The Judiciary of Guam’s FY2023 SAMHSA Guam Family Recovery Program (GFRP) will be implemented in collaboration with the single state agency for mental health and substance use treatment – Guam Behavioral Health and Wellness Center (GBHWC) and the Department of Public Health and Social Services Child Protective Services (CPS). Under the proposed FY2023 SAMHSA GFRP services will be initiated upon identification of substance use by parents in the child welfare system and who are referred to GBHWC for clinical assessment and intervention. The target population is parents involved with Guam’s child welfare system and have a Person In Need of Service (PINS) dependency case filed against them for child abuse and/or neglect. One hundred-thirty (130) unduplicated parents will be served over the project period – 20 served in Year 1 and Year 2, 25 in Year 3, 30 in Year 4, and 35 served in Year 5.
Demographic information of participants that engaged with the GFRP, include: 77.1% were female and 22.9% were male; 8.3% were aged 18-24 years; 54.2% were aged 24-32 years; 33.3% were aged 35-44%; 2.1% were between 45-54 years and another 2.1% in the 55-64 age group. In terms of race, 79.2% were Native Hawaiian or Other Pacific Islander; 4.2% were Asian; 4.2% were Multiracial; 2.1% were Caucasian; and 10.5% reported other race. Program eligibility includes voluntary parents whose children are subject to a PINS case where the parent’s substance use disorder is a factor in the neglect or abuse of the children.
To provide increased participation in and access to treatment for parents and children, GFRP staff will collaborate with key partners to identify and assess parents and children in need. Validated screening and assessment forms will be used to assess for substance use and addition, mental health disorder, and risk-needs-responsivity. A community-based substance use treatment provider will be contracted to facilitate group and individual treatment sessions for mothers and fathers using evidence-based practices such as the Matrix Model, Moral Reconation Therapy, and Helping Men Recover/Helping Women Recover. The project will also enhance family-centered trauma-informed programs that are critical to serving the needs of the family unit. Recovery supports include peer recovery support services, recreational therapy, wrap-around support services, and implementation of a family drug court alumni support group on Guam.
The goal of the FY 2023 SAMHSA GFRP is to strengthen and reunite families by providing collaborative, culturally respectful, family-oriented services and treatment through increased judicial oversight. Objectives to meet this goal are, to commence services immediately upon receipt of the grant and serve a target of 130 parents at the end of the project period; by the end of Year 1, 80% of all families (parents and children) will be enrolled in or avail of at least one substance use treatment, evidence-based program identified as a need in the family service plan agreement; by the end of Year 1, 100% of parents will have access to and avail of wrap-around support services; and increase FDC staff capacity to adhere to fidelity of FDC best practices through evaluation and by providing at least one training opportunity to the FDC team per budget year. Staffing meetings with GBHWC, CPS and treatment providers ensure collaboration and coordination in support of the FDC. All partners have committed to sharing information. Performance measurements and evaluations are done to ensure continuous program improvement.