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MINUTES - 09141993 - 1.9 (2)
I ,9 0 TO: BOARD OF SUPERVISORS FROM: Mark Finucane, Health Services Director (j1�- Contra By: Elizabeth A. Spooner, Contracts Administrator Costa hJIJ h} DATE: September 1, 1993 County SUBJECT: Approve submission of Funding Application #29-483 to the U.S. Department of Health and Human Services for the Family Recovery Project SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION I. RECOMMENDED ACTION: Approve submission of Funding Application #29-483 to the U. S. Depart- ment of Health and Human Services, in the amount of $500, 000, for the period from September 30, 1993 through September 29, 1994, for the Family Recovery Project. II. FINANCIAL IMPACT: Approval of this application by the U. S. Department of Health and Human Services will result in $500, 000 for the first year of a three- year Family Recovery Project. No County funds are required. III. REASONS FOR RECOMMENDATIONS/BACKGROUND: The Center for Substance Abuse Treatment (LSAT) has announced a continuation of its Criminal Justice Non-Incarcerated Adult Grant Program to expand the availability of high quality treatment services for individuals who suffer from alcohol and drug problems. The Family Recovery Project is an effort to expand the delivery of innovative services to African-American men who are currenting seeking substance abuse treatment through the West County Detention Facility, and have primary or secondary responsibility for children under 18 years of age. Clients of the project will originate within both diversionary and probation populations, and the program will provide integrated addiction treatment and support services to the men, their children, spouses and other family members directly involved in co- parenting. In order to meet the deadline for submission, the application has been forwarded to the U. S. Department of Health and Human Services, but subject to Board approval. Three certified copies of the Board Order authorizing submission of the application should be returned to the Contracts and Grants Unit. CONTINUED ON ATTACHMENT: YES SIGNATUR RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMEN TI OF BOARD COM ITTEE APPROVE OTHER SIGNATURE(S) ACTION OF BOARD ON SEFTTTM APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS �L UNANIMOUS (ABSENT ) I HEREBY CERTIFY THAT THIS IS A TRUE AYES: NOES: AND CORRECT COPY OF AN ACTION TAKEN ABSENT: ABSTAIN: AND ENTERED ON THE MINUTES OF THE BOARD Contact: Chuck Deutschman (313-6350) OF SUPERVISORS ON THE DATE SHOWN. SEP 1 4 1993 CC: Health Services (Contracts) ATTESTED Auditor-Controller (Claims) - U.S. Dept. of Health & Human Services Phil Batchelor, Clerk of the Board of 3up81VW1$and G=ty Mministratcfr M382/7-83 BY DEPUTY U Ir� o 29 - 483 Chuck Deutschman APPLICATION FOR L DAM SUBMITTED AopW=nt Identifier FEDERAL ASSISTANCE June 23 1993 527-78-5675 t. TYPE OF EUC1161:3310ft 2.CAN RECEWED BY STATE State Applicatm Identifier Application P10800 iCROGn p Constn,ctrort p Construction t DAT[atECEIvim BY FEDERAL AGENCY Federal IdenMie , �j Non- onstiucm Q ruction S. APPLICANT INFORMATION Legal AnlwUnit HEALTH SVC DEPT. SUBSTANCE ABUSE DIV. Address(Oro•city.cotarty.stat@,and rip code): Wine and UWaft na number at the person to be contacted an matters involving 595 CENTER AVENUE, SUITE 200 this aPpicatiah (give aii t000l MARTINEZ, CA 94553 . Chuck Deutschman, MBA MFCC (510) 313-6381 29 - 9 - 433 OL EMPLOYER IOENTt WATION NUMBER(EINE. T. TYPE OF APPLICANT:(enree appropriate/altar M box) Im 9 4 •� 6 0 0 0 5 0 9 A. State H.Independent School Disc Q County I. State Controlled Institution of Higher Leamuhg TIOM C. Municipal! J. Private University L TYfN<OF � D. Township K. Indian Tribe New 0 Cont"atton [3 Revision E. Interstate L. Individual F. Ntermurnapal M Profit Organization K Revision.enter appropriate latte(s)in bageo: G.Special District N.Other(Sp=M A. Increase Award - 8.Decrease Award C.Increase Duration D.Decrease Duration Other(specttyl: t NAME OF FEDERAL AGENCY.- Center GENCY:Center for Substance Abuse Treatment Ill. CATALOG FUMBER ED RAL DOMESTIC 9 3 • 9 0 3 •11. DESCRINWE TITLE OF APPUCAMM PROJECT. PA No. AS-93-06 : Model Com. Sub. "FAMILY-RECOVERY PROJECT" TITLE. PA Trmt . Prog. for Non-Inca A program of comprehensive family-based 12. AREAS AFFECTED eY PROJECT rcitns epimeres.,rat.:.or-t drug treatment and support for non- WEST CONTRA COSTA COUNTY, incarcerated men with children under the CALIFORNIA. age of 18. 12. PROPOSED PROJECT: 14. CONGRESSIONAL DISTRICTS OF. Start Oate Ending Dae a Applicant :b Protect 9/30/93 9/29/96 7th 7th & 8th IS.ESTIMATED FUNDING: 1e.19 APPLICATION SUBJECT TO REWEW BY STATE EXECUTIVE ORDER 1:Un PROCESS? a. Federal S .00 a. YES. THIS a AEAPPUCATIOMAPPUCATION WAS MADE AvARABLE TO THE 549,250 STATE ExECUTWE ORDER 12372 PROCESS FOR REVIEW ON b. Apoicant S .00 DATE June 26, 1993 c. State s .DO b NO. C] PROGRAM IS NOT COVERED BY E.O. ?2372 d.Lara? S .DO C] OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW e Other S .00 f. Program Income % .00 1T. IS THE APPLICANT DEUNOUENT ON ANY FEDERAL DEBT7 i g TOTAL s 549,250 00 tra Yes If-Yea,'attach an pian-tion. ® No It TO THE BEST OF MY KNOWLEDGE AND BELIEF.ALL DATA rN TN1S APPLICATIONMAEAPPUCATTON ARE TRUE ANO CORRECT.THE DOCUMENT HAS SEEN OULY AUTHOR12E0 BY THE GOVERNING BODY 207rHE APPLICANT AND TME APPLICANT WILL COMPLY MRM THE ATTACHED ASSURANCES IF THE ASSN•TANCE IS AWARDED a. Typed a of Auction Repr Ina b Title c Telephone numpe Ma i ca Director Health Service 510 3705001 d Signal a Date Spired �_ •, June 23, 1993 M,aua Editions Not usame Slancattl Form A24 1 V 4-881 p,es+cnoed by OMB t acw1a, A-102 1 Chuck Deutschman, California m h 00 O_Q = V O 00 Z �a O 0 � ^Ln C o N O � E'o N N 00 -7 c O 0 N O �b CL Lnr{ I 0 N M N M N N z 0 O a Y ' O v 7 m � v y Y C . Q C O = N ; Y S N N Q 6. o. 0 C Y^ O O 1�0 Lr M 00 00 0 r- N N v CO < N O V o � cc <`1 0 ON ` v1 �n o N N M H > N N W 2 r N CC ~ S Ic �7 4 W N Us z � cff M O O O aMO N cc O ' o C ' d1 M N Z = � m ^ M 00 l0 O O s 2 N r-4 t!1 C a N N v N1 fM N 5Q N 9, E' O 'w 00 O 00 O -11 O COcc M Lr � O W Cl 0 0 � wCO M ( Ln W N ,--1 t1'1 V M N N O N N M m Y c w _ r L, ry "2 a\ 0. CO E .. •v 01 v v � U) `o .. Ew r v o o� = v o. E E C E c v e v -- ps C_ C1 c m E v w G L 0 cc o « C G w a i a a •• Y 4 C` .ti �...n J V Y 'C Q 7 O O L 0 C O q v Z E I t s W N V O r r 'a k7O U h 1 N O 2 Ga1ito is GhUck Deatsc1%0:111 6 6 � i i a i� �� h Q • Y � • S1 4 5 co t ri M w w e-.- ` r' 4p r a o r• O � � N y cN .-� a 1-^i 4p C M r Y J► iYl� V ~ 0 0 j f+ v 7� w Z Z m o g b x a M 0 0 10 40 L o10 o Zo a N cr tY ' ± G a 4 r G i N G \ Q r7 0 0 03 w w l7 V A C J r S A to O U1 G � V r it r r^S 0 w a G G V O r. J► r 3 at Chuck Deutschman, California OMe Approval No.0348-0040 ASSURANCES - NON-CONSTRUCTION PROGRAMS Note: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency.Further,certain Federal awarding agencies may require applicants , to certify to additional assurances.If such is the case,you will be notified. As the duly authorized representative of the applicant I certify that the applicant: 1. Has the legal authority to apply for Federal (e)the Drug Abuse Office and Treatment Act of assistance, and the institutional, managerial and 1972 (P.L. 92-255), as amended, relating to financial capability (including funds sufficient to nondiscrimination on the basis of drug abuse; (f) pay the non-Federal share of project costs) to the Comprehensive Alcohol Abuse and Alcoholism ensure proper planning, management and com- Prevention, Treatment and Rehabilitation Act of pletion of the project described in this application. 1970 (P.L. 91-616), as amended, relating to 2. Will give the awarding agency, the Comptroller nondiscrimination on the basis of alcohol abuse or General of the United States, and if appropriate, alcoholism;(g) §§ 523 and 527 of the Public Health the State, through any authorized representative, Service Act of 1912(42 U.S.C. 290 dd-3 and 290 ee- access to and the right to examine all records, 3), as amended, relating to confidentiality of books, papers, or documents related to the award; alcohol and drug abuse patient records; (h) Title and will establish a proper accounting system in VIII o£the Civil Rights Act of 1968 (42 U.S.C. § 3601 et seq.), as amended, relating to non- accordance with generally accepted accounting standards or agency directives. discrimination in the sale, rental or financing of housing; (i) any other nondiscrimination 3. Will establish safeguards to prohibit employees provisions in the specific statute(s) under which from using their positions for a purpose that application for Federal assistance is being made: constitutes or presents the appearance of personal and (j) the requirements of any other or organizational conflict of interest, or personal nondiscrimination statute(s) which may apply to gain. the application. 4. Will initiate and complete the workwithin the 7. Will comply, or has already complied, with the applicable time frame after receipt of approval of requirements of Titles II and III of the Uniform the awarding agency. Relocation Assistance and Real Property 5. Will comply with the Intergovernmental Acquisition Policies Act of 1970 (P.L. 91-646) Personnel Act of 1970 (42 U.S.C. §§ 4728-4763) which provide for fair and equitable treatment of relating to prescribed standards for merit systems persons displaced or whose property is acquired as for programs funded under one of the nineteen a result of Federal or federally assisted programs. statutes or regulations specified in Appendix A of These requirements apply to all interests in real OPM's Standards for a Merit System of Personnel Property acquired for project purposes regardless Administration(5 C.F.R.900,Subpart F). of Federal participation in purchases. 6. Will comply with all Federal statutes relating to 8. Will comply with the provisions of the Hatch Act nondiscrimination. These include but are not (5 U.S.C. §§ 1501-1508 and 7324-7328)which limit limited to: (a) Title VI of the Civil Rights Act of the political activities of employees whose principal employment activities are funded in 1964 (P.L. 88-352) which prohibits discrimination whole or in part with Federal funds. on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as 9. Will comply,as applicable, with the provisions of amended(20 U.S.C. §§ 1681-1683,and 1685-1686), the Davis-Bacon Act (40 U.S.C. §§ 276a to 276a- which prohibits discrimination on the basis of sex; 7), the Copeland Act (40 U.S.C. § 276c and 18 (c)Section 504 of the Rehabilitation Act of 1973,as . U.S.C. §§ 874),and the Contract Work Hours and amended (29 U.S.C. § 794), which prohibits dis- Safety Standards Act (40 U.S.C. §§ 327-333), crimination on the basis of handicaps; (d)the Age regarding labor standards for federally assisted Discrimination Act of 1975, as amended (42 construction subagreements. l:.S.C.§§ 6101-6107), which prohibits discrim- ination on the basis of age; Standard form 4248 (4.88) Prescribed bV OMB Circular A-102 4 5 Chuck Deutschman, California 10. Will comply, if applicable, with flood insurance 13. Will assist the awarding agency in assuring purchase requirements of Section 102(a) of the compliance with Section 106• of the National Flood Disaster Protection Act of 1973(P.L.93-234) Historic Preservation Act of 1966, as amended (16 which requires recipients in a special flood hazard U.S.C. 470), EO 11593 (identification and area to participate in the program andto purchase protection of historic properties), and the , flood insurance if the total cost of insurable Archaeological and Historic Preservation Act of construction and acquisition is$10,000 or more. 1974(16 U.S.C.469a-1 et seq.). 11. Will comply with environmental standards which 14. Will comply with P.L. 93-348 regarding the may be prescribed pursuant to the following: (a) protection of human subjects involved in research, institution of environmental quality control development, and related activities supported by measures under the National Environmental this award of assistance. Policy Act of 1969 (P.L. 91-190) and Executive 15. Will comply with the Laboratory Animal Welfare Order (EO) 11514; (b) notification of violating Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. facilities pursuant to EO 11738; (c) protection of 2131 et seq.) pertaining to the care, handling, and wetlands pursuant to EO 11990; (d) evaluation of treatment of warm blooded animals held for flood hazards in floodplains in accordance with EO research,teaching,or other activities supported by 11988; (e)assurance of project consistency with the approved State management program this award of assistance. developed under the Coastal Zone Management 16. Will comply with the.Lead-Based Paint Poisoning Act of 1972 (16 U.S.C. §§ 1451 et seq.); (f) Prevention Act (42 U.S.C. §§ 4801 et seq.) which conformity of Federal actions to State (Clear Air) prohibits the use of lead based paint in Implementation Plans under Section 176(c) of the construction or rehabilitation of residence Clear Air Act of 1955, as amended (42 U.S.C. § structures. 7401 et seq.);(g)protection of underground sources 17. Will cause to be performed the required financial of drinking water under the Safe Drinking Water and compliance audits in accordance with the Act of 1974, as amended, (P.L. 93-5231; and (h) Single Audit Act of 1984. protection of endangered species under the Endangered Species Act of 1973,as amended,(P.L. 18. Will comply with all applicable requirements of all 93-205). other Federal laws, executive orders, regulations 12. Will comply with the Wild and Scenic Rivers Act and policies governing this program. of 1968 (16 U.S.C. §§ 1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system. SIGNAT OF AUT IZED,C FYING OFFICIAL TITLE Mark F i nu c a n e Director, Health Service Dept . APPLICANT ORGANIZATION DATE SUBMITTED Contra Costa County Health .Services Dept. Substance Abuse Division June 26 , 1993 595 Center Avenue . Suite 200 Martinez , CA 94553 SF 4248 (4-aa) sack 5 Chuck Deutscman California a' i or PHS-5161-1 (7/92) Page 17 OMB Approval No. 0937-0189 Expirntion Date: March 31, 1995 CERTIFICATIONS 1. CERTIFICATION REGARDING DEBARMENT 2. CERTIFICATION REGARDING DRUG-FREE AND SUSPENSION WORKPLACE REQUIREMENTS The undersigned (authorized official signing for the The undersigned (authorized official signing for the applicant organization) certifies to the best of his applicant organization) certifies that it will provide or her knowledge and belief, that the applicant, a drug-free workplace in accordance with 45 CFR defined as the primary participant in accordance Part 76 by: with-45 CFR Part 76, and its principals: (a) Publishing a statement notif)-ing employees that (a) are not presently debarred, suspended, pro- the unlawful manufacture, distribution, dispens- posed for debarment, declared ineligible, or ing, possession or use of a controlled substance voluntarily excluded from covered transactions is prohibited in the grantee's workplace and by any Federal Department or agency; specifying the actions that will be taken against (b) have not within a 3-year period preceding this employees for violation of such prohibition; proposal been convicted of or had a civil judg- (b) Establishing a drub free awareness program to ment rendered against them for commission of inform employees about— fraud or a criminal offense in connection with (1) The dangers of drug abuse in the workplace; obtaining, attempting to obtain, or performing a (2) The grantee's policy of maintaining a dru;- public (Federal, State, or local) transaction or free workplace; contract under a public transaction; violation of (3) Any available drug counseling, rehabilita- Federal or State antitrust statutes or commis- tion, and employee assistance programs; and sion of embezzlement, theft, forgery, bribery, (4) The penalties that may be imposed upon falsification or destruction of records, making employees for drug abuse violations occur- false statements, or receiving stolen property; ring in the workplace; (c) are not presently indicted or otherwise crimi- (c) hlaking it a requirement that each employee to nally or civilly charged by a governmental be engaged in the performance of the grant be entity (Federal, State, or local) with commission given a copy of the statement required by para- of any of the offenses enumerated in paragraph- graph (a) above; (b) of this certification; and (d) Notifying the employee in the statement re- (d) have not within a 3-year period preceding this quired by paragraph (a), above, that, as a con- application/proposal had one or more public dition of employment under the grant, the transactions (Federal, State, or local) terminated employee will— for cause or default. (1) Abide by the terms of the statement; and (2) Notify the employer of any criminal drug Should the applicant not be able to provide this certifi- statute conviction for a violation occurring cation, an explanation as to why should be placed in the workplace no later than five days after the assurances page in the application package. after such conviction; The applicant agrees by submitting this proposal that it (e) Notifying the agency within ten days after re- will include, without modification, the clause titled ceiving notice under subparagraph (d)(2), "Certification Regarding Debarment, Suspension, In- above, from an employee or otherwise receiving eligibility, and Voluntary Exclusion—Lower Tier Cov- actual notice of such conviction; ered Transaction" (Appendix B to 45 CFR Part 76) in (f) Taking one of the following actions, within 30 all lower tier covered transactions (i.e., transactions- days of receiving notice under subparagraph with subgrantees and/or contractors) andin all solicita- (d)(2), above, with resp,-,t to any employee who tions for lower tier covered transactions. is so convicted- 6 Chuck Deutschman, California Rae 18 PIIS-5161-1 (7,92) (1) Taking appropriate personnel action against (2) If any funds other than Federally appropriated such an employee, up to and including ter- funds have been paid or will be paid to any urination; or person for influencing or attempting to influence (2) Requiring such employee to participate satin- an officer or employee of any agency, a Mem- factorily in a drug abuse assistance or reha- ber of Congress, an officer or employee of Con- ' bilitation program approved for such pur- gress, or an employee of a Member of Congress poses by a Federal, State, or local health, in connection with this Federal contract, grant, law enforcement, or other appropriate loan, or cooperative agreement, the undersigned agency; shall complete and submit Standard Form-LLL, (g) Making a good faith effort to continue to main- "Disclosure of Lobbying Activities," in accor- tain a drug free workplace through implementa- dance with its instructions. (If needed, Standard tion of paragraphs (a), (b), (c), (d), (e), and (f), Form-LLL, "Disclosure of Lobbying Activities," above. its instructions, and continuation sheet are included at the end of this application form.) (3) The undersigned shall require that the language 3. CERTIFICATION REGARDING LOBBYING of this certification be included in the award Title 31, United States Code, Section 1352, entitled documents for all subawards at all tiers (includ- «Limitation on use of appropriated funds to in- ing subcontracts, subgrants, and contracts under grants, loans and cooperative agreements) and fluence certain Federal contracting and financial that all subrecipients shall certify and disclose transactions," generally prohibits recipients of Fed- eral grants and cooperative agreements from using accordingly. Federal (appropriated) funds for lobbying the This certification is a material representation of fact Executive or Legislative Branches of the Federal upon which reliance was placed when this transac- Government in connection with a SPECIFIC grant tion was made or entered into. Submission of this or cooperative agreement. Section 1352 also certification is a prerequisite for making or entering requires that each person who requests or receives into this transaction imposed by Section 1352, U.S. a Federal grant or cooperative agreement must dis- Code. Any person who fails to file the required cer- close lobbying undertaken with non-Federal (non- tification shall be subject to a civil penalty of not appropriated) funds. These requirements apply to less than $10,000 and not more than S100,000 for grants and cooperative agreements EXCEEDING each such failure." $100,000 in total costs (45 CFR Part 93). The.undersigned (authorized official signing for the applicant organization) certifies, to the best of his 4. CERTIFICATION REGARDING PROGRAbI or her knowledge and belief, that: FRAUD CMI' REMEDIES ACT (PFCRA) (1) No Federal appropriated funds have been paid The undersigned (authorized official signing for the or will be paid, by or on behalf of the under- applicant organization) certifies, to the best of his or her knowledge and belief, that the statements signed, to any person for influencing or attempt- ing to influence an officer or employee of any herein are true, accurate, and complete, and agrees to comply with the Public Health Service terms and agency, a Member of Congress, an officer or employee of Congress, or an employee of a conditions if an award is issued as a result of this application. Willful provision of false information is Member of Congress in connection with the a criminal offense (Title 18, U.S. Code, Section awarding of any Federal contract, the making of 100I). Any person making any false, fictitious, or any Federal grant, the making of any Federal loan, the entering into of any cooperative agree- fraudulent statement may, in addition to other meat, and the ext6nsion, continuation, renewal, remedies available to the Government, be subject to amendment, or modification of any Federal con- civil penalties under the Program Fraud Civil tract lor perative agreement. Remedies Act of 1986 (45 CFR Part 79). tit+ loan, SIGNA OR 'ClTICfAL TITLE Mark Finucane, Director APPLICANT ORGANIZATION DATE SUBMITTED Contra Costa County Health Services Dept . June 26 , 1993 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California PROJECT ABSTRACT My younger children are four and five years old. When they came to see me last week in the treatment program I'm in, my son said, "Daddy, are you in trouble again?" And I said, "No, I'm not in trouble." And he said, "Well, what is this place? is this your house?" I said, "No, it's like a school. I'm learning some things here." Because, you know, he's a Dart of it. l mean, he may not be a drug abuser, but he's part of it, because I'm his father. - Danny, 26 years old "Each person," John Bradshaw writes, "carries the whole family within themselves. The first component of dysfunctional families is that they are part of a multigenerational process....Dysfunctional families create dysfunctional individuals who marry other dysfunctional individuals and create new dysfunctional families." While the connection between substance abuse and criminal justice behavior is well documented in this country lover 50% of felonies in the U.S. are committed while a person is under the influence of drugs or alcohol) the complex issues which can lead to failure of drug treatment and to criminal justice recidivism within families are less well explored. Yet these issues can be of paramount importance in determining whether a sober, non-criminal lifestyle is maintained over a long term. The Substance Abuse Division of the Contra Costa County Health Services Department, in conjunction with participating local programs and agencies, is requesting three years of funding to develop and evaluate the FAMILY RECOVERY PROJECT, an innovative model continuum of post-incarceration treatment and support services to drug-addicted men in West Contra Costa County who have primary or secondary responsibility for children under 18 years of age. Clients of the program will originate within both diversionary and probation populations (the Project has secured commitments from local Judges to grant reduced or suspended sentences for treatment program participants), and the program will provide integrated treatment and support services both to these men and to their children, their spouses, and other family members directly involved in co-parenting the offspring. The goals of the proposed program are to improve treatment outcomes for offender populations, to reduce the frequency with which they engage in criminal behavior as a result of their addictive disorders, and to support the attainment of successful treatment outcomes by providing integrated addiction treatment and support services to their immediate family members. The Family Recovery Project will offer family-centered drug treatment services, and a comprehensive continuum of supportive program for family members. Unique elements of the program include: 1) Hiring a staff of five recovering substance abusers with criminal justice histories to serve as Family Recovery Advocates, to work in pairs with families as combination case managers, advocates, and buddies; 2) Hiring a full-time Criminal Justice System Liaison responsible for developing and maintaining linkages within the local criminal justice system to identify clients and negotiate diversionary agreements; 3) Hiring a half-time Job Development and Training Specialist and a half-time Housing Specialist to develop job opportunities and low-income housing agreements on behalf of family clients; and 4) Establishing a new Community Services Center in the city of Richmond, California, providing a range of family-based clean and sober activities including job training, health education and maintenance, mental health services, youth support and peer services, and family recreation opportunities. The program's service population is expected to be virtually 100% African-American families on low incomes. All Family Recovery Advocates, and most program staff, will also be culturally credible African-American men and women. Page 8 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California TABLE OF CONTENTS CONTRA COSTA COUNTY SUBSTANCE ABUSE DIVISION FAMILY RECOVERY PROJECT PROPOSAL FOR NON-INCARCERATED POPULATIONS PHS Form 424 (Cover Page) 1 PHS Form 424A (Budget Information) 2 PHS Form 424B (Assurances) 4 PHS Form 5161-1 (Certifications) 6 Project Abstract 8 Table of Contents 9 Program Narrative 10 A. Background and Significance 10 B. Target Population and Needs Assessment 16 C. Goals and Objectives 23 D. Approach/Method 26 E. Evaluation Plan 40 F. Project Management and Implementation Plan 44 G. Budget, Budget Justification, and Existing Resources 46 H. Project Staffing and Organization 49 I. Confidentiality and Participant Protection 50 Selected Bibliography 53 Checklist 54 Required Appendices 56 Attachment 1 - Grant Application Data Abstract 57 Appendix I, Document 1 59 Appendix II, Document 2 62 Appendix III, Document 3 62 Appendix III, Document 4 64 Appendix III, Document 5 66 Appendix IV, Document 7 88 Appendix V, Document 8 94 Appendix VI, Document 9 96 Page 9 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California II. NARRATIVE SECTION A. BACKGROUND AND SIGNIFICANCE 1. APPROACHES TO DRUG TREATMENT FOR CRIMINAL JUSTICE POPULATIONS See, my father was an alcoholic, ok? But l despised my father to a certain degree, and/never wanted to bean alcoholic. /never wanted to be a drug addict. l was anti-drug, anti-alcohol-until the 9th grade. And itjust happened-its not like l watched somebody do it and l said, 'Oh, I want to try that' - it was more like, '/'m with these guys, and they're doing it, and it's passed to me, and it's like, if l don't do it, then/can't be with them.' So, you do it, you/earn to like it, and you get addicted to it. - Ed, 24 years old' Since 1980, the nation's prison population has swelled by nearly 134%, fueled largely by the influx of substance-abusing offenders.' The Bureau of Justice Statistics reports that state and federal correctional populations increased 34.6% between 1985 and 1989 alone, and that more than 4 million adults were under correctional supervision in the United States in 1989, with one in every 25 men and one in every 173 women being criminally supervised.' By the end of 1994, state prison populations could increase to a total of 1,133,000 inmates, an expansion of nearly 68% over a brief five-year period.' Within California, the number of inmates in county jails alone increased by more than two and a half times over the same five-year period, from approximately 25,000 to 65,000 as of 1991.6 ' On June 3rd, 1993, in preparation for this proposal, the Contra Costa County Substance Abuse Division sponsored a focus group for non-incarcerated substance abusing men in recovery, for the purpose of receiving input and feedback on the program model described in this document. The African-American men who attended the focus group were all under 35,all with children, and all had done time in prison and/or jail-many of them over the course of several years for various offenses, beginning at an early age. These men not only critiqued and offered valuable additions to our program, but shared their stories with us as well. Although their names have been-changed, the quotations throughout this proposal are the voices of those this program will affect - men in recovery with children and families,with regrets about their pasts, but with hope for the future now that they have found drug treatment alternatives which work for them. All are struggling to piece together relationships with children and loved ones which were broken in varying degrees as a result of their addiction. And all spoke of their wish that a program such as this had been in existence at the time they were re-entering the world as non- incarcerated men, struggling to change destructive patterns of behavior, and to rescue themselves both on their own behalf, and for the sake of their children. 2 Project RECOVERY, "The Spirit of Recovery". NDRI, New York: Vol. 1, No. 1: October, 1991. 3 Jankowski, L., "Probation and Parole 1989". Bureau of Justice Statistics Bulletin (NCJ-125833), Bureau of Justice Statistics, Washington, DC: 1990. 'Austin, J. &McVey,A.D.,The Impact of the War on Drugs. National Council on Crime and Delinquency, San Francisco: 1989. 6 Stern, B., Baseline Study: Education in County Jails. Calif. State Dept. of Education, Sacramento, CA:March 12, 1990. Page 10 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California Meanwhile, the average cost of jail-based incarceration in California (operating costs only) exceeded $13,500 per inmate per year in 1990, and was as high as $17,300 in some areas.' The growth in criminal justice populations is exacerbated by dramatic increases in probation violations and parole revocations resulting from stricter community standards.' These standards require a large number of drug-related offenders to be under intensive supervision, which includes urinalysis to monitor drug usage. As a consequence, more offenders are caught in substance abuse, thereby violating the conditions of their probation or parole. In California in 1987 alone, parole revocations represented half of all admissions to prison, 80% of which were for technical violations.' At the same time, national estimates of drug use in the general U.S. population indicate that over the past 15 years, the use of illicit drugs by the general population has decreased, while the heavy use of illicit drugs by a smaller group of more serious, heavy users has increased.' A significant number of American youth live with the multiple difficulties and manifest the high risk behaviors correlated with family-based alcohol and drug use. Summarizing epidemiologic studies, Dryfoos(1987) concluded that one-fourth of the 28 million American children aged 10-17 years are at high risk of multiple problem behaviors and negative long-term consequences; that three million children are in serious trouble due to alcohol and other drug use; and that another seven million are at risk because they are beginning to use gateway drugs, are doing poorly in school, or have committed minor offenses.10 More than half of 1,824 adolescents surveyed nationwide in a 1987 study by the Chemical Abuse/Addiction Treatment Outcome Registry had a family member who drank or used drugs too much; one-third were physically abused; and 16% of girls reported that a family member had tried to have a sexual encounter with them. At least partially as a consequence, more than half had been expelled or suspended from school, 23% of the boys and 9% of the girls had learning disabilities, and 25% had been caught using drugs or alcohol at school." Evidence for the connection between substance abuse and criminal justice behavior and incarceration is overwhelming. The National Institute of Justice Drug Use Forecasting projects that over 50% of all felonies in the U.S. are committed while a person is under the influence of drugs or alcohol, and that 79% of all those arrested for drug-related felonies test positive for drug use at the time of booking.12 Nationally, drug addicts are involved in approximately three to five times the number of crime events as arrestees who do not use drugs, and have a significantly higher number of ' Ibid. 'The National Task Force on Correctional Substance Abuse Strategies, Intervening with Substance-Abusing Offenders: A Framework for Action. U.S. Dept. of Justice, Washington, DC: June, 1991. 'Austin & McVey, Op. Cit. ' Wellisch, J., Anglin, M., & Prendergast, M., "Numbers and characteristics of drug-using women in the criminal justice system: Implications for treatment". The Journal of Drug Issues, 23(1): 1993. 10 Dryfoos, J., "Youth at risk: One in four in jeopardy". The Carnegie Corporation: 1987. 11 Chemical Abuse/Addiction Treatment Outcome Registry, "Adolescent behavior survey". U.S. Journal of Alcohol and Drug Dependence: May, 1987. 12 National Institute of Justice, "Drug Use Forecasting Statistics, 1991". Page 11 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California arrests than non-drug involved arrestees.13 Drug-using offenders in 1986 committed 15 times as many robberies, 20 times as many burglaries, and 10 times as many thefts as non-drug-using criminal justice offenders.74 In a seminal 1984 article, Dr. Edward Senay wrote, "The most important fact established by the scores of outcome studies conducted in the past 15 years is that drug treatment works. The number and quality of studies carried out demonstrate...that positive changes in client functioning occur during and after drug treatment."" Two national treatment system evaluations, Drug Abuse Reporting Program (DARP), established in 1969 to collect data on 44,000 clients in community-based treatment services, and Treatment Outcome Prospective Study (TOPS), which collected data on nearly 12,000 clients admitted to treatment between 1979 and 1981, have proven positive effects related to treatment of drug-dependent offenders." And Gendreau and Ross (1987) conclude that, "Evidence was presented that between 1973 and 1980, reductions in recidivism, sometimes as high as 80%, had been achieved in a considerable number of well-controlled studies.-17 The inability to meet treatment demands for criminal justice populations, however, is commonplace throughout the U.S. A 42-city survey published in 1987 by the U.S. Conference of Mayors revealed that in more than three out of four cities responding to the survey, there are waiting lists for addicts seeking admission into drug treatment facilities; the average wait is seven weeks.1e A nationwide survey of prison treatment programs found that less than 20% of inmates needing drug rehabilitation had actually participated in drug treatment.19 According to Tims and Leukfeld (1992), "The nature of drug dependence is a chronic, relapsing condition, and recovery is a continuing process. Although engagement in treatment may begin in a prison or jail setting, aftercare - or continuing treatment - is critically important."20 It is more and more frequently recognized that successful drug treatment models for criminal justice populations must include a broad, rather than a narrow focus; as Babow (1975) writes, "A narrow focus is one of the 13 Anglin, D. &Speckart, A., "Narcotics use and crime: A confirmatory analysis". Univ. of Calif., Los Angeles, Dept. of Psychology: 1984. 14 Chaiken, M., "Crime rates and substance abuse among types of offenders", in Johnson, B. &Wish, E., eds., Crime Rates Among Drug-Abusing Offenders: Final Report to the National Institute of Justice. Narcotic and Drug Research, Inc., New York: 1986. 16 Senay, E., "Clinical implications of drug abuse treatment research outcome research". National Institute on Drug Abuse Research Monograph 51, U.S. Government Printing Office, Washington, D.C.: 1984. '6 Shapiro, S., Treatment Options for Drug-Dependent Offenders: A Policy Overview. U.S. Dept. of Justice, Office of Justice Programs, Washington, D.C.: May, 1989. t7 Gendreau, P.&Ross,R., "Revivification of rehabilitation: Evidence from the 1980s".Justice Quarterly,4(4), 349-407: September, 1987. 78 The U.S. Conference of Mayors, "The Anti-Drug Abuse Act of 1986: Its impact in cities one year after enactment". October, 1987. 19 Peterselia,J., "Which inmates participate in prison treatment programs?". RAND Corporation, Santa Monica, CA: 1978. 20 Tims, F. & Leukfeld, C., "The challenge of drug abuse treatment in prisons and jails", National Institute on Drug Abuse Research Monograph Series, ADM92-1884, NIDA, Washington, D.C.: 1992. Page 12 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California major weaknesses in the treatment of drug-dependent offenders....The drug-dependent offender requires a wide range of services, [including] social assistance, housing, educational, or vocational training."21 Meanwhile, Tabbush, in a 1986 study, found that the average benefit of drug treatment programs in California exceeds the cost of these programs by 11.54 times." The National Task Force on Correctional Substance Abuse Strategies lists five common characteristics of successful interventions for substance-abusing offenders. These include: ■ Clearly defined missions and goals;admission criteria that target appropriate participants; and an assessment strategy for those seeking treatment; ■ The visible support and understanding of key administrators within the agency involved, as well as sensitive and credible staff with whom the program interacts; ■ Consistency in intervention strategies facilitated through formal and informal linkages with other agencies as an offender moves through the system; ■ Staff who are well trained and have an opportunity for ongoing professional education; and ■ Continuous evaluation and development on the basis of both outcome studies and process data.z3 Chaiken (1989) identifies five additional common elements of successful substance abuse treatment programs for offenders, which include: ■ The need for participants to have been heavily involved in many serious crimes, drug use, and repeated incarceration prior to treatment admission; ■ Provision of a comprehensive range of approaches and services much greater than that available in typical free-standing residential programs; ■ The hiring of staff and providers who are atypical of correctional personnel, been drawn from other professions, and yet sensitive to treatment populations; ■ Inculcation of a sense of program ownership on the part of participants, and the transmission of a range of practical life skills to them; and ■ The formal or informal provision of follow-up and aftercare for participants.za Research also indicates that for substance abusing offenders, incentives and sanctions can be extremely effective.26 21 Babow, I., "The treatment monopoly in alcoholism and drug dependence: A sociological critique". Journal of Drug Issues, 5(2):120-128, Spring, 1975. 22 Tabbush, V., The Effectiveness and Efficiency of Publicly Funded Drug Abuse Prevention and Treatment Programs in California: A Benefit-Cost Analysis. Calif. Assoc. of County Drug Program Administrators: 1986. 23 The National Task Force on Correctional Substance Abuse Strategies, Op. Cit. 24 Chaiken, J. &Chaiken, M.,Varieties of Criminal Behavior.The RAND Corporation, Santa Monica, CA: 1982. 2e Leukfeld, C. &Tims, F. (eds.), "Compulsory treatment of drug abuse: Research and clinical practice". NIDA Research Monograph No. 86, National Institute on Drug Abuse, Rockville, MD: 1988. Page 13 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California 2. THE CONTRA COSTA COUNTY EXPERIENCE I started drinking when I was eight or nine years old. And l liked it. Both my parents were drinkers - my mother and my father. I started selling heroin at the age of 12 or 13, and I liked the life, because I got whatever I wanted- clothes, marijuana, I could drive cars without a license. I enjoyed that - till I got caught. The Arst time I got caught, I got out. The second time/got caught, /got out. The third time/got caught, my mother told me she was getting tired of coming to jail for this stuff, so l went to jail. Cried like a baby, too. /got out, and did the same thing. I did six months the first time, at 13 years old, and got out when I was 14. I lasted till I was 15, and l did nine months. And it just kept going on and on....When l was 16 or 17, I won about $900 in a gambling shack, and I met a friend of mine - well, he's not a friend of mine anymore. He introduced me to cocaine. It wasn't ether then -I had heard about ether but I had never actually tried it. It was freebase cocaine.... I don't want to say what I'd like to do to this gentleman, but its nothing but just thinking today, honestly. - Clayton, age 26 Contra Costa County has developed a system of countywide public/private services and inter-agency linkages which is a national model for integrated, community-based drug and alcohol treatment. The local experience in the development of appropriate treatment programs for non-incarcerated populations mirrors the national experience, with the exception that local providers have a greater range of experience and contact with treatment populations, and a more developed sense of what is needed to make drug treatment programs work. The contract treatment programs within Contra Costa County provide services to a broad range of populations, and cooperate to avoid duplication of services and to facilitate client movement among their programs. Many of these providers have participated in the development of this program, and have brought their personal experiences and backgrounds to bear on the final program design. Meanwhile, the experiences of substance abusers within the County have been directly taken into consideration in the formation of the proposed plan. The Focus Group discussed in Footnote #1, held on June 3rd, 1993, was instrumental in the formation of the present program. All participants were African- American, recovering, criminal justice men with children, and all offered insights and suggestions for a program which they agreed would be a vital lifeline to men with children in Contra Costa County. In 1990, the Center for Applied Local Research in Richmond conducted a survey of 77 current and recovering drug and/or alcohol users in Contra Costa County, as a component in the development of Contra Costa County's Drug and Alcohol Master Plan. The survey population confirmed high uses of cocaine, crack, speed, and heroin in Western Contra Costa County, the target area of the present proposal. Three-quarters of the crack users said they used at least several times a week, and 13% of heroin users were using heroin daily. Thirty-four percent of Countywide respondents said they had used IV drugs within the last ten years. The highest percentage of individuals who had been prescribed methadone over the last two years were West County residents (16%)." zs Jacobs, A., Et. al., Substance Abuse and Utilization of Services: A Survey of Contra Costa County Residents. The Center for Applied Local Research, Richmond, CA: July 22, 1991. Page 14 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California By far the most commonly used means of drug-related support for respondents in Contra Costa County were resources such as Alcoholics Anonymous (AA) and Narcotic Anonymous (NA); 71% had utilized these programs, and 89% had been satisfied with them. However, only about a third.of all respondents had used detox or residential drug services, or had sought help from a counselor, while the overwhelming majority of respondents listed denial (96%), fear (87%), pride (82%), and shame (79%) as the key personal reasons they had not asked for help from a detox or residential program, or a counselor. Institutional reasons for not seeking services included fearing that waiting lists were too long (66%), fearing that costs were too high (66%), and the fact there was no one available to take care of their children (49%).27 In terms of social profile,financial problems were by far the most common cited by addicts, and more prevalent in East and West Counties than in the others. Employment was a more common problem for West County residents than for any other Contra Costa County region, while childcare was a common barrier to seeking service for all populations, and almost half of all West County respondents said they had had a problem with housing or shelter.21 A 1990 Anti-Drug Plan developed for West Contra Costa County by Opportunity West, a local research firm, had the input and participation of virtually all drug and alcohol treatment providers in West County, and confirmed the need for serious efforts to expand drug treatment opportunities to criminal justice-involved West County residents, as well as to expand networks linking the criminal justice system to local drug treatment providers. The Report stressed the need for drug treatment options to be local, comprehensive, and innovative, and designed to address the specific needs of children, adolescents, adults, and families. The Report highlighted as well the need for drug treatment responses in the West County which were sensitive to local cultural needs.21 An article in the June 6, 1993 issue of the Contra Costa Times-the major area newspaper-reported on the severe overrepresentation of African-Americans in local drug abuse-related arrests (see below). Several interviews integral to the article further confirm the need for drug treatment programs for offender populations. State Sen. Bill Locklear, D-Hayward, chairman of the California State Senate Judiciary Committee, notes, "For the last 11 years...the state's anti-drug philosophy has mirrored the federal program- 'Lock'em up'. I concur with the critics that there has been an emphasis on penal solutions and an abysmal neglect of treatment and education-alternatives." Charlie James, Contra Costa County's Chief Public Defender, agrees: "The problem with the drug war is there is no adequate treatment for first-time offenders." And Contra Costa Superior Court Judge Richard Arneson states in the article, "Whether you believe in treatment or believe in punishment is irrelevant. You've got to have enforcement, but you've got to have treatment too.1130 27 Ibid. 2e Ibid. 29 Stephenson, C., 1990 Anti-Drug Plan for West County: A Research Project of Opportunity West.November, 1989. 30 Burnson, R. &Cartwright, M., "Whites do the lines,blacks do the time". Contra Costa Times:June 6, 1993. Page 15 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California B. TARGET POPULATION AND NEEDS ASSESSMENT 1. DESCRIPTION OF THE TARGET AREA AND ITS HIGH-RISK POPULATIONS After I went to prison and I was released,it was like, one morning you wake up after doing two years behind bars, they give you a bus ticket, and that afternoon, you're back home. And you've been conditioned, to a certain degree, where you do a certain thing at a certain time every day - you're programmed in there, ok?-and you have to get de-programmed, you know? It's like, in your mind, its chow time. But you're on the concrete now - you're out here with the cars, and you're a free person. And you're kind of lost, to a certain degree. You know, some people need structure in their life, and I just so happen to be one of those people. I find that with structure, I'm more likely to succeed, whereas if I'm just cut loose, I run loose, you know? -Rodney, 27 years old Located in the northeastern corner of the San Francisco Bay area, Contra Costa County is a 732.6 square mile area bounded by the San Francisco and San Pablo Bays, the Sacramento River delta, and by Alameda County on the south (see map in Appendices). Although the ninth smallest county in California in terms of total land area (out of 58 counties), Contra Costa is the ninth largest county in the state in terms of population size. The population of Contra Costa County grew by 22% between 1980 and 1990,31 and had a 1990 census population of 803,732, projected to expand to 903,700 by July of 1995.32 The county's population today is 97% urban, with a diversified economic base brought about a decline in agriculture and the increase of successful local industries." The target area for the proposed project is a region known as West Contra Costa County, comprised of the geographic area running from the Carquinez Straits of the Sacramento River, down the 1-80 Corridor to the city of EI Cerrito. Major incorporated cities in West County include Hercules, Pinole, San Pablo, and Richmond; smaller communities include Crockett, Rodeo, EI Sobrante, Tara Hills, and Kensington. Approximately 200,000 people live in West County, or about one-fourth of the total Contra Costa County population.34 A recent study performed for the United Way of the Bay Area revealed that West County has the highest concentrations of ethnic minorities in Contra Costa County. While 9.1% of the overall Contra Costa County population is African-American, 11.4% Latino, and 9.2% Asian/Pacific Islander, for example, fully 24.7% of West County residents are African-American, 15.6% are Latino, and 15.6% are 31 Contra Costa County Health Services Dept., Substance Abuse Division, Contra Costa County Drug Abuse Program Plan: 1992-93. November, 1992. 32 Health Data and Statistics Branch, U.S. Dept. of Health Services, "1900 Census Data Summary: Contra Costa County". June, 1992. 33 Reed, D., Gastonorowicz, M., Reardon, A., Contra Costa County Head Start: Community Needs Assessment. Center for Applied Local Research, Richmond, CA: May 14, 1993. 34 Stephenson, C., Op. Cit. Page 16 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California Asian/Pacific Islander. At the same time, while 69.7% of the total County population is white, only 45.1% of West County residents are white, by far the smallest percentage in the County.36 In the city of Richmond in the southern part of West County - a key target area for this proposal - the percentage of African-American populations was 42.8% of the total 87,425 city residents.16 Mean family income for West County residents is well below that of Contra Costa County and the Bay Area, and there are a greater proportion of residents below the poverty line in West County then in the balance of Contra Costa. Of the 41,761 County AFDC recipients as of December 30, 1991, for example, 49.3% (20,586) reside in West County, with virtually the same high percentages holding true for food stamps, general assistance, and Medi-Cal. The city of Richmond alone contains more than 57% of those on AFDC in the West County. At the same time, more than one-third (34%) of families in Richmond are single-parent families, compared to a County average of 24.7%. Female-headed households constitute 75% of all single parent families throughout the County except in West County, where women head 82% of single parent households. And while unemployment rates in Contra Costa County declined steadily between 1983 and 1990 to a countywide rate of 4.3%, unemployment averages actually rose in West County; within the West County cities of Richmond and San Pablo alone, unemployment rates in late 1991 were 8.1% and 9.1%, respectively.37 Meanwhile, West County drug violation arrests accounted for 54% of the total drug violation arrests made in Contra Costa County, for an area which contains only 25% of the population.38 Employment and economic hardship disproportionately affects African-American communities in Contra Costa County. While only 9.1% of County residents are African-American, fully 20.3% of all those in poverty in the County are African-American, and 33.3% of all children four years of age and under living in poverty are African-American. Similarly, the 1990 unemployment rate in the County for whites was 4.1%, in contrast to 12.6% among African-Americans, 9.4% for Native Americans, 7.1% for Latinos, and 4.4% among Asian/Pacific Islanders." Drug and alcohol abuse in Contra Costa County has reached epidemic proportions. In terms of the criminal justice system, more than four out of every ten arrests made in Contra Costa County were directly drug and alcohol related, with at least one in every five arrests made in 1991 related to driving under the influence of alcohol and other drugs. While the total number of felony arrests in the County increased 35% over the same five-year period,the proportion of felony arrests involving alcohol and drugs rose 64%, and those involving narcotics violations increased by 141%. Misdemeanor arrests for being under the influence of drugs in public rose from 10% of all drug arrests in 1985 to 25% in 1989. And while the per capita arrest rate for drug law violations rose in both Contra Costa County and the state of California, Contra Costa County's 55% rate of increase in per capita arrests for drug law violations was more than triple the 17% increase for the entire state of California."' 36 Contra Costa County Health Services Dept., Op. Cit. 36 Reed, D., Et. al., Op. Cit. 31 Ibid. 3e Stephenson, C., Op. Cit. 39 Ibid. 40 California Dept.of Justice,California Criminal Justice Profile, 1991:Contra Costa County. Law Enforcement Information Center, Sacramento, CA: 1992. Page 17 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California Furthermore, the majority of individuals arrested for felonies and misdemeanors in Contra Costa County during calendar year 1991 (6,126 and 13,246 respectively) tested positive for drug use at the time of commission of their crime. Sixty-four percent of those involved in both theft and motor vehicle theft, 65% of those involved in robberies,and 68% of those involved in burglaries tested positive for drug or alcohol use at arrest in 1991. Almost half of all homicides and assaults, and over a third of all rapes, were also committed by an individual under the influence of drugs or alcohol.41 Yet, despite the overwhelming evidence linking substance abuse to criminal justice behavior, referrals from the County criminal justice system into drug treatment remains minimal. Of the estimated 10,423 Contra Costa residents who tested positive for drug or alcohol use at the time of their arrest for either a felony or a misdemeanor in 1991, only 3.1%, or 327 persons, were referred to drug treatment by the County criminal justice system.42 Meanwhile, a total of 7,003 admissions to drug and alcohol treatment programs were made in Contra Costa County between July, 1991 and June, 1992. Of these, less than one percent (.94%) were as a direct result of criminal justice diversion into treatment.43 The implications of the growing drug crisis on the state of local public health are catastrophic. Of the deaths investigated by the County Coroner in 1989-90, alcohol and other drugs were involved in 64% of suicides, 85% of homicides, and 58% of fatal motor vehicle crashes. Twenty-three percent of all AIDS cases in Contra Costa County involve intravenous drug users, and the County projects that a minimum of 350 additional IV drug-related AIDS cases will be reported over the next five years.44 The gonorrhea infection rate in Contra Costa County for 1991 was the sixth highest in the state of California, and early syphilis rates were the fifth.highest; these statistics are attributable in large part to high alcohol and drug use rates in the County, which lead to unsafe behavior similar to those which lead to high HIV infection rates among County substance abusers." Western Contra Costa County injection drug users are disproportionately affected by HIV versus the San Francisco Bay Area as a whole. A study of 1,829 heterosexual injection drug users from street populations in the Bay Area conducted by the University of California, San Francisco found that the city of Richmond in West County had the highest HIV infection rates in the entire Bay Area among IDUs - 22.8% - as compared to 11.9% for the rest of the Bay Area. The study also found that while 6.8% of heterosexual IDUs tested in Richmond were HIV-positive(n=44), fully 24.8% of African-American IDUs (n=387) tested positive for HIV. Moreover, HIV positivity rates among the 434 Richmond study respondents were actually higher for female IDUs than for males in the study(23.3% positivity for women vs. 22.6% for men).46 4' California Dept. of Justice, "Drug-related arrests in Contra Costa County, 1991: Estimated number testing positive for drugs based on drug use forecasting statistics". 1991. 42 Ibid. 43 California Dept.of Alcohol and Drug Programs, "Selected county demographics: Admission totals,July 1991 through June 1992". Calif. Alcohol and Drug Data System: May 25, 1993. 44 Contra Costa County Health Services Dept., Op. Cit. 4s Division of Communicable Disease Control, STD Control Branch, "California STD Rates: 1990-1991".Calif. Dept. of Health Services, Sacramento, CA: May 25, 1993. 46 Watters, J., et. al., "Drug injectors and HIV-1 infection in the San Francisco Bay Area", paper presented at the 8th International Conference on AIDS, Amsterdam, the Netherlands, 19-24 July, 1992. Page 18 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California Both the enforcement and public health consequences of drug and alcohol addiction disproportionately burden Contra Costa County's African-American communities at virtually all levels. A 1993 study by the Contra Costa Times found that blacks are 15 times more likely than whites to be arrested on drug charges within the County.47 While only 19% of misdemeanor arrests for marijuana use in 1989 were among African-Americans, 64% of all those arrested for felony narcotics violations that year were African-American. African-Americans, Latinos, and other ethnic minority groups account for 30% of the population in the County, yet constitute 53% of arrests for all drug law violations, and 75% of felony narcotics arrests. And while African-Americans constitute 9% of the County's total population, they carry over 25% of the AIDS cases in the County, and over half (54.4%) of all IV drug-related AIDS cases; among Contra Costa County methadone clients alone, fully 34.5% of all African-American clients tested posted for HIV in 1991, as compared to 4.3% of Latinos and 3.5% of whites. African-American women in the County are 7.5 times more likely than white women to test positive for HIV, while the rates for Latino, Asian, and women of other racial and ethnic groups did not differ significantly from whites." Yet despite high drug use indicators, more than twice the number of admissions to Contra Costa County drug treatment programs were made for whites in both 1989-90 and 1990-91 than for African- Americans." Social service system indicators point to extreme consequences for the local human services system as a result of increased addiction patterns. It is estimated that between 15% and 30% of all social service system recipients in the County may be adversely affected by alcohol and other drug abuse, and that parental alcohol or other drug abuse is a factor in at least 25% of reported child abuse, (3,600 cases a year) with drug use related to an estimated 57% of cases of severe neglect of children. Of the approximately 30,000 adults who are homeless over the course of an average year in Contra Costa County, an estimated 23% to 40% have alcohol and other drug problems. Meanwhile, an estimated 1,373 Contra Costa children (about 60% of all children in placement) are in foster care due to parental alcohol and other drug abuse, and about $15.3 million is spent annually in payments to foster families for children whose parents have substance abuse problems.60 These problems are increased for post- incarcerated populations; of those admitted to post-incarceration drug treatment in the San Francisco Bay Area through the Bay Area Services Network (BASN) program, for example, only 20.4% found full-time employment.61 The principal drugs of choice in Contra Costa County-and particularly in the targeted Richmond area - are heroin and cocaine. From a total of 540 drug treatment admissions in the County for heroin use in 1987, the figure jumped 200%, to 1,624 heroin-related admissions in 1991. And cocaine admissions leapt from 222 in 1987 to 607 admissions in 1991 - an increase of 173%.62 Meanwhile, alcohol 47 Burnson, R. & Cartwright, M., Op. Cit. 49 Contra Costa County Health Services Dept., Op. Cit. 49 Contra Costa County Alcohol and Drug Abuse Administration, Contra Costa County Master Plan Report. September, 1992. fio Reed, D., Et. al., Op. Cit. 61 Lowe, L. & Billeci, P., "Bay Area Services Network: Characteristics of admission to community substance abuse treatment,July, 1991 -November, 1992".Office of Substance Abuse Programs,Calif. Dept.of Corrections: March, 1993. 62 California Dept. of Alcohol and Drug Programs, "Indicators of drug abuse: Contra Costa County". Draft: May, 1993. Page 19 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California consumption remains a major problem, with 3,853 admissions to alcohol and drug programs in Contra Costa County for alcoholism between July 1, 1991 and June 30, 1992 - more than double the number of admissions for the next-highest substance of abuse, heroin (1,522), and nearly four times the number of cocaine/crack-related admissions (976).63 Alcohol addictions was also responsible for the hospitalization of nearly 60% of the 1,200 Contra Costa residents hospitalized for alcohol and drug-related medical problems in 1988." The accelerating drug crisis poses particular problems for children and young adults, who generally originate in substance-abusing households. One survey of Contra Costa County high school students found that 74.6% had tried hard liquor, 62.6% had tried marijuana, 35.2% had tried cocaine, and 42.7°% had tried PCP. In 1989, 160 adolescents from Contra Costa County under the age of 17 were arrested on felony narcotics charges; 104 for being drunk in public; and 78 for driving under the influence.66 Many of these children come from homes in which drug-related criminal behavior patterns are learned from parents. Approximately 33,101 bookings were made into Contra Costa County jails in 1991, and the average daily jail population within the County was 1,296, with an average length of stay of 14.3 days. A survey of inmates enrolled in educational programs within these jails found that almost 40% of inmates (38.2%) have custody of children under 18 years of age, while another 16.9% have children over which they no longer have custody.66 2. DESCRIPTION OF THE PROGRAM POPULATION /f there were programs like what you're offering today, it probably would have helped me with the kids/don't have with me today. You know, l have a 12 year old daughter and a nine year old son, and / lost both of them through my drug addiction. if there were programs like what you offer, you know, with the family counseling not just for the man but for the wife and kids, it might have saved, you know, my family. Alcohol and drugs just destroyed that, you know -/allowed it to do that. - Bill, 34 years old Contra Costa County proposes the development of a model Family Recovery Project, the goal of which will be to provide a comprehensive continuum of family-based treatment and support services to a population of non-incarcerated drug and/or alcohol-addicted men living in western Contra Costa County who have primary or secondary responsibility for children under 18 years of acne. The program will provide services both to diversionary criminal justice populations (individuals placed in drug and/or alcohol treatment programs in lieu of jail or prison sentencing) and to probation and parole populations (individuals under probation or parole supervision for whom substance abuse treatment is appropriate). Some program clients (approximately one-fourth of program clients) are expected to be initially identified as candidates for the program while still incarcerated within the Western Contra Costa County Jail in Martinez, Calif.; 63 California Alcohol and Drug Data System, "County level report, Contra Costa County: Admission totals, alcohol and drug programs". January 11, 1993. 6' Contra Costa County Substance Abuse Divison, Op. Cit. 66 Ibid. 66 Stern, B., Baseline Study: Education in County Jails, submitted to the Adult Ed. Division, Calif. State Dept. of Education, Public Performance Information Systems, Sacramento, CA: March 12, 1990. Page 20 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California treatment and support services for immediate family members may begin prior to these individuals becoming probationers. (No direct client identification or outreach of potential participants will occur within the local or regional prison system.) Males participating in the proposed program will be western Contra Costa County residents at the time of their admission, and program outreach will particularly target individuals living in the southwestern corner of the county, particularly the city of Richmond. Age will not be a factor in program admission, nor will marital status, length of criminal justice involvement, offense history, or specific substance(s) of abuse. While not closing admission to any one ethnic group or discriminating in favor of another, the great majority of program clients will be members of the African-American community. These individuals and families will be given a high priority for services under the program, both because of the community's high rates of criminal and addictive behavior, and because of its relatively low rate of participation or involvement in existing County treatment and support programs (see below). The essential requirement for males participating in the program will be that they have primary or secondary responsibility for one or more children under the age of 18 years. These children may be natural or adoptive; they may be stepchildren through an existing or prior marriage; or they may be children for whom the male client has responsibility as the result of a primary relationship. Primary responsibility for a child, in the context of the program, is defined as having full or principal obligation for the financial and/or emotional support needs of one or more children on an ongoing basis; most clients who fit this category will have full or shared custody of the child or children in question. Secondary responsibility for a child is defined as having partial financial and/or emotional responsibility for one or more children, generally in conjunction with one or more child-rearing partners. Males classified as having secondary responsibility for a child need not have direct custody of the child or children in question, nor must all children of the client be involved in the program. However, males in this category must prove a history of concern, interest, and support for the children in question, AND their child-rearing partner(s) must express a clear willingness for these men to remain or become involved in the support or raising of the children. The circle of individuals around the criminal justice male client to whom the program will provide treatment and support services will generally include: a) the child or children of the non-incarcerated criminal justice male, as defined above; b) the man's child-rearing partners, including mothers of the children, parents, in-laws, or family friends; and c) individuals with whom the family group shares a mutually dependent relationship which directly impacts on the life and well-being of the child, such as close family friends, key extended family members, siblings, etc. All family structures are unique, and many program clients will have complex and disjointed family systems, such as three sets of children from three separate partners living in three separate locations. The program will strive to respond flexibly to a wide range of family characteristics and backgrounds, while keeping within reasonable limits to permit the program to operate effectively within staff and budgetary guidelines. The program will provide comprehensive, family-based treatment and support services both to the criminal justice males admitted to their program, and to their children, child-rearing partners, and close family members. This means that in order to support both the criminal justice male's long-term sobriety and his permanent transition out of criminal behavior, direct drug treatment and support services will be provided to the client's children and immediate family members through the grant program,although grant funds will not be used to directly support drug treatment for non-criminal justice populations. This approach relates to a central program philosophy which sees the involvement, support, and sobriety of family members as being integral to the long-term maintenance of sober, non-criminal living on the part Page 21 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California of the non-incarcerated individuals, particularly in the case of males who have a history of responsibility for children (see D.1., Mission and Treatment Philosophy below). No criminal justice males will be admitted to the program whose children and child-rearing partners do not also consent to fully participate in the program process; this restriction includes drug and/or alcohol-addicted spouses and significant others with whom the man lives who do not consent to addiction treatment. However, once a non-incarcerated male and his family are admitted to the program, neither the client nor the family will be excluded from services or dropped from the program because of recidivism or non-sober behavior on the part of one or more participants, although changes in the family's service profile will be necessary. We take this approach not only because we believe in the importance of 'not giving up' on one more family members when they lapse, but because times of addiction relapse or re- incarceration will be among the times when family members will need the program's support the most. The great majority of families admitted to the program (between 75% and 100%) will be living below federal poverty guidelines, with a large number dependent on social support income such as welfare, AFDC, SSI, etc. Although one of the program's implicit goals will be to help lift participating families out of poverty, the economic status of most families at intake is expected to be bleak. We expect the profile of drug usage among client families to reflect substance abuse patterns within the community at large(see B.1., Description of the Target Area and Its High-Risk Populations above), with high percentages of alcohol, heroin, and cocaine addiction. As many as 45% of adult program participants may be injection drug users, with incidence of HIV infection potentially as high as 40% among these groups. TB and other infectious diseases among program participants are expected to be common, with TB exposure rates between 5% and 25% anticipated. Infectious disease issues will be magnified in the process of dealing With family groups, and the program will address childhood health and immunization needs throughout. Although all of the non-incarcerated males with children admitted to the program will be drug and/or alcohol-addicted at the time of admission, an additional number of substance-abusing primary family members is also anticipated. We are projecting an incidence of up to 50% of all male admits having at least one immediately family member who is addicted to drugs or alcohol, and up to 25% of male clients having multiple immediate family members who are substance abusers. A substantial percentage of client families will include adolescents who are already drug or alcohol-addicted, in ages ranging from 11 through 17, and the program will provide drug treatment and support services to these youth as well. Because there is so little hard data available on inter-family substance abuse patterns, however, the program will have to 'find its legs' during its first 12 months of implementation before being able to accurately project the specific patterns of family abuse the program will confront. Contra Costa County anticipates admitting between 40 and 50 non-incarcerated,drug-addicted males and their families into the program during its initial year. Projecting an average family size of five, we project serving a total of between 160 and 300 family members, including our initial non-incarcerated clients, over this period, including an estimated 85 women over the age of 18, and 55 children under the age of 14. Direct drug treatment services will be provided by community-based treatment agencies for all of the non-incarcerated males in the program, and for approximately 65 drug and/or alcohol-addicted children, spouses, significant others, and immediate family members of these non-incarcerated criminal justice males. Page 22 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California C. GOALS AND OBJECTIVES 1. OVERALL PROGRAM GOALS: The Centers for Substance Abuse Treatment identifies two general program goals for the non- incarcerated criminal justice treatment project. These goals are shared by the proposed program: 1. To improve treatment outcomes for offender populations; and 2. To reduce the frequency with which targeted individuals engage in criminal behavior as a result of their addictive disorders. The program will seek to successfully end drug and alcohol dependency and to facilitate a lasting transition to non-criminal, clean and sober lifestyles for non-incarcerated individuals which children by providing state-of-the-art comprehensive drug treatment and psychosocial services which reinforce and support these transitions. The program will augment these services with a comprehensive range of life enhancement services such as job training and placement, housing assistance, and 'buddy' support. Recognizing that the roots of addictive and criminal behavior often lie within family systems, however, and that ending inter-generational cycles of violence and addiction depend as much upon supporting the children and spouses of criminal justice populations as upon supporting criminal justice populations themselves, the program will also work to accomplish a third goal: 3. To support the attainment of successful treatment outcomes for offender populations by providing integrated addiction treatment and support services to their immediate family members. The program will work toward this goal by providing integrated drug treatment and support services to family units of non-incarcerated criminal justice males with dependent children under the age of 18. We believe this support will enhance the effectiveness of the targeted individuals' efforts to attain sober, non- criminal lives by involving family networks in the struggle to attain a long-term recovery from substance abusing, violent behaviors. 2. SPECIFIC PROGRAM GOALS: To achieve these outcomes, the proposed project will work toward a set of six specific program goals, which integrate the project's outcomes with CSAT's five primary outcomes as stated in Program Announcement No. AS-93-06 (P. 3). Additions to the five primary CSAT goals are indicated by boldface type. These are: 1. To expand and enhance substance abuse treatment that builds upon state-of-the-art scientific and practical knowledge in order to maximize diversion to treatment and improved treatment outcomes for non-incarcerated criminal justice populations, and to successfully treat substance abuse and/or criminal justice behavior among addicted and non-addicted children and family members of the non-incarcerated individual; Page 23 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California 2. To develop an effective, documented model of service delivery, case management, and community supervision/treatment that can be replicated in other criminal and juvenile justice systems, and among a wide range of diverse family systems and demographic profiles; 3. To reduce rates of incarceration in jails, prisons, and juvenile facilities by addressing the substance abuse and criminal justice behaviors of both non-incarcerated criminal justice clients and their children, spouses, significant others, and immediate family members: 4. To enhance the effectiveness of substance abuse treatment and reduce criminal recidivism among non-incarcerated populations by involving children and family members in the process of recovery through a model network of drug treatment and social support services for criminal justice populations; 5. To develop integrated, family-based linkages between jail and prison-based substance abuse treatment and community-based treatment and supervision; and 6. To foster the linkage and integration of state, sub-state, and local planning efforts which expand diversion to treatment and community supervision/treatment for non-incarcerated populations, and enhance treatment and prevention of substance abuse and criminal justice behavior among children and immediate family members of non-incarcerated populations. 3. PROCESS-RELATED OBJECTIVES: The following process-related objectives will be achieved within the program's first year, or by the projected first year end date of August 31, 1994: 1. Between 40 and 50 non-incarcerated, drug and/or alcohol-addicted criminal justice males with dependent children under the age of 18 will be provided with appropriate, ongoing, and culturally sensitive substance abuse treatment services on as-needed basis. 2. Approximately 65 drug and/or alcohol-addicted children, spouses, significant others, and immediate family members of these non-incarcerated criminal justice males will be provided with comparable substance abuse treatment services, also on an as-needed basis. 3. Drug treatment services will include approximately 30 emergency methadone and other detoxification sessions; at least 30 residential placements for an average of 90 days each; and an unspecified number of additional residential, outpatient, and other drug treatment services on an as-needed basis. 4. The program will reinforce and enhance drug treatment outcomes and reduce criminal recidivism for between 40 and 50 families of non-incarcerated criminal justice males with children, or approximately 160 - 300 total individuals (including criminal justice populations) by providing a comprehensive range of appropriate psychosocial support services, including ongoing needs assessments; family-oriented, 'buddy'-based case management and advocacy; job training and placement services; mental health and support services; housing assistance; and teen and youth services. 5. The program will promote healthy lifestyles and reduce health-threatening behaviors for these 40 - 50 families by providing a range of health-supportive interventions, including regular Page 24 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California medical examinations; ongoing drug testing; HIV testing and counseling services; TB screening; childhood immunizations;prenatal care;and health education and prevention programs,including seminars in the institution and maintenance of behaviors which prevent the transmission of HIV. 6. A Community Services Drop-In Center developed by the program to meet the recreation and support needs of family clients will provide between 3,000 and 3,600 hours of supervised, community-based drop-in services, based on a six (6) or seven (7) days per week, 12 hours per day schedule over the last 10 months of the first program year. 7. The program will assess, screen, and provide comprehensive drug treatment and psychosocial referrals to an additional 150 criminal justice candidates for the program who do not participate due to either lack of qualifying status, or to lack of interest on the part of family members. 4, OUTCOME-RELATED OBJECTIVES: The following outcome-related objectives will also be attained for program participants by the end of the first year, with the understanding that more detailed and reliable outcomes will be demonstrated through the program by the end of its second and third years: 8. The program will result in a minimum 25% decrease in rates of criminal justice recidivism for non-incarcerated men,9nrolled in the program for at least six (6) months as of August 31, 1994, as compared to statistics for criminal justice recidivism within comparable West County populations over the same time period. 9. The program will result in a minimum 25% decrease in rates of alcohol and drug use relapse among non-incarcerated men enrolled in the program for at least six (6) months as of August 31, 1994, as compared to statistics for alcohol and drug use relapse among West County substance abusers in treatment programs over the same time period. 10. The program will result in a minimum 20% decrease in rates of criminal justice recidivism for those children, spouses, significant others, and immediate family members of non-incarcerated men who have a prior history of criminal justice involvement, and have been enrolled in the program for at least six (6) months as of August 31, 1994, as compared to West County recidivism rates for comparable age groups over the same time period. 11. The program will result in a minimum 10% decrease in school drop-out rates for children and adolescents involved in the program for at least six (6) months as of August 31, 1994, as compared to West County dropout rates for youth of corresponding ages over the same time period. 12. The program will lead to a significant improvement in the ability of non-incarcerated men who are enrolled in the program for at least six (6) months as of August 31, 1994 to maintain long- term employment, with long-term employment being defined as at least four months of steady employment with a maximum of one job change over that time. 13. The program will lead to a significant improvement in overall family functioning among families enrolled in the program for at least six (6) months as of August 31, 1994, as compared to family status at the time of admission to the program, as measured by the "Family Functioning Measure" (FFM), a tool developed by the Center for Applied Local Research, the designated Page 25 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California Program Evaluator, and designed to test a broad range of family function indicators, including basic needs, family well-being, access to services, community and family involvement, and substance abuse and its effects on the family (see description in Evaluation section). In later phases of the program, outcome-related objectives will be expanded to demonstrate positive, measurable outcomes in at least two of the following additional outcome areas: general health improvement; HIV transmission knowledge; domestic violence incidence; client psychological and psychiatric health; and/or improved social functioning. D. APPROACH/METHOD 1. MISSION AND TREATMENT PHILOSOPHY My younger children are four and five years old. When they used to come to see me in jail, I'd say, "Daddy's in trouble." Well, when my son came to see me last week in the program I'm in, he said, "Daddy, are you in trouble again?" And l said, "No, I'm not in trouble." And he said, "Well, what is this place? is this your house?" l said, "No, its like a school. I'm learning some things here." Because, you know, he's apart of it. l mean, he may not be a drug abuser, but he's part of it, because I'm his father. - Danny, 26 years old The proposed Family Recovery Project supports a philosophy which sees the condition and structure of the family unit as integral to the ongoing health and well-being of its individual members. This philosophy is reflected and espoused in a broad range of current psychological and social systems theory (Miller, 1983; Napier & Whitaker, 1988; Forward & Buck, 1989; etc.) which implicitly advocates augmenting existing psychotherapeutic practice with the assessment and treatment of the'family system' as a distinct entity in analysis and treatment. In Bradshaw On: The Family (1988), the seminal work of the family systems movement, John Bradshaw writes, "Each person carries the whole family within themselves....Family psychiatry accepts the family itself as the patient, the presenting member being viewed as a sign of family psychopathology." Bradshaw also speaks of the multi-generational replicability of family dysfunction: "The first component of dysfunctional families is that they are part of a multigenerational process....Dysfunctional families create dysfunctional individuals who marry other dysfunctional individuals and create new dysfunctional families. Left to your own devices, it is very difficult to get out of this multigenerational dis-ease (sic)." The Family Recovery Project will relate this philosophy to an approach which incorporates the involvement, support, and sobriety of family members as an integral component in the long-term maintenance of sober, non-criminal living for the non-incarcerated individual. The program will evaluate the degree to which the involvement of the families of men with children brings about an improvement in treatment outcomes, as well as the extent to which an addicted male's having children involved with him in his drug treatment process impacts on the sense of responsibility he feels to maintain sobriety and non-criminal behavior. The Project will also support a comprehensive, integrated matrix approach to services which matches clients with treatment and support program appropriate to their assessed needs and perceived risks (treatment matching model). The program will enhance client integration with natural community support Page 26 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California systems, while stressing a culturally credible/peer-based approach to client support, advocacy; and assistance. As the National Task Force on Correctional Substance Abuse Strategies stresses, "Therapists who share the primary cultural characteristics of the target population can facilitate the therapeutic process and serve as positive role models for [clients]."67 2. COMPONENTS OF THE PROPOSED TREATMENT SYSTEM a. IDENTIFICATION AND ENGAGEMENT PROCEDURES People coming out of institutions need everything they get. They need all the support they can get as far as therapy- talking with other people who share the same problems. Talking to their kids - that helps, that helps. You're able to face yourself, to talk about things you never would to anybody else. - Joe, 28 years old The proposed Contra Costa County Family Recovery Project features four central access points for substance-abusing, non-incarcerated criminal justice populations. These are: District Attorney's Office Pre-Trial/Court System ■ Addicted clients identified ■ Client commitment to treatment verified ■ Referral into treatment program for ■ Reduced or suspended sentence non-prosecuted arrestees approved ■ D.A. advocacy in court or pre-trial ■Releases to appropriate treatment program County Probation System County Jail-Based Outreach ■ Liaison with County Probation Officers ■ Liaison with jail-based treatment/outreach ■ Clients identified who are programs addicted to one or more substances and ■ Identification of addicted men deemed appropriate for treatment ■ Interest in participation secured ■ Integration of treatment with probation ■ Family support begins prior to release if In all four of these 'case finding' settings, family consent will be obtained prior to admission of the non-incarcerated male into the family-based treatment matrix. At the point of admission, the family unit will be identified and assessed as a distinct 'client' of the proposed program in addition to the individual members assessed and personally supported through the project. The program has worked with representatives of all four of the above intake systems in the design of this program, and has secured agreement from the County Court System to consider either or both of the following options in regard to appropriate prospective program clients: a) Deferred prosecution where the criminal court delays prosecution of drug related cases while the defendant completes substance 67 The National Task Force on Correctional Substance Abuse Strategies, Op. Cit. Page 27 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California abuse treatment; and/or b) court referrals to treatment where a judicial authority defers sentencing while the defendant completes treatment, or where treatment is offered as a condition of probation (see Appendix 111, Document 6). A full-time Criminal Justice System Liaison will be hired by the program to act as the lead individual in the program's relationships with all four of the above criminal justice entry points. This is an extremely crucial aspect of the Project, as we know from experience that each component of the criminal justice system operates under its own distinct set of rules and internal attitudes and procedures, requiring a trusted, familiar, 'inside' person to facilitate communication and interaction between the treatment program and the populations which must be accessed through the system. The Liaison will thus serve as the program's official criminal justice system 'schmoozer', so to speak, responsible not only for establishing relationships for the program within the system, but for coordinating client finding, scheduling client assessments and follow-up on behalf of program advocacy staff, working with the Court system to arrange for negotiated, suspended, or reduced sentences for clients who are found to be appropriate for the treatment program, and working to establish linkages with jail-based drug treatment and inmate liaison programs, in order to identify potential program clients before their release from incarceration. The Criminal Justice System Liaison will work closely with program staff to maintain an ongoing familiarity with all aspects of program activity and approach, but will also maintain a necessary degree of autonomy and freedom, in order to be able to work within the criminal justice system in the manner which is most effective. Approximately 25% to 30% of clients are expected to be identified while incarcerated; for the sake of focus and expedience, the program will concentrate only on men serving time in the West Contra Costa Jail in Richmond, California. This will allow the program to provide services over a sustained continuum that begins during detention or incarceration, and is continued in the community of residence upon release from the facility (see CSAT Comprehensive Care Continuum, p. 23, paragraph 2). It will also allow the program to provide intake, referrals into treatment, and psychosocial support for families prior the release of the incarcerated male. This is important for a number of reasons, among them the fact that the family can benefit from being oriented to the recovery process prior to the client's release, particularly if the family's history with the primary client has been difficult. It is also believed that getting family members into treatment and supporting counseling and services prior to the release of the primary client can increase the possibility of a family's being mutually supportive of recovery ideals upon the male's release into drug treatment. Remaining program clients will originate within probation/parole populations, and through the process of diversion, via the Court system. It is expected that approximately 30% of clients will be identified through pre-trial case finding relationships established with the Courts and with the District Attorney's office, and that the remaining 40% will be probationers identified as high-risk of drug- addicted by Probation Officers familiar with the program. Intake assessments of new program clients will, at a minimum, include a medical exam, drug use history, and psychological examination for all non-incarcerated populations and their family members who are entering treatment. The assessment will be appropriate for evaluating clients with respect to drug use, alcohol use, and physical and mental health problems, including screening for infectious diseases such as HIV/AIDS,TB, STDs, hepatitis B, etc., and for providing basic introductory health education, including safe sex and risk reduction techniques to mitigate the spread of HIV and other sexually transmitted diseases (see CSAT Comprehensive Care Continuum, p. 22, paragraphs 3 & 4). The majority of examinations will be given by and within the drug or alcohol treatment programs in which the client and his applicable family members are initially enrolled. Virtually all of these community-based treatment agencies, working in conjunction with the County, will conduct urine screening for the presence of prevalent drugs, and will have a system in place for conducting randomized weekly monitored urine testing for all treated inmates Page 28 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California (see CSAT Comprehensive Care Continuum, p. 22, paragraph 5). Results of exams will be forwarded to the Family Recovery Advocates who will staff the program as combination Case Managers, Family Advocates, and Peer Buddies. For family members without an addiction problem or history, or who are not members of high-risk non-incarcerated populations, the medical examination requirement will be deferred. At this and all stages of the intake and assessment process, client privacy and confidentiality will be strictly maintained, and full consent will be obtained prior to any testing or treatment procedures (see Client Confidentiality section below). An intensive intake and client assessment interview will also be scheduled for all program participants, with the respective Family Recovery Advocate assigned to each client. In some cases, group interviews will be conducted, such as for a group of young siblings being admitted; at other times, more than one initial interview may need to be scheduled in order to obtain all needed information. As frequently as possible, initial client assessment interviews will be held in the home, or in a setting comfortable to the individual being admitted. Same-day intake services will be provided wherever possible, and the program will strive to secure treatment admissions for non-incarcerated men with families on the same day that clients are identified (see CSAT Comprehensive Care Continuum, p. 23, paragraph 1). As with the CSAT Comprehensive Care Continuum (p. 23, paragraph 2), the intake process will assess the broadest possible range of client information, including social, economic, and family background (including relationship to other family members, means of support, and demographic data►; education information (including highest grade completed and professional training obtained); vocational achievements and history(including present employment status, previous employment history,and number of months employed within the last two years); criminal justice history (including whether client has been arrested, dates and nature of arrests over the past five years, and current legal involvement); medical and psychological history (including whether client is currently receiving or wishes to receive treatment for physical or mental health needs); and present and previous drug history (including primary drug(s) of abuse, patterns of family substance abuse, and previous treatment sought or obtained). The initial interview and intake process will set the stage for preliminary development of a family- based client care plan, centered upon the needs and condition of the family unit as well as each of its key individual members. The initial assessment will pinpoint physical and mental health needs requiring immediate attention, and suggest specific areas in which more detailed follow-up, interview, and/or examination will be required. Most importantly, the intake assessment interview will lead to the determination as to which course of drug treatment intervention for addicted clients and family members will be most appropriate to each individuals' needs, family situation, degree and type of addiction, degree of willingness to participate in a residential vs. an outpatient program, and, most importantly, the ethnic '• and cultural needs of the client in question (see CSAT Comprehensive Care Continuum, p. 22, paragraph ' 6). b. TREATMENT COMPONENTS AND MODALITIES We need programs like this for men - we've virtually lost touch with reality, with our kids. Until I was able to get in recovery and straighten myself up i was I able to ever go back and face my kids. With a program like this -real support, a structured program that would help me stay in contact with my kids - it might not have took as long as it did. - Danny, 26 years old Page 29 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California The proposed Contra Costa County Family Recovery Project is a treatment system which provides an integrated service continuum highly comparable to CSAT Comprehensive Care Continuum. The program will offer a range of components including drug treatment, case management, and psychosocial support, offered in an ongoing, coordinated fashion designed to provide services to support sobriety and recovery in a long-term manner. The proposed Contra Costa County program also provides access to a broad range of treatment options for addressing drug and alcohol addiction, utilizing mainly social model programs in order to encourage societal integration and mutual habitation skills. Although the principal focus throughout the program will be on alcohol and drug treatment, the Family Recovery Project shares with the CSAT Comprehensive Care Continuum the goal of providing the kinds of comprehensive ongoing support and follow-up which can mean the difference between success and failure for the 'recovering family' in question. The program seeks.to not only change drug-related behavior, but to help change every aspect of clients' lives which must change in order to support PERMANENT drug and criminal-free lifestyles for both the criminal justice client and his children and family members. The Family Recovery Project consists of a two-year continuum of services (sometimes more, sometimes less) centering around community-based treatment and support for sober, crime-free living for families. Services will be provided along a continuum stretching from intake, to drug treatment, to a constellation of related support services (see Appendix IV, Document 6). In general, these three central cores of the program will be mutually integrated in order to allow for coordinated service and fluid movement along the service and outreach continuum. The following program description is organized according to the key innovative components through which the Project model will test the effectiveness of a diverse family-based treatment program for non-incarcerated populations. >:L . A . :<::>:::>:FIN>:<:::>:: NT'...F: . M LTI' .. FAM;::«: <_::>::.EN.::<:... ED>` LIENT;:.M DE 1. DEVELO.PMENT..::..N.D...R:E.....:::..EME.:.::::::0.... A . .:U....:.....:.:$ERVIC.... .. .. ....:C ::::TER.; C....:.... ...::.::.0..:::.:::::.:..:. The Family Recovery Project model will take into account all aspects of family dynamics, and which plans treatment, support, and follow-up services which respect the interrelationship of family members to one another, as well as the special needs individual members might have in regard to family issues. Not only will referral to drug and alcohol treatment be coordinated for all family members, but supportive planning will take into account family elements such as economic status, living situation,job skills, future prospects, the children's progress in school, etc. A drug treatment referral for one member will thus take into account how the location of a treatment facility for one parent will affect transportation issues for his or her co-parent; how having two parents in residential treatment at once will require that special child care arrangements be made; how one family member can support another who is working towards certification at a Community College, etc. Within this context, the program will particularly respect the children and adolescents of post- incarcerated populations, and support them as they struggle to cope with the difficult transition period their family is undergoing. The program will work to address all aspects of the young person's well-being: medical health, emotional needs, progress in school, social and parental support systems, the need for ongoing stability in housing, etc. The program will protect children from inappropriate family situations wherever possible, and will make no decisions which could in any way endanger the health or well-being of the child, particularly through parental abuse. The program will provide special support to children when one or more parents or guardians lapses back into criminal or substance-abusing behavior, working to become a steadying influence in their lives in the face of difficult changes. Page 30 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California The program will get to know each one of its family 'clients' fully during the course of the minimum two-year period during which families will remain involved in the recovery program. A minimum of two project staff will serve as co-advocates for the family, and will work as a team to attempt to meet family needs as they emerge. In conjunction with a grant-financed Legal Consultant, the program will also confront and learn about the implications of involvement with issues around custody, visitation, divorce, adoption, foster parenting, etc. Most of all, the program will seek to be a 'friend in need' to the West County family, a necessary lifeline to making permanent changes in the nature of the family's existence. . >..... : >.>:::: 2: HIRINGANDTAININGOFRECOVERING:SUBSTANCEABU E.R : .. ' .:. .. .:::.: ...:::: : : ::. . :: : ATAAG . The Family Recovery Project will borrow from the three patient service models of traditional case management, client advocacy, and peer-based support,in order to develop an original model of peer-based case management and advocacy. The Project's proposed team of five Family Recovery Advocates will provide an integrated combination of intensive case management, supervision and tracking services,social and drug treatment system advocacy and support, and peer-based support and 'buddy' services, in order to meet the comprehensive range of family-related recovery needs within the context of culturally credible support. At least two of the Advocates will be women and two will be men, with the fifth position open to either gender depending upon the availability of qualified applicants. We sincerely hope to recruit a young adult in recovery (age 18 to 24) for this fifth Family Recovery Advocate slot, in order to provide a more appropriate liaison to adolescent and young adult populations than that possible through older case workers. Because of the high percentage of African-Americans in the target area, and the intense need for cultural credibility in this community, we expect that all of the Family Recovery Advocates will be African-Americans. During the first ten months of program services (following an initial two-month training and implementation period) each Family Recovery Advocate will work with a maximum of five families per Advocate, moving up to a total caseload of 10 families maximum per Advocate by the end of the first program year. This means that for each Family Recovery Advocate, no more than five families at a time will be undergoing the initial six-month 'intensive' program phase of assessment, treatment, referral, and support. At the same time, however, each individual family group admitted to the demonstration project will be assigned two separate Family Recovery Advocates, generally a man and a woman, who will work as a team on that particular family. This does not mean that Family Recovery Advocates will be divided into fixed pairs, however; rather, pairs of Advocates will be assigned to specific family groups based upon an assessment of which two Advocates can provide the most empathetic, credible, and effective services to each particular family grouping. The combination of a man and a woman will generally be the most appropriate pairing in order to provide all members of a given family group the chance to work most closely which an individual comfortable for them. Many men may feel most comfortable sharing feelings and exchanging stories with another male, for example, while many women in the program will appreciate the chance to find mutual support from another woman. Family Recovery Advocate pairs will work together in all phases of ongoing assessment, service, and support for their client families, and provide mutual support to one another in their work with that particular family group. The Advocates will maintain constant communication in order to avoid being pulled into the dysfunctional patterns of families in a way which is divisive to the team, Page 31 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California or which produces irreconcilably different versions of family systems or dynamics between the two members of the pair. The unique characteristic of the proposed Family Recovery Advocates is that they all must be either recovering substance abusers (clean and sober for a minimum of one year) or, at the very least, former partners or spouses of drug-addicted individuals. Generally speaking,the program will give priority to men who are in recovery from drug or alcohol addiction and who have been incarcerated within the criminal justice system, and priority to women who are either in recovery from drug/alcohol addiction,or who have had extensive experiences in relationships with substance abusing partners who either did or did not attain a successful recovery. The only education requirement for Family Recovery Advocates is that they have a certified high school di0oma or equivalent at the time of hiring. Of course, hiring criteria in terms of social, supportive, and drug treatment skills for these Advocates will be more rigorous. Generally speaking, Family Recovery Advocates must have a strong understanding of substance abuse and addiction issues as they relate to issues of criminality and incarceration, and must have a solid ability to relate to a range of individuals within family groups.. Strong communication skills are essential, as are listening skills, and the ability to be patient with the varying degrees of progress of recovering family members. Advocates must have a strong commitment both to their community and to its recovery, and must be willing to share freely their own experiences and personal evolution in order to help the families with which they will work on a personal level. Family Recovery Advocates will undergo extensive training in order to orient them to issues around counseling, family dynamics, the drug treatment and social service system, and program protocols and procedures. For the initial staff of five Advocates, this treatment will be conducted full-time over a three to four-week period during the second program month. The training will include fundamentals of social work and counseling skills, extensive role-playing, focus groups and group interviews with members of substance abuse populations and with treatment and social service programs,and orientation to the social service system in West Contra Costa County. Advocates will be expected to successfully prove the acquisition of skills in both written and oral/practicum examinations throughout the course of training. An informal 'certification' as a trained Family Recovery Advocate will complete the training phase, although the process of skills development and learning will be ongoing throughout the period of involvement with the program. Throughout all staff trainings conducted through the Contra Costa Family Recovery Project, cross- training will be a key component, and this will be no different for Family Recovery Advocates. Cross- training will ensure that all program staff are thoroughly familiar with the roles, disciplines, and areas of expertise and responsibility of all other staff, and will assure mutual sensitivity to the particular cultural and experiential backgrounds which each staff member brings to their work. All training will also emphasize sensitivity to issues specific to the target populations being addressed, specifically addressing areas mentioned in the Comprehensive Care Continuum such as gender sensitivity, age-specific interventions, cultural competency, infectious disease transmission, dissemination of research findings, HIV/AIDS counseling and coping skills training, dealing with psychopathology, and cognitive training principles for offenders (see CSAT Comprehensive Care Continuum, p. 22, paragraph 1). The training, supervision, and support of Family Recovery Advocates will be the responsibility of the full-time Supervising Family Recovery Advocate, an LCSW-level professional with extensive experience in social work, counseling, staff supervision, and program coordination. The Supervising Advocate will not only organize and conduct new staff trainings, but will supervise the day-to-day activities of the Family Recovery Advocates, coordinating meetings and schedules, help to match clients to appropriate Page 32 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California Advocate pairs, and step in the case of difficult or complex situations or problems. The Supervising Advocate will not necessarily have to be an individual in substance abuse recovery him/herself, but must have extensive experience in working directly with these populations, as well as with criminal justice individuals. The Supervising Advocate will not have a client caseload her/himself, but will have primary responsibility for assuring that programs are delivered in a clinically appropriate and culturally competent manner at all levels (see CSAT Comprehensive Care Continuum, p. 21, paragraph 7). The Supervising Family Recovery Advocate will coordinate and facilitate the weekly Family Recovery Team meetings which will be the program's version of traditional case conferences. These meetings will be an opportunity for the Family Recovery Advocates to meet and work with direct service providers from outside the program staff, as well as with Specialists on staff, to discuss particular families in the program, to address crises, to monitor family progress, to design long-term care plans, and to assure continuation of recovery support services for all clients in community-based settings (see CSAT Comprehensive Care Continuum, p. 22, paragraph 7). During the first six months of the program, during which virtually all clients are expected to be at either intake or 'intensive' stage, bi-weekly meetings will be scheduled with as many members of the treatment, criminal justice, and social service communities as are applicable to the specific clients being addressed. These two-to-three-hour meetings will assess client/family groups one by one, designing case plans, re-assessing evolving conditions, matching clients to treatment programs, negotiating reimbursements, attempting to locate discounted emergency services or housing, etc. The format of the meetings will evolve as the variety of client needs the program will address become clearer. Later in the program, as the staff becomes familiar with the family issues it will address, the Family Recovery Team meetings are expected to change to a more focused format, addressing specific categories of needs for family groups for whom those issues are at the moment important. Thus, we expect to sponsor four weekly meetings a month: one of the general group described above to plan care for new client families; one with representatives of the criminal justice system only; one with representatives of drug treatment and intervention programs; and one with representatives of social service programs. All staff will be expected to attend all weekly meetings. The focused format will give program staff a chance to focus on specific issues, while reducing the burden of longer meetings. One of the most important functions of the Supervising Family Recovery Advocate will be her/his role as facilitator of the weekly hour and a half staff support group session to be held at the end of each program week, probably on Friday afternoons. These sessions will be a chance for the team of Family Recovery Advocates to provide emotional support to one another in their work, as opposed to updating one another and planning long-term family services. The emotional support session will allow staff to unburden themselves of psychological issues which arise through their work, helping to minimize transference issues which can arise in working closely with dysfunctional families. In addition to the groups, Family Recovery Advocates will be encouraged and expected to participate in other outside support groups and counseling opportunities, and will be allowed staff time where appropriate to participate in such activities. One of the most difficult issues the program will confront may confront is Family Recovery Advocates who either'slip' on their own during the course of their employment, or become re-involved in drug-related or criminal behavior through contact with client families. The importance of continual communication between Family Recovery Advocates, attendance of weekly support sessions,and solicitation of continual feedback from family clients will be essential in helping to spot potential staff problems before they seriously impact the quality of community work. In general, the program does not expect to require Page 33 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California regular drug testing (urinalysis) of its recovering Family Advocate staff. However,the program will remain open to the possibility of developing such controls should situations arise which warrant them. The general goal of Project case management will be to assess client condition, make appropriate referrals, track client progress via documented evaluative tools, and to conduct outcome evaluations to measure the success of client management efforts (see CSAT Comprehensive Care Continuum, p. 21, paragraph 6). In the event of client emergencies, such as relapse or re-arrest of a spouse, death, or divorce, Family Recovery Advocates will make referrals to resources for more intensive personal support and peer-based counseling - the program hopes to recruit a team of volunteer and/or stipend-reimbursed floating 'mentors' to fill gaps in the services of Family Recovery Advocates beginning in the second program year (see CSAT Comprehensive Care Continuum, p. 24, paragraph 8). The case management program will also provide intensive interaction with probation/parole and other supervision agencies, as well as with the client's treatment program or agency, vocational rehab., educational programs in which the client is involved, etc., in order to assure integration with and adherence to standards established by those entities (see CSAT Comprehensive Care Continuum, p. 24, paragraphs 7 & 9). <N N ;:;F::::<HE P; WIT 3 I TEGRATIO O T . ROGRAM. H A NETWORK<OF COMMUNITY-BASED DRUG EATM N. ` . D:RE ;::;:: V:E::>::>:::<;>;:ERV::: ;.TR E TAN O RY..S 1 E I:;::;::<::;,.:E,,:;::::::<:>.:<.::NT:,:::::;::; : A> >;<:;:;:NTY » <':::»PPPPPP: ............................. ........... ........... .... C. ............... . C.. S..N:.W..ST CO.... FiA►..COST.. COU West Contra Costa County has a wide range of community-based drug treatment and follow-up service providers, which the program will utilize via both informal and formalized linkage relationships. Drug treatment services running the gamut from jail-based treatment such as DEUCE, to detox, to residential treatment, to sober living, to ongoing programs such as drop-in and community counseling centers. Clients will be assigned to drug treatment services based upon comprehensive intake procedures, and will be tracked and followed-up via agency liaisons in order to monitor patient health and condition, and to coordinate drug treatment services among different family members. In general, our focus groups have made.it clear:that for men being released from prison, as well as men being diverted to drug treatment in lieu of jail sentences, the need is imperative for residential treatment services. Men leaving the penal system have generally undergone months or years of conditioning in terms of daily routine, and have been strictly confined not only physically, but in their range of personal choices. A residential program offers recent releasees the chance to transition back into society through a program which limits options, and prevents them from immediately reverting to familiar behaviors. For men in diversion, the strongest need will be to screen out potential program participants who are agreeing to participate in the drug treatment program merely in order to avoid jail. Many of our clients will be career 'scammers' who have the charm and ability to talk their way into the program merely because it is perceived as an easy way to avoid jail or obtain a reduced probation period; having to attend a residential program with some of the qualities of jail will help assure that clients are truly committed to changing personal drug-related behaviors. Because the waiting lists for drug treatment admissions are generally extensive in West County (versus other outpatient modes of treatment) the program has reserved funds to pay for approximately 30 residential drug treatment slots for an average of 90 days each, at a cost of $40 per day, in order to assure that clients can be admitted to residential treatment on the same day that service needs are identified, if appropriate. The program has also set aside direct treatment funds in the budget to support the costs of 21-day methadone detox slots a month for 10 months at an approximate cost of $200 per slot -this covers the Page 34 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California non-reimbursed share of West County methadone detox treatment. Detoxification will be an essential treatment option for our target populations, many of whom will be using IV heroin on a daily basis at the time of program admission. Reserving detox slots will not only help secure rapid admissions into West County programs, but will help 'buy time' for the Project to identify subsequent residential placement for these clients once the detox period expires. Case management will support the broadest possible range of treatment options for clients, and will work to coordinate ongoing treatment among all members of a given family group. The Project will also utilize drug treatment programs to conduct ongoing drug testing and client urinalysis to confirm sobriety-a particularly important element in assuring the smooth operation of a sober living hub such as the proposed Community Services Center (see below). I... ` ii . I >>;;. ND CALIF :RN A 4 ;CREATION;O A;M.AJOR:NEW COMMUN TY:SER.VICES CENTER;IN.;RICHMQ. ., ........... 0........ .. Throughout the needs assessment and focus group processes leading up to this demonstration model, an urgent need was continually expressed by treatment providers and clients alike for some type of community-based site or center at which clients in our proposed program could find a place to simply 'hang' and be themselves in the company of other sober and recovering people. Our community informants stressed time and again the fundamental social crisis for recovering addicts in there being so few places for in the community to spend time where drugs, alcohol, crime, and other 'street' realities do not present temptations, anxieties, or challenges to the process of changing deeply-set behaviors. Numerous drug treatment models affirm the significance of a central program site at which, for example, child care services can be provided to clients, or at which social interaction can occur, or where AA, NA, or AlAnon meetings specific to the target populations can take place. The Contra Costa Family Recovery Project proposes the formation of a major new Community Services Center located at the epicenter of the West County drug and alcohol crisis - the city of Richmond, California. Roughly projected at 2,000 to 2,500 square feet, the site will be a multipurpose facility located near the center of the city, convenient to nearby outpatient treatment programs, public transportation, and local recreational facilities. (We have already had preliminary discussions regarding an unused YWCA facility which meets these specifications, and negotiations are promising.) The Center will be open for,12 hours for a day either six or seven days per week, depending upon the availability of volunteer staff, and will contain program staff offices, large and small group meeting rooms, training and education rooms, child supervision areas, and family socialization areas featuring activities ranging from video games and card tables, to television and pool (see Appendix IV, Document 6). The Community Services Center will provide the physical framework through which the range of emotional, support, assistance, education, and family-based socialization services provided by the Project can be coordinated, facilitated, and offered in a safe, sober, pleasant setting at which clients will want to spend time. Family clients will be able to schedule appointments with Family Recovery Advocates at the Center, and to meet with more than one program representatives on a given morning or afternoon. Parents who need a respite from their children, particularly in the early stages of their recovery, will be able to bring children to the Center, and either spend time with them in the company of other families, or leave them for up to two hours to simply get a breather from the job of supervising kids (see CSAT Comprehensive Care Continuum, p. 24, paragraph 4). Families will be able to meet other families at the Center - it will be a hub for recreational and socialization activities for both adults and children. Young people can meet one another at the Center as well, and regular peer-related activities will be ongoing. At the same time, transportation services both on and off site for specialized services access, employment, childcare, Page 35 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California medical care, etc. will be coordinated in conjunction with County transportation providers as appropriate (see CSAT Comprehensive Care Continuum, p. 24, paragraph 6). The Center will be staffed by program representatives, by a 75% time receptionist to help coordinate patient appointments and to greet patients at peak hours, and later, by a volunteer staff which oversees Center activities and helps expand child care hours, albeit always in the presence of a paid program staff member. A special function of the Community Services Center will be as a hub for educational services. A subcontract built into the current proposal will specifically support the services of one or more Educators through the Contra Costa County of Education to provide job training, high school equivalency exam preparation, literacy training, tutoring for children and youth, and general vocational skills development, utilizing the nationally recognized DEUCE model of pro-active educational intervention. Through the subcontract, the Family Recovery Project hopes to make available not only basis classes, but specific skills in fields such as computer operation-the Center in fact plans to obtain donations of computer equipment, and to institute a computer training center within the Community Services Center before the end of the first program year. Specific educational sessions will be ongoing, and responsive to the needs of specific client populations. The Department of Education will also be able to facilitate client admissions to local community colleges, vocational centers, and other related programs to improve specific skills or to obtain post-high school degrees and certifications. A$10,000 set-aside fund has also been established within the program budget to support emergency and short-term costs related to securing child care and early childhood education services for children of clients. These costs include costs of supervised respite care, costs of kindergarten and pre-school services, transportation costs to transport children to these facilities, etc. The fund will also cover the costs of childhood education materials within the Center, as well as costs of hiring professional or part- time tutors, or educational tapes and seminars, for older children and adolescents who are having trouble in school. Education Department-sponsored training will be augmented through two additional educational approaches: a) Through ongoing health, health maintenance, and psychosocial support training sessions conducted at the Community Services Center in areas such as HIV prevention, family nutrition, parenting skills, recovery maintenance strategies, etc. (see CSAT Comprehensive Care Continuum, p. 24, paragraphs 1, 2, & 3); these sessions will be augmented by general skills trainings in areas such as personal financial management, career planning, job interview skills, etc.; and b) Through more specific trainings conducted both at the Center and on campus through Diablo Valley Community College and Contra Costa Community College; options in this case include more intensive job skills-related training, or admission of program clients into certification programs in Substance Abuse Counseling. In general, health maintenance for children and youth will be an ongoing priority which the Center's presence will greatly facilitate. The Center will be a hub for conducting childhood immunizations, regular medical examinations, HIV antibody testing, blood pressure testings, and consultations with nurses and health care professionals, all of which will be publicized through the Center in advance, and supported by in-kind County contributions through a variety of departments. Families will be referred for specific outside health services such as prenatal care, gynecologic/obstetric and reproductive health, pediatric care, etc. through the Center, and will be followed-up to chart the progress of the contact. The coordinated network of health education and services provided through the Center will, it is hoped, generally inculcate an increased ability on the part of clients to oversee health management and to make pro-active family health decisions as a result of Center programs (see CSAT Comprehensive Care Continuum, p. 23, paragraph 5, and p. 24, paragraph 2). Page 36 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California Mental health services will be facilitated by case management referral, but will also be provided at the Center via both open and closed support groups, and through one-on-one therapy with volunteer MFCCs and others. Special treatment programming will be sponsored to address issues and teach skills in areas such as anger management, violence prevention, victimization issues, and values formation (see CSAT Comprehensive Care Continuum, p. 23, paragraph 4). Psychiatric assessments will be available through County mental health services, followed by referral to and provision of specific therapies to address crucial issues such as psychopathology, pharmacologic interventions, etc. (see CSAT Comprehensive Care Continuum, p. 23, paragraph 6). Not only will AA, NA, and other social model self- help support groups be held within the Center, but also special focus groups, such as teen and adolescent support groups, HIV-positive client support groups, cognitive group therapy, groups for victims of sexual or domestic abuse, etc. will find a home here. All groups will be facilitated by professionally certified, culturally credible counselors who have experience with both addicted and post-incarcerated populations. Counseling staff will either be identified through local volunteer networks, or through community counseling programs in local agencies such as Sojourne, which is reimbursed to provide these services to recovering populations (see CSAT Comprehensive Care Continuum, p. 23, paragraphs 3 and 6). Family recreational and socialization services will be a key element of the program. Through the Center, families will learn about and plan family vacations, attend family recreation nights such as sporting events, and share family socialization opportunities, such as day trips to theme parks or the beach. These will be linked to age and gender-specific socialization opportunities such as teen weekends, weekends for parents, and special events for men, women, and youth (see CSAT Comprehensive Care Continuum, p. 24, paragraph 5, and p. 23, paragraph 10). ............. ..... . . .... .. .................. ....... ............................ ................... .... .......................... ..... ............ INT APPO MENT:. FA HALF:::;.TME.:. P:E. IALI:.>:T>:;.;: <DIRE. TLY ... N. EL >> >< >:: ........:.. .. ..... . ...: .:. 5 . O............... ...T . S......C..... .S .TO... ..... ...C..... ..COU ..5....................... ........... RTI IPANT �::.:::::: .. PA C S N B TRA NING"AND'T CREATENEWJOBOPPORT NI IES: ..... ...::.;::.:...;:::::::::.::::::::.::.:::.::.;::.:::.::.;::::;:.;:>::;:.>:.>::.::.;:.;:.:..::: :.. :..::.:::;:;.:::.:::.::::::::.; ::::::::..:::.: ... ............................. ...... .. : .:.............................. :......... FOR PROGRAM:CLIENTS .WI:THIN:::THE:COMMUNITY :::::::>><::< :>> .................. .. . ............ ...... ......................... . ................... ............ . ........................................... . ............ .......... . .......................... . .................................. . .... ........................... .................... ...... .............................. .......... . .................... .... .................................... ....................................... ............................ ......... ........................................ .. . . ........................... ... .......................... .. ........................................ .................. . . . .. ....... ............. ............ ........ . ..... ................................. ......................... ... .:........ 6..:A.. PPOIN:T:M..E:NTOFAALF=TI E PECIALIST:TOAD . DRESS.SH0RT:ANDOGS.. R..... ::<..<.:<.< .<..: :. :TM ': .... ...................:............................. . . . . .. . . . IV HWALTASOUSING ISSUESFOR.CLIENTSANDTODEVELOPNE .: G: ; . . ...; :.. ...... . .:O::: ..I.N..:.............:: :.::::.:. ................. . : . .. :.: .. : . :;:;: ::;:;; ROGRAMTWITHNHH...:. .... .......:............... ..T............ .......... .:....... :::: : ....;.. ; ....... OR.PCLENI ECOUNITY.. . . . The Contra Costa Family Recovery Project believes that two of the most important issues for assuring long-term maintenance of sobriety for low-income families are employment and housing. Employment is the means by which an individual receives an ongoing income, adds structure to his or her life, gains a sense of connectedness and productivity in relation to his or her community, and acts as a model to children. Employment greatly reduces the continual day-to-day stressors and temptations which can quickly lead to drug relapse and criminal justice behavior after completion of a drug treatment program. In the same way, housing is an essential element in assuring the well-being, stability, and self-esteem of individuals and families. Having a place to live which is reliable, within the family's means, and sanitary is essential to assuring the health and well-being of children, and to giving the family unit a context in which to ground the family's newly emerging identity. Even for families in which children live apart from fathers, or where different sets of children live separately, it is vital that all members have adequate Page 37 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California housing in order reduce dependence on the streets and to create the sense of structure essential to sobriety. It is equally important for many client families that new housing be identified outside of the city or neighborhood in which the original abuse patters have taken hold. Breaking old associations, moving away from friends and contacts who are still dealing or using, and making it more difficult to access to places and community patterns in which relapse can easily occur is often the most productive single step a recovering family can take in assuring long-term behavior change. The half-time Job Development & Training Specialist and the half-time Housing Specialist to be appointed through the Project to address these issues represent a unique response to these critical elements. Both Specialists will have personal expertise in the areas they will address, and will demonstrate cultural credibility, and a commitment to their communities, which enable them to work closely with clients as partners in planning strategies for obtaining long-term employment and housing. Preferably, both Specialists will also be recovering addicts themselves, or have a history of former drug use or of criminal justice experience. The Specialists will participate in case conferencing with the Family Advocacy Team, and will work closely with Family Recovery Partners to plan housing and employment strategies appropriate to a given family's needs and dynamics. The Specialists will be available for appointments at the Community Services Center weekly, and clients will be able to sign up to meet personally with the Specialists, or will be able to schedule phone appointments through their Recovery Advocates. The two Specialists will also take an aggressive, pro-active role in identifying and securing housing and employment resources on behalf of clients through direct liaison and marketing work within the target community. For the Employment Specialist, this means identifying reputable, credible job training resources to which clients can be referred, and bargaining with them to obtain reduced fees or softened admission criteria; working to involve volunteers who can help clients with issues such as resume development and career planning; and working with and attempting to negotiate contracts with local employers in the community for set-aside slots for both interim and permanent jobs for program clients. In the case of the Housing Specialists, relationships and linkages will be formed with both community low- income housing resources and with direct housing providers such as landlords, tenant associations, realtors and rental agents, etc. The Specialist will identify a range of potential housing options available at any given time in order to give clients maximum options, and will serve as a client advocates with potential new landlords, helping to establish, through the Project, the credibility many clients will need to secure new space. An $8,000 set-aside fund within the budget will be available to finance job training and employment skills development where absolutely no other resources are available, and where the training is seen as necessary to clients taking the next step in their progress;the fund will offer an average of $800 a month over the 10 months in which the program is in operation during the first year. At the same time, an Emergency Needs Fund of $10,000 (51,000 per month) will be available to address a range of client emergency needs, including up-front money for rental deposits, first and last months' rent, and other housing-related needs. (The Emergency Needs Fund will also be applicable to client necessities of life, particularly upon first admission to the program, including items ranging from baby formula and diapers, to food vouchers, to gasoline vouchers, to fronting the money for overdue utility bills where disconnection could threaten the health of the children.) In general, the Specialists are seen as an essential adjunct to the proposed program, providing essential support to the process of recovery, while developing constructive, long-term linkages with community resources in order to improve the chances of obtaining viable housing and employment for program clients. Page 38 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California c. LINKAGES WITH SERVICE PROVIDERS I love my kids. l care enough that l want to see them in some type of therapy. l put them through a hell of a lot-a hell of a lot. l feel responsible for them. The thing l think 1 can do for them is to get them some type of family counseling. -Joe, 28 years old Because Contra Costa County has developed an advanced and sophisticated network of communication and support among community-based drug treatment and social service providers, the proposed program has an excellent opportunity to become fully integrated, in a short period of time, with a range of community programs and providers. The process leading up to the present proposal has been conducted with the participation of local treatment and support agencies, and the letters attached to this document attest to the range of community support the program has already achieved (Appendix III, Document 6). A Community Board to be established for the Family Recovery Project will oversee the program development phase of the proposed project, making key decisions regarding implementation, protocols, referral procedures, admission standards, liability issues, etc. The Board will consist of the administrators of from 10 to 20 local treatment and support agencies, and will include representatives of County Probation, the jail system/Sheriff's office, and the Court/D.A. system; County representatives will also attend the meetings. The Board will be responsible for electing its own Chair, who may or may not be a County employee. The responsibility given to the Community Board will permit a substantial measure of control to community-based providers over a program which will employe largely County staff (see CSAT Comprehensive Care Continuum, p. 21, paragraph 4). Through the Criminal Justice System Liaison, the Family Recovery Project will establish and formalize relationships with the criminal justice system, the key source of referrals and diversions into the proposed treatment model. Referral to drug treatment programs will include all appropriate substance abuse providers working both in West County and in portions of Central County (see list of community drug treatment providers in Appendices). The program will develop special linkages and relationships with a wide range of social support agencies, such as County Social Services, Child Protective Services, the Department of Education and the Community College District, and the Department of Mental Health. Agencies such as WESCAT, providing transportation services to low-income and disabled County residents; Headstart, offering early childhood education services to impoverished' families; Catholic Charities, offering support for identification of low-income housing; and Battered Women's Services, offering shelter to victims of domestic violence will be included in this matrix. The Family Recovery Project supports a philosophy which encourages the utilization of so-called Natural Support Systems for clients. 'Natural support systems' refers to pre-existing support resources which are readily available within the community, such as churches and church groups;youth groups and youth service organizations; AA, NA, and other 12-step programs; neighborhood organizations and community groups; social clubs and organizations; and other resources. In conjunction with New Perspectives in Richmond, the Project will develop an extensive referral list of Natural Support Systems in the community, and will establish liaisons with these programs via Family Recovery Advocates. We believe that utilization of these services will assist clients in making the transition to long-term sober living by integrating with long-range community resources available to support positive social and lifestyle changes. Page 39 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California d. ATTENTION TO POPULATION DIFFERENCES The family is very important. Its important for me now because I'm at a stage where I can support myself if I have to, but I still have relapse issues, and a support group where I can sit down and talk about them is very important to me. We're still recovering from the penitentiary. I still think it's a danger or stress or emergency when I hear whistles blow. You know, I can't talk about these things in a regular AA meeting. -Bill, 34 years old The proposed project is specifically geared to the needs and characteristics of the target population. The concept of a family model is organically based upon the need to support drug treatment changes in a manner which assists the entire family to attain mutually supportive, long-term sober living. The fact that criminal justice behavior is necessarily understood to complicate the recovery process makes multi- dimensional support that much more essential in bringing about long-term changes within family systems. The program also addresses the severe dearth of treatment and support programs specific to African- American populations in Contra Costa County, and provides culturally credible, culturally-specific assistance to these groups. The fact that both male and female Family Recovery Advocates will work in the program will facilitate a response to the need for gender-specific support, while all volunteers and professionals in other program areas will demonstrate cultural sensitivity and credibility. Extensive training will also orient paid and volunteer staff to the sociodemographic characteristics and needs of the specific geographic area in which the program will be located. If the proposed program is an experiment, it is an experiment which has the potential to demonstrate an important concept: that family involvement can bring about significant enhancements in the quality of treatment outcomes for non-incarcerated men with children. We believe the target group presents a matrix of needs and conditions which make it the ideal population through which to explore an integrated family-based treatment continuum. The potential to deter substance and criminal recidivism for both the non-incarcerated client and his children and family members means that the program has the potential to help break the inter-generational cycle of addictive and criminal behavior replication in which so many area families are confined. E. EVALUATION PLAN The Center for Applied Local Research (C.A.L. Research) will conduct the local evaluation for the proposed project. C.A.L. Research is a nationally respected non-profit research organization dedicated to improving the quality of human service delivery systems at the local level. C.A.L. Research staff members have extensive experience in evaluating substance abuse and other human service projects in Contra Costa County and throughout the State of California; evaluator qualifications are summarized below. In addition, C.A.L. Research's organizational evaluation qualifications and evaluator resumes are included in Appendix V, Document 7, attached. The evaluation will contain both process and outcome-related elements. C.A.L. Research will consult with project staff intensively during the start-up period to help ensure that all protocols and procedures are in place and to develop data collection plans for the project. Evaluation staff will also consult with Page 40 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California project staff on a regular basis throughout the life of the project to ensure that the evaluation design continues to "fit" the program design as the program changes and develops over time. PROCESS EVALUATION The process evaluation will serve several important goals: 1) It will assess the extent to which the program is accomplishing its objectives and identify any impediments to implementation; 2) It will play a "formative" role in helping to shape the program; 3) It will provide male clients, partners, and family members with a "safe" opportunity to give feedback to the program; and 4) It will document the essential aspects of the program in order to facilitate future replication. The process evaluation will include several components: client data and services tracking, client satisfaction and services needs, and quality of services and coordination among agencies. CLIENT DATA AND SERVICES TRACKING Intake Data on Client and Family Characteristics and History: Family Recovery Advocates (or staff of residential programs, where appropriate) will complete the standardized treatment admission form that is part of the California Alcohol and Drug Data System (CADDS) with each client as they enter the program. Clients will also provide extensive supplemental intake and assessment information regarding the men in the program, their partners, other key adults, and children. The forms include information regarding demographic characteristics, education, employment, public services use and criminal justice history, family and community support systems, nature and extent of substance use, and number of prior treatment episodes. These data will allow the evaluators to describe the characteristics of the populations being served, as well as link these demographic characteristics with outcome measures described below (e.g., extent to which factors such as employment history, prior treatment episodes, or age of children affect treatment outcomes). Analysis of Program Attendance/Service Utilization: Staff will document clients' and families' use of all services using a service tracking form developed by C.A.L. Research which will be modified for this project. Monitored services include residential and out-patient substance abuse treatment, contact that Family Advocates have with all family members, use of the community center, contacts with housing and job placement staff, and referral to other health, education, and social services. Forms will document with which family member staff worked and the nature of the contact. These data will also serve as independent variables in an outcome analysis (e.g., does frequent use of the community center or extensive contact with the Advocate affect length of time in treatment or treatment outcomes?). CLIENT SATISFACTION Client and Family Member Group Interviews: Evaluation staff will conduct sets of six group interviews twice in the first year and annually thereafter. In each round, there will be two groups with men in the program, two with female partners and other key adult family members, and one with teen-age youth. Beginning in Year 2, there will also be a group with men who have successfully completed the intensive phase of the program. Each discussion group will include 8-10 participants, and will concentrate on client satisfaction, clients' and family's unmet needs, barriers to obtaining needed services,and satisfaction with various program components, especially the community center and its services. Page 4 1 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California QUALITY OF SERVICES AND COORDINATIONAMONG AGENC/ES Review of Family Treatment Plans: Advocates will develop case plans in conjunction with family members to help focus services. Advocates will review and update treatment plans on at least a quarterly basis with clients. C.A.L. Research will review the treatment plans biannually and provide analysis of their focus and apparent gaps. Staff Interviews: Evaluators will interview staff members, including legal and financial consultants, on an annual basis. These interviews will include questions regarding the program's philosophy,structure, intent and relative success of each program component, and coordination with the criminal justice system and other agencies where cross-referrals occur. Key Participant Interviews: Evaluators will interview non-staff members of the Family Recovery Teams and the Community Board twice in the first year and then annually thereafter. These interviews will focus on coordination among participating agencies, the referral system, and gaps in the system. Key Informant Interviews: Evaluators will interview other people who are key to the program's success, but who do not attend regular meetings, such as judges, staff from the District Attorney's office, a liaison from Child Protective Services, or other agencies that come to play an important role in referrals and service provision. These interviews will be conducted annually. Observation of Family Recovery Team Meetings, Staff Support Groups, and Community Board Meetings: Evaluation staff members will observe meetings frequently during project start-up and periodically thereafter to document changes in program design and ensure that the evaluation design fits with the project design. Observation of Program Activities: Members of the evaluation team will periodically observe and take structured notes of group sessions and informal activity at the Community Services Center. Since C.A.L. Research is located in Richmond, evaluation staff will be able to drop by the center regularly to become acquainted with staff and families and observe which educational and recreational materials are used. Quarterly Conferences with Family Recovery Teams and Community Board Members: Evaluators will meet with those central to designing and carrying out the project on a quarterly basis to provide feedback based on evaluation activities and to offer staff and others an opportunity to raise evaluation issues and offer interpretations to the findings. OUTCOME EVALUATION Contra Costa County and C.A.L. Research look forward to and specifically agree to participate in and assist CSAT's national evaluation. Our own outcome evaluation will include five principle components: 1) An analysis of treatment retention; 2) An analysis of re-arrest rates; 3) An analysis of probation violations and parole revocations; 4) An analysis of long-term employment for clients and retention in school for youth; and 5) An analysis of changes in our clients' and families' relationships and life circumstances. 1) The focus on treatment retention is based on research indicating that the longer clients remain in treatment, the more likely they are to remain drug-free on a long-term basis. The analysis of treatment retention will address four questions: a) What is the drop-out rate for clients?--i.e., what percent of clients remain in treatment for two weeks, one month, two months and so on? Are there particular time periods Page 42 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California with higher than average drop-out rates? (This knowledge can help staff improve the program accordingly.) b) Are there differences in retention rates for clients based upon their source of referral or upon demographic characteristics such as race or age of children? c) Are there differences in retention rates between clients who begin the program in residential treatment and those who do not? d) Under what circumstances do families remain in the program if male clients leave treatment? The evaluators will use discharge information from CADDS and intake data to address these questions. 2) Analysis of recidivism (re-arrest) rates address three questions: a) What is the likelihood of re- arrest over time? b) What factors are related to recidivism rates in terms of client's criminal justice history, family composition, length of time, or level of use of services in the program? c) How do recidivism rates of clients in the program compare to those not in the program? We will compare clients' recidivism rates to those of three different comparison groups--those who were offered the opportunity to participate in the program but declined, those who are turned away for lack of space (anticipated Years 2 and 3, once the program is well-established) and baseline recidivism rates for males in West Contra Costa County. The project's Criminal Justice System Liaison will play a central role in ensuring that C.A.L. Research evaluators have access to these data. 3) Analysis of probation violations will address questions similar to re-arrest rates: a) What is the likelihood of probation violations over time? b) What factors are related to probation violations--such as client's criminal justice history, family composition, length of time, or level of use of services in the program? 4) Analysis of long-term employment for clients and retention in school for youth will address similar questions: a) What is the likelihood of a client retaining a job or staying in school over time? b) What demographic characteristics, personal history, or level of involvement in the project are associated with success? To analyze "time to failure" (premature departure from treatment, recidivism, or probation violations), and "time maintaining success" (long-term employment or retention in school) the evaluators will plot failure/success rates over time. Also t-tests and rank-order tests will be used to compare demographic characteristics of "successful" and "unsuccessful" clients. For both re-arrests and probation violations, separate analyses will be conducted for incidents that are specifically drug or alcohol-related and those that are not. 5) Family functioning will be measured using a modified version of the Family Functioning Measure (FFM), developed and tested by C.A.L. Research. The FFM is a simple 25-item instrument addressing the family's ability to meet basic needs, family well-being, utilization of program and public services, extended family and community involvement, and substance use and its effects. (A sample is included in the Appendix.) Our analysis of family functioning will focus on a) change over time for families in the program and b) associations between change scores and demographics, history, and participation in the program. EVALUATOR QUALIFICATIONS The Center for Applied Local Research (C.A.L. Research) will conduct the evaluation of the proposed project. C.A.L. Research brings important experience and expertise to this project. First, members of C.A.L. Research have been conducting substance abuse related research for almost twenty-five years. Research has included both evaluations and needs assessments throughout the State of California. Second, C.A.L. Research is currently evaluating four CSAT-funded projects and three CSAP-funded projects throughout the State. As a result of this experience, they have formed a clear understanding of Page 43 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California the kinds of information that are of value to in CSAT's national demonstration programs. Third, the contractor has conducted studies and evaluations relating to the criminal justice system. Examples of such projects include: evaluation for a State of California Crime Legal Resource Center, evaluation of a program for addicted mothers referred to treatment by Child Protective Services, a study of criminal justice-involved populations in Marin County; and development of a method for isolating substance abuse- related probation violations in Santa Barbara County. Fourth, this contractor is located in Contra Costa County, and has conducted seven evaluations, nine needs assessment studies, and other technical assistance to several departments within Contra Costa County. This experience has contributed to C.A.L. Research's thorough understanding of the service delivery system in Contra Costa County. EVALUATION STAFF Thomas L. Foster, M.S. will serve as Evaluation Supervisor. Mr. Foster is the President of The Center for Applied Local Research and his assignment to this supervisory role ensures that the proposed evaluation will benefit from C.A.L. Research' diverse experience and resources. Mr. Foster brings twenty- five years of experience in evaluating substance abuse programs throughout California. He has also served as Evaluation Director on two existing CSAT funded projects. Martin Forst, D. Crim. will be the Evaluation Director. Dr. Forst has more than twenty years of experience in conducting research and evaluation on the criminal justice system. He has taught in Criminal Justice Administration in the California State University system since 1977 and most recently (1991-92), served as a Senior Research Fellow for the California State Attorney General's Office. Mari Gasiorowicz, M.A., will serve as Senior Research Associate. Ms. Gasiorowicz has directed two CSAP-funded projects to provide services to youth and families and women with drug-exposed infants. She has also conducted studies of substance abuse services on a dozen California counties. Many of these have focused on the relationship between the criminal justice system and substance abuse services. Alicia Reardon will be the Senior Research Assistant on this evaluation. Ms. Reardon is an evaluation team member on a CSAT-funded project providing substance abuse treatment in East Oakland. She has also participated in three CSAP-funded projects for women and their infants. F. PROJECT MANAGEMENT AND IMPLEMENTATION PLAN 1. BACKGROUND OF PROVIDER ORGANIZATION The applicant agency is the Contra Costa County Health Care Services Department, Substance Abuse Division. The Division oversees all substance abuse treatment and prevention contracts in the County, the vast majority through subcontract with community-based providers. The program is staffed by a team of County-based administrators who administer grant programs of the Division, such as the Bay Area Services Network (BASN) program and the OSAP Demonstration Grant to coordinate County drug services. 2. ORGANIZATIONAL STRUCTURE/MANAGEMENT The Contra Costa County Substance Abuse Division is a key component within the County's Health Services Department. Mr. Chuck Deutschman, MBA, MFCC, Substance Abuse Director, reports directly to the Health Services Department Director, who reports to the County Administrator reporting, in turn, Page 44 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California to the County Board of Supervisors. Organizational Charts contained in the Appendices document these relationships (Appendix IV, Document 7). The Project Administrator for the Family Recovery Project-half of whose time will be donated as an in-kind contribution by Contra Costa County - will report directly to Mr. Deutschman, and participate in management team activities of the Division in order to coordinate services and maximize resources. 3. ORGANIZATIONAL/MANAGEMENT CAPACITY Contra Costa County is nationally known as a catalyst region for the development of coordinated, diverse drug treatment networks, and for the formation of cooperative public/private partnerships in community substance abuse treatment and prevention. The County contracts with a broad range of local treatment organizations to provide substance abuse outreach and service to populations throughout all County regions, and at all economic levels. The County has successfully administered an impressive number of regional and federal grant programs to develop model planning and service partnerships around community substance abuse, including OSAP and OTI projects of national impact. Contra Costa County was also the first California county to engage in intensive local level planning to address alcohol and drug problems. The County produced its first Community-Wide Drug and Alcohol Plan in 1990, and has produced revised versions in each of the last three years. These reports include thorough summaries of all local provider groups and services, and incorporate integrative approaches to assure cooperation and coordination among them. The Plans help assure that no new programs, including the present proposal, are duplicative of existing efforts and agency plans. Page 45 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California G. PROJECT LINE-ITEM BUDGET FAMILY-BASED SUBSTANCE ABUSE TREATMENT AND SUPPORT FOR NON-INCARCERATED CRIMINAL JUSTICE MALES WITH CHILDREN IN WEST CONTRA COSTA COUNTY SEPTEMBER 1, 1993 - AUGUST 31, 1994 A. PERSONNEL SALARY RANGE % FTE AMOUNT 1. Project Administrator $3,738 - $3,929 25% $ 11,500 2. Criminal Justice System Liaison $2,925 - $3,075 100% 36,000 3. Supervising Family Recovery Advocate (MSW Level) $2,925 - $3,075 100% 36,000 4. Family Recovery Advocates (5) $1,781 - $1,969 500% 112,500 5. Job Development & Training Specialist $2,762 - $2,904 50% 17,000 6. Housing Specialist $2,762 - $2,904 50% 17,000 7. Administrative Assistant $1,821 - $2,013 100% 23,000 8. Receptionist $1,425 - $1,575 75% 13,500 SUBTOTAL $ 266,500 Benefits @ Approx. 10% of Salaries 26,650 TOTAL, PERSONNEL $ 293,150 B. OPERATING EXPENSES AND EQUIPMENT 1. Space Rental - 2,000 sq. ft. @ $1.00/sq. ft./mo. x 12 mos. _ $ 24,000 2. Local Mileage - 150 mi./mo. @ $.28/mi. x 7.0 FTE x 12 mos. = 3,528 3. Travel - Attendance at 3-Day CSAT Technical Assistance Meeting for 1 Employee (Site TBA) - 900 4. Transportation Vouchers - 250 Vouchers/mo. @ $1.25/ea. x 10 mos. = 3,125 5. Child Care/Early Childhood Education Services - 10,000 6. 21-Day Methadone/Detox - 3 Slots/mo. @ $200/ea. x 10 mos. = 6,000 7. Residential - 30 participants/yr. x avg. 90-day stay @ $40/day = 108,000 8. Job Training Fund - 8,000 9. Emergency Needs Fund - 10,000 10. Computerized Recordkeeping System - 3,500 11. Legal Consultant - 8 hrs./mo. @ $50/hr. x 10 mos. = 4,000 12. Financial Consultant - 8/hrs./mo. @ $20/hr. x 10 mos. = 1,600 13. Subcontract: DEUCE Program - Job Skills Training 29,080 14. Subcontract: C.A.L. Research - Program Evaluation (4/5 of Total) 38,504 TOTAL, OPERATING EXPENSES AND EQUIPMENT $ 250,237 INDIRECT COSTS @ 2% of PERSONNEL $ 5,863 TOTAL PROJECTED FIRST-YEAR BUDGET $ 549,250 Page 46 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California IN-KIND EXPENSES AND CONTRIBUTIONS: CONTRA COSTA COUNTY SUBSTANCE ABUSE DIVISION A. PERSONNEL 1. Project Administrator $3,738 - $3,929 25% $ 23,000 Benefits @ Approx. 10% of Salaries 2,300 TOTAL, PERSONNEL $ 25,300 B. OPERATING EXPENSES AND EQUIPMENT 1. Telephone/FAX - $900/mo. x 12 mos. _ $ 10,800 2. Postage/Delivery - $225/mo. x.12 mos = 2,700 3. Printing/Duplicating - $195/mo. x 12 mos. = 2,340 4. Office Supplies - $300/mo. x 12 mos. = 3,600 5. Education/Treatment Materials Purchase - 5,000 6. Community Services Center renovation - Furniture, walls, partitions, security, disabled access, equipment, signs, etc.: 15,000 7. Liability Insurance - 7,500 8. Subcontract: C.A.L. Research - Program Evaluation (1/5 of Total) 10,000 SUBTOTAL, OPERATING EXPENSES AND EQUIPMENT $ 56,940 OVERHEAD AT APPROX. 10% 5,694 TOTAL IN-KIND CONTRIBUTION, CONTRA COSTA COUNTY $ 62,634 SUBCONTRACT BUDGET: CONTRA COSTA COUNTY DEPARTMENT OF EDUCATION DEUCE PROGRAM JOB SKILLS TRAINING COMPONENT 1. Job Skills Instructor - $20/hr. x 20 hrs./wk. x 45 weeks = $ 18,000 2. Support Materials - $1,000/mo. x 10 mos. = $ 10,000 SUBTOTAL, EDUCATIONAL SUBCONTRACT $ 28,000 COUNTY FEE @ 8% 800 SUPERVISOR FEE @ 1% 280 TOTAL EDUCATION SUBCONTRACT BUDGET $ 29,080 Page 47 Chuck Deutschman C.A.L. RESEARCH EVALUATION BUDGET: YEAR 1 California Personnel Position Hours Rate Subtotal Project Supervisor 60 $33.36 $2,002 Project Director 320 $25.96 $8,307 Sr. Research Associate 150 $22.40 $3,360 Sr. Research Assistant 150 $15.84 $2.376 Research Assistant 160 $13.00 $2,080 Taxes& Benefits $9,062 Projected salary increases $2,175 Total Personnel $29,362 Other Direct Costs Mileage(@$.24) $260 Telephone $360 Postage&Shipping $144 Duplication and Reports $270 CSAT Conference Attendance(for 2): Airfare $1,000 H otel $1,000 Per Diem $400 Taxi/Parking $200 Total Other Direct Costs $3,634 Total Direct Costs $32,996 Indirect Costs $13,198 Total Costs $46,195 Fee(5%) $2,310 Total Proposed Budget $48,504 Estimated Year 2 Budget $50,445 Estimated Year 3 Budget $52,462 EVALUATION BUDGET JUSTIFICATION PERSONNEL • Salary rates are current rates as of 6/1/93. 0 Taxes and benefits include: FICA(employer's share), State Unemployment Insurance, Workers' Compensation Insurance, Leave (sick, vacation, holidays), Insurance (life, health, vision, and dental), Training allowance, and Retirement Contributions. • Project salary increases include promotions, annual merit raises, and COLA (March, 1994). OTHER DIRECT COSTS • Mileage in one's own vehicle is accounted for @ .24 per mile. This amount for mileage will cover all miles traveled in evaluation staff's own vehicle. 0 Telephone is based upon $30 per month in calls. • Postage and Shipping is based upon an average of $12 per month. • Duplication and Reports is based upon an estimated 3,850 pages @ .07 per page, and includes instruments, as well as monthly, quarterly and annual reports. • CSAT Conference Attendance for two is based upon: 2 round-trip airfare @ $500 each; 2 hotel rooms for 4 nights at $125 each; Per Diem for 2 people for 4 days @ $50 each; and $200 to cover taxi expenses and airport parking. INDIRECT COSTS 0 Indirect cost rate is 40%. This includes rent, utilities, custodial, supplies, local telephone, insurance, accounting, legal, depreciation, and management salaries and expenses. • C.A.L. Research charges a 5% fee to all county and city agencies. This fee supports pro bono work and helps to cover cost over-runs. 4% Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California BUDGET JUSTIFICATION 2. Local Mileage - Mileage for Supervising Family Recovery Advocates (1 FTE), Family Recovery .Advocates (5 FTE), and 2 half-time Specialists 0 FTE) to travel to treatment organizations, client homes, and criminal justice facilities in West Contra Costa County. 5. Child Care/Early Education Services- Approx. 51,000 per month for 10 months to support childhood education programs and materials (see page 38). 8. Job Training Fund - Approx. $800 per month for 10 months to finance educational and job training expenses for clients which cannot be reimbursed through other means (see page 40). 9. Emergency Needs Fund - Approx. $1,000 per month for 10 months to support emergency costs ranging from utility bills, to baby formula, to rental deposits, to food vouchers (see page 40). 10. Computerized Recordkeeping System-Supports cost for hardware purchase, sofware installation and training, and maintenance of a 486 IBM-compatible PC system with LaserJet printer for maintenance of client records, keeping of staff appointments, and Project data collection-related activities. 11. Legal Consultant - Provides free legal consultation to Project clients within the Community Services Center for a minimum of 2 hours per week @ $50 per hour. 12. Financial Consultant-Provides free financial consultation and planning services within the Community Services Center for a minimum of 2 hours per week @ $20 per hour. H. PROJECT STAFFING AND ORGANIZATION The proposed Family Recovery Project will appoint a diverse program staff with special skills and backgrounds which make it appropriate to the needs of the targeted client populations. As discussed in the narrative, the great majority of clients will be low-income African-American men and women (up to 100% of all clients) living in the city of Richmond or in other areas of western Contra Costa County. Virtually all program personnel will therefore be African-American, including all of the Family Recovery Advocates (case managers) and as many as possible of the program's specialists, administrators, and support staff. All Family Recovery Advocates will also have personal substance addiction and/or criminal justice background or experiences, and priority will be given to staff with these qualifications in all other areas. Hiring of staff will also reflect a commitment to gender sensitivity issues, as well as to the need to appoint staff who can respond to a variety of age groups. In all areas of staff hiring, training, and operation, cultural credibility and an ability to relate to the problems and characteristics of the target population will be paramount. The Project Administrator will preferably be an African-American with extensive administrative experience and a comprehensive knowledge of County Health Department procedures and of the local drug and social services network. As mentioned in Section E. 2. above, the Project Administrator for the Family Recovery Project - half of whose time will be donated as an in-kind contribution by Contra Costa County - will report directly to Mr. Chuck Deutschman, Director of the Substance Abuse Division, and will participate in management team activities of the Division in order to coordinate services and maximize resources. The narrative describes the qualifications, duties, and training of remaining Project staff in extensive detail: the Criminal Justice System Liaison is described on page 30; the Supervising Family Recovery Advocate on page 35; the Family Recovery Advocates on pages 33-36; the Job Development & Training Specialist and Housing Specialist on page 40; and the subcontracted Job Skills Instructor through the County Department of Education on page 38. The Administrative Assistant will oversee coordination of clerical, recordkeeping, filing, and other functions on behalf of the program. The Receptionist will schedule appointments, answer phones,and staff the Community Services Center during peak hours (see page 38). Job descriptions of key staff are contained in Appendix VI, Document 9. Page 49 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California I. CONFIDENTIALITY AND PARTICIPANT PROTECTION The proposed Family Recovery Project will carefully maintain client confidentiality and privacy, while assuring patient consent and protection at all stages of program activities, in keeping with County confidentiality and ethics principles. The program has a strong commitment to being a positive force in its clients' lives, and protection of confidentiality, particularly in the case of formerly incarcerated populations, is an important element in helping individuals turn their lives around. Contra Costa County oversees numerous federal drug and alcohol treatment and prevention grants, and so already has extensive systems in place for assuring that these standards and controls are maintained. This includes the use of agreements, where applicable, to maintain the confidentiality of alcohol and drug abuse client data in accordance with the code of Federal Regulations, 42 CFR Part 2, "Confidentiality of Alcohol and Drug Patient records. 1. Target Population: The Project target population is described in detail in proposal section B.2., Description of the Program Population, pages 22-24. 2. Recruitment and Selection: Participant recruitment and selection procedures are described in proposal section B.2., Description of the Program Population, pages 22-24. 3. Data Collection: a. Target populations for data collection procedures are described in detail in both proposal section B.2., Description of the Program Population, pages 22-24, and in the Evaluation Plan section, particularly pages 43-46. b. A sample of the Family Functioning Measure developed by C.A.L. Research, the program evaluator, to assess changes in family functioning patterns is enclosed as a sample in Appendix VI, Document 9. Other assessment tools and data collection instruments will be developed during the program period. All will be designed to assure confidentiality in both data recording and reporting stages. 4. Privacy and Confidentiality: Contra Costa County strictly adheres to Federal, State, and County requirements for maintaining patient confidentiality. Some of the procedures used to protect client confidentiality under the present program will include: ■ All records will kept in locked cabinets, with limited staff access to those cabinets. ■ During each intake, all potential clients will sign a "Consent to Treatment" form, which informs the client of her/his right to confidentiality, and any and all exceptions to those rights. Clients will also be given the same confidentiality verbally, and in a culturally appropriate manner to assure that it is clearly understood. Page 50 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California ■ Staff will be instructed and supervised regularly regarding compliance with all applicable confidentiality laws. ■ The program will be reviewed annually by Contra Costa County and the State of California to assure compliance with all relevant regulations, including confidentiality laws. 5. Protection From Potential Risks: The confidentiality statement to be included in the "Consent to Treatment" Form will state as follows: "I have been made aware that only authorized persons.will have access to my file, and that no records, statements, or data contained therein may be used to prosecute, charge, or otherwise infringe upon my civil rights. Thus, the confidentiality of my records has been assured to me as stipulated by 42 CFR, Part 2 and Article 7 (commencing with Section 5325) of Subchapter 2, Part 1 of Division 5 of the Welfare and Instruction Code. Furthermore, I have been made aware that my written authorization is needed before any confidential information is released, except under the following circumstances: ■ To Juvenile Authorities when child abuse is observed or suspected; ■ To prevent bodily harm to another person; or ■ To prevent self-induced harm or death. In addition, copies of "Consent to Disclose Client Information" forms will be kept in each client's file, and used as agreed to by the client. Clients will be made aware of the fact that they can revoke their consent to release information at any time. Other exceptions prohibiting disclosure of confidential information include: ■ Internal communications (case conferences, supervision, etc.); ■ Court order; ■ Medical emergency; ■ Research/Audit; or ■ When communication does not include identifying patient information. Contra Costa County agrees to maintain confidentiality of alcohol and drug use data in accordance with all applicable County, State, and Federal regulations. An additional client and consent issue in terms of individuals utilizing the proposed Community Services Center who live in the neighborhood in which the site is located. Special care will be taken to therefore protect individuals who live in the local area, and visit the Center for support and recreational services. The site will not be clearly marked as a service center for a recovery-related Page 51 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California project; part of the reason for the choice of the name "Community Services Center" is so the site cannot be identified as an addiction-specific facility by those not involved in the program. In addition, training and supervision of staff to maintain sensitivity to confidentiality and consent issues will contain the following elements for all staff and volunteer positions: ■ Review of confidentiality laws and requirements; ■ Review of procedures related to those requirements; ■ Discussion regarding "awkward" or unusual situations that may arise, and established procedures for handling them, or referring them to a supervisor for decision; as well as ■ Frequent, ongoing supervision of staff to assure adherence to confidentiality requirements during the first four weeks of any new hire. Page 52 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California SELECTED BIBLIOGRAPHY Bradshaw, John, Bradshaw On: The Family. Deerfield Beach, Florida: HCl, 1988. Forward, Susan & Buck, Craig, Toxic Parents. New York: Bantam Books, 1989. Miller, Alice, For Your Own Good. New York: Farrar, Straus & Giroux, 1983. Napier, Augustus & Whitaker, Carl, The Family Crucible. New York: Harper & Row, 1988. Page 53 Chuck Deutschman Page 1 or PHS-5161-1 (7/92) California PW 23 OMB Approval No. 0937-0189 CHECKLIST Expiration Date: March 31, 1995 Public Burden Statement:Public reporting burden for this collection of Washington,D.C.20201,and to the Office of Management and Budget, information is estimated to average 10 minutes per response, including Paperwork Reduction Project(0937-0189),Washington, D.C.20503. the time for reviewing instructions.searching existing data sources,gathering ' and maintaining the data needed,and completing and reviewing the col- NOTE TO APPLICANT:This form must be completed and submitted with lection of information.Send comments regarding this burden estimate,or the original of your application.Be sure to complete both sides of this form. any other aspect of this collection of information,including suggestions for Check the appropriate boxes and provide the information requested.This reducing this burden,to PHS Reports Clearance Officer,ATTN:PRA,Hubert forth should be attached as the last page of the signed original of the appli- H. Humphrey Bldg., Room 721-8, 200 Independence Ave., S.W., cation.This page is reserved for PHS staff use only. Noncompeting Competing Type of Application: l NEW ❑ Continuation ❑ Continuation ❑ Supplemental PART A: The following checklist is provided to assure that proper signatures,assurances, and certifications have been submitted. NOT included Applicable 1. Proper Signature and Date for Item 18 on SF 424 (FACE PAGE) . . . . . . . . . . . . . . ❑ 2. Proper Signature and Date on PHS-5161-1 "Certifications" page. . . . . . . . . . . . . . . ❑ 3. Proper Signature and Date on appropriate "Assurances" page, i.e., SF-4248 (Non-Construction Programs) or SF-424D (Construction Programs) . . . . . . ❑ 4. if your organization currently has on file with DHHS the following individual assurances, please identify which have been filed by indicating the date of such filing on the line provided. ❑ Civil Rights Assurance(45 CFR 80) ..................... ❑ AssLirance Concerning the Handicapped (45 CFR 84) ....... ❑ Assurance Concerning Sex Discrimination(45 CFR tib) ...... ❑ Assurance Concerning Age Discrimination (45 CFR 90 & 45 CFR 91) ................... ..................... 5. Human Subjects Certification, when applicable (45 CFR 46) . . . . . . . . . . . . . . . . . . ❑ ❑ PART B:This part is provided to assure that pertinent Information has been addressed and included In the application. NOT 1. Has a Public Health System Impact Statement for the proposed program/project YES Applicable been completed and distributed as required? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . O ❑ 2. Has the appropriate box been checked for item #16 on the SF-424 (FACE PAGE) regarding intergovernmental review under E.O. 12372? (45 CFR Part 100) . . . . . . ❑ 3. Has the entire proposed project period been identified in item #13 of the FACE PAGE? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . O 4. Have biographical sketch(es) with job description(s) been attached, when required ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . ❑ ❑ 5. Has the "Budget Information" page, SF-424A (Non-Construction Programs) or SF-424C (Construction Programs), been completed and included? . . . . . . . . . . . ... ❑ 6. Has the 12 month detailed budget been provided ? . . . . .. . . . . . . . . . . . . . . . . . . . Cl ❑ 7. Has the budget for the entire proposed project period with sufficient detail been provided? . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ ❑ 8. For a Supplemental application, does the detailed budget only address the addi- tionaf funds requested? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ ❑ 9. For Competing Continuation and Supplemental applications, has a progress report been included ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . O O PART C: in the spaces provided below, Identify the applicant organization's administrative official to be notified if an award Is made and the Individual responsible for directing the proposed program/project. Name, title, organization, address and telephone number of the Name,title,organization, address and telephone number of the pro- administrative official to be notified if an award is to be made, gram director/project director/principal investigator designated to CHUCK DEUTSCHMAN, MBA MFCC direct the proposed project or program. 595 Center Avenue , #200 lama - Martinez CA 94553 510) 313-6350 DHHS 12 DIGIT EIN FOR APPLICANT ORGANIZATION (If already assigned) SOCIAL SECURITY NUMBER "I HIGHEST DEGREE EARNED i I ' I 5 27;-17 8I-15147 151MS MRA --s Chuck Deutschman, California Pap 24 PHS-S161.1 (7N2) PART D: A private, nonprofit organization must Include evidence of its nonprofit status with the application. Any of the following Is acceptable evidence. Check the appropriate box or complete the "Previously -filed" section, whichever Is applicable. ❑ (a) A reference to the organization's listing in the Internal Revenue Service's (IRS) most recent list of tax-exempt organizations described in section 501(cX3) of the IRS Code. , ❑ (b) A copy of a currently valid Internal Revenue Service Tax exemption certificate. ❑ (c) A statement from a State taxing body, State Attorney General, or other appropriate State official certifying that the applicant organization has a nonprofit status and that none of the net earnings accrue to any private shareholders or individuals. ❑ (d) A certified copy of the organization's certificate of incorporation or similar document if it clearly establishes the nonprofit status of the organization. ❑ (e) Any of the above proof for a State or national parent organization, and a statement signed by the parent organization that the applicant organization is a local nonprofit affiliate. If an applicant has evidence of current nonprofit status on file with an agency of PHS, it will not be necessary to file similar papers again, but the place and date of filing must be indi- cated. Previously Fled with: (Agency) on(Date) INVENTIONS If this is an application for continued support, include: (1) the report of inventions conceived or reduced to practice required by the terms and conditions of the grant; or (2) a fist of inventions already reported, or (3) a negative certification. EXECUTIVE ORDER 12372 Effective September 30, 1983, Executive Order 12372(Intergovem- the Department's programs that are subject to the provisions of mental Review of Federal Programs)directed OMB to abolish OMB Executive Order 12372.Information regarding PHS programs sub- Circular A-95 and establish a new process for consulting with State ject to Executive Order 12372 is also available from the appropri- and local elected officials on proposed Federal financial assistance. ate awarding office. The Department of Health and Human Services has implemented the Executive Order through regulations at 45 CFR Part 100(Inter- States participating in this program establish State Single Points governmental Review of Department of Health and Human Serv- of Contact(SPOCs)to coordinate and manage the review and corn- ices Programs and Activities).The objectives of the Executive Order ment on proposed Federal financial assistance.Applicants should are to(1)increase State flexibility to design a consultation process contact the Governor's office for information regarding the SPDC, and select the programs it wishes to review,(2)increase the abil- programs selected for review,and the consultation(review)process ity of State and local elected officials to influence Federal deci- designed by their State. sions and (3) compel Federal officials to be more responsive to State concerns, or explain the reasons. Applicants are to certify on the face page of the SF-424(attached) whether the request is for a program covered under Executive The regulations at 45 CFR Part 100 were published in the Fed- Order 12372 and,where appropriate,whether the State has been eral Register on June 24, 1983, along with a notice identifying given an opportunity to comment. �5 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California CONTRA COSTA COUNTY FAMILY RECOVERY PROJECT REQUIRED PROPOSAL APPENDICES 5h Chuck Deutschman California ATTACHMENT 1 GRANT. APPLICATION DATA ABSTRACT,. (Please Type.) RESPONSE TO ANNOUNCEMENT NUMBER: PA-93-06 APPLICANT AGENCY: Contra Costa County Health Services Administration Substance Abuse Division CITY, STATE: 595 Center Avenue, Suite 200 Martinez, CA 94553 PHONE: (51 0)31 3-6350 FAX: (510)313-6349 CONTACT PERSON: ' Chuck Deutschman, MFCC MBA FUNDING REQUESTED .(Direct costs only) YEAR 1: $250,237 YEAR 2: $260,246 YEAR 3: $270,656 YEAR 4 : YEAR 5 : POPULATION TO BE SERVED-LOCATION % RURAL 100 % URBAN % SUBURBAN % ISLAND % RESERVATION POPULATION TO BE SERVED-ETHNIC BACKGROUND 96 % -..:.;AFRICAN AMERICAN NON HISPANIC 2 % CAUCASIAN -� HISPANIC 7-% ASIAN/PACIFIC ISLANDER % NATIVE AMERICAN ALASKAN NATIVE POPULATION OF WOMEN POPULATION OF CHILDREN TO 'BE SERVED-AGE TO BE SERVED-AGE 10 % 13-18 YRS . 5 % 0-11 MOS . 10 % 19-21 f7—$ 1-3 YRS . 22 %- 22-24 _TT % 4-6 YRS . 22 % 25-30 T7 % 7-10 YRS . 10 % 31-35 12 % 11+ YRS . 4 % 36-44 Total: 55 7 % >: 44 Total: 85 57 Chuck Deutschman California POPULATION TO BE SERVED-PUBLIC HEALTH 45 % INTRAVENOUS DRUG USE —7-=$ TB 40 HIV/AIDS 25 STDs _LL_% DUAL DIAGNOSED POPULATION TO BE SERVED-PRIMARY DRUGS USED AO ALCOHOL 35 MARIJUANA 35 HEROIN/OPIATES COCAINE/CRACK AMPHETAMINES/BARBITURATES $ HALLUCINOGENS OTHER (SPECIFY) POPULATION TO BE SERVED-PREGNANCY 'STATUS 5 PREGNANT/POSTPARTUM NUMBER OF PATIENTS/CLIENTS TO BE SCREENED/ASSESSED: Minimum Total: 410 NUMBER OF TREATMENT SLOTS TO BE CREATED: 21-Day Detoxification: 30; 90-day residential: 30 AVERAGE LENGTH OF PRIMARY RESIDENTIAL TREATMENT (MONTHS) : Three months NUMBER OF PATIENTS/CLIENTS TO BE TREATED PER YEAR: Women 85 Children 55 COST OF TREATMENT PER PATIENT/CLIENT PER DAY: Women n/a Children 'n/a OTHER„CURRENT. FEDERAL GRANT FUNDING (AGENCY AND AMOUNT) : None PAOPOSED TREATMENT MODALITY (e.g. , THERAPEUTIC COMMUNITY) : Treatment Matching FORMAL LINKAGES WITH OTHER KEY AGENCIES UNDER GRANT (LIST) : Center for Applied Research; Sheriff-Coroner's Office; County Probation Department; Bay Area Services Network (BASN); Municipal Court, Bay District; County AIDS Program; San Pablo Discovery Center; Sojourne Community Counseling Center; County Public Health Department; Tri-County Women's Recovery Center; Tri-Cities Discovery Center; West County AIRS Counseling Center;Bi-Bett Corporation; Neighborhood House of North Richmond; County Office of Education, D.E.U.C.E. Program. 0 Chuck Deutschman California Appendix I :.f,.:}}}}}}:tin;{{ir:•}}'F,..}}}}:.' .;fi'...}:M}:•'{rv%;Y.•;P•:t};.;r{;x}•{F:xi�{n:x :n:f!Y.,^.:yn:xrr{,�%.v}yr.;�n:?hY{ ..w,.htaa•;.:a,.tic:;;aw:x r,a,-.,,.a..,.•n,...•na•- tida,..: ,ar..'ta;;:;�S:;;ti i..•na;.:c:;::v... - ,�ca:;;;• 919 Chuck Deutschman, California STATE OF CALIFORNIA—HEALTH AND WELFARE AGENCY PETE WILSON, Governor DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS 1700 K STREET SACRAMENTO, CA 95814-4037 TTY (916) 445-1942 (916) 323-2051 June 26, 1993 Lisa W. Scheckel, Acting Director Center for Substance Abuse Treatment Rockwall II, 10th Floor 5600 Fishers Lane Rockville, MD 20857 Dear Ms. Scheckel: RE: State Certification, Provider Capability - Criminal Justice Non-Incarcerated Grant Program PROVIDER: Health - services Department - Community Substance Abuse Services Department This letter verifies that the above-mentioned provider is capable of performing the proposed services based on one or more of the following criteria: —_ An adequate infrastructure upon which to initiate a treatment program for the target population exists for the above-mentioned provider. XThe provider, or at least one member of the provider consortium, has provided substance abuse treatment or recovery services to the target population for at least two years. The provider is appropriately licensed or accredited to provide the substance abuse treatment or recovery services that they are proposing for the grant initiative. This certification was based on a statement received from the respective county documenting that the provider is capable of providing the proposed services. If you have any questions, please contact Michael Caron at (916) 323-2051. Sincerely, ANDREW V ECCA, Dr.P.H. VA-Director (ob Chuck Deutschman, California STATE OF CALIFORNIA—HEALTH AND WELFARE AGENCY PETE WILSON, Governor DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS 1700 K STREET m SACRAMENTO, CA 95814-4037 TTY (916) 445-1942 (916) 323-2051 June 26, 1993 Lisa W. Scheckel, Acting Director Center for Substance Abuse Treatment Rockwall .II, 10th Floor 5600 Fishers Lane Rockville, MD 20857 Dear Ms. Scheckel: RE: Rapid Obligation of Funds - Criminal Justice Non-Incarcerated Grant Program PROVIDER: Health Services Department - Community Substance Abuse Services Department This letter verifies that the State of California will obligate the full amount and make payment available for any ' Federal funds awarded under this grant to the above-mentioned provider within 90 days of the date of the Final Notice of Grant Award. Effective September 1, 1993, the Department will have established a new grants disbursement/management system that will guarantee obligation of funds and rendering of payment within the required time frame. If you have any questions, please contact Michael Caron at (916) 323-2051. Sincerely, 11 Y %__ ANDREW M. JECCA, Dr.P.H. Director ro� Chuck Deutschman, California Appendix II .:i3iii::•iii:J:Ji:•:::4iCiiii:-iiiiii::ti�•:Six?iiiiiihvG.::iv:nti:iii•iiiiii:•ii:i:.. vv.J:i[:i::{•v.<:..viittiiioi6Ri4:[[:SL'+iC'vin'ii•'.::}kivi::::t:i-::2 iii:y_:':1{.;rn}:xn••:•}{:{,'.rU..#}''v::.:'r}.'??F�.'•:�if:} 62 Chuck Deutschman, California tiSE_._L_ Health Services Department =a" = ALCOHOL AND DRUG ABUSE ADMINISTRATION r 597 Center Ave.,Suite 310 • Martinez, CA 94553-4639 p �S (510) 313-6381 s�A cove` June 14, 1993 Lisa Scheckel, Acting Director Center for Substance Abuse Treatment Grant Review Office Rockwall Il Building, 10th Floor Rockville, Maryland 20857 Dear Ms. Scheckel: This is to certify that all facilities to be used by the "Family Based Services for Non-Incarcerated Men" Program will meet the accessibility requirements for contracting with Contra Costa County and those required for licensing by the California Department of Alcohol and Drug Programs. Sincerely, Chuck Deutsc man, MBA MFCC Director, Substance Abuse Division CD/kk 63 (�nntra (�ncta ( .ni inti/ Chuck Deutschman California Appendix III mom nL'A::. tirFf^: ((f{}i{i:: k•."ii�v:%};: :L'''i yf. Chuck Deutschman, California STATE OF CALIFORNIA—HEALTH AND WELFARE AGENCY PETE WILSON, Governor DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS 1700 K STREET , SACRAMENTO, CA 95814-4037 TTY (916) 445-1942 (916) 323-2051 June 26, 1993 Lisa W. Scheckel, Acting Director Center for Substance Abuse Treatment Rockwall II, 10th Floor 5600 Fishers Lane Rockville, MD 20857 Dear Ms. Scheckel: RE: Non-Supplantation Certification - Criminal Justice Non- Incarcerated Grant Program PROVIDER: Health Services Department -. Community Substance Abuse Services Department This letter certifies that neither the State nor the above- mentioned provider will use funds awarded under this grant to replace funds that are currently supporting or are committed to support the proposed program activities. If you have any questions, please contact Michael Caron at (916) 323-2051. Sincerely, /�LANDREW M. CCA, Dr.P.H. Director 65 JUN 23 '93 11:03AM CCC OFFICE OF ED. Chuck Deutschn_r•:; California Ranald L. Stewart. Ed.D., Supwintendent • 1 T Santa Barbara Road a Pleasant Mill, Califomia W23 ' (510) 942-3388 June 24, 1993 Mr. Chuck Deutschman, MBA MFCC Contra Costa Co. Health Services Administration Director, Substance Abuse Division 595 Center Avenue, Suite 200 Martinez, CA 94553 Re: Letter of Support & Memorandum of Understanding CSAT Criminal Justice Non-Incarcerated Grant Program (PA No. AS-93-05) Dear Mr. Deutschman: Contra Costa County Office of Education' s Program, "Deciding, Education, Understanding, Curriculum, and Education" (D.E.U.C.E.) , is pleased to pledge its participation in the Contra Costa County Substance Abuse Division' s proposed plan to provide comprehensive, family-based treatment and recovery services to non-incarcerated criminal justice males with children in West Contra Costa County. It is our understanding that the County is responding to CSAT Request for Applications with this population, and that Contra Costa County is proposing a three-year pilot program to develop a comprehensive model . D.E.U. C.E. is a 90-day comprehensive substance abuse model developed for both male and female inmates housed within the county jail system. D.E.U.C.E. has trained more than 87 staff from various state prison, county jails, and homeless shelters throughout the State of California. In January of 1991, we contracted with the California Department of Corrections to conduct both Literary and Substance Abuse classes for state parolees ' in a variety of community-based settings, statewide. It is our intention to participate in the proposed project by offering 1) on-site the D.E.U. C.E, program within the proposed Community Services Center, 2) provide the materials and staff resources required to provide an effective educational and employment model for this population, and 3) provide culturally- sensitive and age-specific set of instructors for the population addressed. Our Memorandum of Understanding with the Substance Abuse Division is that we will provide the following services for $29, 000 . 00 : a. 15 hours per week of staff time to teach D.E .U.C.E. curriculum, b. all necessary D.E.U. C.E. materials, C . provision of computers necessary to implement program, d. supervision of teaching staff . 65a Chuck Deutschman, California JUN 23 '93 11:02AM CCC OFFICE OF ED. We believe that the proposed project represents an important opportunity to implement a system which provides integrated support to children and family members affected by the individual' s substance use and criminal behavior. The program offers an opportunity to provide the kind of intensive, long-range assistance which can bring about real changes within family systems, while maximizing the impact of our own service provision. The program also has the potential to help break the cycle of addictive behavior often replicated by family members . Please keep us informed as to the progress of your application. We are looking forward to working with the county on this important project, as well as to an extension of our existing working relationship with the Substance Abuse Division, Sin sly, d`o't a*r Ronald L. Stewart, Ed.D. Superintendent of Schools Post-IP brand fax transmittal memo 7671 at pages ► a Dept. one# IV 4 2--A 40% Fax 65b Chuck Deutschman, California q& Center (Tor .Applied,Local Wesearch 120 BROADWAY, SUITE 21 • RICHMOND, CA 94804 •(S 10) 970-7520• FAX (510) 970-7526 June 18, 1993 Mr. Chuck Deutschman, Chief Drug Abuse Program Contra Costa County 595 Center Ave. Suite 200 Martinez, CA 94553-4639 Dear Mr. Deutschman, On behalf of the Center for Applied Local Research, I am pleased to agree to serve as the Evaluator for your proposed "Family Recovery Project" that will provide a variety of needed substance abuse services in Contra Costa County. This project is of special interest to C.A.L. Research because it offers us an opportunity to work with men and families involved in the criminal justice system--addressing a significant gap in services in Contra Costa, as well as other counties. We believe this project has potential to demonstrate the success of this innovative model. C.A.L. Research has extensive experience evaluating treatment programs--in Contra Costa and throughout the State of California--and will bring that experience to bear in evaluating this project. We will be honored to join with you in this endeavor. Enclosed please find our proposed first-year evaluation budget in the amount of $48,504, resumes for our proposed professional staff, and some background material regarding The Center for Applied Local Research. If I can be of any further assistance, please do not hesitate to contact me at (510) 970-7520. Sincerely, Thomas L. Foster President encl. 66 Sheriff-Coroner C011tt'a Chucka 7Saf�ff�iney SHE,l� ER P.O. Box 391 Costa Warren E.Rupf Martinez, California 94553-0039 Assfstan;Sheriff (415) 646- Courcy Gerald T.Mitosinka Assistant Sheriff Rodger L.Davis Assistant Sheriff June 14, 1993 Mr. Chuck Deutschman, MBA MFCC Contra Costa County Health Services Administration Director, Substance Abuse Division 595 Center Avenue, Suite 200 Martinez CA 94553 Re: Letter of Support CSAT Criminal Justice Non-Incarcerated Grant Program PA No.AS-93.46 Dear Mr. Deutschman: As the Director of Inmate Services for the Contra Costa Sheriffs Office, I am in complete support of your proposed program to offer family-centered, comprehensive recovery services to non-incarcerated criminal justice males with children under the age of 18 in West Contra Costa County. I understand that the County Substance Abuse Division is responding to a Request for Applications issued by the Center for Substance Abuse Treatment (CSAT) to provide services which improve treatment outcomes and decrease criminal behaviors among addicted criminal justice populations. The need for qualified outreach within the Contra Costa jail system which identifies substance abuser populations and helps them transition into treatment or support services following their release is crucial. We would be pleased to facilitate your program staffs interaction with our existing in-custody support and drug treatment programs, and to help facilitate the transition of incarcerated men from life inside to life outside. We would also be pleased to assign a representative to serve on the Community Board to be developed to oversee your project. 67 AN EQUAL OPPORTUNITY EMPI nyFR Chuck Deutschman California We believe that men with children are a particularly important sub-population to reach, as it is the children upon which the future of our community depends. Your project is important because it addresses the need for children in our society to have the support and concern of loving parents, and to have adult models which allow them to break out of the cycles of criminal and substance abuse behavior common to dysfunctional and economically disadvantaged families. Your proposed project is an important opportunity to implement a system which provides integrated support to children and family members affected by the individual's substance use and criminal behavior. I look forward to working with the program once it is in place. Sincerely, Peter H. Christiansen MFCC Director Inmate Services 6� Chuck Deutschman Ca/ifornia Probation Department Contra GMSBuck County Probation Officer Administrative Offices Costa 50 Douglas Drive,Suite 201 County�t` , Martinez,California 94553-8500 Y (510)313-4180 S F__L (510)313-4191 FAX �*�•. o. n�•�-/ 0 June 11, 1993 Mr. Chuck Deutschman, MBA MFCC Contra Costa County Health Services Administration Director, Substance Abuse Division 595 Center Avenue, Suite 200 Martinez, CA 94553 RE: CSAT Criminal Justice Non-Incarcerated Grant Program (PA No. AS-93-06) Dear Mr. Deutschman: On behalf of the Contra Costa County Probation Department, I am pleased to offer my endorsement and support of your proposed plan to offer comprehensive, family-based treatment and recovery services to non-incarcerated criminal justice males with children in West Contra Costa County. We understand that the County is responding to the CSAT Request for Applications for services to criminal justice males, and that the County is proposing a three year pilot program to develop a comprehensive, family-oriented model to break the inter-generational cycle of addiction replication within family systems . The Probation Department will work with the program to assure services are integrated with Probation Department policies and strategies . We will also provide referrals of potential substance abusing clients into the program, and work cooperatively with your proposed Criminal Justice System Liaison. Where possible, we hope to cooperatively develop a program of incentives through which probationers who successfully participate in the program can be rewarded. Your proposed project represents an important opportunity to implement a system which provides integrated support for transitioning to a sober, non-criminal lifestyle for both adult males on probation, and their children and family members . The program offers an opportunity to provide the kind of intensive, long-range assistance which can bring about real changes within � t Chuck Deutschman, California Mr. Chuck Deutschman June 11, 1993 Page 2 family systems, while maximizing the impact of our own efforts to make the Probation process the final step in ending involvement with the criminal justice system for our clients . Please keep us informed as to how we can support your program once it is funded. Sincerely, GERALD S. BUCK COUNTY PROBATION OFFICER GSB:ds -1D Chuck Deutschman s _ L Health Services ®epartff' ctl,_=:fir= =- °� ALCOHOL AND DRUG ABUSE ADMINISTRATION .L ./.•' �.. . 597 Center Ave., Suite 310 Martinez, CA 94553-4639 �' -- •• �S (510) 313-6381 COU IZ June 11, 1993 Mr. Chuck Deutschman, MBA MFCC Contra Costa County Health Services Administration Director, Substance Abuse Division 595 Center Avenue, Suite 200 Martinez, California 94553 Re: Letter of Support CSAT Criminal Justice Non-Incarcerated Grant Program (PA No. AS-93-06) Dear Mr. Deutschman: Bay Area Services Network (BASN)is pleased to pledge its participation in the Contra Costa County Substance Abuse Division's proposed plan to provide comprehensive,family-based treatment and recovery services to non- incarcerated criminal justice males with children in West Contra Costa County. It is our understanding that the County is responding to the CSAT Request for Applications for services to this population, and that Contra Costa County is proposing a three-year pilot program to develop this comprehensive, family-oriented model. BASN has been providing comprehensive substance abuse services in Contra Costa County since 1992. Our services include the coordination of providing Contra Costa County drug and alcohol services for individual's being released from the Federal criminal justice systems throughout the California Bay Area. BASN plans to participate in the proposed project by: 1) agreeing to work collaboratively to reciprocally provide referrals into our respective programs; 2) agreeing to participate on the Project Community Board to be established to provide ongoing case planning and program development consultation on an ongoing basis; and 3) agreeing to help establish linkages for the program, such as to potential housing and community support resources. We believe that the proposed project represents an important opportunity to implement a system which provides integrated support to children and family members affected by the individual's substance use and criminal behavior. The program offers an opportunity to provide the kind of intensive, long-range assistance which can bring about real changes within family systems,while maximizing the impact of our own service provision. The program also has the potential to help break the cycle of addictive behavior often replicated in successive generations. Sincerel danna Henry, MPA Substance Abuse Programs Sup sor 71 A-371-A ,1n,g11 ( ,nntra rnCtq (gni int\/ Chuck Deutschman California KENSINGTON EL CERRITO RICHMOND SAN PABLO EL SOBRANTE PINOLE HERCULES RODEO CROCKETT Th.c Puutiripal Gert Pug Jubicial Pistrirt ty ; Q'iountq of Contra Qlosta (^I f L j• yyv�r ' June 21, 1993 Mr. Chuck Deutschman, MBA MFCC Contra Costa County Health Services Administration Director, Substance Abuse Division 595 Center Avenue, Suite 200 Martinez, California 94553 Re: Lettef of Support CSAT Criminal Justice Novo-Incarcerated Grant Program (PA No. AS-93-06) Dear Mr. Deutschman: As a Judge of the Bay Judicial District of Contra Costa County, I am pleased to pledge my support for your program to offer family-centered, comprehensive recovery services for non-incarcerated criminal justice males with children under the age of 18. I understand that the County Substance Abuse Division is responding to a Request for Applications issued by the Center for Substance Abuse Treatment (CSAT) to provide services which improve treatment outcomes and decrease criminal behaviors among addicted criminal justice populations. I will be happy to review and assess your program once it is in place, and will work closely with the District Attorney's office and other lawyers to make referrals into the program where appropriate. I will certainly consider shortening or suspending sentences for individuals who agree to diversion into residential drug treatment services ix) lieu of jail through the program, particularly wben those individuals have the expressed support of their family members for the difficult recovery process. The fact that your program targets men with children adds an important level of incentive for men who wish to repair relations with their families by participating fully in the coordinated recovery program. Your project is important because it addresses the need for children in our society to have the support and concern of loving parents, and to have adult models which allow them to break out of cycles of criminal and substance abuse behavior common to dysfunctional and economically disadvantaged families. Your proposed project seems to represents an important opportunity to implement a system which provides integrated support to children and family mcmnbcrs affected by the individual's substance use and criminal behavior. I look forwunl to working with the programa once it is in place. Sincerely, H. Mesnick Judge, Day District 72 Chuck Deutschman Ca/ornia S . L Contra Costa County Health Services Department Public Health Division AIDS PROGRAM 597 Center Avenue, Suite 200, Martinez, Calffornia 94553 (510) 313-6770 'q COUN'� June 11, 1993 Chuck Deutschman, Director Substance Abuse Division Contra Costa County Health Services Department 595 Center Avenue, Suite 200 Martinez, California 94553 Re: Letter of Support CSAT Criminal Justice Non-Incarcerated Grant Program (PA No. AS-93-06) Dear Chuck: The Contra Costa County Public Health Division HIV/AIDS Program is pleased to support the Contra Costa County Substance Abuse Division's proposed plan to provide comprehensive, family-based treatment and recovery services to non-incarcerated criminal justice males with children in West Contra Costa County. We understand that the County is responding to the CSAT Request for Applications for services to this population and that Contra Costa County is proposing a three-year pilot program to develop this comprehensive, family-oriented model. The HIV/AIDS Program will augment the work of the proposed project in a number of ways. We provide HIV testing and counseling at several sites throughout Contra Costa County, including in Richmond, site of the proposed Community Services Center. We also offer referrals to community resources. Public Health staff also offer voluntary partner notification and community prevention education services. We share your program's commitment to incorporating public health practice and prevention into the efforts of family units to refrain from substance use and adopt healthier lifestyles. Your program has the strong potential to make a significant difference in the lives of the men you treat, and in the health and welfare of their children and families. We are pleased to participate with you in this important new venture, and look forward to working closely once the program is funded. Si erely, 4 Rusty K�ilch HIV/AIDS Program Director 13 Chuck D-wityr-hoCalifornia SAN PABLO DISCOVERYCENTER A SERVICE OF CONTRA COSTA COUNTY HEALTH SERVICES DEPARTMENT DRUG ABUSE PROGRAM 2523 El Portal Drive, Suite 102 San Pablo, CA 94806 (415) 374-3332 • Fax: (415) 374-3328 June .14, 1993 Mr:.. Chuck Deutschman, MBA MFCC Contra Costa County Health Services Administration Director, Substance Abuse Division 595 Center Avenue, Suite 200 Martinez, CA 94553 Re: Letter of Support CSAT Criminal Justice Non-Incarcerated Grant Program (PA No. AS-93-06) Dear Mr. Deutschman: San Pablo Discovery Center is pleased to pledge its participation in the Contra Costa County Substance Abuse Division's proposed plan to provide comprehensive, family- based treatment and recovery services to non-incarcerated criminal justice males with children in West Contra Costa County. We understand that the County is responding to the CSAT Request for Applications for services to this population, and that Contra Costa County is proposing a three-year pilot program to develop this comprehensive, family-oriented model.. San Pablo Discovery Center has served the west side of Contra Costa County since 1973. Our services include Individual and Group counseling, Educational and Diversion classes, Family Services/Referral, Assessment and Needs Referral, AIDS Education, Drug Intervention and Prevention in the R.U.S.D. San Pablo Discovery Center will participate in the proposed project by providing outpatient drug and alcohol counseling services to criminal justice clients and their families. In providing these services, we will utilize our extensive expertise and knowledge in working with and treating criminal justice system populations. We understand the need to link the client to the family, and so believe our mutually cooperative relationship will be a productive one. We believe your project will make a significant difference.•in the lives of the men you treat, and in the health and welfare of their children and families. We are pleased by the opportunity to participate with you in this important new venture, and look forward to working closely once the program is funded. Sincerely, a ry c Program rector n. O: coup Chuck Deutschman SOJOURNE COMMUNITY COUNSELING CENTER California 3029 Macdonald Avenue Richmond, California 94804-3010 (415) 374-3813 r �O A.PROGRAM OF CONTRA COSTA COUNTY June 14, 1993 Mr. Chuck Deutschman; MBA MFCC Director, . Substance Abuse Division Contra Costa County Health Services Administration 595 - Center Avenue, Suite 200. Martinez, California 94553 Re: Letter of Support CSAT Criminal Justice Non-Incarcerated .Grant Program (PA No. AS-93-06) Dear Mr. .Deutschman: Sojourne Community Counseling Center supports your proposal to provide comprehensive, family-directed recovery services to non- incarcerated criminal justice males with children. 'We understand you are responding to a CSAT Request for Applications for services to this population, and that Contra Costa County is proposing a three-year pilot programto develop a comprehensive, family- oriented .model providing integrated family-based treatment and recovery services to non-incarcerated criminal justice males with children. in West Contra Costa County. Sojourne Community Counseling Center has participated in the planning process for this.grant program, and has agreed to support . the project in a number of ways. First, Sojourne will provide outpatient drug treatment services for_ program clients, with a sensitivity to the family-based model being developed by the program.. Sojourne will also develop and facilitate ongoing population-specific support groups, couples groups, etc. . Finally, Sojourne will provide medical screening and exam services on an as- needed basis to program clients, including TB screening, general health assessments, and pediatric and youth medical exams. Sojourne has been in business providing comprehensive substance abuse services in -Contra Costa County since 1989. Our services include individual and group counseling, family intervention services, co-dependency services, span ish-speaking counseling, AIDS education and acupuncture services. 75 Chuck Deutschman California Page -2- Letter of Support CSAT, June 14 , 1993 We believe that your proposed project will be invaluable in providing , the kind of integrated support to children and family members affected. by the individual 's substance use and criminal behavior which can bring about real changes within family systems, while maximizing the impact of . our own. service provision. . The program also has the potential to help break the cycle ofaddictive behavior often replicated in successive generations. Please keep us posted as to the progress of your grant application, and thank you for the opportunity to participate in the planning process. Sincerel Kirk Brocks, M.A. Director 76 Chuck Deutschman. California S __L Contra Costa County Health Services Department •;'/_ ;_ _ PUBLIC HEALTH DIVISION Administrative Offices 597 Center Avenue Suite 200 Martinez,California 94553 SpA,cef60 June 10, 1993 Chuck Deutschman, MBA, MFCC Director, Substance Abuse Division Contra Costa County Health Services Department 595 Center Avenue, Suite 200 Martinez, California 94553 Re: Letter of Support CSAT Criminal Justice Non-Incarcerated Grant Program (PA No. AS-93-06) Dear Chuck: The Public Health Division is pleased to endorse and participate in the Substance Abuse Division's proposed plan to provide comprehensive, family-based treatment and recovery services to non-incarcerated criminal justice males with children in West Contra Costa County. It is our understanding that you are responding to CSAT Request for Applications and are proposing a three-year pilot program to develop a comprehensive model. It is our intention to participate in the proposed project by: 1) offering on-site mobile medical services to the proposed community center site; 2) making available public health nursing time for project staff and clients for infectious disease education and high risk behavior assessments and referrals; and 3) participating on the Project Community Board to provide ongoing consultation regarding program development. Public Health staff are actively working towards the prevention of the infectious diseases that currently exist among West Contra Costa County residents involved in substance abuse. Of particular concern are the high rates of HIV and Tuberculosis infections among these populations. We believe that the proposed project represents an important opportunity to implement a program which provides integrated support to children and family members affected by the individual's substance use and criminal behavior. The program offers an opportunity to provide the kind of intensive, long-range assistance which can bring about real changes within family systems, while maximizing the impact of our own service provision. The program also has the potential to help break the cycle of addictive behavior often replicated by family members. Please keep me informed on the progress of your application. We look forward to working with you and your staff on this important project. Sincerely, / Wendel Brunner, MD Assistant Health Services Director for Public Health 77 man,:California. Chuck Deutsch. Administrative.Office` . C 1901 Church Lazie.•Sa1' Pablo,CA 94806 r (� a? ,':e> =; (510)'236-3139.•.fax(530)236-3200 v, r a. `v' rvxce� xa . �Vorrien s Reco a �Se x s•; , '.Y 99 Ju"ne'i J ' "I1ieRecfo `; Wometi's:Remvery,:` ;'Mr::Chuck Deutschinan,.:MBA N CC' Center .• .. Residential& C'ontra.Cdsta"County"Health Services Afmirgstration" Transitional- ,r P , . :$ Director;'Substance Abuse Division:: s=ort► .196ibl 6r&Lan,e,: 595 Center.Avenue;"Suite 200: `SanNblb,CA 9480(1 . (sio)z36-3234: Martinez,-California:94553: Re: Letter of Support ; Children`s'Recovery rrogartt CSAT.Criminal Justice Non4ricarcer4ted:Grant Program i914Church Lat;e. (PA No. A5�93-06) �San"Pabl6,CA94SO6:. . : (510)230134.,.::.. €ax(510)236-3200: . Dear Mr.Deutschmam. OFriONs FOR C?n:behalf of The Reetory,.I am.pleased.to pledge my agency,s participation in the RECOVERY.' Contra Costa County Substance Abuse'Division's proposed plan,to provide La Casa Ujima Resideiitiar comprehensive;:fomily-5asecl.treatment an recovery services.to"non-ire arcerated Pm criminate justice.male' with children in West Contra Costa County.:We understand 904 MellusStreet Martinez,CQ,94553 that"the:County".is'respanding to:the CSAT,Request for Applications for'services {510)229-0230 " . nd lar antra Costa only:isprPosing a this.populatlan, a az(510)'224 0233 .plot ra am o develop this cortiprehi Agieiisive, family=oriented A. tJ'ima West;.:'..'.. IitensiveI)ay :: the Recto has been in existenceserving;western":Contra:Costa County`since .. Treatment ry 3934sissellsheef: I":986. Mr services include'alcahoUdrug education,,parenting and famihy:education Richmond,CA9480;. ," (szo)z�s2 so. Anda- enrichment: from a social"model perspective. Warren are fax(510) given the opportunity'far personal rectivery while continuing to care far their chihdren. The Rectory`s warm friendly atmosp}iere'provides,a healing environment Ujitna Easf for.tlie.women and:theirchildren. .. 'Intensive Day. Treatment 364Eastl.elandR4d p.' Pittsburg,CA+345b5:; The Recto will.be leased.to work,in"cbo eration:with the ro osed ro ect ... ( 10).427-g1oo: through the provision of residential drug treatment services for women and `€ax(510)427-9102'' : . children associated:with program clients. We will assure:mutual communication and referrals between our two programs,and will cooperatively integrate aur services to assure sensitivity to one another's: ra am. : ty p- � .. 78 Chuck Deutschman, California Page two We believe your project will make a significant difference in the lives of the men you treat, and in the health and welfare of their children and families. We are pleased by the opportunity to participate with you in this important new venture, and look forward to working closely once the program is funded. Sincerely, Albione Becnel, MS Executive Director �9 Chuck Deutschman, California TRI-CITIES DISCOVERY CENTER (510) 222-9838 PINOLE TERRACE,2586 APPIAN WAY, PINOLE, CA 94564 June 14, 1993 Mr. Chuck Deutschman, MBA, MFCC Contra Costa County Health Services Administration Director, Substance Abuse Division 595 Center Avenue, Suite 200 Martinez, CA 94553 Re: Letter of Support CSAT Criminal Justice Non-Incarcerated Grant Program Dear Mr. Deutschman, I am pleased to pledge Tri-Cities Discovery Center's support and participation in Contra Costa County Substance Abuse Division's proposal to provide comprehensive family-based treatment and recovery services to non-incarcerated criminal justice males with children in West Contra Costa County. I understand that the County is responding to the CSAT Request for Applications to provide services to this population and that Contra Costa is proposing a three year pilot program focused on development of a comprehensive, family-oriented model. Tri-Cities has been in existence since 1975 and serves residents of West Contra Costa County. Our services include treatment and recovery programs for adults and adolescents. All of our treatment/recovery programs are based on an approach with particular emphasis on family recovery. It is our belief that entire families must recover if individual members are to maintain drug free, healthy living styles. Tri-Cities Discovery Center will provide outpatient substance abuse counseling services for adolescents and their families involved in the proposed program. Our services already reflect the philosophy of the proposed Contra Costa County project, in their sensitivity to the needs of family systems and commitment to deter inter-generational replication of A Contra Costa County Program $� TC-2 (2/92) Chuck Deutschman, California addictive behaviors. We will assign a representative to serve on the Community Board being established in conjunction with this program. The proposed program has the strong potential to make significant differences in the lives of men and the health and welfare of their children and family's. We look forward to the opportunity to participate in this important new venture and anticipate a very positive, close working relationship when this program is funded. incerel , Linda . Schae , MPA, MA, FCCI Program Directo 81. Chuck Deutschman, California WEST COUNTY AIRS COUNSELING CENTER Britannia Business Center 3043 Research Drive, #100 Richmond, CA. 94806 (51.0 ) 374-3132 June 10 , 1993 Mr . Chuck Deutschman Chief , Substance Abuse Division County of Contra Costa 595 Center Avenue , Suite 200 Martinez , CA. 94553 Dear Mr. Deutschman: In light of the intent of Contra Costa County substance Abuse Division's proposed plan to provide comphrehensive, recovery services to non-incarcerated males , who are in the criminal justice system, I would like to pledge the support of the West County Alcohol Intervention and Recovery Services (AIRS) program. I understand that this plan will include a family-based treatment modality that will address the needs of the children of the clients. I also understand that the County is responding to the Request for Application& ;Qr treatment programa taF rien- incarcerated adult criminal justice populations issued by the Center for Substance Abuse Treatment (CSAT) , and that this is a three-year pilot program. West County AIRS is one of three outpatient , chemical dependency, treatment programs in Contra Costa County that has been in existence since 1963 . our agency provides a variety of services to the unique and diverse West Count community, We assess potential clients individually to ensure that a proper referral is made to other agencies or treatment is provided on site. Education workshops are available to address chemical dependency , co- dependency, ACA, relapse prevention, recovery training and 12-Step orientation. This service is offered to clients , Community groups , schools , and family members . Recovery groups are geared to help client ' s and family members move forward in their lives ; beyond the destruction of chemical dependency . The groups can be tasilored to meet the needs of women, men, couples , youth, gay and lesbian, HIV and AIDS clients , and, when necessary, individual counseling is provided. West County AIRS plans to participate in this program by first and formost understanding that the needs of non-incarcerated males are unique and must be dealt with in a progressive, supportive, and culturally sensitive fashion. All clients will recieve relevant 82 Chuck Deutschman, California counseling services that speaks to their need to become caring and productive actors within their communities . We will operate on the premise that for a person who is clean and sincere about staying clean, the main challenges to recovery can be identified. These challenges constitute the core issues of any successful recovery. These challenges include, but are not limmited to, drug craving, which can remain strong for months following cessation of drug use. The need for a new social network, since the old one is almost always to dangerous . Clients must adjust to drug-free activities and satisfactions which constitute a learning process . while learning or relearning conventional recreation skills and pleasures , recovering clients must also learn how to respond safely to pain and stress . Initiating and learning to sustain healthy relationships is of vital importance since many past and present relationships are deeply damaged. Old associations between drugs and sex must be relearned and new attitudes must be developed. Finally, the risks of relapse are great because alcohol and drugs and various pressures to indulge are so common in our society . A recovering addict must learn to say no. And, if relapse occurs , how one responds , and with what help and resources, critically affects whether a full-blown reactivation of addiction will ensue. We believe this demonstration grant gives us an opportunity to address the core issues for the targeted population. Families are a vital part of any society 's stability, but it is also vital to address the needs of the individuals within the family system. This program offers an opportunity to allow those individuals a chance to shed the labels and identity placed on them because of their drug use and subsequent problems . The individual who gains the ability to define him/herself .in relation to their surrounding envirnment will , without a doubt , become an asset to themselves and the community at large. In closing, I will restate the desire of my agency to become an active participant in providing this service . Please keep us aprised of the progress of the application and we stand ready to lend any assistance to help move this process toward a successful outcome. ncerel , Ben RR.Curtis West County (AIRS) Area Coordinator R'2 Chuck Deutschman, California `PSE CAN 00 RECEIVED oJLHI g 1993 BI-BETT CORPORATION Community Alcoholism Recovery Programs `ANN()T DOt,^F '�.._.".... :. 1260-A MONUMENT BLVD. r::.1=!"'' CONCORD,CA 94520 SUBST '' ��•-Y-- P.O.BOX 51137 CONCORD,CA 94524 (510)798-7250 (5 10) 798-3359 FAX June 15, 1993 Mr. Chuck Deutschman, MBA MFCC Contra Costa County Health Services Administration Director, Substance Abuse Division 595 Center Avenue, Suite 200 Martinez, CA 94553 Re: Letter of Support CSAT Criminal Justice Non-Incarcerated Grant Program (PA No. AS-93-06) Dear Mr. Deutschman: Bi-Bett Corporation is pleased to pledge its participation in the Contra Costa County Substance Division's proposed plan to provide comprehensive, family-based treatment and recovery services to non-incarcerated criminal justice males with children in West Contra Costa County. Your proposed three-year pilot project to develop a comprehensive model which includes a Community Services Center located in West County is both urgently needed and well-timed. Bi-Bett has been providing comprehensive substance abuse services in Contra Costa County since 1969,and has specifically been offering treatment services in West Contra Costa County since 1969. Services available in West County include Detoxification, Long Term Residential Treatment, Job Development and Employment Placement, Sober- Living Affordable Housing, and Relationship Counseling. Bi-Bett's programs and services are based on the Social Model philosophy and approach to alcoholism and other drug problems. Social Model Programs provide community- based, warm, supportive alcohol and drug-fret environments, life experienced role models, experiential learning, education, peer interaction, 12 step program principles, and social and community involvement. Approximately 50 percent of participants served by Bi-Bett are from the criminal justice system, with offenses ranging from misdemeanor to felony offenses. A CALIFORNIA NON-PROFIT ORGANIZATION 94 Chuck Deutschman, California Bi-Bett plans to participate in the proposed project by: 1) agreeing to provide residential beds for both detoxification and long-term residential drug and alcohol treatment for both non-incarcerated populations and family members at a rate of approximately $40 per day; 2) agreeing to provide technical assistance to project staff working with criminal justice populations and their families; 3) providing sober living support for criminal justice populations and their families through our own services and through referral to other sites; 4) by helping to identify recovering addicts who are potential Family Recovery Advocates for the proposed project. We believe that the proposed project represents an important opportunity to implement a system which provides integrated support to children and family members affected by the individual's substance use and criminal behavior. The Community Services Center provides an essential facility- based source of support which augments the transition into sober lifestyles. The program offers an opportunity to provide the kind of intensive, long-range assistance which can bring about real changes within family systems, while maximizing the impact of our own service provision. We are looking forward to working with the County on this important project,and to extending our existing working relationship with the Substance Abuse Division. Sincerely, Susan Cinelli Executive Director 0 f3� TEL Chuck Deutschman, California NEIGHBORHOOD HOUSE OF NORTH RICHMOND HOLLOMON/FAUSERO NEW WAY CENTER 208 23rd Street RICHMOND, CALIFORNIA June 16 , 1993 Mr. . Chunk Deutschman, MDA MrCC Contra Costa County Health Services Administration Director, Substance Abuse Division 595 Center Avenue, Suite 200 Martinez, California 94553 REt Letter of Support CSAT Criminal Justice Non-Incarcated Grant Program (PA No. AS-93-06) Dear. Mr. Deutschman: It is a pleasure for Neighborhood House of North Richmond (NHNR) to support your proposal to provide comprehensive, family-directod recovery services to non-incarcerated. cr.imina.l justice males with children. It is our understanding that the County is responding to a CSAT Request for Applications for Services to this population, and that Contra Costa County is proposing a three-year pilot program to develop a comprf-honsive, famil y-orionted model providing integrated family-based treatment and recovery services to non-incarcorated criminal justice mAl(ts with children in West Contra Costa County. Neighborhood House of North Richmond has been in business providing comprohonsive substance abuse services in Contra Costa County gincP 1.974 We are a cominunity-based, 'pe•er�orientecl' facility 'that provides food, shel'tor, and rehabilitation services. NIINR planes to participate in the proposed project in the following ways : 1 . By providing culturally sensitive, family--basE,d outpatient drug and alcohol services to clients and their families- upon referral, including services in Laotian ans Spanish; 2 . .Dy providing detoxification and/or residential treatment for program participants; 3 . By providing culturally sensitive medical screening and assessment for participants in the above drug treatment programs; 4 . By providing culturally sensitive: communicable disease screenings for clients in the above programs; and 5 . By providing drug testing services for Selected outpatient clients in recovery. We beliove that your proposed project will be invaluable in providing the kind of integrated support to children and family members affected by the Manbw-Unh*d Wiy Mir., 86 TEL Chuck Deutschman, California LETTER OF SUPPORT Page •- 2 - individual' s substancr. use and criminal br_havior which can bring about real changes within family systems, while maximizi.nq the impact of our own service provision. The program also has the potential to help break the cycle of addictive behavior often replicated in successive generations Sincorcly, Steve Mitchell Alcohol/Drug Administrator SM: jg 91 Chuck Deutschman, California Appendix IV 88 Chuck Deutschman, California UJm m WAn ;. U U — > y . :.. y. .:.:: .Vl � o. NY N � ; :: .y ..U. — W 'Vl VJ: y:.:'G.>: r .. ... y:: �.; O.i:i/J 7 C C E . U _ Z CO W° . A CM O a � o: :CL cui ac ::.;aov . d.; :o. :vw. : . :: : Z m. ::p': c'ci::•-.:>:o::y:a> x.=:::;>.:: 0.:,�.Y: :: v�.:::.:::: a:::°:Ot N > N �:.:.E. �• w E —. ..:..:...:;;....ti �o:::::> ..... ~ p.::.:.:::: LN.. O O U .......... .;.::.;::.::. Q D LL W W F- _ ZLU W V H y Q VZ Q .: ..... Y N ....... .:..;....... ........... ......... .. W Z O C4 O ...:..... .. W .... A. W y� .O.:r .0::::v:': r,.. Z z = } U �:•—<.:i+ .y.;=:j:Af........:.::::::.....N .�p:::.O.:::dO.:.N_i. :V:::.:V ;.y::;::>?:;: ::;:y:;y.:: aCWU7 _U— yFC-, UUm y W :..: Ny'W ' ,,nW O N +a0�p °W z... fl .w:e4)o V O 0oZd...y..... ' v.> o.V :a;: ` : a ::N Z :a :>: .. �a::> O 0: � . WU aE = ........:«.:>..:::: : >.pO OZ 0 C7ZW>00 0 W W : . >N:: : X. .:;:.:... ; : . LL CL. E 0NN mw yW i:isi:i :Ci Ui W E — o:1-;: pr EE y: W � Q �: : 0. IV Uj : Q .. ..; .: W . C: N 89 •3 Chuck Deutschman, California £ W Os W •. m � U- C V Q Qi V L y t� C7 r. Z m lie m m e E E Q C 3 0 �. w Oi7E a C d y a' m m e w ° a y a o 2 Z m o C` - E c mw u S 0 0 — ; oCO ? d y 7 0 C .S O O E a es . 5 � c o c '� �c E 0 U "' 'it Cp c CO a c c c °' - - m m a m o 0 0 c E d a o c c m o cv � oryE � r Oo. E � � � Q. 2.: Ew "' c0 c � 4 7R LU on10 � �-- oUU aWU. a� o �.. m` tO � c o 0 V •~•► r N a t+> Q r 16 � m ti 6 ED Di w :� �,• U fA Q l/1 W U ,�. L V Q? r.r .7r U `� 1 0 V m wj _ Q ` m y 0 c = V m � O y q v .. Cn L cc a) _ C CUD r ►— V ll� E E�1 Cn E im c� '°'Q N ,= a 3 mo o ami � � � v � O �0 �a�i � v Q LL a } m cs m H m e c E o c t4)I1 = ¢ LL U R n U m m U ami m p Z cant v ❑ O (D Q L C ac c� Lt1 D m J CD G Q p U o �. G tq us � O a 1O Chuck Deutschman, California SUBSTANCE ABUSE SERVICES DIVISION PERSONNEL ORGANIZATIONAL CHART JUNE 1993 Health Services Director Substance Abuse ............I Substance Abuse Program Director AdNsory CONTRACTORS •Prevention Specialist Senior Clerk •OSAP Grant Coordlnator •PSN-OTI-HN Coordinator •Perinatal Coordinator Management Team Alcohol Health Alcohol Alcrohol Drug Drug Drug CSAT Program Services Program Program Program Program Program Project Chief Adminstrator SupeMsor SupeMsor Supervlsor- Supervisor• Supervisor• Director CVU Outpatient DUI&Grents Resldentlal Senlor Alcoho Clerk Nehabliftallon Discovery Facility Discovery Facility Senior Family orkersDirectors Director Advicate Supervisor Experienced Account 1.0 FTE Clerks Substance Clerk Clerks Abuse Counselors Family Recovery Advicate Senior 5.0 FTE Clerks Experienced Clerk Experienced Criminal Justice Clerks System Uason 1.0 FTE •Chart reflects official civil service titles. a�ta•aare Specialist& Support Staff 2.75 FTE Chuck peutsahn'an' California z � .TCD SO JigVNI c 9• %2 -1D '19 4 r ® N N N � 0 MA CD CD ax o 4 $ . r .a tv �ak 91 O Z • • N a T12 0 • i" o �o CD � a y Chuck Deutschman, California J S r � t ►- Q� u� a MC X cvg a � Y � Q o c3 a as � W J � Y u ; € .9ww F o r g - a all C a g m a d W 0 Q K a � q � J ae o a _� - -1 Qtl � � � IN g t o a 93 10 'd 660S0L0 'ON XUJ ?!01032!1 Q 3H.L JO JO I JJO 9S:01 Q3M 06-R -rin p Chuck Deutschman, California Appendix V .....:::::::::::::::::::::::::: . .:: ::::::::.... :t:::::::::::::::::::�:::::: ::.::.:::.::<.:......::.::.;::.:::::.::t th xn qy Chuck Deutschman, California Health Services Department == ALCOHOL AND DRUG ABUSE ADMINISTRATION • I �'` j�, . 597 Center Ave., Suite 310 Martinez, CA 94553-4639 (510) 313-6381 5�9 COUIZ"� June 14, 1993 Lisa Scheckel, Acting Director Center for Substance Abuse Treatment Grant Review Office Rockwall II Building, 10th Floor Rockville, Maryland 20857 Dear Ms. Scheckel: This letter is to certify no other resources are either available or pending for conducting substance abuse services for Non-Incarcerated men, whom will be targeted in our proposal titled, "Family Based Services for Non-Incarcerated Men" in Contra Cost County. Sincerely, . Chuck Deutschman, MBA MFCC Director, Substance Abuse Division CD/kk 95 A-371-B (10,91) Contra Costa County Chuck Deutschman, California Appendix VI :::::::: ..:....:::::::::::::::::::: ...............l.... 1.1. ... l aruzat € aa.. rQur d :.........:..:..:..::..:::............:................. : :>:: 96 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California JOB DESCRIPTIONS CONTRA COSTA COUNTY FAMILY RECOVERY PROJECT 97 Chuck Deutschman, California APPENDIX V/DOCUMENT 7 FAMILY RECOVERY PROJECT (FRP) JOB DESCRIPTION OF CRIMINAL JUSTICE SYSTEM LIAISON • Act as lead contact person for creating linkages and developing referral relationships within the criminal justice system entry points. • Facilitate communication and interaction between the project staff, treatment programs, and the criminal justice system. • Coordinate client procurement, scheduling, assessments, and follow-up on behalf of the program advocacy staff. • Help to arrange for negotiation, suspended, or reduced sentences for clients who meet minimum program admission criteria. • Establish linkages with jail-based drug treatment and inmate liaison programs. • Work closely with advocacy staff to maintain familiarity with all aspects of the program activity. • Prepares all FRP reports in a timely manner. • Attends FRP meetings as appropriate. • Report FRP activities at any Advisory Board/Management Meetings. • Assures all FRP administrative duties are accomplished. Supervisorial Relationship: The Criminal Justice System Liaison reports directly to both the Project Administrator and the Supervising Family Advocate. Minimum Qualifications: Four years of direct experience working in the capacity of either probation/parole officer,police officer, and/or within the criminal justice system in Contra Costa County. Minimum Bachelor's degree in related field. One year clean and sober. �g Chuck Deutschman, California APPENDIX V/DOCUMENT 7 FAMILY RECOVERY PROJECT (FRP) JOB DESCRIPTION OF FAMILY RECOVERY ADVOCATES • Provides culturally sensative and appropriate counseling and educational activities with FRP participants. • Carries a specified caseload of FRP participants. • Complies with all duties and responsibilities as outlined by the Supervising Family Recovery Advocate. • Attend on-going training and education as outlined and provided by the treatment supervisor. • Reports FRP activities to treatment supervisor in a timely manner. Supervisorial Relationship: The Family Recovery Advocate will report to the Supervising Family Recovery Advocate. Mininum Qualifications: One year experience,or its equivalent,in a substance abuse recovery,healthcare,criminal justice-based setting, providing direct care and/or service. At least one year of direct service experience with incarcerated men. High school diploma or its equivelent. One year clean and sober. q q. Chuck Deutschman, California APPENDIX V/DOCUMENT 7 FAMILY RECOVERY PROJECT (FRP) JOB DESCRIPTION OF JOB DEVELOPMENT & TRAINING SPECIALIST • Demonstrate cultural sensitivity and credibility, and a commitment to this community. • Support clients to receive job training, and maintain motivation to become employed. • Participate in case conferences with Family Advocate team. • Plan employment strategies,inclusive of the family treatment plan,for family members seeking employment. • Maintain and keep all appointments assigned through Supervisor. • Develop and maintain employment resources,through marketing and direct liaison through the community. • Work to develop contracts with local employers in the community,for interim/permanent jobs for program clients. • Report FRP activities at any Advisory Board/Management Meetings. • Assures all FRP administrative duties are accomplished, prepares all FRP reports in a timely manner. Supervisorial Relationship: Job Development and Training Specialist reports directly to the Supervising Family Advocate. Minimum Qualifications: Minimum of three years providing employment/job training and/or development,preferably within the West Contra Costa County area. High school degree or its equivalent. 1 no Chuck Deutschman, California APPENDIX V/DOCUMENT 7 FAMILY RECOVERY PROJECT (FRP) JOB DESCRIPTION OF HOUSING SPECIALIST • Demonstrate cultural sensitivity and credibility, and a commitment to this community. • Support clients to receive safe, clean, affordable housing. • Participate in case conferences with Family Advocate team. • Plan housing need and procurement strategies,inclusive of the family treatment plan,for family members seeking housing. • Maintain and keep all appointments assigned through Supervisor. • Develop and maintain housing resources, through marketing and direct liaison throughout the community. • Work to develop contracts with housing authority and those who provide housing in the community, for interim/permanent housing needs. • Report FRP activities at any Advisory Board/Management Meetings. • Assures all FRP administrative duties are accomplished, prepares all FRP reports in a timely manner. Supervisorial Relationship: Housing Specialist reports directly to the Supervising Family Advocate. Minimum Qualifications: Minimum of three years providing housing resource development, preferably within the West Contra Costa County area. High school degree or its equivalent. 101 Chuck Deutschman, California APPENDIX V/DOCUMENT 7 FAMILY RECOVERY PROJECT (FRP) JOB DESCRIPTION OF SUPERVISING FAMILY RECOVERY ADVOCATE • Clinical, Administration and Supervisoral responsibilities for Family Recovery Advocates. • Carries a caseload of FRP participants. • Reports FRP activities to Project Administrator in a timely manner. • Assures all FRP clinical administrative duties are accomplished. • Provides education and training to Family Recovery Advocates. Supervisorial Relationship: The Supervising Family Recovery Advocate will report to Project Administrator. Mininum Qualifications: Four years of full-time experience,or its equivalent,in a substance abuse recovery,health care,criminal justice-based setting,providing direct care and/or service. At least two years of direct service experience with incarcerated men and supervisorial duties. LCSW/LMFCC/eligible preferred. One year clean and sober. Chuck Deutschman, California APPENDIX V/DOCUMENT 7 FAMILY RECOVERY PROJECT (FRP) JOB DESCRIPTION OF PROJECT ADMINISTRATOR • Administers implementation, monitors FRP contracts. • Prepares all FRP reports in a timely manner. • Attends FRP Technical Assistant and Annual Conference Meetings as appropriate. • Report FRP activities at any Advisory Board/Management Meetings. • Assures all FRP administrative duties are accomplished. Supervisorial Relationship: The Project Adminstrator reports to Substance Abuse Director. Mininum Qualifications: Four years of full-time experience,or its equivalent,in a substance abuse recovery,health care,criminal justice-based program providing direct care and/or service. At least two years of direct experience providing program administration and/or supervision. Experience providing services which are culturally sensitive and diverse. �®3J Chuck Deutschman, California APPENDIX V/DOCUMENT 7 FAMILY RECOVERY PROJECT (FRP) JOB DESCRIPTION OF ADMINISTRATIVE ASSISTANT • Demonstrate cultural sensitivity and credibility, and a commitment to this community. • Typing, filing, correspondence and bookkeeping as required by position. • Coordinate and order supplies and other purchases, prepared and maintain inventory reports, and handle all aspects of petty cash fund. • Help prepare and type monthly, quarterly and yearly reports and proposals as required. • Help coordinate and set up training sessions and meeting and attend as required. • Coordinate and support all activities and job related needs of all other project staff. • Maintain monthly reports, time cards and units of service activity each month. • Provides all necessary documentation and information as specified by the Project Evaluation Unit. • Insure smooth functioning of office environment. • Supervise Receptionist. Supervisorial Relationship: Administrative Assistant reports directly to the Supervising Family Advocate. Minimum Qualifications: Two years direct experience as secretary/administrative assistant in non-profit/county office. Certificates/proof of computer word processing skills,bookkeeping,and typing proficiency. High school degree or its equivalent. 104 Chuck Deutschman, California APPENDIX V/DOCUMENT 7 FAMILY RECOVERY PROJECT (FRP) JOB DESCRIPTION OF RECEPTIONIST • Demonstrate cultural sensitivity and credibility, and a commitment to this community. • Handle incoming phone calls and personal contacts, while providing referrals and directed information as required. • Typing, filing, correspondence and bookkeeping as required by position. • Coordinate and support all activities and job related needs of all other project staff. • Provide direct support to Administration Assistant. • Insure smooth functioning of office environment. • Attend assigned office training courses as assigned by Administrative Assistant. Supervisorial Relationship: Receptionist reports directly to the Administrative Assistant. Minimum Qualifications: One year experience providing office support, or its equivalent. Must be willing to be trained in.word processing and bookkeeping skills on an on-going basis. High school degree, its equivalent,or actively working towards diploma or degree. 1n5 Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California BIOGRAPHICAL SKETCH OF CHUCK DEUTSCHMAN, MBA, MFCC DIRECTOR, CONTRA COSTA COUNTY SUBSTANCE ABUSE DIVISION 106 Chuck Deutschman, California BIOGRAPHICAL SKETCH Chuck Deutschman, MS, MBA has over twenty years of progressively responsible health care administration experience. Mr. Deutschman is currently the Community Substance Abuse Services Director of the Contra Costa Health Services Department. Mr. Deutschman is a leader in the drug and alcohol field in helping to establish and integrated service system responsive to the needs of pregnant women and women with young children. Mr. Deutschman played a key role in the development and implementation of the Born Free Project (funded by CSAP, formerly OSAP) and the Options for Recovery Program (State-funded) in Contra Costa County. Mr. Deutschman is committed to innovative problem solving and collaboration with community- based service organizations. 107 Chuck Deutschman California CHUCK DEUTSCHMAN 625 Creekmore Court Home: (510) 937-6579 Walnut Creek, CA 94598 Office: (510) 313-6350 SUMMARY OF QUALIFICATIONS • Over 20 years of progressively responsible healthcare administration experience. • Innovative and committed problem solving skills required in highly technical and complex organizations. • Strong interpersonal skills with excellent public relations background. • Accomplished manager of organizations requiring rapid change under conditions of limited resources. • Ability to rapidly assess and understand new and varied healthcare situations. • Proven track record in managing systems which emphasize client service and interagency collaborations. PROFESSIONAL BACKGROUND SUBSTANCE ABUSE DIRECTOR 1992-Present Contra Costa County Health Services Department Martinez, CA • Responsible for alcohol and drug abuse services in a county of approximately 840,000 residents and with a budget in excess of $11 million. • Principle responsibilities in this senior management position are the development of an improved standard of care for alcohol and drug services; establishment of an integrated service system which is responsive to co-morbidity factors such as HIV disease and perinatal substance abuse; and, the design and implementation of a community based health care system which is responsive to the needs of a diverse population. DRUG ABUSE PROGRAM CHIEF 1986-1992 Contra Costa County Health Services Department Martinez, CA • Managed operating budget of over $7 million comprised of multiple funding sources and a service delivery continuum which included a wide array of programs. • Recruited, hired and developed a mid-management team to provide drug abuse services. This management team implemented quality of care standards, developed and implemented state and nationally recognized programs; and developed a patient centered service delivery system. • Served as the Principal Investigator for the first award cycle of Community Partnership grants from the Federal Office for Substance Abuse Prevention totalling $2.5 million over 5 years. • Served as the Principal Investigator for the first award cycle of the Critical Populations grants from the Federal Office for Treatment Improvement totaling $1.5 million over 3 years. This highly competitive grant program was to improve and expand treatment services for residents of public housing developments. • Played a key role in the development and implementation of a Federal Office for Substance Abuse Prevention grant for Pre and Post Partum Women and Their Infants and a separate statewide Perinatal Pilot Project grant. The federal grant of approximately $1.5M for 5 years was one of the first in the nation. The Perinatal Pilot grant was the only competitive grant awarded to a county in the State of California and is funded for a total of $4.5M for 3 years. 108 Chuck Deutschman California CHUCK DEUTSCHMAN PROGRAM DIRECTOR 1985-1986 Pros for Kids San Mateo, CA • Responsible for the design, implementation and operation of an outpatient alcohol and drug abuse program. • Wrote and developed various prevention, treatment, and fundraising proposals. • Developed employee assistance programs for Bay Area Businesses. PROGRAM DIRECTOR 1983-1985 Community Human Services Project Monterey, CA • Director of an outpatient medical clinic providing methadone maintenance, symptomatic detoxification and drug-free counseling services for residents of Monterey County. • Director of a 34 bed coed residential facility with an outpatient service program and residential services for women and their children. STAFFING COORDINATOR 1982-1983 Hollywood Presbyterian Medical Center Hollywood, CA • Staffing coordinator for approximately 200 temporary, per diem and float pool employees in this 386 bed hospital. • Responsible for acuity based staffing which included administration of an annual $4 million registry budget with over 10 nursing registry contracts. DRUG ABUSE PROGRAM ADMINISTRATOR 1977-1981 San Mateo County San Mateo, CA • Administration of over $1 million in drug abuse services from prevention to residential/recovery services. Challenges of this position included working within a complex organization; utilizing zero based budgeting; working with an active advisory board; and, managing through the passage of Proposition 13. RELATED PROFESSIONAL EXPERIENCE • Significant prior experience as an alcohol and other drug prevention and recovery expert in many different settings. • Author of numerous studies, articles, reports on alcohol/drug abuse. • Speaker on alcohol and other drug abuse issues at many different events; including. service clubs, community forums, and schools. OTHER ACTIVITIES • President, California Association of County Drug Program Administrators, 1992 • Appointed to State Select Committee on Perinatal Substance Abuse and the State Master Plan Advisory Board, 1989-1991. • Member State SB 2669 Implementation Committee. Established statewide hospital protocols for the identification of drug exposed infants, 1990-91. • Chairman, Perinatal Committee of the California Association of County Drug Program Administrators, 1989-1991. • Consultant to the Federal Office for Substance Abuse Prevention (O.S.A.P.) for the grant review process. • Consultant to the Federal Office for Treatment Improvement (O.T.I.) for the grant review process. • Trainer for N.I.D.A., 1974. Chuck Deutschman CHUCK DEUTSCHMAN California EDUCATIONAL BACKGROUND • M.S., Rehabilitation Counseling, 1975, San Francisco State University • B.A., Psychology, 1973, San Francisco State University • M.B.A., Healthcare Administration, Golden Gate University. 1993 PROFESSIONAL LICENSES AND CERTIFICATIONS • Marriage, Family, and Child Counselor #MB008215 • Community College Instructor and Counselor • Certified Rehabilitation Counselor References available upon request Ito Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California ORGANIZATIONAL CAPABILITY STATEMENTS AND VITAE CENTER FOR APPLIED LOCAL RESEARCH (C.A.L. RESEARCH) RICHMOND, CALIFORNIA 1i 1 Chuck Deutschman California 9k- e Center For ,Tpplied.Local Wesearck ........ ....... 120 BROADWAY, SUITE 21 0 RICHMOND, CA 94804 e(51 O)970-7520* FAX(510)970-7526 QUALIFICATIONS IN DESIGNING AND CONDUCTING EVALUATIONS ST The Center for Applied Local Research (C.A.L. Research) is a tax-exempt, non-profit corporation, dedicated to the applica- tion of social sciences and related skills to improving the SY quality of human services at the local level. The Center's staff members and consultants have conducted planning, grant- writing, research, evaluation, and technical assistance projects for city and county service agencies and for communi- ty-based organizations throughout California. In the following pages , we describe selected projects that demonstrate the capabilities of this organization to design and conduct program evaluations. SUBSTANCE ABUSE SERVICE NEEDS IN A LOCAL CRIMINAL JUSTICE SYSTEM In 1993 , C.A.L. Research conducted a substance abuse service Needs Assessment focusing on the criminal justice system in Marin County. The study included an analysis of trends in drug- and alcohol-related arrest data, synthetic estimates of the number of substance abusers in the system using Drug Use Forecasting data, and a survey of honor farm inmates. CHILD ABUSE PREVENTION PROJECT The Center for Applied Local Research currently serves as the evaluator of a three-year demonstration project designed to reduce the incidence of child abuse in East Oakland. working on behalf of the East Oakland Youth Development Center, and the Alameda County Social services Department, C. A. L. Research staff are developing an automated client information retrieval f. system that tracks clients' demographic characteristics, serv- is ices delivered, and outcome measures . C.A. L. Research is providing training regarding data entry and management of this automated system so that the technological capabilities can be transferred to the E.O.Y.D.C. staff. The evaluation also in- cludes a cost analysis of services, periodic family functioning assessments, and biannual school performance reviews. Chuck Deutschman California x a t ale Cenler T-or ."Tpp&l d .GOC171 PA,esealrl i" 1 20 BROADWAY, SUITE 21 • RICHMOND, CA 94804 . (510) 970 7520 • FAX (510) 970-7526 i i'. THOMAS LEEDOM FOSTER is I. PERSONAL: Date of Birth: August 25, 1943 z Address: 281 Amherst Avenue Kensington, California 94708 Telephone: (415) 528-1617 Social Security #: 541-50-9088 II. EDUCATION: U University of California, Berkeley Graduate School of Business Administration: 1974-1977 Major Field: Operations Research Degree Awarded: M.S. University of California, Berkeley College of Letters and Science: 1960-1964 Major Field: Political Philosophy Degree Awarded: B.A. III. PERTINENT WORK EXPERIENCE: March, 1987 - Present President The Center for Applied Local Research Richmond, CA As Chief Executive Officer of this research and educational organization, I am responsible for developing and implementing corporate policies across a broad range of management areas, including administration, finance, marketing, and personnel management. In addition, I supervise and participate in a variety of research, training and technical assistance projects. 1�3 Chuck Deutschman California FAMILY SERVICE CENTER From 1990 to 1992, C.A.L. Research conducted 'an evaluation of a Family Service Center in Contra Costa County. This project provided literacy, employment, and substance abuse services to parents of children enrolled in the Head Start program. The Center for Applied Local Research developed an evaluation design that included pre- and post-service measurement of clients' status in each of these service domains and compari- sons with several other groups not receiving these services. SUBSTANCE ABUSE INTERVENTION PROGRAM FOR PREGNANT WOMEN AND NEW MOTHERS From 1989 to 1992, C.A.L. Research conducted an evaluation of a CSAP-funded substance abuse program for women receiving prena- tal and/or labor and delivery services from the Contra Costa County Health Services Department. This program offers inter- vention and treatment services. The evaluation focused on identifying procedures that contribute to problem recognition, women's willingness to participate in treatment services, and their subsequent retention in treatment. Evaluation strategies include frequent client interviews, regular observations of service delivery episodes, and analyses of medical records. MISSING CHILDREN In 1989, C.A.L. Research participated as a subcontractor in a nationwide study of how police respond to cases involving runaway and missing children. The study included seven local sites, and C.A.L. Research was responsible for data collection in San Francisco. The staff selected cases by collecting archival data from the San Francisco Police Department, and conducted telephone interviews with the parents, group home personnel, and when possible, the missing children themselves. LEGAL RESOURCE CENTER During 1987, The Center for Applied Local Research conducted an evaluation for the California State Office of Criminal Justice Planning of the Victim's of Crime Legal Resource Center at the McGeorge School of Law. The Legal Resource Center, staffed by students at McGeorge School of Law, provides telephone informa- tion and referral services for victims of crime throughout California. In addition, it produces educational material, reference, and promotional materials. C.A.L. Research reviewed all project documents, assessed progress toward goals and objectives, and prepared a report for OCJP and the State Legis- lature. 114 Chuck Deutschman California SUBSTANCE ABUSE TREATMENT IN PUBLIC HOUSING PROJECTS The Center for Applied Local Research is currently serving as the evaluator of a three-year substance abuse treatment pro- gram, funded in 1990 as a demonstration project by the federal Center for Substance Abuse Treatment. C.A.L. Research staff are evaluating the effectiveness and feasibility of implement- ing treatment programs on-site in public housing developments in the cities of Richmond and Pittsburg in Contra Costa County. Evaluation staff have developed and implemented a comprehensive client tracking system designed to monitor client flow and demographic characteristics, services received, and treatment outcomes. Additional data from annual chart reviews is also linked to this tracking system output. In order to provide an historical description of the project's development, the evalu- ation also includes in-depth, semi-structured interviews with clients, with project staff, with other community agency repre- sentatives, and with housing project residents. SUBSTANCE ABUSE TREATMENT LINKED TO CHILDREN'S PROTECTIVE SERVICES The Center for Applied Local Research has served since 1990 as the evaluator for Contra Costa County Social Service Depart- ment's "Living Free Project. " This project, funded as a five- year demonstration by the federal Center for Substance Abuse Prevention, offers intensive outpatient treatment, parenting skills training, and infant bonding instruction and practice to new mothers whose infants have been placed with foster care families while they (the mothers) work to overcome their sub- stance abuse problems. C.A.L. Research's evaluation has con- sisted of periodic interviews with staff and clients, observa- tions of group treatment sessions and of other activities, and analyses of client characteristics, service needs, attendance, retention, and completion. . DRUG ABUSE TREATMENT FOR LOW-INCOME LATINOS Since 1990, The Center for Applied Local Research has served as evaluator for a CSAT demonstration grant to expand and enhance drug abuse treatment services for low-income Latinos in Santa Barbara. Zona Seca, the grantee, has longstanding roots in the local Latino community, and has incorporated parts of this project into various of its service components including outreach, jail counseling, medical services, group counseling, and aftercare. The evaluation has included interviews and focus groups with clients , staff, and key informants from related service providers and an ongoing analysis of admission and discharge data to monitor changes in client characteris- tics, program retention rates, and treatment outcomes. 115 Chuck Deutschman California SUBSTANCE ABUSE TREATMENT ENHANCEMENTS Since 1990, C.A.L. Research has served as evaluator for Oakland Community Counseling Center's three-year CSAT demonstration grant to expand and enhance its treatment services for minority substance abusers. The evaluators have worked closely with program managers and staff to identify appropriate, new treat- ment strategies and to integrate these within the program's existing treatment framework. The outcome assessment focuses on client retention--and especially on retention during criti- cal transition periods in the program's treatment plan. MONITORING AND EVALUATION FOR RYAN WHITE CARE CONSORTIUM Since 1991, C.A.L. Research has been under contract with the Ryan White HIV CARE Consortium of Alameda County to monitor and evaluate the progress of all Title II contracts . awarded to community-based organizations serving HIV positive individuals in Alameda County. The monitoring and evaluation activities have included: (1) Conducting formal and informal site visits; (2) Reviewing quarterly contractor reports regarding client demographics and services provided; (3) Preparing written summaries of contractor progress; (4) Facilitating contract modification negotiations between the contractor, the Consorti- um, and the County; (5) Providing technical assistance to contractors; and (6) Working closely with the Consortium and its committees to assist in program management and planning. ENHANCED DRUG ABUSE TREATMENT SERVICES FOR MINORITIES Since 1990, C.A.L. Research has been conducting an evaluation of a LSAT-funded project to augment residential drug abuse treatment services for minorities in Marin County. The evalua- tion has focused on identifying and monitoring client and program factors that influence treatment outcomes--as measured by retention, treatment completion, and self-reported substance use during a one-year follow-up interview. During 1993, we have conducted extensive multivariate analyses to isolate factors which may contribute to clients' success. ANALYSIS OF PROBATION VIOLATIONS Since 1987, As part of an ongoing substance abuse Needs Assess- ment in Santa Barbara County, The Center for Applied Local Research conducts a special analysis of probation violations. C.A.L. Research assisted the Probation Department in developing a reporting procedure that facilitates the identification of drug-related violations. The analysis focuses on trends in demographic characteristics and reasons for violation. 116 Chuck Deutschman THOMAS LEEDOM FOSTER California Work Experience cont. January, 1985 - January, 1986 Operations Coordinator The URSA Group San Francisco, CA I was responsible for coordinating and facilitating the movement of personnel, financial, and other organizational resources and support among more than 100 research and consulting projects spanning such diverse fields as financial planning for hospitals, development of mathematics curricula, research on juvenile delinquency, and public education campaigns on earthquake hazards. My responsibilities also included developing internal reporting systems for ensuring project quality control, and developing organization-wide budgeting procedures for this consortium of consulting firms. February, 1984 - September, 1986 Senior Social Scientist The URSA Group San Francisco, CA I was responsible for supervising the design and implementation of a number of applied social science research projects. My assignments included directing a secondary data analysis of several school-based alcohol abuse prevention projects, directing the quantitative aspects of a national evaluation of the effects of resource re-allocation in public defenders' officers, and development of the research design for a study of case processing in Colorado's juvenile justice system. March, 1982 - December 1982 Principal Investigator California State Department of Alcohol and Drug Programs Sacramento, CA was responsible for the planning and implementation of a state-wide research study to develop a formula for allocating Federal and State funds to California's 58 counties. The preparation for this study included a critical review of archival data available from numerous State and county agencies. The development of the formula itself entailed the use of a variety of multi-variate statistical techniques, including factor and principal components analyses, canonical correlations, and stepwise multiple regression studies. 117 Chuck Deutschman THOMAS LEEDOM FOSTER California Work Experience cont. May, 1979 - February, 1987 Business Development Consultant Thomas L. Foster and Associates Lafayette, CA I provided consultation in various aspects of business development to a number of social science research and consulting firms. This ranged from participating in bid decisions and proposal planning, to the identification and recruitment of key staff and/or subcontractors, to proposal management and/or participation in proposal writing, to the supervision of proposal production. I drew upon the specialized talents of a variety of professional consultants, including writers, content-area experts, and graphic artists. June, 1978 - April, 1979 Vice President for Corporate Development Pacific Institute for Research and Evaluation Walnut Creek, CA I was responsible for planning and supervising all aspects of business development, including: the development of long-range growth plans, the identification of bid opportunities, bid decisions, and proposal follow-up. In addition, as a member of the senior management team, I participated in all major organizational planning and decision-making, prepared departmental budgets. April, 1977 - May, 1978 Senior Research Associate Pacific Institute for Research and Evaluation Walnut Creek, CA My responsibilities included the supervision of a research team engaged in three-year study of addicts' needs for aftercare services. Specifically, I was responsible for the development of survey instruments, sampling procedures, and the design of subsequent, large-scale data analyses. 118 Chuck Deutschman THOMAS LEEDOM FOSTER California Work Experience cont. July, 1976 - December, 1976 Project Director Pacific Consultants Berkeley, CA Pursuant of Title XX of the Social Security Act, SRS developed and promulgated the Social Services Reporting Requirements, a series of client-oriented statistical reports which State Title XX agencies were required to prepare and submit quarterly to the federal government. I served as Project Director of an SRS study of State capabilities of meeting these requirements, State and local attitudes towards the reporting process, and the perceived utility of reported data at the local, State and national levels. Data were collected by a team of Field Analysts working in 15 states. My specific responsibilities included: conceptual design of the study, development of interview protocols, field staff training, and the preparation of interim and final reports to SRS, DHEW, and State agencies. October, 1975 - April, 1977 Associate Director Berkeley Center for Drug Studies Berkeley, CA My responsibilities included the design and development of consulting and research projects over a broad spectrum of human services--e.g., health and mental health, education, vocational rehabilitation, etc. These responsibilities required ongoing liaison with local service providers. In addition, I provided direct consultation to human service agencies in the areas of: information systems design, planning and decision models, and evaluation design. August, 1975 - October, 1975 Interim Deputy Director National Institute on Drug Abuse Western Regional Training Center Berkeley, CA The Western Regional Training Center provided training in counseling, program planning and development, and management skills to professionals and paraprofessionals throughout the 11 Western States. My responsibilities in this interim position included all aspects of administration, personnel management, development of internal fiscal controls, liaison with State and local agencies, and supervision of project evaluations. 119 Chuck Deutschman THOMAS LEEDOM FOSTER California Work Experience cont. January, 1974 - March, 1975 Program Project Coordinator Public Safety Systems, Inc. Santa Barbara, CA As principal liaison between community service programs in Santa Clara County and the systems analysis personnel of this firm, I was responsible for field implementation of county- wide management information and evaluation system. My specific duties included consultation on systems design, staff training, and coordination of this system with the informational needs of various county, State and Federal agencies. December, 1973 - October, 1975 Staff Consultant Berkeley Center for Drug Studies Berkeley, CA My responsibilities included conducting staff training for public and private agencies regarding drug abuse treatment, treatment referral and treatment systems. Further areas of responsibility were evaluation design, organizational structure, and fiscal analysis. January, 1973 - December 1973 Administrator Bridge Over Troubled Waters, Inc. Berkeley, CA My responsibilities as Administrator of this residential drug abuse treatment program included development and implementation of various operational systems, including staff training, data collection and record keeping, fiscal controls, personnel policies procedures, and long- range planning and development. August, 1972 - December, 1972 Project Development Officer The Wright Institute Berkeley, CA My responsibilities in this position included working closely with senior research personnel and institute faculty to formulate education research projects and to develop such projects into contract and grant proposals. Me THOMAS LEEDOM FOSTER Chuck Deutschman California Work Experience cont. August, 1971 - July, 1972 Administrative Director Contemporary Problem Consultants San Francisco, CA As Administrative Director, I was responsible for the operations of a small consulting firm engaged in a broad spectrum of mental health and social services consultation. My duties included preparation of contract proposals and bids, program planning and design of program evaluations, staff scheduling, and liaison with client agencies. March, 1971 - August, 1971 Drug Abuse Program Coordinator Contemporary Problem Consultants San Francisco, CA My responsibilities included design of drug abuse education, prevention, and treatment programs, and the coordination of a multi-disciplinary consulting staff engaged in training, consultation, and evaluation of such programs. March, 1971 - June, 1971 Grant Writer and Evaluation Consultant Herrick-Berkeley Community Mental Health Center Berkeley, CA I prepared grant applications and evaluation systems for drug abuse programs, to be implemented by a number of public and community agencies in the City of Berkeley. My duties spanned community organization, budgeting, and grantsmanship. December, 1969 - March, 1971 Proposal Writer Contemporary Problem Consultants San Francisco, CA My responsibilities included preparation of grant applications and funding proposals for client agencies such as school districts, hospitals, law enforcement agencies, and grass-roots community projects. r� Chuck Deutschman THOMAS LEEDOM FOSTER California IV. PUBLICATIONS Pittel, Stephen M., and Thomas L. Foster, Singe State Agency Planning, Rockville, Maryland: National Institute on Drug Abuse, 1980. Pittel, Stephen M., Gayle Dakof, Thomas L. Foster, and Christine L. Hejinian, "Re- Entry Concerns of Incarcerated Substance Abusers," American Journal of Druqand Alcohol Abuse, 1979, 59-71 . Foster, Thomas L., "MIS in Drug Abuse Programs: A Review of the State of the Art," in Management Information Systems in the Drug Field. Rockville, Maryland: National Institute of Drug Abuse, 1979. Foster, Thomas L., Stephen M. Pittel, and Michael Collins, "Drug Abuse Treatment Modalities: An Overview," in Single State Agency Planning: Strategies and Techniaues (Vol.11l, Intervention Models). Rockville, Maryland: National Institute on Drug Abuse, 1975. Pittel, Stephen M., and Thomas L. Foster (eds.), Single State Agency Planning: Strategies and Technics. Rockville, Maryland: National Institute on Drug Abuse, 1975. • Volume I Frames of Reference • Volume 11 The Planning Process • Volume III Intervention Models • Volume IV Implementation • Volume V Federal Guidelines and Regulations • Volume VI Trainer's Manual • Volume VII Participant's Manual Reiner, William, and Thomas L. Foster, "A Proposal: Operation Feedback," in Vocational Rehabilitation of the Drug Abuser (Vol. IV, Gainfully Employed). Washington, D.C.: U.S. Social and Rehabilitation Services, 1973. V. PRESENTATIONS: Foster, Thomas L., and T.A. Evans, "Problems and Prospects for MIS in the Human Services," presented at the Joint National Meeting of the Operations Research Society of America/The Institute for Management Sciences, 1977. Pittel, S.M., Thomas L. Foster, and Michael Collins, "Drug Abuse Treatment Needs of Young Offenders," presented at the North American Congress on Drug and Alcohol Problems, 1974. 122 THOMAS LEEDOM FOSTER Chuck Deutschman California VI. TECHNICAL REPORTS: Gasiorowicz, Mari, Robert Jaurige, Theresa Hernandez, and Thomas L. Foster, "Substance Abuse in San Benito County: Patterns of Abuse and Service Needs," 1990. Twersky, Fay, Mari Gasiorowicz, and Thomas L. Foster, "Santa Barbara County Alcoholism Service Needs, Supplement #2: Client Admissions," 1989. Gasiorowicz, Mari, Et al., "Hispanics in Modoc County: Substance Abuse and Mental Health Service Needs," 1989. Gasiorowicz, Mari, Thomas L. Foster, and Ed Florentino, "Santa Barbara County Alcoholism Service Needs, Supplement #1 : Indicator Data," 1988. Gasiorowicz, Mari, Thomas L. Foster, and Ed Florentino, "Santa Barbara County Drug Abuse Service Needs, Supplement #3: Indicator Data," 1988. Gasiorowicz, Mari, et. al., "Drinking Behavior and Attitudes: A Survey of Farmworkers in Fresno County," 1988. Foster, Thomas L., Ed Florentino, and Mari Gasiorowicz, "Alcohol Abuse in Santa Barbara County: Analyses of Archival Data," 1988. Foster, Thomas L., Mari Gasiorowicz, and Ed Florentino, "Santa Barbara County Drug Abuse Service Needs, Supplement #2: Indicator," 1988. Foster, Thomas L. and Ed Florentino, "Santa Barbara County Drug Abuse Service Needs, Supplement #1 : Criminal Justice Data," 1988. Foster, Thomas L. and Ed Florentino, "Strategies for Development of External Funding," 1988. Friedman, Elizabeth and Thomas L. Foster, "Evaluation of McGeorge School of Law's Victims' Legal Resource Center," 1987. Foster, Thomas L., Ed Florentino, Elizabeth Friedman, and L.H. West, "Drug Abuse Service Needs: Santa Barbara County," 1987. Foster, Thomas L., "Substance Abuse Service for Youth in the City of Vallejo: Preliminary Planning Notes," 1987. 123 Chuck Deutschman THOMAS LEEDOM FOSTER California Technical Reports cont. Fazio, Ernest J., Sandra Wexler, Thomas L. Foster, Michael Lowy, David Sheppard, and Juliet Musso, "Early Representation by Defense Counsel Field Test: Final Evaluation Report," 1984. Foster, Thomas L., Karen Triocki, L.H. West, John O. Green and John Newmeyer, "Drug Abuse Treatment Needs Allocation Formula," 1984. Boswell, B., and Thomas L. Foster, "A Decade of Prevention Versus a Century of Cure," 1982. Pittel, Stephen M., David Barnett, J. Blume, Thomas L. Foster, and B. Milwood, "Substance Abuse Services in Marin County," 1981 . Barnett, David, Stephen M. Pittel, Thomas L. Foster and Lucy Reckseit, "Follow-up Evaluation of the Sonoma County TASC Program," 1981 . Foster, Thomas L., Patricia R. Perry, and L.H. West, "Santa Barbara County Drug Abuse Needs Assessment," 1981 . Barnett, David, Stephen M. Pittel, Patricia R. Perry, and Thomas L.Foster, "First-Year Evaluation of the Sonoma County TASC Program," 1979. Barnett, David, Thomas L. Foster, Stephen M. Pittel, and Patricia R. Perry, "Imperial County Drug Abuse Needs Assessment," 1978. Foster, Thomas L., David Barnett, Patricia R. Perry, and Stephen M. Pittel, "Drug Abuse Service Needs Assessment: Alameda County," 1978. Foster, Thomas L., "Social Services Reporting Requirements (SSRR): An Analysis of State Perceptions and Capabilities," 1977. Foster, Thomas L., "Another MIS Story: A Review of the Design and Implementation of the Drug Abuse Treatment Monitoring System in Santa Clara County," 1976. Pittel, Stephen M., Gayle Dakof, Thomas L. Foster, and Christine Luhe, "Perceived Service Needs of Substance Dependent Inmates of Oregon Correctional Institutes," 1976. Pittel, Stephen M., and Thomas L. Foster, "Recommended Design for an Alcohol and Drug Treatment Unit for Correctional Inmates at Oregon State Hospital," 1976. Pittel, Stephen M., Thomas L. Foster, Gayle Dakof, and Christine Luhe, "The Oregon Re-Entry Program: A comprehensive Plan for Delivery of Treatment and Rehabilitation Services to Substance Dependent Correctional Clients," 1976. Z''( THOMAS LEEDOM FOSTER Chuck Deutschman California Technical Reports cont. Collins, Michael, and Thomas L. Foster, "Sari Diego County Alcohol Program Management Indicator Information System Project: The Conceptual Design of the MIS," 1975. Foster, Thomas L., Stephen M. Pittel, and Michael Collins, "Drug Abuse Treatment Referral System (DATRS): Saml)le Interview Information and DATRS Scoring," 1975. Pittel Stephen M., and Thomas L. Foster, "Recommended Drug Abuse Services for San Luis Obispo County," 1975. Collins, Michael, Stephen M. Pittel, and Thomas L. Foster, "The Drug Abuse Treatment Monitoring System (DATMS): A Management Information System for Drug and Alcohol Abuse Treatment Referral, Monitoring, and Evaluation," 1975. Pittel, Stephen M., and Thomas L. Foster, "Training Needs of California Drug Abuse Treatment Programs," 1975. Foster, Thomas L., "Youth Services Bureau Evaluation," 1974. Pittel, Stephen M., et al., "Development and Implementation of a Vocational Rehabilitation Program," 1974. VII. CONSULTING BACKGROUND: Either Individually or as a member of a consulting team, I have provided consulting services to the following organizations: CORPORATE DEVELOPMENT CONSULTATION • American Indian Consultants (Orinda, CA)* • Bilingual Cine Television (San Francisco, CA)* • California Health Research Foundation (San Rafael, CA)* • Center for Applied Linguistics (Washington, DC)* • Delvin Williams Enterprises (Cupertino, CA)* * • Development Services Group, Inc. (Bethesda, MD)* • General Research Corporation (Santa Barbara, CA)* * • Institute for Survey Research (Philadelphia, PA)** • Inter-America Research Associates (Rosslyn, VA)* • The Helix Group, Inc. (Silver Spring, MD)* * • Kunizawa and Associates (Phoenix, AZ)** • Macro-Systems, Inc. (Silver Spring, MD)* * • Pacific Consultants, Inc. (Berkeley, CA)* * • Pacific Institute for Research and Evaluation (Lafayette, CA)* * • Pacificon Productions, Inc. (San Francisco, CA)** 1257 Chuck Deutschman THOMAS LEEDOM FOSTER California Consulting Background cont. •Polaris Research and Development (San Francisco, CA)* •Social Action Research Center (San Rafael, CA)* * *University Research Corporation (Chevy Chase, MD)* •Urban and Rural Systems Associates (San Francisco, CA) ®Urban Alternatives (Berkeley, CA) •URSA Institute (San Francisco, CA) * * FEDERAL AND STATE AGENCIES: •California State Office of Criminal Justice •California State Office of Narcotics and Drug Abuse •California Youth Authority •Kentucky State Department for Human Services •Midwestern Regional Training Center (NIDA) •National Drug Abuse Center (NIDA) •National Highway Traffic Safety Administration *National Institute on Drug Abuse •National Institutes of Justice •Nevada Bureau of Alcoholism and Drugs 00regon State Division of Mental Health •U.S. Social and Rehabilitation Services COUNTY AND CITY AGENCIES: •Alameda County (CA) Health Care Services Agency •Alameda County (CA) Probation Department •Alameda County (CA) Office of Education* *Calaveras County (CA) Alcohol/Drug Abuse Program eCenter for Addition Services (Seattle, WA) •Colusa County (CA) Office of Education" •Contra Costa County (CA) Criminal Justice Planning Agency •Contra Costa County (CA) Department of Public Health AIDS Program" •Contra Costa County (CA) Drug Program" •Detroit (MI) Department of Health •Imperial County (CA) Mental Health Services •Marin County (CA) TASC Program •Modoc County (CA) Alcohol and Drug Services •New York (NY) Addiction Services Agency --------------------- • Indicates that consultation included the preparation (or assistance in the preparation) of grant and/or contract proposals. 0• Indicates successful grant and/or contract proposals. 1Z` THOMAS LEEDOM FOSTER Chuck Deutschman California Consulting Background cont. •Orange County (CA) Division of Mental Health •Philadelphia (PA) Coordinating Office for Drug and Alcohol Abuse Programs •Pleasant Hill (CA) Police Services •Polk County (IA) Department of Mental Health •San Benito County (CA) Drug Abuse Program* * •San Diego County (CA) Department of Substance Abuse •San Francisco County (CA) Division of Special Programs •San Luis Obispo County (CA) Community Mental Health Services •San Mateo County (CA) Office of Education* * •San Mateo County (CA) Probation Department •San Rafael City (CA) School District •Santa Barbara County (CA) Alcohol Program Office •Santa Barbara County (CA) Drug Program Office •Santa Clara County (CA) Bureau of Drug Abuse Services •Santa Clara County (CA) Executive Office •Sonoma County (CA) TASC Program •Tulare County (CA) Mental Health Department •Vallejo (CA) Inter-Agency Commissions •Ventura County (CA) Probation Department OTHER ORGANIZATIONS: •Alcoholism Services United (Ventura, CA)* •American Indian Center (San Francisco, CA)* •Bayview-Hunters Point Methadone Program (San Francisco, CA) •Berkeley Community County on Drugs and Society (Berkeley, CA) •Bridge Over Troubled Waters (Berkeley, CA)* * •California Commission on Alcoholism for the Spanish Speaking (Sacramento,CA)** •California Hispanic Affairs Council (Sacramento, CA)** •California Hispanic Chambers of Commerce (Sacramento, CA) •California Hispanic Commission of Alcohol and Drug Abuse (Sacramento, CA)** •California Women's Commission on Alcoholism (Los Angeles, CA)** •Caucus of San Leandro (San Leandro, CA)* •Center for Health Policy Development (San Antonio, TX)* ----------------------------- Indicates that consultation included the preparation (or assistance in the preparation) of grant and/or contract proposals. ** Indicates successful grant and/or contract proposals. �7 I THOMAS L E E D O M FOSTER Chuck Deutschman Ca/ifornia Consulting Background cont. *Centro Olin (Bakersfield, CA)* * e Chrysallis, Inc. (San Jose, CA) •CHTF/Zona Seca (Santa Barbara, CA)* ; *Clinton House (Redwood City, CA) *Community Educational Services (San Francisco, CA) *Cottage Program International (Salt Lake City, UT) *Drug Abuse Council of Everett (Everett, WA) *Drug Abuse Research and Education Foundation (Los Angeles, CA) i Fenix Service, Inc. (Watsonville, CA)" *Fresno County Commission on Alcohol and Drug Abuse Services, Inc. (Fresno, CA)" *Haight-Ashbury Research Project (San Francisco, CA) e Inter-Tribal Friendship House (Oakland, CA)* *Marin ACT (San Rafael, CA)* •Mexican-American Alcoholism Program (Sacramento, CA)* * *New Conservatory Children's Theater (San Francisco, CA) •New Perspectives of Marin (Larkspur, CA) •Pathways (San Jose, CA) •Project Eden (Hayward, CA) *San Francisco Foundation (San Francisco, CA) *Tri-City Community Drug Council (Fremont, CA)* * *Urban Indian Child Resource Center (Oakland, CA) *Westside Community Mental Health Center (San Francisco) *Wright Institute (Berkeley, CA)** •Y.E.S., Inc. (San Francisco, CA)* *Yolo County Concilio (Woodland, CA)* •Youth Advocates, Inc. (San Francisco, CA)** --------------------- Indicates that consultation included the preparation (or assistance in the preparation) of grant and/or contract proposals. ** Indicates successful grant and/or contract proposals. 1 9.R Chuck Deutschman California MARTIN L. FORST PERSONAL: Address: 393 Somerset Road, #3 Oakland, CA 94611 Telephone: (415) 530-2806 EDUCATION Post-Doctoral Fellow--Center for the Study of Law and Society, University of California at Berkeley, 1975-76. Doctor of Criminology--School of Criminology, University of California, Berkeley, June 1974. Dissertation Title: "Sentencing Sex Offenders: An Analysis of the Civil and Criminal Sanctions in Three Jurisdictions in California." Masters of Criminology--School of Criminology, University of California, Berkeley, 1971. Bachelor of Arts--Major in Psychology, University of California, Berkeley, 1966. GRADUATE HONORS AND AWARDS Richard A. McGee Award for the outstanding graduate student receiving the degree of Doctor of Criminology, 1974. National Institute of Mental Health Trainee--Center for the Study of Law and Society, U.C. Berkeley (1973-74). National Institute of Mental Health Pre-Doctoral Fellowship--School of Criminology, U.C. Berkeley (1972-73). National Institute of Mental Health Trainee--Center for the Study of Law and Society, U.C. Berkeley (1971-72). ?.A Chuck Deutschman California EXPERIENCE: Research/Administration o Senior Research Associate, Center for Law and Social Policy, the URSA Institute, San Francisco, CA(1981-1984 and 1986-present). o Senior Research Fellow, Targeted Research Program, Bureau of Criminal Statistics, California State Attorney General's Office, Sacramento, CA (1991-1992). o Consultant (Grant Writer), Center for Applied Local Research, Richmond, CA (part time, 1989-1991). o Senior Research Associate, Polaris Research and Development, San Francisco, CA (part time 1989-91). o Research Associate, Survey Research Center, University of California, Berkeley (1985-86, part time). o Research Associate, Oral History Project, Bancroft Library, University of California, Berkeley (1986, part time). o Research Associate, Center for the Study of Race, Crime and Social Policy of Cornell University, Oakland, California, office (1985). o Research Associate, Center for the Study of Law and Society, University of California, Berkeley (1978-1981). o Evaluator,Crime Prevention Program, Martinez Police Department, Martinez, California (1977-1978). o Research Associate, Center for the Study of Law and Society, University of California, Berkeley ( 1976-1977 part time). o Assistant Project Director,Judicial Pilot Program for Research, Santa Clara County, California Judicial System (1974-1975). o Research Analyst,Criminal Justice Information System Project, San Francisco Superior Court (1974). Teaching o Instructor, Department of Criminal Justice Administration, California State University, Sonoma (1981-82, 1986-present). o Instructor, Department of Criminal Justice Administration, California State University, Hayward, (part time, 1984-1986, 1990). 130 Chuck Deutschman California o Instructor, Administration of Justice Department, Golden Gate University, San Francisco (part time, 1972-1978). o Instructor,Independent Studies Department, University of California Extension. Course Title: "Crime, Justice, and Punishment in America" (1977-present). o Assistant Academic Coordinator, College Courses by Newspaper. Funded by the National Endowment for the Humanities through the University of California, San Diego, Extension (1977). o Instructor, Department of Sociology, California State University, San Francisco (Spring 1977). PUBLICATIONS Books Lloyd Street, Isami Arifuku and Martin L. Forst. Race, Crime and Community. New York: Springer-Verlag, 1993 (forthcoming). Martin L. Forst and Martha-Elin Blomquist. Missing Children:Rhetoric and Reality. Lexington, MA: Lexington Books, 1991. Martin L. Forst (ed.). Missing Children: The Law Enforcement Response. Springfield, IL: Charles C. Thomas Publishers, 1990. Martin L. Forst (ed). Sentencing Reform: Experiments in Disparity Reduction. Beverly Hills, CA: Sage Publications, 1982. Manuel Estrella and Martin L. Forst. Crime Prevention. New York: Beaufort Books, 1981. Martin L. Forst. Civil Commitment and Social Control. Lexington, MA: Lexington Books, 1978. Jerome H. Skolnick, Martin.L. Forst, and Jane Scheiber (eds). Crime and Justice in America. Del Mar, CA: Publishers Inc., 1977. Articles Martin L. Forst and Phil Goddard, 'Policies and Procedures for Missing Children Cases," Joumal of California Law Enforcement, Vo1.26(1), 1992, (in press). Martin L. Forst and Martha-Elin Blomquist, 'Punishment, Accountability, and the New Juvenile Justice,"Juvenile and Family Court Journal, (in press). Martin L. Forst and Phil Goddard, "A Health Profile of Juveniles in Detention,"Journal for Juvenile Justice and Detention Services, Spring 1991, pp.41-47. 131 Chuck Deutschman California Martin L. Forst and Martha-Elfin Blomquist, "Getting Tough: The Changing Ideology of Youth Corrections,"Notre Dame Journal of Law, Ethics, and Public Policy, Vol. 5, 1991, pp.323-375. Martin L. Forst, "Law Enforcement Policies on Missing Children,"Law and Order, June 1990, pp.57-60. Martin Forst, Melinda Moore, and Michael Jang, "Issues in the Evaluation of AIDS Education Programs,"Evaluation and the Health Professions, Vol.13, 1990, pp.147- 167. Michael Jang, Martin Forst, and Melinda Moore, "AIDS Education and Prevention Programs for Intravenous Drug Users: The California Experience,"Journal of Drug Education, Vol.20, 1990, pp.1-13. Martin L. Forst, Melinda Moore, and Graham Crowe, "AIDS Education in Law Enforcement," The Police Chief, December 1989, pp.25-28. Melinda Moore, Martin Forst, and Michael Jang, "AIDS Education: the California Experience,"AIDS and Public Policy Journal, Vol. 4, No. 2, 1989, pp. 92-100. Martin L. Forst, Jeffrey A. Fagan, and T. Scott Vivona, "Youth in Prisons and Training Schools: Perceptions and Consequences of the Treatment-Custody Dichotomy," Juvenile and Family Court Journal, Vol. 40, No.1, 1989, pp.1-14. Jeffrey Fagan, Martin Forst, and T. Scott Vivona, "Racial Determinants of the Judicial Transfer Decision," Crime and Delinquency, Vol. 33, No. 2, 1987, pp. 259-286. Martin L. Forst. "Determinate Sentencing of Adjudicated Juvenile Delinquents,"Journal of Crime and Justice, Vol. 9, 1986, pp. 183-214. Martin L. Forst and Gordon Bazemore, "Community Responses to Crime,"Journal of California Law Enforcement, Vol. 20, No. 3, 1986, pp. 100-105. Martin L. Forst, "Indeterminate and Determinate Sentencing Systems for Juvenile Delinquents: A National Survey," Juvenile and Family Court Journal, Vol. 36, No. 2, 1985, pp. 1-12. Martin L. Forst and James Brady, "The Effects of Determinate Sentencing on Inmate Misconduct," The Prison Jounial, Vol. LXIII, No. 1, 1983, pp. 100-113. Jerry Warren, Martin L. Forst, and Manuel Estrella, "Directed Patrol: An Experiment that Worked,"Police Chief, July 1979, pp. 48-49. Martin L. Forst, "Trial Courts in the Modern System of justice," Criminal Justice Review, Vol. 2, No. 1, Spring 1977, pp. 73-88. 132 Chuck Deutschman California Martin L. Forst, "The Psychiatric Evaluation of Dangerousness In Two Trial Court Jurisdictions,"Bulletin of the American Academy of Psychiatry and the Law, Vol. 5, No. 1, 1977, pp. 98-110. Martin L. Forst, "To What Extent Should the Criminal Justice System be a System?" Crime and Delinquency, Vol 23, October 1977, pp. 403-416. Martin L. Forst and David Weckler, "Research Access into Automated Criminal Justice Information Systems and the Right to Privacy," University of San Fernando Valley Law Review, Vol. 5, 1977, pp. 321-365. Unpublished Reports Authored or Co-Authored Evaluation of LifeStart Program of Marin County (Substance Abuse Treatment for Pregnant and Parenting Women), for the Office of Substance Abuse Prevention (OSAP), 1992. "Measuring White-Collar Crime in Depository Institutions," for Bureau of Criminal Statistics, California Department of Justice, 1992. "Developing a White-Collar Crime Index," for Bureau of Criminal Statistics, California Department of Justice, 1992. "Evaluation of the San Francisco Multi-Ethnic AIDS Prevention Project," for the Institute of Health Policy Studies, School of Medicine, University of California, San Francisco, 1991. "Evaluation of CenterPoint Drug Treatment Program of Marin County," for the U.S. Office of Substance Abuse Prevention (OSAP), 1991. "A Health Care Needs Assessment of Solano County, California," for the Department of Health Services, Solano County, CA, 1991. "A Medical Profile of Homeless and Runaway Youths in Three Youth Serving Agencies in San Francisco,"for the U.S. Public Health Service, 1991. "Annual County Drug and Alcohol Plan," Department of Drug and Alcohol Programs, Calaveras County, California, 1990. "Annual County Drug and Alcohol Plan," Department of Drug and Alcohol Programs, Inyo County, California, 1990. "A Model Program of Law Enforcement Handling of Missing Children," for the Office of Juvenile Justice and Delinquency Prevention, U.S. Department of Justice, 1990. "An Evaluation of Four Programs in the Alameda County Juvenile Court," for the Alameda County Juvenile Court, 1989. 133 Chuck Deutschman California "A Survey of Voting Rights of the Osage Indian Nation," for the Bureau of Indian Affairs, 1989. "Third Year Evaluation of California's AIDS Community Education Program," for the California State Office of AIDS, 1989. "A National Study of Law Enforcement Policies and Practices Regarding Missing Children and Homeless Youth," (Phase II Report) for the Office of Juvenile Justice and Delinquency Prevention, U.S. Department of Justice, 1988. "Second Year Evaluation of California's AIDS Community Education Program," for the California State Office of AIDS, 1988. "Treatment and Reintegration of Violent Juvenile Offenders: Experimental Results,"for the Office of Juvenile Justice and Delinquency Prevention, U.S. Department of Justice, 1988. "Innovation and Experimentation in Juvenile Corrections: Implementing a Community Reintegration Model for Violent Juvenile Offenders," for the Office of Juvenile Justice and Delinquency Prevention, U.S. Department of Justice, 1987. "Separating the Men from the Boys: The Criminalization of Youth Violence Through Judicial Waiver," for the Office of Juvenile Justice and Delinquency Prevention, U.S. Department of Justice, 1987. "Evaluation of the Michigan Violent Juvenile Offender Research and Development Project," for the State of Michigan Department of Social Services, 1987. "A National Study of Institutional Commitment and Release Decision-Making for Juvenile Delinquents," for the Office of Juvenile Justice and Delinquency Prevention, U.S. Department of Justice, 1985. "Race, Crime, and Community," for the Center for the Study of Race, Crime, and Social Policy, National Institute of Justice, 1985. "Third Year Evaluation of the Crime Prevention Bureau of the Martinez Police Department," for the Martinez, CA, Police Department, 1981. "Second Year Evaluation of the Crime Prevention Bureau of the Martinez Police Department," for the Martinez, CA, Police Department, 1980. "Strategies of Determinate Sentencing," for the National Institute of Justice, U.S. Department of Justice, 1980. "An Empirical and Policy Analysis of Wildland Arson Fires in California," for the California Department of Forestry, 1979. 134 Chuck Deutschman California COLLEGE COURSES TAUGHT Police-Community Relations Introduction to Criminology Introduction to Juvenile Delinquency Juvenile Justice Punishment and Corrections Theories of Deviant Behavior Criminal Law and Social Processes Theory and Philosophy of Law Research Methods in Criminal Justice Ethics in Criminal Justice Government and the Rule of Law Management of Public Institutions Criminal Justice and Public Policy The Judicial Process The Rights of the Accused ACADEMIC INTERESTS AND SPECIALTIES Administration of Justice: Trial Court Decision-Making Judicial and Administrative Sentencing Policy Criminal Justice and Mental Health Juvenile Justice Psychiatry and the Criminal Law Crime Prevention Sociology of Law Theories of Deviance: Sociological and Psychological Research and Methodology Program Evaluation Health Care in Criminal Justice REFERENCES Sheldon L. Messinger--Professor, Center for the Study of Law and Society, U.C. Berkeley Jerome H. Skolnick--Professor, Center for the Study of Law and Society, U.C. Berkeley Ben Carmichael--Chair, Department of Criminal Justice Administration, California State University, Hayward Homero Yearwood--Chair, Department of Criminal Justice Administration, California State University, Sonoma Thomas H. Anderson--Director, Administration of Justice Program, Golden Gate University, San Francisco 135 Chuck Deutschman California Lloyd Street--Professor, Human Services Administration, Cornell University. Ernie Fazio--Partner, The URSA Institute, San Francisco. Tom Foster, President, Center for Applied Local Research, Richmond, California. 136 Chuck Deutschman California MARI GASIOROWICZ 526 62nd Street Oakland, CA 94609 (510) 420-1007 EDUCATION San Francisco State University, 1991 M.A. Adult Education Concentration: Immigrant and Refugee Populations Grinnell College, Grinnell, Iowa, 1984 B.A. French SPECIAL SKILLS Languages: Proficient in French; Conversant in Spanish, German, and Chichewa. Computer: Lotus 123, Systat, Reflex, Wordperfect, and Inmagic. PROFESSIONAL EXPERIENCE Senior Research Associate, 3/91 - present (currently part-time); Research Associate, 12/88- 2/91; Senior Research Assistant, 6/88-11/88. The Center for Applied Local Research, Richmond, CA, 6/88-present. Responsible for directing planning studies and evaluations in the fields of education, substance abuse, and health. As Project Director, responsible for designing the projects, budgeting, collecting and analyzing data, training and supervising staff, producing reports, and making presentations. Projects have included: the evaluation of four-year, federally-funded community substance abuse prevention project in Vallejo; a Head Start community needs assessment for Contra Costa County which addressed Census undercount and outreach to Southeast Asian refugees, and a public opinion survey of over 800 respondents for the Berkeley Unified School District. Director, Newcomer Information Clearinghouse, International Institute of the East Bay, Oakland, CA, 7/92 - present, part-time. Oversee all operations of the Clearinghouse whose mission is to shape public opinion and policy and to expand services to immigrants and refugees. Collect, analyze, and disseminate demographic, health, and education data about newcomers in the East Bay to media outlets, policy makers, and service providers. Design original research projects with newcomer-serving agencies. Supervise staff and interns. Lecturer, Adult Education Program, San Francisco State,University, Fall, 1992. Graduate Seminar on Critical Pedagogy and Participatory Leadership. Co-Instructor: Adult Education Program, San Francisco State University, Fall, 1991. Graduate Seminar on Critical Pedagogy and Participatory Leadership. Participated in course design, instruction and grading. 131 Chuck Deutschman California Researcher: Ethnographic Profiles on Immigrant Adults' Uses of Literacy and Technology. U.S. Office of Technology Assessment. 9/91-1/92. Conducted interviews in Spanish and wrote an ethnographic profile. Participated in synthesis of all 12 profiles. Final report received the Imogene Okes Award, American Association for Adult and Continuing Education, 1992. Research Assistant: Adult Education Instructor Training Modules. U.S. Depallment of Education. 11/90-9/92. Conducted a literature review, and as a member of a team, developed training modules for instructors of Adult Basic Education and English as a Second Language. Participated in modules on: The Adult Learner, Planning Instruction, and Group Learning. Student Researcher: Participatory Evaluation Project. Adult Education Program, San Francisco State University, 2/91-10/91. Conducted a qualitative evaluation of the SFSU Adult Education graduate program and produced a report with a team of graduate students. Director of Curriculum and Evaluation, Camp Fire, Oakland, CA, 6/87-5/88. Designed and directed educational programs serving Cambodian refugee women and children. Developed curriculum, supervised Cambodian instructor, and conducted evaluation. Developed a manual for nationwide replication of a prevention program for youth. Designed a model for evaluating Camp Fire's programs. Training Consultant, U.S. Peace Corps, Malawi Africa. 6-10/85, 6-11/86 With a co-trainer, designed and facilitated a Training of Trainers Workshop which prepared Malawian and American health professionals to train and supervise health center and hospital personnel. Developed and coordinated pre-service training for new Peace Corps Volunteer teachers. Responsibilities included hiring, supervising, and training staff; and designing, implementing, and evaluating training programs. French Teacher, Balaka Secondary School/Peace Corps, Malawi, 10/84-6/86 Taught French to students grades 9-12 and supervised a student teacher. RECENT CONFERENCES AND PRESENTATIONS Panelist, League of Women Voters, Forum on Cultural Diversity, 10/92. Presenter, California Association of Bilingual Education (CABE), 2/92. Session Facilitator, Art Research Curriculum (ARC) Research Forum, 5/92. Session Presenter, Art Research Curriculum (ARC) Research Forum, 11/91. RECENT VOLUNTEER WORK Mentor, Catholic Charities, Amerasian Project, 1/92-present. Board Member, Downtown Berkeley YMCA, 11/88-10/91 Campaigner, Downtown Berkeley YMCA, Annual Youth Support Campaign, 1988-present. Gasiorowicz, 2 131 Chuck Deutschman California SELECTED REPORTS Gasiorowicz, Mari, et al., "Alameda County: Profile of Ethnic and Immigrant Populations," April, 1993. Reed, Diane, Mari Gasiorowicz, and Alicia Reardon, "Contra Costa County Head Start Community Needs Assessment," April, 1993. Twersky, Fay and Mari Gasiorowicz, et. al., "A Profile of Needs in Marin County," Center Point Drug Treatment Program, March, 1993. Merrifield, J.M. and D.H. Hemphill et al., "Life at the Margins: Profiles of Adults with Low Literacy Skills," Report to the U.S. Congress, Office of Technology Assessment, 1992. Gasiorowicz, Mari, et al., Evaluation of Downtown Youth Project, Vallejo: "Report on the Annual Bonding Survey," 1991, 1992, and 1993. "Report on the Family Functioning Measure," 1991, 1993. "Report of Focus Groups," 1992. "Report of Interviews," 1991. "First Year Report," 1990. Gasiorowicz, Mari, "A Brief Summary of the Literature on the Addiction Severity Index," 1991. Gasiorowicz, Mari, et al., Santa Barbara County Substance Abuse Needs Assessment: "Supplement 20: Indicators for Sub-Populations," 1992. "Supplement 19: Drug-Related Probation Violations," 1992. "Supplement 18: New Hepatitis Cases," 1992. "Supplement 17: Drug-Related Deaths," 1991. "Supplement 6: Summary Report," 1989. "Supplement 3: Indicator Data," 1988. "Supplement 1: Criminal Justice Data," 1988. Gasiorowicz, Mari, et al., "Santa Barbara County Alcohol and Drug Program Evaluation Design: A Discussion of Options," 1991. Gasiorowicz, Mari, et al., "A Statistical Analysis of Substance Abuse by Seventh Grade Students in Santa Maria-Bonita School District," 1991. Gasiorowicz, Mari, and Pamela Dunn, "Guide for Conducting and Evaluation of the United Way/Battered Women's Alternatives Workplace Workshop Program," 1991. Gasiorowicz, Mari and Thomas L. Foster, "Kern County Substance Abuse Needs Assessment Model," 1991. Gasiorowicz, Mari et al., "Vallejo's "Fighting Back Project: A Delphi Study of Service Priorities," 1991. Gasiorowicz, Mari et al., "A Public Opinion Survey of the Berkeley Public Schools," 1990. Gasiorowicz, Mari et al., "Amador and Calaveras Counties Substance Abuse Needs Assessment: Archival Data Report," 1990. Gasiorowicz, Mari et al., "Substance Abuse in Inyo County: Patterns of Abuse and Service Needs," 1990. Gasiorowicz, Mari et al., "Latinos in Modoe County; Service Needs and Barriers," 1989. Gasiorowicz, Mari, et al., "Drinking Behavior and Attitudes: A Survey of Farmworkers in Fresno County," 1988. 139 Gasiorowicz, 3 Chuck Deutschman California EDUCATIONAL CURRICULA AND MATERIALS Tibbetts, John and David Hemphill et al., "Adult Basic Education and English as a Second Language Instructor Training Modules," U.S. Department of Education, 1992. Gasiorowicz, Mari., "Crimebusters Resource Manual", Carnp Fire Inc., Kansas City, MO, 1989. Gasiorowicz, Mari and Ed Florentino, "Performance Enhancement Program: Student and Instructor Manuals," 1988. Ortiz, Charlene Dona and Mari Gasiorowicz, "Hermanos Project: A Substance Abuse Prevention Curriculum for Hispanic Youth," California Hispanic Commission on Alcohol. and Drug Abuse, 1988. Gasiorowicz, Mari, Charlene Doria Ortiz, and Jerry Tello, "Program Against Substance Abuse," Teacher Information Packet and Parent Information Packet, 1.988. CONSULTING BACKGROUND Provided consulting services to the following organizations: Community Based Organizations Battered Women's Alternatives of Contra Costa County California Hispanic Commission of Alcohol and Drug Abuse (Los Angeles) Center Point, Inc. (Marin County) Community Educational Services (San Francisco) EI Centro del Pueblo (Los Angeles) Fresno County Hispanic Commission of Alcohol and Drug Abuse Services Oakland Men's Project United Way of Alameda/Contra Costa Counties URSA Institute, (San Francisco) Youth and Family Services (Vallejo) County Substance Abuse Agencies Amador County Kern County Santa Cruz County Calaveras County Modoe County Solano County Contra Costa County San Benito County Tulare County Inyo County Santa Barbara County Other Government Agencies Alameda County Office of Education Berkeley Unified School District California Youth Authority (Los Angeles) Colusa County Office of Education Contra Costa County Department of Public Health Contra Costa County Head Start Contra Costa County Department of Social Services Office of Technology Assessment (U.S. Government) Santa Maria-Bonita School District (Santa Barbara County) U.S. Peace Corps (Malawi, Africa) U.S. Department of Education Gasiorowicz, 4 ` `L/0 Chuck Deutschman California ALICIA B. REARDON 6620 LAS ANIMAS DRIVE MARTINEZ, CA. 94553 (510) 943-5721, Evening (510) 970-7520, Day EDUCATION 1991 Holy Names College, Oakland CA. B.A. , Major in Mathematics and Minor in Social Sciences. 1989 Contra Costa College, San Pablo CA. Courses in Political Sciences, American History and English. 1981-83 Autonomous University of Puebla, Mexico. School of Civil Engineering. 1973-75 National University of Cordoba, Argentina, Journalism. CERTIFICATIONS 1989 Completed the State of California certification training for HIV counselors. 1986 Santa Clara County Medical Translator (exam approved, June 1986) . SKILLS Spanish bilingual, bicultural. Computer: Word processing, spreadsheet and database software. Research and Evaluation: Qualitative and quantitative skills. WORK EXPERIENCE 1989- Senior Research Assistant. Present Center for Applied Local Research (C.A.L. Research) Work with project directors on needs assessments, evaluations and proposals for government agencies and community-based organizations. Data analysis and report writing. Responsible for assigning personnel to all company projects. Participate in marketing, personnel recruitment, new research assistant training and internal policy development. Participate in local and national conferences on health and social services issues that affect diverse communities. 141 Chuck Deutschman California 1989-91 Research Assistant. Center for Applied Local Research (C.A.L. Research) Provided support and technical assistance on needs assessments, evaluations and proposals for government agencies and community-based organizations. Tasks have included leading focus groups in both English and Spanish, literature searches, on-site data collection from federal, state and local agencies. Data entry and analysis, finalizing products to be delivered and translation of survey materials from English to Spanish. 1985-89 Mail Technician. United States Postal Services, Palo Alto CA. Answered customer's questions over the phone and in person. Trained and supervised fellow employees. Responsible for data entry and for weekly and monthly progress reports.. 1984-85 Spanish Teacher International Education System, Hayward CA. Worked in private elementary schools teaching spanish to children in after school programs. 1970-75 Social worker Spaniard Association of Mutual Health (HMO) , Cordoba, Argentina. Visited patients and their relatives in hospitals and their homes. Obtaining information about their needs and resources. Provided referrals and counseling. VOLUNTEER ACTIVITIES: 1992- United Council of Spanish Speaking Organizations Present Member of the Board of Directors. 1989 San Francisco AIDS Foundation, Hotline Counselor. Hot line referrals and counseling, answering calls both in English and Spanish. 1989 Familias Unidas in Richmond, Community worker. Involved in the AIDS project of health education targeting the Latino community. 1989 Planned Parenthood Workshop "Women and AIDS. A Multi- Cultural Perspective." (May 17, 1989) , participant. 1986-87 La Pena Cultural Center, Berkeley, California. Community Worker. Organization of children's program. 1981-83 San Manuel, Puebla, Mexico. Survey interviewer. Provided public education regarding water contamination and health-related issues in the "barrios" of Puebla, Mexico. 142 Chuck Deutschman California 1978-79 Sacred Heart Church. San Jose, CA. Community Resource Person for Latin-American Immigrants. Co- authored a Spanish booklet on health, family planning and resources in Spanish. SELECTED TECHNICAL REPORTS: Reardon, Alicia, Mari Gasiorowicz, "Santa Barbara County Drug Abuse Service Needs, New Hepatitis Cases, " July, 1992 . Reardon, Alicia, Mari Gasiorowicz, "Santa Barbara County Drug Abuse Service Needs, Drug Related Probation Violations, " July, 1992. Reed, Diane, Mari Gasiorowicz, and Alicia Reardon, "Contra Costa County Community Needs Assessment" March, 1992 . Twersky, Fay, Pamela Dunn, Alicia Reardon and Nathan Berneman, "First Year Evaluation Report for The Multi-Cultural Drug Abuse Prevention Project: A Collaboration between Youth Advocates & Step II Educational Vocational Project, " April 17, 1992 . Twersky, Fay, Alicia Reardon and Thomas Foster, "Final Evaluation Report Get Real: an Educational Play About AIDS Produced And Performed by The New Conservatory Theater, " July 1990. 143 W Z )q q. W p t P G yyq � Tmp a o 3Z, � .pryt(L� o • "" O 0 ZZ G o N G �o o L 0 m N o Q N ' p N U 7 7. Y U. d N ar m N VA yf�L >m m G � G N � � N E G v O G Wad 7 D a a G N 0 0 op p N _ N mo 4W G O p, N G m .•- Q A J J L Oy1 Op N o 0 6 o a O H pNm G m QH d r d •O fl 'ea 'i O 'N '✓ r G Y N p C. 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Q B E CJS H N U o d ; N U '71 N H x Q V) .� N ►-� Q m N 0 .'� -. m Contra Costa County Health Services Department Chuck Deutschman Substance Abuse Division California ORGANIZATIONAL CAPABILITY STATEMENTS AND VITAE CONTRA COSTA COUNTY DEPARTMENT OF EDUCATION DEUCE PROGRAM 149 Chuck Deutschman, California F. KEY PERSONNEL Qualifications Related to Objectives and Outcomes Two key personnel will head Project SKILLS: Mary Lou Browning,Program Administrator for Adult Education Programs and Katherine Block, Teacher-in-Charge of Marsh Creek Detention Facility School Department and Chair of the Substance Abuse Prevention Committee for Adult ' Education Programs. Mary Lou Browning has worked with the Contra Costa County Office of Education adult and juve- nile detention education programs for twenty-five years. Presently, she is an Alternative Education Department Program Administrator supervising fifty-one staff members at fourteen sites. Sheis responsible for preparing and implementing the annual department budget and operational plan.Her professional credits include: selection as a trainer, consultant with the State of California,past president of the International Correctional Education Association, and consultant of.the National Institute of Corrections. Mrs. Browning is an authority in correctional education, transitional needs of ex-offenders, and other specialized populations, such as, homeless children and adults. She chaired the committee that wrote the"Baseline Study: Adults in California Jails"and a committee that made a report to the State Legislature entitled, "Expenditures in California Jails." She chaired the California Youth Authority Transfer of Knowledge Workshop -"Correctional Education Moving California Correctional Educa- tion into the Future." Also, she chaired a committee which developed a state-wide study of Juvenile Court Schools for the State Board of Education. She has designed and implemented the Basic Skills Competency Test for the educational programs operated by the County Office of Education. Other responsibilities include chairing the County Office of Education Framework Committee that has put together the County's Schools Courses of Study and Curriculum Guides. Mrs. Browning has designed and implemented remedial and special education programs that assess and meet the unique educational needs of an institutionalized population. She has written and directed several State and Federal Projects involving these student populations. Currently, is direct- ing implementation of a three year contract with the California Department of Corrections to imple- ment and operate state-wide, nine computer literacy programs and six substance abuse programs for parolees. She has developed and implemented a Substance Abuse Program, Project DEUCE which is nationally recognized, serving inmates in the Contra Costa Jails. She also administers two state projects involving homeless populations- one for K-12 students housed in shelters and one for adults housed in various homeless shelters. Mary Lou Browning has organized many professional development conferences and training semi- nars for administrators and teachers in the correctional education field. She has participated in International Corrections education conferences in England, Canada, and the Netherlands that examine the structure and content of exemplar programs and research broader issues of correctional education. 150 Chuck Deutschman, California VITA MARY LOU BROWNING 2055 Oak Grove Court Concord, California 94518 (415) 825-9797 PROFESSIONAL EXPERIENCE 1984 - Curreat Contra Costa County Office of Education, Administrator Adult Detention Facilities 1982-1984 Contra Costa County Office of Education, Consultant, Curriculum and Instructional Services Unit, Testing, Secondary Standards, Alternative Education, Transition Services Project Manager 1980-1982 Contra Costa County Office of Education, Detention Education Programs, Administrative Assistant, and Cmiiculum. and Program Development 1969-1979 Contra Costa County Office of Education, Girls' Treatment Center, Head Teacher 1969 Richmond Unified School District, DeAnza High School, Teacher MGM Classes, Remedial Reading Lab EDUCATION/CREDENTIAL 1972 Ryan Administrative Credential, State of California 1969 Standard Secondary Credential, English Major, United States History Minor San Francisco State University 1968 Bachelor of Arts Degree, San Francisco State University 1965 Associate Arts Degree, Diablo Valley College 151 Chuck Deutschman, California SPECIAL QUALIFICATIONSIRELATED EXPERIENCES California State Department of Education: Chair-Report to Joint Legislation Budget Committee; Survey of Expendi- tures in County Jails California State Department of Education: Chair-Baseline Study: Education in County Jails California State Department of Education: Member 1989/90 Adult Education Advisory Committee California State Department of Education CBAE Staff Develop- ment Project: Consultant National Institute of Corrections: Consultant, Mendocino County Sheriff California Youth Authority: Chair, Transfer of Knowledge Workshop National Institute of Corrections: Consultant, Sonoma County Sheriff United State Department of Education: Correctional Education Data Grant-Member Data Collection Group State Department of Education, Juvenile Court Schools Study Task Force State of California Proficiency Network: Trainer and Coastultant Chapter I Re-Allocation Project: Competency Based Basic Skills Curriculum Project Manager Vocational Education Act, Clerical Office Training Project: Project Manager Title IV Library Project Project Manager Regional Occupational Programs, Food Services Project Project Manager Contra Costa County Course of Study: Framework Chairperson Curriculum Development Task Force: Chairman/Staff Development Specialist Basic Skills Competency Test: Design, Implement, Monitor Testing Program Contra Costa County: Design, Implemented, Administer, Project DEUCE 'Substance Abuse Program California State Department of Education: Adult Education for the Homeless Project Manager . California S tate•-Department of Education: Education for for Homeless Children and Youth/Project Manager 152 Chuck Deutschman, California Stan White, Chief of Education California Department of Youth Authority 4241 William borough Drive, Suite 227 Sacramento, California 95832 PERSONAL REFERENCES Carol Talan Library Literacy California State Department of Education (9.16) 332-0362 Albert T. Shaw, President Hofmann Company (415) 682-4830 s Ernestine Schaueile, Administrator Los Angeles County Jails Correctional Division (213) 974-5096 Marian Cornfield Rothschild, Director Special Education Richmond Unified School District (415) 741-2843 t�� Chuck Deutschman, California One of the unique designs of the current DEUCE Project is that it merges life skills education with basic literacy skill development in a student-centered,experientially-based model. This design is most effectively utilized in the learning lab experience. For those students in the literacy learning lab session of DEUCE, a computer-assisted package is used which has the capacity to take a student from a pre-reading and Iow math ability level through GED preparation. Other support materials for the low reading level students were specially chosen because of their appropriateness for an adult audience and content related to the life skill areas. For example, a student may be at a third grade reading level, but is using books that speak to the topics of parenting, handling stress or how to find a job. As in the general learning labs, all students in the literacy learning lab write journals daily and present speeches once a week. All students participating in the program are assessed for basic reading and math skills using the CASAS Employment Competency System Appraisal (ECS). Students functioning below a scale score of 215 in reading and math are referred for a more detailed educational evaluation using the CASAS Reading for Employability and Math for Employability pretests. The information collected from these diagnostic instruments leads to an individualized education plan for targeting specific skill deficits. These deficits are addressed.through literacy instruction which includes computer assisted literacy in their learning lab sessions. These students are posttested after 60 hours of in- struction in order to identify skill mastery and overall gains. Students scoring above a 224 scale score in reading and math and who do not have a high school diploma are encouraged to incorporate GED preparation into their educational plan. W4 Chuck Deutschman, California DEUCE CURRICULUM Instructional Units PHASE I ' Week 1 Day 1 Psychopharmacology-Stimulants Psychopharmacology-Sedative/Hypnotics/Narcotics 3 Psychopharmacology-Hallucinogens 4 Addiction Self-Assessment 5 The Disease Concept of Addiction Week 2 Day 1 The Process of Addiction 2 Denial 3 Guilt 4 The Process of Recovery 5 Twelve Steps Overview Week 3 Day 1 Assertive Communication r 2 Assertive Communication 3 Breaking Barriers - Unit 1 4 Breaking Barriers - Unit 2 5 Breaking Barriers - Unit 3 Week 4 Day 1 Breaking Barriers - Unit 4 2 Breaking Barriers - Unit 5 3 Breaking Barriers - Unit 6 4** Anger: Definition, Function, Price, Benefits 5** Anger Reduction ** New unit i� Chuck Deutschman, California PHASE II Week I Day I Relationships and Intimacy 2 Sexuality 3 Sexuality 4 AIDS 5** Relationships: Myths, Messages and Styles Week 2 Day 1 Developing Healthy Relationships 2** Relationships: Men & Women in Conversation 3** Relationships Summary 4 Chemical Dependency and the Family: The Family as a System 5 Chemical Dependency and the Family: The Progression of the Family Disease Week 3 Day I Dysfunctional Family Roles 2 Adult Children of Addicts and Alcoholics 3 Codependency 4** Anger and Violence: Growing Up Male and Female 5** Aneer and Violence: The Imbalance of Power Week 4 Dav 1** Drugs and Violence 2x* Victim Awareness 3 Behavior Modification 4 Understanding Our Emotional Self 5 Emotions: Class Project ** New unit 156 Chuck Deutschman, California PHASE III . Week 1 Day 1 Overview and Introduction 2 Self-Assessment 3 Process of Addiction as Related to Relapse 4 Post Acute Withdrawal Syndrome (PAW) 5 Post Acute Withdrawal Syndrome (PAW) Week 2 Day 1 Post Acute Withdrawal Syndrome (PAW) 2 Six Developmental Periods of Recovery Process 3 Denial 4 Understanding the Relapse Process 5 Understanding Relapse and Change Week 3 Day 1 High Risk Situations 2 Mistaken Beliefs About Recovery and Relapse 3 Balanced Livin$ in Recovery 4 Scheduling 5 Cravings/Self-Esteem Week 4 Dav 1 Angier Management in Recovery 2 Review of Relapse Prevention Plannine 3 Prevention Planninp, 4 Personal Prevention Plan Presentation 5 Personal Prevention Plan Presentation 157 Chuck Deutschman, CafifOrnia INDEPENDENT STUDY MODULES Self-Esteem(Learning to Love Yourself) Goal Setting Parenting Relapse Prevention Planning Post Release Planning Twelve Step Study Employability Gavel Journal Writing Checklist Work Maturity Participant's Name Job Title Date Woemite As a worksite supervisor,you can provide valuable information periodically regarding this persons job readiness. Please read the following list and check A for Acceptable or U for Unacceptable after each question. If the question is not applicable,please leave blank DOES THE PERSON: Date A U Certified Comments 1. Demonstrate punctuality? ❑ ❑ 2 Maintain an attendance record that is acceptable to the program/job? ❑ ❑ 3. Exhibit good interpersonal relations by. • Interacting appropriately with public? ❑ ❑ • Cooperating with co-workers? ❑ ,❑ • Reacting appropriately to direction and criticism? ❑ ❑ • Responding appropriately to various supervisors? ❑ ❑ 4. Demonstrate positive attitudes/behaviors by: • Following worksite standards of behavior? ❑ Cl • Accepting his responsibility for his/her actions? ❑ ❑ • Demonstrating self-confidence? ❑ ❑ • Demonstrating reliability and dependability? ❑ ❑ • Following job safety and health rules? ❑ ❑ • Adapting to changes at work (fle)ibility)? Cl ❑ • Working effectively under pressure? ❑ ❑ 5. Presents appropriate appearance by: • Dressing appropriately? Cl ❑ • Maintaining a neat and clean appearance? ❑ ❑ 6. Completes tasks effectively by: • Following directions? ❑ ❑ • Giving timely notice of absences and interruptions to work schedules? ❑ ❑ • Asking for clarification of direction as needed? ❑ ❑ • Completing tasks/assignments on time? ❑ ❑ • Performing work that meets quality control standards? ❑ ❑ • Working effectively with minimal supervision? ❑ ❑ Meets "Work Maturity" requirements for Certification YES NO ❑ ❑ 1 have worked with this participant for hours per day for a total of days. Signature Job Title Worksite Date Ceerprehenerre Adult Sh+der•Awwwn M Sy=em,1991.O All rt6hhes re+erwd. Eaptoyebtllty C•upet-y System Chuck Deutschman, California DEUCE TRAINING AND TECHNICAL ASSISTANCE International Corrections Holloway Prison (London,England) California Department of Corrections California Department of Corrections-Central Office California Department of Corrections-Parole Division CCI-Tehachapi California Medical Facility - Vacaville California Institue for Men California Institute for Women Corcoran State Prison Duel Vocational Institute Pelican Bay State Prison San Quentin Sierra Conservation Center County Jails Alameda County Sheriff's Department Santa Clara County Sheriff's Department Los.Angeles County Sheriff s Department Sacramento County Sheriff's Department Ventura County Sheriffs Department Homeless Shelters Acton/Warm Springs Rehabilitation Center Antelope Valley Domestic Violence Center Berkeley/Oakland Support Services Contra Costa County Homeless Providers EOC Multi-Purpose Center(Fresno) Episcopal Sanctuary (San Francisco) Rio Hondo Temporary Home (Norwalk, CA) Riverside Department of Community Action (Riverside, CA) Salvation Army, Zahn Memorial Shelter(Los Angeles, CA) St. Vincent de Paul (San Francisco, CA) St.Vincent de Paul (San Diego, CA) Vietnam Veterans Center (Santa Rosa, CA) Weingart Center (Los Angeles, CA) 160 r Chuck Deutschman, California Other Organizations Elk Grove Adult School Oxnard Adult School PALS,Inc. (Stockton, CA) San Ramon School District Sacramento Housing and Redevelopment Agency Sonoma County Drug Treatment Center 161 ��.*'