Epiphany-FTC Project - ABSTRACT
Project Name: The Epiphany-FTC Project is a proposed partnership between Mt. St. Joseph-St. Elizabeth (dba Epiphany Center) and San Francisco Superior Court’s Family Treatment Court (FTC) in order to expand and enhance outpatient substance use disorder treatment to parents participating in FTC. The Project will ensure timely access to a high-quality continuum of care to improve abstinence, health, mental health, housing, social connectedness, parent-child relationships, and reduce involvement in the criminal justice and child welfare systems.
Population to be Served: The Project will serve underserved families involved in San Francisco’s child welfare/juvenile dependency system who are impacted by parental substance use and co-occurring disorders. These families are estimated to be more than 60% of all FTC / child welfare cases. Eighty-one (81%) of parents enrolled in FTC identify as female; 19% identify as male. The primary race/ethnicity of enrolled parents in both FTC and Epiphany is as follows: 44% White, 25% Black, 19% Hispanic, 9% Asian/Pacific Islander, and 3% Native American. Approximately 98% of families live below the poverty line. Fifty-one percent (51%) of children served by FTC are 0-12 months old, and 79% are 0-5 years old. Thirty-nine percent (39%) of children were placed in home at FTC enrollment, while 61% were placed out of home.
Strategies/Interventions: The Project will enhance outpatient services by providing effective, trauma-informed, evidence based recovery groups, and parenting education to improve parent-child relationships. Life skills groups will build skills in the areas of employment, food security, and healthy life styles. Comprehensive case management will work toward an end to behavioral health disparities by increasing access to resources in medical and mental health, and housing.
Project Goals and Objectives:
Goal #1: Parents participating in the Project will attain a substance free, self-sufficient lifestyle.
Objective 1.1: Of parents referred to the Epiphany-FTC Project, 90% will be assessed for treatment needs within 3 days of referral.
Objective 1.2: Of parents referred to the Project, 90% assessed to be appropriate for outpatient treatment will begin outpatient services within one week of the initial assessment.
Objective 1.3: By the 6th month of treatment, 60% of participants in the outpatient recovery groups will show increased recovery and relapse prevention skills as measured by the Adult Strengths and Needs Assessment (ANSA) domain: Substance Use and Involvement in Recovery.
Goal #2: Parents enrolled in the Epiphany-FTC Project will have improved relationships with themselves, their children, their families, and their communities.
Objective 2.1: By the 6th month of treatment, parents enrolled in parenting groups will demonstrate improved confidence in understanding of their child’s behavior as measured by ANSA domains: Parental/Caregiving Role, Family Functioning, and Optimism.
Goal #3: Parents enrolled in the Project will overcome health disparities and live healthy lives.
Objective 3.1: By the 6th month of treatment, 75% of participants will obtain and utilize a high quality primary health care provider for themselves and their children as measured by treatment plan objectives for medical health.
Objective 3.2: By the 6th month of treatment, 75% of participants will have reduced risk for homelessness, food insecurity, as measured by treatment plan objectives for housing/basic needs.
Numbers to be Served: The Project anticipates serving 40 participants in year 1, 50 per year in the following 4 years for a total of 240 participants.
