Proposal Outline
Shakeel Ahmed
Instructor: Jeanette May
Benedictine University, MPH_694_D1A5
September 20, 2015. Executive Summary:
Problem: A child’s mind stands at risk of stressors that induce development of behavioral changes increasing the vulnerability to other substance abuse disorders. Comorbidity is defined as the presence of two disorders or illnesses that occur simultaneously, or in sequence. The characteristics of drug addiction include compulsive, at times uncontrollable drug craving, seeking, and use despite devastating consequences behaviors that stem from drug-induced changes in brain structure and function. Due to the commonality in underlying brain deficits, genetic vulnerabilities, and/or early exposure to stress
…show more content…
This organization will conduct interventions tailored to externalizing and internalizing behaviors especially among parents with a history of substance abuse.
Funding requirements: The organization is seeking a grant of 25,000 dollars that will be needed to cover costs incurred from overhead, salaries, rent, transportation, study materials, including in-kind costs. Community and volunteer support will be generated. Additional funding from Health Resources and Services Administration’s (HRSA) Substance Abuse Service Expansion Technical Assistance Program, and The Drug-Free Communities Support Program (DFC) is expected to cover costs that will amount to $75,000.
Statement of Need
Data: From 2009 to 2013 the number of individuals in substance abuse treatment on a single day decreased from 45,149 to 42,945. The 2010 U.S. Census estimates reveal that there children ages 5 years and younger living in the United States were well beyond 20 million (Howden & Meyer, 2011). The risk of onset developing childhood mental health issues is greatest in the first 5 years of life (Osofsky & Lieberman, 2011). Ultimately mental health insult in infancy can increase a child’s risk for permanent future behavioral problems (Hemmi, Wolke, & Schneider, 2011). Early childhood interventions that can identify infant mental health challenges can
The child welfare system according to “Parental Substance use and the Child Welfare System” (2009) include services and programs aimed to improve the well-being of children by making sure of their safety, achieving permanency, and by increasing the strength of families to successfully care for the children (Parental Substance Use and the Child Welfare System, 2009). Parental substance abuse has been linked to maltreatment and inadequacy to provide suitable care for children. This paper will be divided into headings as follows: needs for assessment, problem statement, goals and objectives of the National Center for Substance Abuse and Child Welfare (NCSACW), program design, and evidenced-based intervention
The need for a substance abuse recovery home in Starke County, Indiana is a need that is unmistakable in the county based on the hefty number of individuals that suffer from substance abuse and dependency in the county which is clearly displayed by the recent number of crimes that are related to or involve illicit and prescription drugs. In attempt to meet this need and create an opportunity for individuals suffering from substance abuse and dependency to receive local substance abuse treatment in a recovery home the proposal will be presented to several stakeholders within the Starke County community. The term stakeholder “refers to those people who are affected, or could be affected, by the service” (Canadian Career Development Foundation, n.d.) that is being proposed. The proposal for the creation of a substance abuse recovery home will be presented to five key stakeholders including Ms. Becky Anspach the director of Community Services of Starke County, Starke County Community Corrections director of operations Mr. Robert Hinojosa, Ms. Dee Lynch the director of the Indiana Department of Child Services of Starke County, Porter Starke Services facilitator of intensive outpatient program treatment (IOP), and Ms. Rhonda Adcock the director of Starke County CASA.
Social and familial effects. While NAS is a heartbreaking and disadvantageous outcome of maternal addiction, it is not the only outcome seen in children. Infants born to dependent mothers who evaded NAS are still at a higher risk of poorer childhood development and lifelong outcomes because of the unhealthy and damaging lifestyle of opioid addiction and familial stress. Through the use of psychiatric and family functioning evaluations, one study found children of opioid dependent mothers or parents showed a significantly higher rate of psychopathologies such as depression and anxiety as compared to those without familial substance abuse and children of alcoholics (Wilens et al., 2002). These children have a much more difficult time growing,
*** was founded with a mission to be an alternative to incarceration. The organization is a private, free-standing, non-profit agency which is accessible to all, regardless of economic, ethnic or religious backgrounds. Since 1971, ***. has provided a highly successful, comprehensive, continuum of behavioral health services. Our formal treatment services have helped over 20,000 young people and their families. Under the *** umbrella, broad arrays of evidence-based prevention services have also been implemented in the treatment of substance use and co-occurring disorders. With their focus on identifying risk and protective factors, these programs have helped to educate and support
programs in order to help individuals with both SA disorders as well as trauma associated with
When studying any public health phenomenon, it is imperative for researchers to examine the interplay between contextual facts that influences population health outcomes. Biological factors and early childhood events significantly influence adolescent behavior, at which point many young people begin experimenting with substance use. Research has identified that subpar prenatal neurological experiences and family history of substance abuse disorders are predictive of substance use in young adulthood (Bastra, Hadders-Algra, Ormel, & Neeleman, 2004; Courtney & Polich, 2009; Kreek, Nielsen, Butelman, & LaForge, 2005; Malone et al., 2004). Further, association between parental substance abuse and substances abuse
In addition to physical neglect, children of substance abusing parents often experience emotional problems. They show high rates of emotional problems compared to their peers (” Understanding the Diverse Needs of Children whose Parents Abuse Substances” 5). The emotional problems that those children experience include: depression, fear, anxiety, mistrust, confusion, eating disorders, mood disorders, and lower self-esteem (“Effects of Parental Substance Abuse on Children and Families” 2). Those emotional problems may be the result of parental neglect or prenatal substance exposure. As studies found out, prenatal substance exposure is associated with emotional and psychological problems of the children (Smith and Wilson 2). Children who grow
Addiction is a developmental disease which typically begins in childhood or adolescence. Children's earliest interactions within the family are vital to their healthy development and risk for drug abuse (NIDA). One of the brain areas still maturing during adolescence is the prefrontal cortex—the part of the brain that enables us to assess situations, make sound decisions, and keep our emotions and desires under control. The fact that this critical part of an adolescent’s brain is still a work in progress puts them at an increased risk for making poor decisions (such as trying drugs or continuing to take them). Also, introducing drugs during this period of development may cause brain changes that have profound and long-lasting consequences.
Toxic stress is negative experiences harmful for child development, mentally and physically. Marotz (2015) states that "Toxic stressors includes abusive treatment, neglect, poverty, chronic illness, violence, and war" (p. 27).
There are multiple developmental pathways to substance use disorders, with the risk factors that can start an individual down one of these pathways ranging from the genetic to the sociocultural. Because these factors tend to cluster and can vary with age, disentangling their unique contributions can be difficult. Consequently, a focus on the stages of development is key. This chapter looks at the latest research on the different risk factors at play during a person’s development, including:
Early detection, reviewing family history, understanding the culture and providing continued education and resources to families struggling with substance abuse can help reduce the risk of child abuse. Unfortunately, there will be many circumstances that social services or proper authorities may need to get involved to remove the child from the abusive environment and have families first work on themselves prior to getting their children
The Meriam dictionary defines stress as a state of mental or emotional strain or tension resulting from adverse or very demanding circumstances. Stress can manifest itself physically, emotionally, and mentally. It is true that some stress is connected to positive outcomes such as achieving goals, pushing yourself, adapting, and trying something new. However, too much stress can have a terrible impact on a person. The effects of stress are detrimental to average people living their normal day to day lives, but the negative effects are considerably worse for a woman who is pregnant. It is a well-known fact that women who are pregnant are more susceptible to illness. Stress can result in loss of the pregnancy and developmental issues in the child
What does drug abuse truly entail? Is it possible to foresee future drug abuse while evaluating a child? How is it possible for a preschooler to be depressed? These are very important questions that are answered in three articles: “The 4 Traits That Put Kids at Risk for Addiction”, by Maia Szalavitz; “Can Preschoolers Be Depressed”, by Pamela Paul; and “Lasting Pleasures, Robbed by Drug Abuse”, written by Richard A. Freidman, M.D. These articles discuss answers to questions most people may never think about. It may seem implausible that a child as young as preschool can have a heavy disorder such as depression. It may be even harder to believe that the same preschooler is already at a higher risk for drug abuse. From a personality assessment perspective, it is intriguing to find such life changing information so far in the future.
Children can be subjected to the negative effects of parental substance use in a variety of different ways. For example, substance use during pregancy can cause detrimental outcomes for newborn infants by placing them at a higher risk of Sudden Infant Death Syndrome (SIDS), being born with birth defects, developing behavioral and developmental delays, being born premature, etc. Children with addicted parents, are placed at a higher risk of: lacking appropriate supervision; lacking basic needs such as: food, clothing, housing, and medical care; exposure to violence; developing substance abuse issues themselves.
The impact of biological factors on EBD is significant as many of the factors can create considerable limitations due to delayed growth or damage to the brain, often before at birth (Merrick, Merrick, Morad, & Kandel, 2006). Biological factors include medical concerns early in the child’s life, including prematurity, low birth weight, and developmental set backs(Nelson et al, 2007). Children who were exposed to alcohol or drugs before being born can be at danger of compromised health and neurological damage, which are high risk factors (Brady, Posner, Lang, and Rosati, 1994). In a nutshell, research now tells that us that their is a definite relationship that exists between prenatal drug exposure and childhood emotional or behavioral disorders