{"id":15446,"date":"2018-03-28T16:58:00","date_gmt":"2018-03-28T16:58:00","guid":{"rendered":"http:\/\/associatednews.us\/content\/2018\/03\/28\/opioid-treatment-program-helps-keep-families-together\/"},"modified":"2018-03-28T16:58:00","modified_gmt":"2018-03-28T16:58:00","slug":"opioid-treatment-program-helps-keep-families-together","status":"publish","type":"post","link":"https:\/\/associatednews.us\/content\/opioid-treatment-program-helps-keep-families-together\/","title":{"rendered":"Opioid Treatment Program Helps Keep Families Together"},"content":{"rendered":"<p><span style=\"font-style:italic;font-size:16px\">By  <a class=\"colorbox\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2018\/03\/28\/595567842\/opioid-treatment-program-helps-keep-families-together?utm_medium=RSS&amp;utm_campaign=healthcare\">Lisa Gillespie<\/a><\/span>  <\/p>\n<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2018\/03\/28\/595567842\/opioid-treatment-program-helps-keep-families-together?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2018\/03\/23\/poole-eaf4bc6b4ab6dbe516cae9120f19f19c0b8cba31-s1100-c15.jpg\" alt><\/p>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2018\/03\/23\/poole-eaf4bc6b4ab6dbe516cae9120f19f19c0b8cba31-s1200.jpg\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2018\/03\/23\/poole-eaf4bc6b4ab6dbe516cae9120f19f19c0b8cba31-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Velva Poole works to reunite children with parents who have been grappling with substance use disorder. Mentoring the parents, she says, is a big part of the state-sponsored program&#8217;s success.<\/p>\n<p>                <b><\/p>\n<p>                    Lisa Gillespie\/Louisville Public Media<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Lisa Gillespie\/Louisville Public Media<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>Velva Poole has spent about 20 years as a social worker, mostly in Louisville, K<strong><\/strong>y. She&#8217;s seen people ravaged by methamphetamines and cocaine; now it&#8217;s mostly opioids. Most of her clients are parents who have lost custody of their children because of drug use. Poole remembers one mom in particular.<\/p>\n<p>&#8220;She had her kids removed the first time for cocaine. And then she had actually gotten them back,&#8221; she says. But three months later, the mother relapsed and overdosed on heroin.<\/p>\n<p>&#8220;She had to go through the whole thing all over again \u2014 having supervised visits with the kids, then having overnights,&#8221; Poole recalls. Starting again from the bottom, the mom took steps to reclaim her life.<\/p>\n<p>And, eventually, she did regain custody of her children. Poole recently ran into the woman at the grocery store.<\/p>\n<p>&#8220;She hugged me,&#8221; Poole says. &#8220;I don&#8217;t know how to describe it. It just makes you feel like, wow, what you did really did make a difference in someone&#8217;s life.&#8221;<\/p>\n<p>Poole is now a supervisor in the <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/chfs.ky.gov\/dcbs\/start.htm\">Sobriety Treatment and Recovery Teams program<\/a>, which is funded primarily by the state. It&#8217;s an intensive program for parents who have had their kids taken away because of substance abuse and the resulting neglect or mistreatment of the children. The goal is to create a faster process to reunite those families.<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<p>It works like this in Kentucky: Someone reports a parent to Child Protective Services if they suspect the adult has an addiction problem and children aren&#8217;t being taken care of. If there&#8217;s evidence to support the claim, the parent then has a choice \u2014 they can go through the standard CPS process, or enroll in START.<\/p>\n<p>Both options have the parent meet with a social worker, and include weekly drug screenings and daily drug treatment, as well as regular attendance at meetings of Alcoholics Anonymous or Narcotics Anonymous. But START also assigns a mentor to families; the parent has to meet with the mentor once a week. The mentor also drives the parent to and from some appointments and helps them get other services they may need.<\/p>\n<p>Rhonda Maddox is one the family mentors.<\/p>\n<p>&#8220;I&#8217;m able to open that door, and say, &#8216;I&#8217;ve been where you are. We might not walk down the same road but I done some of the same things you have,&#8217; &#8221; Maddox says.<\/p>\n<p>She stopped using drugs 14 years ago.<\/p>\n<p>&#8220;I began using drugs at the age of 9,&#8221; Maddox recalls. &#8220;My mom was gone [and] my dad was gone, due to their addictions. So I started using. It stayed like that for a long time, going on into high school. I had a few kids then, and then I abandoned those two kids on my granny.&#8221;<\/p>\n<p>Maddox eventually got sober and regained custody of her children. Hearing her story makes it easier for clients to open up and and accept help, Poole says.<\/p>\n<p>&#8220;It&#8217;s very helpful for the client to be able to relate to someone that&#8217;s been in their shoes,&#8221; she says.<\/p>\n<p>The START program began in Ohio and expanded into Kentucky in 2007. Since then, research has shown it has <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/chfs.ky.gov\/dcbs\/start.htm\">a higher success<\/a> rate in reuniting families than the traditional child welfare process.<\/p>\n<p>But the opioid crisis has posed new challenges, Maddox says.<\/p>\n<p><!-- END ID=\"RES596463491\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>&#8220;I had a few of my clients that passed away [after] an overdose \u2014 was kind of devastating,&#8221; she says. &#8220;Sometimes I wonder if there was something else I could have done.&#8221;<\/p>\n<p>In each case, Maddox and Poole have a year to try to reunite START parents with their children.<\/p>\n<p>Former START director Tina Willauer says, despite the benefits of enrolling in the START program, parents are still up against significant societal stigma because of their drug use.<\/p>\n<p>&#8220;There&#8217;s this question, &#8216;should we even give them treatment?&#8217; \u2014 almost as if they&#8217;re throwaway because they have an opioid use disorder,&#8221; Willauer says.<\/p>\n<p>She believes there are important reasons to keep families together.<\/p>\n<p>&#8220;If you&#8217;re pulling a child out of a home and putting them in a foster home, we&#8217;re removing them from the only people they know \u2014 their family. They might have to leave their church; they might have to leave their community,&#8221; Willauer says. &#8220;So, everything they know. It&#8217;s traumatic on many, many levels.&#8221;<\/p>\n<p>Willauer and the staff at START wish every parent could go through their demanding program. But START costs more money than the standard, less-intensive process of child protective services. With the state of Kentucky facing a budget crunch, expansion of START is not likely to happen anytime soon.<\/p>\n<p><!-- END ID=\"RES596463925\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p><em>This story is part of NPR&#8217;s reporting partnership with Louisville Public Media and <\/em><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.kaiserhealthnews.org\/\"><em>Kaiser Health News<\/em><\/a><em>.<\/em><\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n<p>Source:: <a href=\"https:\/\/www.npr.org\/sections\/health-shots\/2018\/03\/28\/595567842\/opioid-treatment-program-helps-keep-families-together?utm_medium=RSS&amp;utm_campaign=healthcare\" class=\"colorbox\" title=\"Opioid Treatment Program Helps Keep Families Together\" rel=\"nofollow\">https:\/\/www.npr.org\/sections\/health-shots\/2018\/03\/28\/595567842\/opioid-treatment-program-helps-keep-families-together?utm_medium=RSS&amp;utm_campaign=healthcare<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"ftpimagefix\" style=\"float:left\"><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/www.npr.org\/sections\/health-shots\/2018\/03\/28\/595567842\/opioid-treatment-program-helps-keep-families-together?utm_medium=RSS&amp;utm_campaign=healthcare\"><img decoding=\"async\" width=\"150\" src=\"https:\/\/media.npr.org\/assets\/img\/2018\/03\/23\/poole-eaf4bc6b4ab6dbe516cae9120f19f19c0b8cba31-s1100-c15.jpg\" alt><\/p>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2018\/03\/23\/poole-eaf4bc6b4ab6dbe516cae9120f19f19c0b8cba31-s1200.jpg\"><\/a><\/div>\n<div>\n<div>\n<div><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/media.npr.org\/assets\/img\/2018\/03\/23\/poole-eaf4bc6b4ab6dbe516cae9120f19f19c0b8cba31-s1200.jpg\">Enlarge this image<\/a><\/div>\n<\/div>\n<div>\n<div>\n<div>\n<p>\n                Velva Poole works to reunite children with parents who have been grappling with substance use disorder. Mentoring the parents, she says, is a big part of the state-sponsored program&#8217;s success.<\/p>\n<p>                <b><\/p>\n<p>                    Lisa Gillespie\/Louisville Public Media<\/p>\n<p>                <\/b><b><b>hide caption<\/b><\/b><\/p>\n<\/div>\n<p><b><b>toggle caption<\/b><\/b><\/div>\n<p><span><\/p>\n<p>        Lisa Gillespie\/Louisville Public Media<\/p>\n<p>    <\/span><\/div>\n<\/div>\n<p>Velva Poole has spent about 20 years as a social worker, mostly in Louisville, K<strong><\/strong>y. She&#8217;s seen people ravaged by methamphetamines and cocaine; now it&#8217;s mostly opioids. Most of her clients are parents who have lost custody of their children because of drug use. Poole remembers one mom in particular.<\/p>\n<p>&#8220;She had her kids removed the first time for cocaine. And then she had actually gotten them back,&#8221; she says. But three months later, the mother relapsed and overdosed on heroin.<\/p>\n<p>&#8220;She had to go through the whole thing all over again \u2014 having supervised visits with the kids, then having overnights,&#8221; Poole recalls. Starting again from the bottom, the mom took steps to reclaim her life.<\/p>\n<p>And, eventually, she did regain custody of her children. Poole recently ran into the woman at the grocery store.<\/p>\n<p>&#8220;She hugged me,&#8221; Poole says. &#8220;I don&#8217;t know how to describe it. It just makes you feel like, wow, what you did really did make a difference in someone&#8217;s life.&#8221;<\/p>\n<p>Poole is now a supervisor in the <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/chfs.ky.gov\/dcbs\/start.htm\">Sobriety Treatment and Recovery Teams program<\/a>, which is funded primarily by the state. It&#8217;s an intensive program for parents who have had their kids taken away because of substance abuse and the resulting neglect or mistreatment of the children. The goal is to create a faster process to reunite those families.<\/p>\n<aside>\n<div><\/div>\n<\/aside>\n<p>It works like this in Kentucky: Someone reports a parent to Child Protective Services if they suspect the adult has an addiction problem and children aren&#8217;t being taken care of. If there&#8217;s evidence to support the claim, the parent then has a choice \u2014 they can go through the standard CPS process, or enroll in START.<\/p>\n<p>Both options have the parent meet with a social worker, and include weekly drug screenings and daily drug treatment, as well as regular attendance at meetings of Alcoholics Anonymous or Narcotics Anonymous. But START also assigns a mentor to families; the parent has to meet with the mentor once a week. The mentor also drives the parent to and from some appointments and helps them get other services they may need.<\/p>\n<p>Rhonda Maddox is one the family mentors.<\/p>\n<p>&#8220;I&#8217;m able to open that door, and say, &#8216;I&#8217;ve been where you are. We might not walk down the same road but I done some of the same things you have,&#8217; &#8221; Maddox says.<\/p>\n<p>She stopped using drugs 14 years ago.<\/p>\n<p>&#8220;I began using drugs at the age of 9,&#8221; Maddox recalls. &#8220;My mom was gone [and] my dad was gone, due to their addictions. So I started using. It stayed like that for a long time, going on into high school. I had a few kids then, and then I abandoned those two kids on my granny.&#8221;<\/p>\n<p>Maddox eventually got sober and regained custody of her children. Hearing her story makes it easier for clients to open up and and accept help, Poole says.<\/p>\n<p>&#8220;It&#8217;s very helpful for the client to be able to relate to someone that&#8217;s been in their shoes,&#8221; she says.<\/p>\n<p>The START program began in Ohio and expanded into Kentucky in 2007. Since then, research has shown it has <a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/chfs.ky.gov\/dcbs\/start.htm\">a higher success<\/a> rate in reuniting families than the traditional child welfare process.<\/p>\n<p>But the opioid crisis has posed new challenges, Maddox says.<\/p>\n<p><!-- END ID=\"RES596463491\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p>&#8220;I had a few of my clients that passed away [after] an overdose \u2014 was kind of devastating,&#8221; she says. &#8220;Sometimes I wonder if there was something else I could have done.&#8221;<\/p>\n<p>In each case, Maddox and Poole have a year to try to reunite START parents with their children.<\/p>\n<p>Former START director Tina Willauer says, despite the benefits of enrolling in the START program, parents are still up against significant societal stigma because of their drug use.<\/p>\n<p>&#8220;There&#8217;s this question, &#8216;should we even give them treatment?&#8217; \u2014 almost as if they&#8217;re throwaway because they have an opioid use disorder,&#8221; Willauer says.<\/p>\n<p>She believes there are important reasons to keep families together.<\/p>\n<p>&#8220;If you&#8217;re pulling a child out of a home and putting them in a foster home, we&#8217;re removing them from the only people they know \u2014 their family. They might have to leave their church; they might have to leave their community,&#8221; Willauer says. &#8220;So, everything they know. It&#8217;s traumatic on many, many levels.&#8221;<\/p>\n<p>Willauer and the staff at START wish every parent could go through their demanding program. But START costs more money than the standard, less-intensive process of child protective services. With the state of Kentucky facing a budget crunch, expansion of START is not likely to happen anytime soon.<\/p>\n<p><!-- END ID=\"RES596463925\" CLASS=\"BUCKETWRAP INTERNALLINK INSETTWOCOLUMN INSET2COL \" --><\/p>\n<p><em>This story is part of NPR&#8217;s reporting partnership with Louisville Public Media and <\/em><a class=\"colorbox\" rel=\"nofollow\" href=\"http:\/\/www.kaiserhealthnews.org\/\"><em>Kaiser Health News<\/em><\/a><em>.<\/em><\/p>\n<p><strong><a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/\">Let&#8217;s block ads!<\/a><\/strong> <a class=\"colorbox\" rel=\"nofollow\" href=\"https:\/\/blockads.fivefilters.org\/acceptable.html\">(Why?)<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[],"class_list":["post-15446","post","type-post","status-publish","format-standard","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/15446","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/comments?post=15446"}],"version-history":[{"count":0,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/posts\/15446\/revisions"}],"wp:attachment":[{"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/media?parent=15446"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/categories?post=15446"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/associatednews.us\/content\/wp-json\/wp\/v2\/tags?post=15446"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}