unique challenges in recovery when compared to men. These challenges often require tailored approaches to treatment that consider gender-specific needs. Women tend to be more involved with their families than men who are in recovery and can have strong family relations that fuel their addiction. This involvement can create additional emotional burdens that complicate the recovery process. It is also problematic when their partner is also an addict. This situation can create a cycle of dependency and relapse that is difficult to break. Often they come from a dysfunctional family that can be emotionally distant, noncommunicative, and not supportive. Such environments can hinder their ability to seek and maintain recovery. Being pregnant as well as being a new mother can put a woman under intense stress and they may turn to unhealthy habits. The pressure to balance motherhood and recovery can be overwhelming.

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A child living in a home with a mother who has an addiction is extremely dangerous. The environment can lead to neglect and developmental issues for the child. Helping mothers get clean is essential for every child. This not only benefits the child but also strengthens the family unit. Babies that are born 'exposed' are experiencing neonatal abstinence syndrome. This condition requires immediate medical attention and long-term care strategies. This will cause the newborn to experience tremors, insomnia, sweating, fevers, seizures, and a high-pitched cry that cannot be consoled by normal means. These symptoms can be distressing for both the infant and the mother. The severity of the symptoms depends on the severity of drug use during pregnancy. Early intervention can mitigate some of these effects. These symptoms usually last only a few weeks. However, the impact on the child's development can be long-lasting. Many of these moms have feelings of guilt and shame for the things they have done to their child. Addressing these emotions is crucial for their recovery journey.

Neonatal abstinence syndrome (NAS) describes children who are born exposed to drugs and experience symptoms of withdrawal shortly after birth. This condition highlights the urgent need for specialized care for both mother and child. One major need is access to a drug treatment program and for the mothers to be able to take substitute medications such as methadone. These programs provide a structured environment for recovery. Methadone will relieve the withdrawal symptoms and they will be prescribed a lesser and lesser dose until they will be drug-free. This gradual reduction helps prevent relapse. The second major need is for them to receive support with medical care for their children as well as baby supplies such as diapers and a crib which are all provided through the program. These resources alleviate some of the stress associated with parenting.

LCFS' Intact Family Recovery is different from other intact programs. It offers a comprehensive approach that integrates various support services. We partner with Chicago's Rincon Family Services to provide support to mothers who are undergoing rehab for substance abuse. This partnership enhances the resources available to families. A mother is referred to the program after giving birth to a substance-exposed baby or having been reported to abuse or neglect due to substance abuse. This referral process ensures that those in need receive timely assistance. Our program joins the child welfare with alcohol and other drug abuse treatment in a team effort to provide comprehensive services to families in the recovery process. This collaborative approach maximizes the effectiveness of the interventions. We have 3 phases. Each phase is designed to address specific aspects of recovery and family stability. In phase one we prepare for treatment, arrange for childcare, medical care, school assessment, and additional services. This preparation lays the groundwork for successful recovery. In stage two, we support the client during treatment, strengthen parent skills, and develop goals and aftercare plans. This phase focuses on building resilience and self-sufficiency. In the third phase, we focus on maintaining recovery and continue developing skills and goals. Long-term support is crucial for sustained recovery.

Our goals are to ensure the safety of the newborn child. Protecting the child is a primary concern throughout the program. We monitor the baby as well as other minor siblings and advocate for the family with schools, doctors, and other agencies. This advocacy helps families access necessary resources. Families who are in the intact program receive a variety of services. These services are tailored to meet the unique needs of each family. They have a case manager who monitors them to make sure they are keeping up with the program and assesses needs and connects them to services. This personalized attention helps address specific challenges. They are also connected with inpatient and outpatient drug treatment programs. These connections provide flexibility in treatment options. We provide counseling, refer to in and outpatient drug treatment programs. Counseling addresses both substance abuse and underlying issues. We provide parental training as well as link clients to additional services such as support groups and food pantries. These additional services support overall family well-being. My favorite service is a thrift store where all items are free for clients. This resource helps alleviate financial stress. They have clothes, cribs, furniture, and anything you could need. Access to these items supports a stable home environment.

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A caseworker helps the family create a plan for change. This plan is a roadmap for achieving recovery and stability. Issues such as domestic violence and mental health problems can create a chaotic home for the child if they are not corrected. Addressing these issues is essential for a safe home environment. We provide counseling, substance abuse treatment, parenting classes as well as help those search for housing who need it. These services are designed to address the root causes of instability. For the first 45 days, the Intact Family worker makes visits at the home every week to provide services and do drops which are drug tests. These visits ensure compliance and provide ongoing support.

The Intact worker works with other service providers to monitor attendance, receive progress reports to ensure the client is maintaining close contact with the service providers to monitor your attendance, obtain progress reports to ensure the client is benefiting and participating in services. This coordination ensures that all aspects of the client's needs are addressed. Next, the worker will make unannounced visits to ensure client cooperation and the visits may decrease depending on the assessment of risk for the children. These visits help maintain accountability. The visits will be no less than twice per month. Regular contact is essential for monitoring progress. Once risk is reduced and safety is stable and maintainable the worker will discuss closing the case. This decision is made with careful consideration of the family's situation.

The IFR model provides a variety of interventions. These interventions are tailored to meet the specific needs of each family. One of the most significant features of the model is a Memorandum of Agreement (MOA) which fully discloses the program and its conditions including the use of graduated sanctions such as protective orders, moderated community services for parents, and the ultimate sanction of future screening for the temporary custody of children. This transparency helps build trust with families. The Recovery Coach Program (RCP) serves families in which children have been removed from the custody of one or both parents because of substance-related maltreatment. This program aims to reunify families when possible. The goal of the RCP is to reunify families when the parents can provide a safe and drug-free home for their children. This goal aligns with the overall mission of family preservation. The Illinois proposal is focused on keeping families together and helping parents start and maintain recovery so that they can be safe and effective parents for their children. This focus on family unity is central to the program's success. The model we have proposed pairs a recovery coordinator with an intact family services caseworker and embeds the recovery coordinator in the child welfare provider's agency. This integration enhances the support network available to families. It also lengthens the time an intact family can be involved in services. Extended involvement allows for more comprehensive support.

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I have not found many problems with our current program; however, one issue that I believe is overlooked is assisting women who are pregnant and have a substance abuse problem. Early intervention during pregnancy could prevent many complications. We do not intervene until the baby is already born. This delay can have significant consequences for both mother and child. We need to provide services specifically targeted for pregnant mothers who want to avoid having an exposed baby. These services could include prenatal care and counseling.

I also believe that this program should be offered as a voluntary program for new mothers who are currently enrolled in other drug treatment programs. Voluntary participation could increase engagement and success rates. We need to connect and communicate with the drug treatment programs that we are utilizing and try and get them to offer the program to any mothers they are servicing regardless of the age of their children. This expansion could reach more families in need.

References
Koob, G. F. (2024). Alcohol use disorder treatment: Problems and solutions. Annual Review of Pharmacology and Toxicology, 64(1), 255-275.

Lappan, S. N., Brown, A. W., & Hendricks, P. S. (2020). Dropout rates of in‐person psychosocial substance use disorder treatments: a systematic review and meta‐analysis. Addiction, 115(2), 201-217.

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Taylor, J. L., Wakeman, S. E., Walley, A. Y., & Kehoe, L. G. (2023). Substance use disorder bridge clinics: models, evidence, and future directions. Addiction Science & Clinical Practice, 18(1), 23.

Terlizzi, E. P., & Zablotsky, B. (2020). Mental health treatment among adults: United States, 2019.

Tags: Child Welfare, Family Recovery Programs, Maternal Health, Neonatal Abstinence Syndrome