Intensive Outpatient Chemical Dependency Treatment
Description of the Treatment Program:
The Women's Center operates three (3)
alcohol and other drug treatment programs offering morning, afternoon
and evening gender specific treatment for women including low income
and medically indigent women. Each treatment program is a three-phase
program.
PHASE I Intensive Outpatient Treatment
Phase I is a four week program during
which the curriculum focuses on the disease concept, defense mechanisms
used by addicts, denial and greater understanding of the consequences
caused by their use and behaviors.
PHASE II Relapse Prevention
The client gains knowledge in creating
a relapse prevention plan, positive coping skills and responsible and
sober life management.
PHASE III Aftercare
The focus of this phase is building support
networks for continued sobriety through self-discovery and journaling.
Beginning in Phase II, clients are encouraged
to participate in a Parenting Education program to prepare the client
to be a clean and sober parent as the family engages in reunification.
To reduce one barrier that women face
in seeking treatment services, the Women's Center offers therapeutic
childcare for the children of substance abusing mothers. The childcare
provides nearly a one to one ratio of staff and volunteers to children
to build positive and healthy relationships with the children.
Results
During 2006, the Women's Center provided
treatment services for 482 women and 504 children. Twenty-two (22)
drug free babies were born to women attending the treatment programs.
According to the Ohio Department of Alcohol and Drug Addiction Services,
for each baby born with a drug addiction, that child suffers an estimated
$470,000 in medical care through the child’s fifth year of life.
That alone translates to a savings to the State of Ohio of $9,400,000.
Practical Parenting
Classes
The Women's Center of Greater Cleveland
offers a five week Practical Parenting Class facilitated by a licensed
Therapist. The classes meet on Saturdays from 9:15am to 11:45am. Charges
for the Parenting Classes are $50.00 per person or $75.00 for a couple.
The curriculum includes:
Parenting
Class 1:
Parenting While Using:
Avoiding, Enabling, Keeping Secrets, Controlling, Making Promises, Causing
Family Shame, Emotion, Sexual and/or Physical Abuse and Instability.
Parenting Clean and Sober: Active Parenting,
Responsibility, Setting Clear and Appropriate Limits, Enforcing Limits,
Appropriate Consequences, Expression of Feelings and Stability.
Parenting Class 2:
Development: Physical, Intellectual, Emotional,
Social (PIES). Maslow’s Hierarchy of Needs and Erikson’s
Stages of Development: Expectations and Age Appropriateness.Skills for
Establishing Positive Behavior As A Clean/Sober Parent: Understanding
the Child’s Behavior, Awareness, Encouragement, Teaching Responsibility,
Modeling Good Behaviors.
Discipline: Appropriate Consequences,
Responsibility, Allowing Kids to Make Mistakes.
Parenting Class 3:
Building Relationships After Abuse/Addiction:
Trust, Honesty, Respect, Love, Forgiveness, Acceptance.
Communication: Avoiding Mixed Messages,
Listening, Verbal/Non-verbal Queues, Expression of Feelings.
Parenting Class 4
Your Kids and Drugs/Alcohol: When
are they using? How do they find out about drugs and alcohol? How do
genetics play a part in my child’s life and possible use? What
does the future hold for them? Physical and Psychological Affects.
Parenting Class 5
Checks and Balances: How Are “We”
Doing? Creating the Family Spirit. The Family Counsel. Affirmations.
Ancillary Services
Ancillary Services are provided to remove potential barriers
that women encounter in seeking drug and alcohol treatmentservices. These
services include:
On-Site Childcare
Children from the age of two (2) weeks to twelve (12) years are cared
for in a safe and supportive environment. Children have a regular routine
and curriculum that includes reading, crafts, quiet time and snacks.
School age children receive assistance with their homework with links
for tutoring.
Medical Evaluation
With the support of the Eva L. and Joseph M. Breuning
Foundation, the Women’s Center has added a new program component.
As women are entering their recovery from alcohol and drugs, experience
dictates
that the clients are shameful of their use history which is confounded
with issues including prostitution and sexual assault. Although HIV
and sexually transmitted disease education is incorporated in the treatment
curriculum, the clients need to begin developing sober and healthy
lifestyles. Therefore, with Neighborhood Family Practice, weekly visits
with a Nurse Practioner are scheduled to individually interview and
screen clients for the risk factors of sexually transmitted diseases,
risk to the continued fertility and health of women and to offer onsite
testing for HIV, sexually transmitted diseases, pregnancy and prepare
a complete health history. The Nurse Practioner and the Case Manager
make referrals for follow-up care.
Access to health care is a growing concern for
the client base given increased restrictions of Medicaid coverage
effective July 1, 2002.
The Women’s Center has experienced a decline in Medicaid eligible
clients. In 2006, only 43% of the client base is Medicaid eligible.
Low income women are reluctant to spend limited money on screening
and preventive health care when they are facing difficult choices involving
maintaining their home and food for their children. The project is
designed to educate women of the harms and prolonged effects of alcohol
and drug abuse on an infant and second to educate women and provide
on-site screening for substance dependent women of child bearing age
on the effects of sexually transmitted diseases and the implications
for fertility and for the fetus.
Case Management Services
Case Management services are designed to fully address the needs of
the family including housing stabilization, employment referrals, food
distribution, public assistance, mental health and healthcare.
Trauma Recovery and Empowerment Model
The Women’s Center recognizes the increasing complexities of
the target population; therefore, the Women’s Center has included
the trauma recovery education programming to address the number of
clients diagnosed with post- traumatic stress disorder (PTSD). Posttraumatic
stress disorder (PTSD) is the result of a severe and extraordinary
stressor in the person's life that may be environmental (a large fire,
hurricane), war, or violent crime (armed robbery, child abuse, rape),
or the witnessing of violent incidents. Clients have experienced this
major stressor and then often to turn drugs and alcohol to numb the
pain of the memories and to cope with the effects.
Public Transportation Vouchers
For women that transportation is a barrier to their ability to seek
treatment services, bus tickets are provided.
Clothing Closet
The Women’s Center accepts the donation of new and used clothing
for women and children. The clothing is sorted and hung on racks to
allow the clients to “shop” to identify things that are
needed. The clothes are essential to allow women to prepare for employment
and self-sufficiency. The clothing is provided free of charge to the
clients.
TOP
