The California Evidence-Based Clearinghouse for Child Welfare
The California Evidence-Based Clearinghouse for Child Welfare

This document was printed from the website of the California Evidence-Based Clearinghouse for Child Welfare (CEBC), which you can access at http://www.cachildwelfareclearinghouse.org/

Substance Abuse Recovery Management System (SARMS) - Detailed Report

Scientific Rating:
4
Lacks Adequate Research Evidence
See scale of 1-6
Scientific Rating:
4 - Lacks Adequate Research Evidence

Relevance to Child Welfare Rating:
1
Relevance to Child Welfare Rating:
1 - High

Type of Maltreatment: Not specified

Target Population: Substance-abusing parents with children involved in the child welfare system due to abuse or neglect and under the jurisdiction of a county Dependency Court.

Brief Description:

Substance Abuse Recovery Management System (SARMS) has been rated by the CEBC in the area of Substance Abuse (Parental). SARMS is a collaboration of the Juvenile Dependency Court, San Diego County Drug and Alcohol Services, Child Welfare Services, attorneys, and treatment programs. SARMS was created to assist the parent of a child in the dependency system with his/her own substance abuse problem. The goal of the program is to expedite treatment and monitoring so that the possibility of reunification is enhanced. If reunification is not feasible, the goal is to make a timely decision about the child's permanent placement and reduce the time in foster care. SARMS is a court ordered program with sanctions for the parent if they do not comply with the court mandates.

Please fill out this form to send us feedback on the rating of Substance Abuse Recovery Management System (SARMS). Starred fields are required.

Provisional feedback form not available in printout. Please access the website to use the form.


Essential Components

Show Essential Components

  • Client receives court referral to SARMS intake for all clients with alleged substance abuse problems.
  • Recovery Specialist has client complete a substance abuse/dependence assessment (Addiction Severity Index (ASI)). According to Rice University's Connexions web page, "The ASI is an interview [tool] that assesses history, frequency, and consequences of alcohol and drug use, as well as five additional domains that are commonly associated with drug use."
  • Client receives referral to community-based drug and alcohol treatment.
  • Recovery Specialist provides case management for substance abuse/dependence.
  • Recovery Specialist monitors on-going compliance with SARMS.
  • Client undergoes urinalysis testing.
  • Judge uses sanctions and rewards as warranted. Sanctions range from judicial admonishments to incarceration. Rewards include judicial praise, clean-time tokens, food rewards etc.
  • Representatives of the agencies involved (Health and Human Services Administration [HHSA]-Alcohol and Drug Services, HHSA-Child Welfare Services, Court, Mental Health Systems, Inc. [contractor for case management], County Counsel, and public defender) attend monthly meetings to monitor program and to address problems as a system.


Group Format

Substance Abuse Recovery Management System (SARMS) was not designed to be conducted in a group.

Substance Abuse Recovery Management System (SARMS) has not been tested for use in a group setting.


Recommended Parameters

Recommended intensity: The assigned Dependency Court Judge generally sees the parent at 30, 60, and 90 days. If the client is struggling with compliance, he/she may be offered a more intensive program, in which they see the judge once a week for 90 days, once every two weeks for 90 days, and once a month for 90 days. There are three phases of treatment and each phase last 90 days. During Phase One, the parent meets weekly with Recovery Specialists and is required to drug test on a weekly basis. During Phases Two and Three, the parent is required to do two random drug tests per month.

Recommended duration: Each session is 30 minutes to an hour and includes both court time and case management between the Recovery Specialist and the parent. The parents participate in the program for 39 to 52 weeks.


Homework

Substance Abuse Recovery Management System (SARMS) does not include a homework component.


Delivery Setting

Substance Abuse Recovery Management System (SARMS) is typically conducted in: Not specified.


Parent Component

Substance Abuse Recovery Management System (SARMS) was designed with a Parent Component.

Substance Abuse Recovery Management System (SARMS) addresses the following presenting problems and symptoms: Alcohol and drug abuse


Child Component

Substance Abuse Recovery Management System (SARMS) was not designed with a Child Component.

Substance Abuse Recovery Management System (SARMS) was not developed for children with developmental delays.

Substance Abuse Recovery Management System (SARMS) has not been tested for children with developmental delays.


Racial/Ethnic Diversity

Substance Abuse Recovery Management System (SARMS) was not designed for specific racial/ethnic/cultural groups.

Substance Abuse Recovery Management System (SARMS) was not tested in specific racial/ethnic/cultural groups.


Education and Training Resources

There is a manual that describes how to implement this program.

There is training available for Substance Abuse Recovery Management System (SARMS).

Training contact: Judge James R. Milliken, jrm@difiglia-milliken.com, 619-236-1321

Number of days/hours: Varied

Training is obtained: Negotiable

There currently are additional qualified resources for training.

List of additional qualified resources: Juvenile Court: 858-694-4211. HHSA: 858-694-5338


Identified Resources Necessary to Implement Program

The typical resources for implementing Substance Abuse Recovery Management System (SARMS) are: Multi-disciplinary personnel (e.g., children welfare, court, dependency and county attorneys, county drug and alcohol staff, etc.), office space throughout the county, computers, etc.


Minimum Provider Qualifications

Recovery Specialists provide the case management services and must have at least two years experience in providing counseling and/or group facilitation to people with alcohol or drug problems; and California Association of Alcoholism and Drug Abuse Counselors (CAADAC) certification or two years college-level education to include the satisfactory completion of at least 18 semester units or the equivalent, in alcohol and drug studies, psychology, counseling, social work or related field.

The Program Coordinator must have at least three years experience providing alcohol and drug treatment, recovery, or case management services; at least two years supervisory experience; and at least two years of experience preparing or directing preparation of budgets or cost reports. The Program Coordinator should also have a minimum of a Master’s degree in social work, psychology, behavioral sciences, addiction studies or similar field or registered nurse; and CAADC Certification or two years college level education, which includes at least 18 semester units or the equivalent.


Relevant Published, Peer-Reviewed Research

Show Relevant Published, Peer-Reviewed Research

SARMS is rated a "4 - Lacks Adequate Research Evidence" on the Scientific Rating Scale because it lacks published, peer-reviewed research that meets the CEBC criteria for a scientific rating of a 3, 2, or 1; however it was identified by the topic expert as a program being used in the field, or it is being marketed and/or used in California with children receiving services from child welfare or related systems and their parents/caregivers. Some programs rated a 4 may have some published, peer-reviewed research that does not meet the above stated criteria or may have other studies that have not yet been published in the peer-reviewed literature. For more information on the rating of a "4 - Lacks Adequate Research Evidence," please see the Scientific Rating Scale.

There are currently no published, peer-reviewed research studies on SARMS.



References

Show References

Albrecht, L. (2004). A court that heals families, Retrieved July 18, 2006 from Connect for Kids: http://www.connectforkids.org/node/539

Albrecht, L. (2003) Drug court is beautiful!, [Electronic Version]. Children's Advocate, November-December 2003. [Available at http://216.173.248.173/news/1103crt.htm]

Young, N.K. & Gardner, S.L. (2000). Navigating the pthways: Lessons in promising practices in linking alcohol and drug services with child welfare [Electronic Version ] National Clearinghouse for Alcohol and Drug Information (NCADI, Inventory # BKD436), Rockville, MD.[Available at http://www.cffutures.org/Children___Family_Policy/CW/TAP/TAP_description.pdf]

Judge gets kids on the fast track to stability, (2002). Child Abuse Prevention Foundation: [Available at http://www.capfsd.org/link_pages/articles.html#judge]



Contact Information

Contact name: Kathy Jackson

Affiliation/Agency: San Diego County

Email: Kathy.Jackson@sdcounty.ca.gov

Phone: 858-694-5338

Fax: 858-694-5239


Date reviewed: June 2008 (originally reviewed in August 2006)