SAMHSA FASD Center for Excellence

1. SAMHSA FASD Center for Excellence Callie Gass, Project Director Center Overview Building FASD State Systems Meeting Colorado Springs, Colorado May 7, 2008

2. “CFE 2”: Key Differences • Shift in focus from identifying resource gaps to identifying, incubating, and disseminating promising practices • Training and TA will highlight evidence-based practices, incorporate a follow-up component, and be geared to improve outcomes • Product development will develop a science to service component • Promising practices project will build evaluation into FASD interventions that may qualify for NREPP

3. Task 1: Management and Expert Panel • Provide management guidance • Create and convene an Expert Panel • Recruit members • Convene meetings • Expert Panel provides advice to Center

4. Task 1: Management and Expert Panel—Update • The Expert Panel • 14 full members, 8 ex-officio • Members include researchers, state staff, non-profit staff, a person with an FASD, birth moms, and foster parents • The second Expert Panel meeting was held Tuesday

5. Task 2: Training and Technical Assistance Provide targeted training and TA to improve outcomes in treatment and prevention of FASD • Develop a detailed training and TA plan • Conduct up to 11 trainings per year; all incorporate follow up • Provide 25 TA sessions and 50 expert consult sessions per year • Develop or modify FASD Curriculum (2 per year) • Develop distance education programs (2 per year)

6. Task 2: Training and TA August 2007 to April 2008 • Seven (7) Trainings • Over 200 Participants • Four (4) States

7. Task 2: Training and TA Conference Presentations • Re-connecting the HEART: Trauma & Attachment Disorder Conference - Oil City, PA • FACES National Conference - Alexandria, VA • Minnesota FASD Conference - St Paul, MN • South Carolina Drugs of Abuse Conference - Myrtle Beach, SC • Wisconsin FASD Conference - Madison, WI • American Indian Training Institutes– Albuquerque, NM

8. Task 2: Training and TA Technical Assistance • Ongoing assistance to the Alaska Medicaid Waiver Project. • Ongoing assistance to the Seaford House in DE, one developing a strategy to address FASD in their population • Assistance to the Southcentral Foundation in Anchorage on the development of a residential unit for youth with an FASD.

9. Task 3: FASD Subcontracts Develop, document, and evaluate best practice models through the Project Coordinating Center for FASD subcontracts • Solicit subcontractor proposals • Select subcontractors • Provide support and advice to awardees • Identify common data measures; collect data

10. Task 3: FASD Subcontracts New SOW targets priority populations • Women of childbearing age at risk of having a child with an FASD • Children 0-5 • Adjudicated delinquent youth < 16

11. Task 3: FASD Subcontracts Selection of FASD Subcontractors • Proposals requested in Fall 2007. • Sixty two (62) proposals received. • Subcontractors selected through a competitive review • Twenty three (23) local, State, and juvenile court subcontracts awarded. • The subcontractors are integrating • FASD Prevention • FASD Diagnosis and Intervention • The subcontracts were effective February 1, 2008.

12. Task 3: FASD Subcontracts AZ s

13. Task 3: FASD Subcontracts FASD Prevention • Fifteen FASD prevention subcontracts • FASD prevention subcontractors are integrating either • Alcohol screening and brief intervention • Project CHOICES or • Parent–Child Assistance Program (PCAP)

14. Task 3: FASD Subcontracts Prevention Subcontractor Goals • For subcontractors working with pregnant women: For the women to stop drinking alcohol during their pregnancies • For subcontractors working with women in alcohol or substance abuse treatment: To prevent alcohol-exposed pregnancies

15. Task 3: FASD Subcontracts—Update (continued) Diagnosis and Intervention • Eight (8) FASD diagnosis and intervention subcontractors. • Screen and diagnose children receiving services from their organizations • Provide interventions based on the FASD diagnostic evaluation • Provide case management and follow-up • Other than the delinquency court projects, the subcontractors are serving children 0–5 or 0–7 years old.

16. Task 3: FASD Subcontracts Diagnosis and Intervention Goals • Improve the functioning of the children and youth. • Improve school performance for school-age children screened and diagnosed with an FASD. • In the delinquency court projects: Improve functioning, reduce probation violations, and improve school performance. • In the dependency court projects: Improve functioning and to keep the number of placements of a child to no more than two in a 12-month period.

17. Task 3: FASD Subcontracts • Held the Subcontractor Kickoff meetings March 4-5 and March 6-7, 2008. • Support subcontractors as they complete staffing, develop needs assessments, convene task forces, prepare strategic plans and design their evaluations

18. Task 4: Promising Practices • Review/collect/disseminate science to service models/practices to increase the number of eligible programs in NREPP • Identify additional practices that can meet the NREPP criteria • Collaborate with SAMHSA’s “Science to Service” Work Group • Provide TA for up to four programs per year interested in applying to NREPP

19. Task 5: Comprehensive Systems of Care • Convene a 1.5-day meeting for State-level officials and policymakers involved in FASD (Building FASD State Systems) • Facilitate communication and networking among States • Produce a quarterly electronic issue update • Continue monthly electronic updates

20. Task 5: Comprehensive Systems of Care • Convene the National Association of FASD State Coordinators (NAFSC) • FASD State Coordinators have had two conference calls since the start of the new contract • Will have a face-to-face meeting May 9, 2008 • Developing a projects and will be mentoring States that want to develop their own Coordinator positions

21. Task 5: Comprehensive Systems of Care • Support implementation of evidence-based innovative techniques for preventing FASD • Work with NOFAS to recruit and support a Birth Mothers Network. • Members are organizing a national support network for families affected by FASD and have reached out to NAFSC to explore avenues for collaboration.

22. Task 6: Data Collection and Analysis • Provide SAMHSA with a comprehensive data resource for identifying and synthesizing gaps and trends in the field of substance abuse and mental health for FASD • Maintain the database • Monitor emerging issues

23. Task 7: Provide Public Information • Maintain the toll-free line • Market the call center • Maintain the FASD viewing library • Design and produce materials

24. Task 7: Provide Public Information Maintain www.fasdcenter.samhsa.gov • Expand the content to add focus on promising practices • Develop new pages that describe State FASD activity and promising practices • Continue to add products and links

25. Task 7: Provide Public Information • In March, the number of unique visitors was 14,772, up 22% from February • Total visits were 43,856, up 13.9% from February • The average visit length remains just over 40 minutes

26. Task 7: Provide Public Information Top Four Downloaded Publications (March 2008) • Reach to Teach: Educating Elementary and Middle School Children with FASD (7,175) • FASD: The Basics (5,131) • WYNTK: Understanding FASD: Getting a Diagnosis (1,578) • WYNTK: Understanding FASD: By the Numbers (1,308)

27. Task 8: Management Information System Track and monitor Center activities via management information system • Expand existing MIS system • Deploy a new PO site to enhance communications

28. Task 9: GPRA Establish and conduct all activities to comply with Government Performance Results Act requirements and OMB clearance procedures • Work with HSRI to collect GPRA data for training and TA activities • Assist subcontractors in collecting GPRA data and National Outcome Measures (NOMs) • Secure OMB approval for collection of customer satisfaction data

29. Task 10: Reporting Requirements Prepare reports, briefings, presentations, and communications • Prepare presentations and briefings • Prepare periodic reports to chart progress • Develop a brief GPRA/NOM strategy • Submit a final contract report