Amethyst, Inc.

1
Amethyst, Inc.

• Amethyst exists to nurture and sustain healthy
  women and families.
• We have been providing gender specific and trauma
  informed alcohol, tobacco and and other drug
  treatment, transitional and permanent supportive
  housing services to homeless women and their
  children since 1983

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Amethyst Program Philosophy

• Client focused treatment, program design and
  evaluation through clustering
• Blending treatment and housing components to
  provide the time and resources necessary for
  meaningful life changes
• Gender specific, trauma informed treatment to
  create an environment where women and children
  are welcomed.

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Treatment Model

• Alcohol and Drug Treatment
• Orientation
• Entry Level
• RSvP/RIP
• Four levels of Care
• Transitional Housing
• Permanent Supportive Housing

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Treatment Model

• Additional clinical services include
• FamilyQuest, SummerQuest and KidsQuest
• Spirituality
• Cultural Exploration
• Art Therapy

5
Treatment Model

• Trauma Services
• Trauma Counselors (2)
• EMDR
• Crisis Counselor
• Transition Counselor

6
Client Services

• Case management
• Education and employment
• Life skills development
• Physical health
• Reunification

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Continuous Quality Improvement

• Goal Sheets
• Organizational Culture
• Evaluation
• Quarterly Client Satisfaction Surveys
• Consumer input

8
Amethyst Housing

• Transitional (RSvP/RIP)
• 13 one and two bedroom units
• On site Resident Manager
• Permanent Supportive
• 77 one and two bedroom units
• 18 one bedroom units
• On site Resident Manager
• Scattered sites

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RSvP Program Components

• Daily exercise, relaxation, leisure
• Child care, after school activities
• Transportation
• Staff and peer support 24 hours a day, seven days
  a week

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RIP Program Components

• Return to intensive level of care
• Crisis counseling
• Relapse autopsy
• Relapse prevention planning
• Nutrition, exercise

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RIP Program Components

• Return to intensive level of care
• Crisis counseling
• Relapse autopsy
• Relapse prevention planning
• Nutrition, exercise

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Amethyst Facts

• In 2005
• 145 women and 83 children lived in
• Amethyst permanent supportive housing
• Average length of stay is 30 months
• Average age of client is 40
• 100 of the women were homeless and chronic
  substance abusers

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Amethyst Facts

• 84 of the women in the program had co-existing
  mental health issues
• 94 of the women in the program had trauma issues
• 4 of the women in the program were HIV

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Amethyst Facts

• In 2005
• 92 maintained sobriety throughout participation
  in the program
• 65 maintained sobriety for more than one year
• 80 maintained sobriety for six months or more

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Amethyst Facts

• 66 participated in education/employment training
• 35 volunteered in the community
• 19 were working full or part time jobs
• 96 of those working maintained employment for
  six or more months

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Amethyst Facts

• 100 of the women had no new contacts with the
  criminal justice system
• AND.
• 11 Families were reunited with 14 children
  returning to their mothers from foster care
• An additional 26 women were in process of
  reunifying with 46 children
• 3 babies were born drug-free

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Amethyst Fiscal Year 2005
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Cluster Planning and Outcome Management (Women)
MORE MATURE WOMEN WHO ABUSE CRACK
YOUNGER ADULT WOMEN ADDICTED TO CRACK COCAINE
SUBSTANCE ABUSERS WITH MORE SEVERE MENTAL HEALTH
PROBLEMS
WOMEN ADDICTED TO PRESCRIPTION DRUGS
MORE MATURE WOMEN WHO ABUSE ALCOHOL
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Cluster Planning and Outcome Management (Children)
CHILDREN AND ADOLECENTS WHO HAVE ADHD OR OTHER
NEUROBEHAVIORAL CONDITIONS
CHILDREN AND ADOLESCENTS WHO ARE DEPRESSED AND/OR
SUICIDAL
CHILDREN AND ADOLESCENTS WHO HAVE BEEN SEXUALLY,
PHYSICALLY OR EMOTIONALLY ABUSED
CHILDREN AND ADOLESCENTS WITH SERIOUS BEHAVIOR
PROBLEMS
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Cluster Planning and Outcome Management (Children)
CHILDREN AND ADOLESCENTS WITH SUBSTANCE ABUSE
ISSUES
WITNESSES OF CHRONIC TRAUMA
INFANTS AND TODDLERS WITH EARLY DEVELOPMENTAL AND
BEHAVIORAL DIFFICULTIES
ANXIOUS CHILDREN
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Amethyst Treatment Model Levels of Care
Amethyst Treatment Model Levels of Care
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Amethyst Treatment Models

• Level One
• Level Two
• Level Two-B
• Level Three
• Level Four
• Aftercare

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Level One

• Relapse Triggers and Prevention Plans
• Budgeting and Financial Planning
• Volunteer Work Experience
• Case Management/Life Skills Development
• Cluster Groups

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Level Two

• Adult Children of Dysfunctional Families
• Anger, Guilt, Shame and Grief
• Negative Messages, Negative Attitudes
• Assertiveness
• Career exploration

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Level Two

• Art Therapy
• Abuse Issues
• Parenting
• Budgeting
• Spirituality

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Levels Three and Four

• School
• Work
• Day and evening schedules
• Economic independence
• Homeownership

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FamilyQuest

• Orientation for Families and Children
• Child and Family Assessments
• Medication Assessments and Monitoring
• Treatment Planning
• Childrens Groups
• Individual Counseling For Children
• Family Counseling
• Evidence-Based Parenting Classes Assigned by
  Cluster
• Home Visits
• Crisis Intervention and Support
• Treatment Team Meetings
• Coordination with collateral service providers
  and systems
• Transportation
• SummerQuest

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Trauma Specific Outcomes For All Womens Clusters

• Understanding and Acceptance of Trauma
• Toxic Shame
• Interference From Post Traumatic Stress Responses
• Ability to Deal with Transitions

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Results

• Successful family cohesion
• Retention of women in treatment
• Breaking the cycle of addiction and trauma
• Prevention of children and families from
  replicating the harmful behaviors that have been
  passed down
• Reduction in the problematic use and harmful
  effects of alcohol and other drugs
• Reduction in the rate of and generational cycle
  of violence
• Reduction in the number of families involved with
  protective services
• Reduction in criminal justice contacts for both
  women and children
• Improved education, employment and income for
  participants