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

2002-2007 2002-2007 2002-2007 2006-2007 2006-2007 2006-2007
N Treatment Completion N Treatment Completion
Program Complete Successful Court Tx 637 43 51 226 62 71
Program Complete Unsuccessful Fines 114 8 51 29 9 71
Program Incomplete Unsuccessful Tx 730 49 106 29
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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?
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Santa Barbara County First Steps Collaborative