Drug Endangered Child Program (DEC)

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Drug Endangered Child Program (DEC)

• A Proposal for a Multi-Disciplinary Integrated
  Response System

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Contents

• Overview
• Purpose
• Mission and Values
• Partnerships/Roles
• Training
• Protocols/Continuum of Care
• Evaluation
• References

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Overview

• Nationally
• Drugs, , and weapons are typical seizures by LE
  agents during controlled buys or clandestine
  lab raids
• Growing phenomenon of children exposed to the
  production, sale, and use of illicit drugs

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Overview

• 500 increase in cases where Methamphetamine is
  drug of choice in TX programs (Manning, 1999)
• San Diego Methamphetamine Capital
• Production multi-level, organized criminal
  enterprise mom pop shops
• Every state, county, and city now faced with the
  need to respond
• CY2004 82/129 CHIPS Petitions - SLC
• CY2001-04 SLC Sheriff -29 meth labs

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Overview

• Methamphetamine (Meth)
• Man made, extremely addictive, CNS stimulant. It
  is extremely powerful
• Known as crank, ice, crystal, glass, speed, mud,
  or chalk, etc
• Smoked, snorted, orally ingested, or injected

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OverviewEffects on Users

• Intense, pleasurable high last several hours
• Followed by an equally intense crash
• Addicts extreme paranoia, anxiety, confusion,
  hallucinations, violence, depression, insomnia
• Health increased BP heart rate, dopamine
  depletion, kidney liver

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Before and After
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Before and After
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OverviewMethamphetamine Production

• Drug Cartels Organized Crime
• Local Labs Urbane, Rural
• Private Homes/Apartments
• Hotels/Motels
• Storage Facilities
• Hunting Shacks/Cabins
• Ice House,
• etc

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Meth Lab in a Home
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Mobile Lab in a Vehicle
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Ice House Lab
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Meth Lab in a Cabin
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Meth Labs - Dangers

• Fires
• Explosions
• Toxic Waste Sites
• Inhalation and exposure to toxic fumes and
  chemicals
• Accidental ingestion of chemicals and
  contaminated foods
• Chaos poor supervision
• Adults involved in criminal behavior

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Meth Labs/Homes - Hazards

• Drugs and drug paraphernalia
• Booby traps
• Guns weapons
• Exposed wiring
• Chemicals in refrigerators
• Strangers

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Dangers of Meth Labs

• Chemical hazards from cooking process
• Solvents
• Corrosives
• Toxics
• Reactives

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Meth Lab Waste
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METH WASTE BABBITT, MN
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Meth Lab Dump Site
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OverviewDangers For Children

• Individuals involved in the production, sale, and
  use of Methamphetamine exhibit chaotic
  lifestyles
• Their children are at significant risk of
  physical abuse, sexual abuse, neglect, and
  drug-related violence by family members and the
  array of strangers who enter the home to buy or
  use drugs (Harris, 2004)

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Purpose

• Community Responses to Big Problems
• 1980s Domestic Violence DAIP
• 1990s Child Sexual Abuse 1st Witness
• 2000s Drugs and Drug Endangered Child Programs

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Purpose

• Ensure children exposed to the production, use,
  and sale of illicit drugs receive community
  specific service delivery that meets their unique
  needs
• Facilitate the identification and collaboration
  of various disciplines
• Build coalitions Meth Task Force
• Jointly develop discipline-specific protocols
  (review, revise, finalize, publish)

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Purpose

• Coordinate a multi-disciplinary integrated
  response to children
• Team meetings, cross training, goals
• Provide direct service to children
• Organize neighborhoods communities
• Participate in the development and implementation
  of creative community support programming Shared
  Family Care Program
• Search for funding
• Evaluate

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Mission

• To Protect,
• Promote, and
• Improve the health and quality of life in St.
  Louis County

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Values

• Safety
• Permanency
• Well Being
• Collaboration
• Dedication

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Partnerships

• Law Enforcement
• Assume investigatory duties at the site of the
  production, sale, or use of illicit drugs
• State
• Municipal
• Tribal
• County

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Partnerships

• Fire, EMT, HAZMAT Team
• Assist in the management of environmental hazards
  from production
• Testing
• Clean-up

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Partnerships

• Medical
• Develop protocols
• Conduct medical evaluations screenings to
  ensure the childs physical and mental health
  needs are met

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Partnerships

• Justice
• County Attorneys Office, in conjunction with
  municipalities and Tribal authorities, would be
  responsible for litigation of criminal drug cases
  and juvenile child protection (CHIPS) cases
• Public defenders and victims advocacy would be a
  positive addition

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Partnerships

• Public and Tribal Social Services
• Intake workers will provide for immediate
  protection and safety gather forensic data
  transport for evaluation and address placement
  need
• DEC social worker will initiate the development
  of the DEC program assume co-coordination with
  public health
• Identify team members, build coalitions, develop
  protocols, coordinate responses, facilitate team
  meetings, etc.

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Partnerships

• Public Tribal Social Services
• DEC worker will conduct adjunctive home
  visitations with families and children in concert
  with pubic and tribal case managers to ensure
  safety and well-being (Kitzmann, 1997)
• DEC worker will assist in the recruitment,
  initial training, and continuing education of
  Shared Family Care Providers (Barth, 1994)

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Partnerships

• Public Health
• Public Health Nurse (PHN) will initiate
  development of the DEC program assume
  co-coordination with social services
• Identify team members, build coalitions, develop
  protocols, coordinate responses, facilitate team
  meetings, etc
• PHN will conduct adjunctive home visitation
  track safety, well-being and progress

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Foster Care ServiceShared Family Care (SFC)

• Dual Adult Child Licensed Foster Home
• Services to parent with chemical health issues
  and their child(ren)
• Provide assistance, mentoring, parent skill
  training, independent living skills training
• Keep family intact and prepare them for
  independence (Barth, 1994, 1999 Barth Price,
  2005)

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Foster Care ServicesShared Family Care (SFC)

• Human Services Roles
• Provide dual licensed foster homes
• Access to chemical health treatment and support
• Provide initial training continuing education
  for foster homes
• Assistance and support services which facilitates
  transition to independence within the community

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Foster Care ServicesShared Family Care (SFC)

• Public Health Role
• Pre/Post natal care monitoring
• Child development education to parent and
  provider
• Child development monitoring/on-going testing
• Child immunizations
• Assist with initial training and continuing
  education of providers
• Assist parent(s) with community transition

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Training for DEC Teams

• Specialized training related to drug cases and
  child maltreatment forensic data collection
• Drug environments exposures
• Develop specific skill sets
• Develop curriculum and training modules for SFC
  providers/mentors
• UMD CW Spring Conference

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Protocols

• Develop a response matrix for each discipline or
  core agency
• Identify important responses or action steps as
  it relates to
• Team member
• Their location
• Procedure
• Timeline
• Documentation/reporting

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Protocols

• Law Enforcement
• Assess condition of the child
• Place child into protective custody
• Collect physical evidence

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Protocols

• Fire EMT HAZMET
• Coordination with on-site law enforcement
• Stabilization respond to trauma
• Field Assessments - samples
• Decontaminations

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Protocols

• Public and Tribal Social Services
• Accept transfer of child notify DEC Team
  (SW/PHN)
• Arrange for any decontamination of the child
  medical evaluations screenings etc

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Protocols

• Public Tribal Social Services
• Conduct initial interviews
• Network with foster care workers/providers
• Provide community support services
• Conduct home visitation
• Organize /communities
• Provide education/awareness

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Protocols

• Public Health
• Collaborate with law enforcement and child
  protection services/DEC social worker
• Network with the clinical/medical community
• Conduct home visitation
• Organize neighborhoods/communities
• Provide public education/awareness

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Protocols

• Medical
• Emergency
• Immediate Treatment
• Non-Emergency
• Medical Exam
• Screenings
• Urine/Blood Samples

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Protocols - Medical
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Protocols

• Justice
• Review Evidence
• Criminal Charges
• No Criminal Charges
• Juvenile Court CHIPS

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Protocols

• Foster Care SFC
• Recruit
• Train
• Referral Process
• Screen placements
• Provide regular/periodic staffing for team
  related to the placement of mother and child in
  SFC
• Provide early and continuing mentorship for
  parent in care

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Evaluation - Outcomes

• Creation of a DEC program
• Participation of core community agencies
• Train team members
• Review, rewrite, publish protocols
• Regular periodic DEC program team meetings
• Community outreach education

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Evaluation - Outcomes

• Children will have safe environments
• Children will receive appropriate screenings and
  evaluations
• Children will receive appropriate education
• SFC participants will remain together
• Parents will continue treatment and recovery
  efforts

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Evaluation - Outcomes

• Children placed in alternative care will be
  reunited with parents or achieve alternative
  permanency

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References

• Barth, R.P. (1994). Shared Family Care Child
  Protection and Family Preservation. Social Work,
  79, 515-525.
• Barth, R.P (1999). Shared Family Care Providing
  Services to Parents and Children Placed Together.
  Child Welfare, 78, 88-98.
• Barth, R.P. Price, A. (2005) Shared Family
  Care Evidence from Implementing an Innovative
  Child Protection and Family Preservation Program.
  Forthcoming In J. Scott H. Ward (Eds).
  Promoting the Well Being of Vulnerable Children.
• Harris, J. (2004). Drug Endangered Children
  Police Practice. The FBI Law Enforcement
  Bulletin, February.

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References

• Manning, T. (1999). Drug Labs and Endangered
  Children Children of Methamphetamine Makers.
  The FBI Law Enforcement Bulleting, July.
• Kitzman, H., Olds, D.L., Henderson, C.R.
  (1997). Long-Term Effects of Home Visitation On
  Maternal Life Course and Child Abuse and Neglect
  Fifteen Year Follow-up of a Randomized Trial.
  Journal of American Medical Association, 278,
  637-643.

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References

• Photos
• Kurtz, David. (2004) Northwest Toxicology, Salt
  Lake City, Utah. Presentation at the 2nd Annual
  Idaho Drug Endangered Child Conference.
• Mendoza, E. (2004). Los Angeles County Department
  of Children and Family Services, Bureau of Child
  Protection. Presentation at the 2nd Annual Idaho
  Drug Endangered Children Conference.
• Poppenberg, B. (2004) St. Louis County Public
  Health and Human Services. Presentation at the
  St. Louis County Human Service Confernece.

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Websites

• http//www.nationaldec.org/index.asp
• http//www.azag.gov/DEC/
• http//www.colodec.org/index.asp
• http//dec.co.riverside.ca.us/
• http//www.whitehousedrugpolicy.gov/
• http//www.practicenotes.org/vol10_n2/ref_v10n2.ht
  m
• http//www.isp.state.id.us/DEC_Conference/material
  s.html
• http//www.health.state.mn.us/divs/eh/meth/lab/chi
  ldren.html