First Steps System of Care Family Systems Collaborations Systems to Systems Nancy Gottlieb, MFT

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First Steps System of Care Family Systems
CollaborationsSystems to SystemsNancy Gottlieb,
MFT
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First Steps Client Characteristics

• Ethnicity of clients
• 44 White, 37 Mexican-American, 9 Other
  Hispanic, 5 Black, 3 American Indian, 2
  Asian/Pacific Islander
• Average age 27 years
• Average of 6 years of substance use
• On average participants have over 2 children
• Criminal Justice involvement
• SACPA Probation
• SATC/Drug Court
• Federal/State/Local Criminal Justice
• Increased referrals from 35 in FY 04/05 to 57 in
  FY 06/07

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Clients Drug of Choice
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The Lead Agency
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Collaborative Criminal Justice System
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County of Santa Barbara Court Treatment Program
Completion and Graduation Rates

• Unduplicated Clients who exited (2002-2007) 1,481

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First Steps System of Care
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First Steps System of Care OutcomesChange in Use
from Intake to 6-Month
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Change in Trauma Symptoms
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Family Integration

• 86.5 of mothers have either reunited with
  children or already have custody of their
  children
• 13.5 of mothers do not plan to reunite with
  their children
• Significantly fewer children were living with
  someone else due to a child protection order at
  12-month follow-up
• 85 of clients referred through the criminal
  Justice system with court supervision

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Client Satisfaction with Program
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How is the Countys Perinatal Substance Abuse
Programming Funded?
Washington DC Roughly 60 of the First Steps
funding is Federal Public Healths portion is 52
Sacramento Roughly 35 of the First Steps
funding is State originated Public Healths
portion is 10
Santa Barbara The match to access the Fist Steps
funding comes from Santa Barbara County Mental
Health staff for women, children and families The
County provides 38 of the match for Public
Health
Community Agencies in Lompoc, Santa Maria
Santa Barbara Roughly 5 of First Steps funding
is generated by our providers through local
community support
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Santa Barbara County First Steps Collaborative