Department for Community Based Services

Standards of Practice Online Manual

6.3 Sobriety Treatment and Recovery Team (START)

Cabinet for Health and Family Services

Department for Community Based Services
Division of Protection and Permanency
Standards of Practice Online Manual
Chapter:
Effective:
10/1/2019
Section:
6.3 Sobriety Treatment and Recovery Team (START)
Version:
1

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​Legal Authority/Introduction

Introduction

Sobriety Treatment and Recovery Teams (START) is a child welfare based intervention for families with young children affected by co-occurring parental substance use and child maltreatment.

Goals of START:
  • Child safety and well-being;
  • Preventing foster care entry;
  • Parental recovery;
  • Permanency for children;
  • Family stability and self sufficiency; and
  • Improved capacity for addressing parental substance use and child maltreatment.

START pairs a specially trained SSW and a family mentor to share a caseload of twelve (12) to fifteen (15) families. Family mentors bring life experience to guide and coach families through both the recovery and child welfare processes. START engages the family early in their child welfare case utilizing a rapid timeline and shared decision making. The program provides quick access to a holistic assessment and treatment services for all parents addressing substance use, mental health and trauma.  START provides a service delivery system that involves cross-system collaboration and frequent and intense coordinated service provision.  The START manual outlines and guides the START model and the timeline guides the first thirty (30) days of START intervention.  START Minimum Work Guidelines guides practice for the START team.

Procedure

 

For START the SSW:

  1. Upon receipt of the DPP-115, reviews the eligibility form to determine if the family meets START criteria;

  2. Consults with FSOS to identify if a child is a candidate for foster care by determining:

    1. The child‘s safety is at risk or will be at risk in the immediate future without intervention;

    2. The safety issues can be mitigated with the selection and use of child-specific, evidence based intervention.

  3. Makes a referral to the START FSOS in the region through e-mail or phone call within ten (10) days of receipt of DPP-115;

  4. Follows regional protocol to schedule an initial staffing/safety meeting within three (3) days of acceptance by START;

  5. Notifies the family of the initial staffing/safety meeting;

  6. Attends the initial staffing/safety meeting with the family and START team to occur within three (3) days of acceptance by START to:

    1. Develop plan for child safety and services; 

    2. Work with START to schedule an initial comprehensive psychosocial assessment that includes a substance use history and mental health screening to occur within two (2) days; and

    3. Work with START to follow minimum work guidelines.

  7. Completes the case plan and:

    1. Documents the date of candidacy, candidate, prevention strategy (selected EBP), and the date of the prevention strategy (date of referral approval);

    2. Incorporates the EBPs into a case plan objective;

    3. Selects service end date in TWIST, under preventative services and in the case plan when a candidate has entered foster care; and

    4. Completes candidacy redetermination via the selection on the case plan, when the need for services extends beyond twelve (12) months.

  8. Follows START minimum work guidelines through the duration of the case; and

  9. Flags START cases utilizing the checkbox on the case management screen in TWIST. 

The FSOS:

 

  1. Consults with the SSW to identify if the child is a candidate for foster care by determining:
    1. The child‘s safety is at risk or will be at risk in the immediate future without intervention;
    2. The safety issues can be mitigated with the selection and use of child-specific, evidence based intervention; and
    3. Shares the case in TWIST with the START FSOS immediately following the staffing/safety meeting.

THE START FSOS:

  1. Completes the Prevention Services Referral Form in TWIST, identifying the candidate, the identified risk factors, and the EBP interventions to mitigate risk factors.

THE SRA:

  1. Participates in regular START meetings as available; and
  2. Participates in START check in calls quarterly.


 


 

 

 

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