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Telling Their Stories: Reflections of the 11 Original Grantees That Piloted Residential Treatment for Women and Children for CSAT

NCJ Number
Date Published
243 pages
In fiscal year 1992, the Center for Substance Abuse Treatment of the U.S. Department of Health and Human Services began administering and supporting 11 new grantees that initiated demonstration residential substance abuse treatment services for mothers and their young children; this report contains stories from the residential centers' staff members about their experiences in providing treatment to substance-abusing women and their children.
Information for this report was obtained from a variety of written materials, informal personal interviews with staff members, and focus group discussions. The first chapter of this report describes the types of issues faced by substance-abusing women with children, traces the history of special treatment programs for substance-abusing women, outlines the authorizing legislation for the demonstration grants, explains the grant criteria contained in the Request for Applications, and summarizes the key characteristics of the 11 selected projects and their parent organizations. The second chapter discusses how traditional treatment models and concepts of therapeutic communities have been modified by several grantees, describes common treatment strategies adopted by most of the projects, indicates the changes made in the duration and focus of planned phases of care, and identifies challenges involved in implementing family-oriented treatment. The third chapter provides information on the population served, outreach, referral, and admission criteria, followed by a chapter on facilities, staffing, staff training, and retention issues. Remaining chapters focus on a continuum of services for women, special services for children, critical issues in family-oriented treatment, discharge and aftercare, significant management and policy issues, and evaluation designs and findings. Appended summary profiles of the 11 grantees, site specific evaluation findings, selected publications and presentations by grant evaluators and staff, and 83 references