{"id":31923,"date":"2021-08-13T20:36:04","date_gmt":"2021-08-13T20:36:04","guid":{"rendered":"https:\/\/caseyfamilyv2.wpengine.com\/ftc-brief-three\/"},"modified":"2026-08-18T16:58:33","modified_gmt":"2026-08-18T16:58:33","slug":"escrito-de-la-ftc-numero-tres","status":"publish","type":"post","link":"https:\/\/www.casey.org\/es\/ftc-brief-three\/","title":{"rendered":"\u00bfQu\u00e9 podemos aprender de los tribunales de tratamiento familiar para apoyar el cambio de los sistemas?"},"content":{"rendered":"<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><h3>Summary<\/h3>\n<p><em>Family treatment courts foster collaboration to improve care for families in recovery.<\/em><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"qff_disclaimer align wp-block-disclaimer content-section\">\n <div class=\"container mx-auto px-0 md:px-5\">\n <div class=\"qff_disclaimer__wrapper text-salt-box text-xs font-sofiapro border-t-2 border-spring-wood\">\n \n <\/div>\n <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block back-warm-ceramic constrained-width margin-top margin-bottom padding-top padding-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p>This brief is part of a series on family treatment courts (FTCs) developed in partnership with\u00a0<a href=\"https:\/\/www.cffutures.org\/\"><span class=\"s1\">Children and Family Futures<\/span><\/a>.\u00a0<span id=\"ext-gen154\">Additional briefs on this topic provide an\u00a0<\/span><a href=\"https:\/\/www.casey.org\/family-treatment-courts\/\">overview of family treatment courts<\/a>\u00a0and\u00a0<a href=\"https:\/\/www.casey.org\/ftc-brief-two\/\">practice-level strategies<\/a>\u00a0that FTCs employ to improve outcomes.\u00a0For more information about family treatment courts, please consult the\u00a0<a class=\"broken_link\" href=\"https:\/\/www.cffutures.org\/home-page\/ftc-best-practice-standards-2019\/\" rel=\"noopener\"><span class=\"s1\">Family Treatment Court Best Practice Standards<\/span><\/a>\u00a0or contact Children and Family Futures at\u00a0<a href=\"mailto:FDC@cffutures.org\" target=\"_blank\" rel=\"noopener\"><span class=\"s1\">FDC@cffutures.org<\/span><\/a>.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\"><a href=\"https:\/\/www.casey.org\/child-welfare-transformation-videos\/\"><span class=\"s1\">System transformation<\/span><\/a> requires successfully developing strategies that realign child welfare agencies and the justice system to work in increasingly effective and collaborative ways with other public serving organizations and community networks to support and nurture family development, promote overall child and parent well-being, and to help families thrive.<a href=\"#footnotes\"><sup>1<\/sup><\/a><span class=\"Apple-converted-space\">\u00a0 <\/span>The process of developing and operating family treatment courts (FTCs) naturally enhances collaboration and communication among family-serving systems and community agencies, including substance use disorder treatment and health. The relationships and processes developed to operate FTCs often, in turn, result in benefits for the entire system of care for families experiencing substance use disorders.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">Some jurisdictions are now leveraging their FTC programs to improve the experience of families with substance use disorder that concurrently are involved with child welfare so that they also can benefit from earlier access to treatment and increased family stability. In some cases, proactively employing FTC-related processes with families in which substance use disorder is a concern has helped prevent the need for child welfare system involvement altogether.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">While FTCs themselves may promote systems change, their principles and strategies are also relevant for jurisdictions without a specialty court: focusing on equity, cultivating a common vision, enhancing cross-system communication, demonstrating positive outcomes, and securing financial and relational sustainability. These strategies will benefit any collaborative effort to transform child welfare and justice systems to better serve children and their parents.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<figure class=\"quote content-section light wp-block-quote backgrounds-and-margins-aware-block margin-top margin-bottom padding-top padding-bottom\">\n <div class=\"container mx-auto px-5\">\n  <div class=\"basic-quote text-revolver\">\n <blockquote class=\"relative z-0\"><p>Use the data you have to take an informed, collaborative approach to systems change. Learn the history of your community. Learn which other systems are experiencing inequities. Understand how they all impact what you are trying to do. Then get the people who have a part in these systemic problems to the table, and elevate the community\u2019s voice.<\/p>\n<\/blockquote>\n  <figcaption class=\"text-md text-right mt-9 font-sofiapro\"><cite>&mdash; Aurora Martinez Jones, Presiding Judge, 126th District Court, Travis County, Texas<\/cite><\/figcaption>\n  <\/div>\n\n  <\/div>\n<\/figure>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>Equity and inclusion<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">FTCs can serve as a catalyst for new ways to look at equity, and particularly racial equity, within child welfare systems, starting with the data: for example, by comparing the demographics of families in the jurisdiction, those coming into the child welfare system, and those entering the FTC. Limited available research indicates that Black, Indigenous and people of color are currently underrepresented in all types of treatment courts. Reasons range from restrictive eligibility or participation criteria, lack of culturally or linguistically relevant treatment options, or distrust of legal and treatment systems.<a href=\"#footnotes\"><sup>2<\/sup><\/a><\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\"><a href=\"https:\/\/advancejustice.org\/wp-content\/uploads\/2018\/06\/AJ-Journal.pdf#page=45\" target=\"_blank\" rel=\"noopener\"><span class=\"s1\">One study<\/span><\/a> of FTCs funded by the federal Regional Partnership Grant program (2007 to 2012) found that white children were overrepresented in FTCs compared to the child welfare population in those communities. By contrast, Black, Hispanic\/Latinx, Asian American\/Pacific Islander, and multiracial children were underrepresented in the programs, and American Indian\/Alaska Native children were equally represented. Among those enrolled, however, white, Black, American Indian\/Alaska Native, and Hispanic\/Latinx children achieved similar rates of reunification within 12 months.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">If racial proportions of families participating in FTCs do not reflect those of the child welfare system, and more importantly if treatment and reunification outcomes differ by race, it is important to explore each phase of the system to determine the reasons:<\/p>\n<ul class=\"wp-block-list\">\n<li>Which families are identified as having substance use-related concerns?<\/li>\n<li>How many of these are referred and qualify for services?<\/li>\n<li>To what degree do different racial and ethnic groups accept, engage, and complete treatment, and achieve reunification?<\/li>\n<\/ul>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\"><\/li>\n<\/ul>\n<p><!-- \/wp:list-item --><\/p>\n<p><!-- \/wp:list --><\/p>\n<p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">These questions can help a system identify decision points where more attention to equity may be needed. FTCs also explore issues of equity by <a href=\"https:\/\/web.archive.org\/web\/20220120145151\/https:\/\/ncsacw.samhsa.gov\/files\/Trauma_Walkthrough_Rprt_508.pdf\" target=\"_blank\" rel=\"noopener\"><span class=\"s1\">looking at the system from the perspectives of parents<\/span><\/a>, particularly in communities that have good reasons to distrust courts and other public systems:<\/p>\n<ul class=\"wp-block-list\">\n<li>Do parents see anyone on the team who looks like them?<\/li>\n<li>Are their interactions with bailiffs and other court staff welcoming and reassuring?<\/li>\n<li>What is their experience of the security procedures and physical courtroom spaces?<\/li>\n<li>Are treatment and other services culturally relevant and gender responsive? (The treatment needs of men and women can differ significantly, and fathers are traditionally underrepresented in FTC programs.)<\/li>\n<\/ul>\n<ul class=\"wp-block-list\">\n<li style=\"list-style-type: none;\"><\/li>\n<\/ul>\n<p><!-- \/wp:list-item --><\/p>\n<p><!-- \/wp:list --><\/p>\n<p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">FTCs find multiple ways to incorporate the voices of current and past participants in assessing and making changes to court procedures, including conducting surveys and exit interviews with past participants, involving mentors with lived experience on FTC teams, and holding open meetings where participants are invited to provide feedback directly to the judge.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block back-warm-ceramic margin-top margin-bottom padding-top padding-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p class=\"p1\">When the\u00a0<span class=\"s1\"><b>Travis County, Texas<\/b><\/span>, FTC examined statewide data about children involved with the child welfare system, the court discovered disproportionality was among the highest in the state, and originated with reports to child protective services, many of which came from local law enforcement. However, the gaps continued to widen as families progressed through the system. By 2018, Black children in Travis County were eight times more likely to be removed from their families than white children, far above national averages.<\/p>\n<p class=\"p1\">This realization led Presiding Judge Aurora Martinez Jones to ask why she was not seeing more children and families of color in her FTC program, where concerted efforts were being made to keep families together. As she manages all child welfare cases for Travis County, the judge is able to leverage her leadership position to advocate for greater equity. \u201cIf the state agency doesn\u2019t select a parent for the FTC, I can push back and say, \u2018I\u2019m not going to give you a show cause order on this case until you do everything you can to see if this family is eligible,\u2019\u201d she says.<\/p>\n<p class=\"p1\">In her FTC, Judge Martinez Jones makes frequent use of a previously underutilized statute known as \u201ccourt-ordered services\u201d that triggers court intervention and appointment of parents\u2019 attorneys while allowing parents to maintain their parental rights and custody of their children. Cultural shifts also have been important \u2014 the court is intentional about using stigma-free language, following the treatment recommendations of substance use disorder and mental health experts, and considering substance use in early recovery as an opportunity to re-engage with the parent and assess safety rather than automatic grounds for child removal.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p class=\"p1\">\u201cWe see how the FTC is starting to impact the culture of the broader child welfare system,\u201d she says. \u201cProfessionals in our community have seen this approach succeed in the FTC, so they are now a little more willing to put other supports in place before removal.\u201d By fiscal year 2020, disproportionality in removals in Travis County had decreased almost by half, with Black children 4.2 times more likely to be removed than white children. The judge and her team are now exploring ways to sustain and build on this dramatic improvement.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>Systems-level strategies<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:heading {\"level\":3,\"className\":\"p4\"} --><\/p>\n<h3 class=\"wp-block-heading p4\"><b>Common vision, values, and principles<\/b><\/h3>\n<p><!-- \/wp:heading --><\/p>\n<p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">The <a href=\"https:\/\/www.casey.org\/family-treatment-courts\/\"><span class=\"s1\">multisystemic and interdisciplinary nature of FTCs<\/span><\/a> is a core strength of the approach, but such collaborative work comes with challenges. Many FTC partnerships begin their work together by establishing a common vision and having honest conversations about their values and beliefs. The goal is not necessarily for all partners to share the same values. The purpose of these conversations is to recognize that professionals in the collaborative hold different beliefs, values, and priorities, but they can agree to uphold some commonly held principles.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p><!-- \/wp:paragraph --><\/p>\n<p><!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">These common principles become essential when conflicts inevitably arise, helping to keep the collaborative focused on its common mission of providing services that keep families together. They also support better cross-system understanding, promote joint accountability across systems, and provide a model for how organizations can work together effectively despite differences.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<figure class=\"quote content-section light wp-block-quote backgrounds-and-margins-aware-block margin-top margin-bottom padding-top padding-bottom\">\n <div class=\"container mx-auto px-5\">\n  <div class=\"basic-quote text-revolver\">\n <blockquote class=\"relative z-0\"><p>Once I started going to collaboration meetings, I realized that (the FTC\u2019s) objectives were the same as ours \u2014 to increase the chances that mom and baby can be together, and support the family through the whole process.<\/p>\n<\/blockquote>\n  <figcaption class=\"text-md text-right mt-9 font-sofiapro\"><cite>&mdash; Denise Voiles, Nurse Manager, Maricopa County (Ariz.) Department of Public Health<\/cite><\/figcaption>\n  <\/div>\n\n  <\/div>\n<\/figure>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:heading {\"level\":3,\"className\":\"p4\"} --><\/p>\n<h3 class=\"wp-block-heading p4\"><b>Cross-system communication and training<\/b><\/h3>\n<p><!-- \/wp:heading --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">Clarity around communication is important to maintain the vitality of a partnership. Sometimes communication can be viewed as primarily one-directional \u2014 for example, information about engagement in treatment flowing from the substance use treatment provider back to the child protection agency or FTC. However, the reverse can also be useful; child protection agencies often hold information about the family that could inform the substance use assessment process. It is important to clearly spell out what information can be shared, with whom, and under what circumstances and timelines.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">These communication protocols are not the exclusive responsibility of FTCs. FTCs, however, can provide the setting to do this work and build greater trust within the system. Once that trust is built among team members in one context, it can more easily expand to their work together within the larger system.<\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">Cross-training is another important strategy to build trust, communication, and mutual understanding. Learning together about child development and substance use disorder provides common language and understanding for the partners to use when working together. Denise Voiles, a nurse manager at the Maricopa County Department of Public Health in Arizona, recalls: \u201cCollaborative education was really influential in changing the public health view of pregnant women with substance use disorder. It was an eye opener for a lot of us.\u201d Partners also benefit from learning about each other\u2019s disciplines and procedures, and the philosophies behind them.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block back-warm-ceramic margin-top margin-bottom padding-top padding-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p class=\"p1\">The\u00a0<strong>FTC in\u00a0<\/strong><span class=\"s1\"><b>Maricopa County, Ariz.<\/b><\/span>, is no longer waiting to provide help until babies are born and families enter the child welfare system. Following the successful implementation of a\u00a0<a href=\"https:\/\/www.casey.org\/cradle-to-crayons-maricopa\/\"><span class=\"s2\">Safe Babies Court Team<\/span><\/a>\u00a0and Family Treatment Court, and serving as a demonstration site for the\u00a0<a href=\"https:\/\/www.cffutures.org\/qic-ccct\/\" rel=\"noopener\"><span class=\"s2\">National Quality Improvement Center for Collaborative Community Court Teams<\/span><\/a>, leaders in court administration established the SHIFT (Safe, Healthy Infants and Families Thrive) collaborative to establish a system of care for pregnant women with substance use disorder before the birth of their children.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p class=\"p1\">The FTC began SHIFT by expanding its partnerships, inviting representatives from public health and health care to its team meetings. \u201cWe just started making phone calls and trying to connect with people,\u201d said Carma Umpleby, deputy juvenile court administrator. Although initially unsure how these connections would be meaningful, partners quickly realized that they served many of the same families and saw the potential for working together to support parents as early as possible.<\/p>\n<p class=\"p1\">One of SHIFT\u2019s earliest activities was to offer joint, multidisciplinary training. Members of the team worked together to bring in experts in prenatal and infant development, as well as to inform one another about their various disciplines. Learning about the Department of Child Safety (DCS) process, in particular \u2014 which allows investigators only two hours to determine a newborn\u2019s safety \u2014 helped the partners better understand why removals were happening and how they might help keep more families safely together.<\/p>\n<p class=\"p1\">The collaborative began to help families develop their own plans of safe care, well before the birth, as a way of providing more complete, readily available information to investigators making those decisions. \u201cThe families are the owners of the plan,\u201d said Tara Sundem, executive director of SHIFT partner Hushabye Nursery. \u201cThey decide how they are going to keep their baby safe and who else can help.\u201d The family\u2019s FTC involvement provides a \u201chome\u201d for all of the necessary data to support these plans, including drug screens, prenatal care appointments, and treatment engagement. The plans also serve as a valuable communication tool between agencies, spelling out who is providing services for the family.<\/p>\n<p class=\"p1\">Creating these plans has helped mothers feel more confident and have more constructive conversations with DCS as they near the end of their pregnancies. Of the 81 infants whose parents were engaged with Hushabye Nursery at the time of their birth from February 2019 to April 2020,\u00a0<span class=\"s2\">87%<\/span>\u00a0were discharged home to the parents. In some cases, the parents\u2019 preparation has prevented a DCS case from being opened at all.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:heading {\"level\":3,\"className\":\"p4\"} --><\/p>\n<h3 class=\"wp-block-heading p4\"><b>Evaluation and outcomes<\/b><\/h3>\n<p><!-- \/wp:heading --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">Cross-system outcome measures are essential for effective FTC collaboration. Each system in a collaborative has its own priorities and outcome measures. For example, substance use treatment systems measure recovery for the parent while child welfare systems assess safety, permanency, and well-being for the children. Cross-system performance measures tie collaboratives together, supporting joint accountability to their common purpose. <span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">Many FTCs focus on the \u201c<a href=\"https:\/\/www.casey.org\/family-treatment-courts\/\"><span class=\"s1\">5 Rs<\/span><\/a>\u201d: recovery (including time to treatment entry and length of treatment), remaining at home, reunification, repeat maltreatment, and re-entry to foster care. FTCs provide community partners with a common way of talking about outcomes that may support other collaborative efforts, with the 5 Rs offering an opportunity to apply an equity lens to ensure that any disparities in outcomes are uncovered and addressed through those efforts.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<figure class=\"quote content-section light wp-block-quote backgrounds-and-margins-aware-block margin-top margin-bottom padding-top padding-bottom\">\n <div class=\"container mx-auto px-5\">\n  <div class=\"basic-quote text-revolver\">\n <blockquote class=\"relative z-0\"><p>You can\u2019t underestimate the importance of partnership. It doesn\u2019t require money, but it takes work to maintain these relationships.<\/p>\n<\/blockquote>\n  <figcaption class=\"text-md text-right mt-9 font-sofiapro\"><cite>&mdash; Kathy Thompson, Director, Iowa Children\u2019s Justice<\/cite><\/figcaption>\n  <\/div>\n\n  <\/div>\n<\/figure>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p><!-- wp:heading {\"level\":3,\"className\":\"p4\"} --><\/p>\n<h3 class=\"wp-block-heading p4\"><b>Sustainability<\/b><\/h3>\n<p><!-- \/wp:heading --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">Evaluation and documentation of outcomes are critical to securing resources to sustain new systems-level practices and approaches implemented as a result of the FTC. Once these strategies are demonstrated effective, establishing them in a system\u2019s budget is an important policy change that can shift how work is done in a jurisdiction. Other ways of institutionalizing practices to sustain systems change include creating universal screening tools or adapting information protocols to track new ways of working with families.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p><!-- \/wp:paragraph --> <!-- wp:paragraph {\"className\":\"p1\"} --><\/p>\n<p class=\"p1\">Ultimately, strong relationships can be just as critical to positive outcomes and sustainability as budget and infrastructure. Dr. Ira Chasnoff, founder of The Leadership Institute and NTI Upstream, observes: \u201cWhat sustains these efforts over long periods is a core vision that everyone can turn to. People have to agree that in this case, they\u2019re representing not just their agencies, but children and families across the state.\u201d<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block back-warm-ceramic margin-top margin-bottom padding-top padding-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><p class=\"p1\">The State of\u00a0<span class=\"s1\"><b>Iowa<\/b><\/span>\u00a0created a statewide network of FTCs and other partners to address poor outcomes for families entering the state\u2019s child welfare system due to substance use disorder.\u00a0<span class=\"s1\"><b>Across the state, 77% of children of parents engaged in FTCs remain at home as their parents participate in the program.<span class=\"Apple-converted-space\">\u00a0<\/span><\/b><\/span><\/p>\n<p class=\"p1\">In 2014, with support from a Regional Partnership Grant funded by the federal Children\u2019s Bureau, the partnership began to look for ways to move services further upstream, focusing on infants with prenatal substance exposure. With support from Dr. Chasnoff, the partnership invited all \u201cchange-makers\u201d from agencies that touch the lives of women and children to participate in a\u00a0<a href=\"https:\/\/www.ntiupstream.com\/about-the-leadership-institute\" rel=\"noopener\"><span class=\"s2\">Leadership Institute<\/span><\/a>. This large and diverse group, the Iowa Children and Family Collaborative, identified a goal of creating universal prenatal substance use screening for pregnant women in primary prenatal care sites. Launched in two counties, the universal screening has expanded to more than half of the counties in the state.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p class=\"p1\">The collaborative\u2019s next step toward improving permanency, stability, and well-being for children affected by prenatal substance exposure was to develop an informed system of care that promotes identification and intervention for families and children affected by substance use and to enhance families\u2019 ability to ensure the healthiest outcome for their children. To this end, three regional Children and Families Assessment and Treatment Centers have been opened in Iowa. They provide evidence-based trans-disciplinary assessment and treatment that improve long-term outcomes for the children.<span class=\"Apple-converted-space\">\u00a0\u00a0<\/span>Through this overall effort, the collaborative has integrated prevention and treatment services to support children and families most impacted by substance use disorder.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p class=\"p1\">Iowa has focused on sustainability of this effort from the beginning. Financially, the state has aimed to incorporate most of the services it develops into the infrastructure of the agencies it engages. For example, the universal prenatal screening is reimbursable by Medicaid and by some private insurance companies. Employee turnover at all levels, however, presents a significant challenge. Iowa addresses this by offering frequent \u201ctrain the trainer\u201d sessions across the state.<span class=\"Apple-converted-space\">\u00a0<\/span><\/p>\n<p class=\"p1\">Today, the collaborative includes representation from almost every major family-serving state agency, as well as a number of private agencies from local communities. Its Leadership Institute team continues to meet regularly, and approximately 90% of the original members still attend.<\/p>\n<\/div>\n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\"><div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top\">\n <div class=\"container mx-auto px-5\">\n\n \n   <h2>Other resources in this series<\/h2>\n  \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n \n \n <!-- conversly to above, we need to not show the CTA here if it's the Head Section style -->\n  <\/div>\n<\/div>\n\n\n<div class=\"resources-slider wp-block-resources-slider overflow-x-hidden\">\n <div class=\"container mx-auto px-5\">\n <ol data-offset=\"0\">\n  <li class=\"bg-warm-ceramic p-6 rounded-lg grid content-between\">\n  <a href=\"https:\/\/www.casey.org\/family-treatment-courts\/\" target=\"\" class=\"resources-slider__link\">\n  <div class=\"text-2xl print:hidden\">\n <span class=\"icon deliberately-not-an-icon\"><\/span>\n <\/div>\n <div>\n <h5 class=\"mb-0 mt-6\">What are family treatment courts and how do they improve outcomes for children and families?<\/h5>\n <p class=\"text-salt-box mb-0 mt-6\">Explore how family treatment courts are a family-centered intervention for families affected by substance use disorder.<\/p>\n  <span class=\"label-small text-well-read\">Read More<\/span>\n  <\/div>\n  <\/a>\n  <\/li>\n  <li class=\"bg-warm-ceramic p-6 rounded-lg grid content-between\">\n  <a href=\"https:\/\/www.casey.org\/ftc-brief-two\/\" target=\"\" class=\"resources-slider__link\">\n  <div class=\"text-2xl print:hidden\">\n <span class=\"icon deliberately-not-an-icon\"><\/span>\n <\/div>\n <div>\n <h5 class=\"mb-0 mt-6\">What can we learn from family treatment courts about improving practice for families affected by substance use disorder?<\/h5>\n <p class=\"text-salt-box mb-0 mt-6\">Explore effective strategies for how family treatment courts can improve outcomes for families affected by parental substance use disorder.<\/p>\n  <span class=\"label-small text-well-read\">Read More<\/span>\n  <\/div>\n  <\/a>\n  <\/li>\n  <\/ol>\n <\/div>\n <\/div>\n<\/div><\/div>\n\n\n<div class=\"qff_disclaimer align wp-block-disclaimer content-section\">\n <div class=\"container mx-auto px-0 md:px-5\">\n <div class=\"qff_disclaimer__wrapper text-salt-box text-xs font-sofiapro border-t-2 border-spring-wood\">\n <p>Casey Family Programs consults with individuals and teams across the country to compile research, experiences, and insights about approaches that can safely reduce the need for foster care and ensure the well-being of children and families. We share this information broadly to help child welfare leaders and their partners tackle similar issues in their own communities. For questions about this resource, or if you have other child welfare information needs, please email <a href=\"mailto:kmresources@casey.org\">kmresources@casey.org<\/a>.<\/p>\n\n <\/div>\n <\/div>\n<\/div>\n\n\n\n<div id=\"footnotes\" class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<div style=\"height:2px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n<\/div><\/div>\n\n\n<div class=\"footnote wp-block-footnote\">\n  <div class=\"container mx-auto px-5 text-3xs text-black-currant\">\n    <p><!-- wp:paragraph {\"className\":\"p1 note\"} --><\/p>\n<p class=\"p1 note\">1 This brief was informed by interviews with Ari Weber, FTC coordinator, Derrick Platt, Deputy Department Administrator, Carma Umpleby, Deputy Department Administrator, and Cheri Clark, Department Administrator, Juvenile Department of the Superior Court of Arizona in Maricopa County; Denise Voiles, Nurse Manager, Maricopa County Department of Public Health; Tara Sundem, Executive Director, Hushabye Nursery; Lauryn Muzny, Deputy Director, and Kathy Thompson, Director, Iowa Children\u2019s Justice; Dr. Ira Chasnoff, Founder, NTI Upstream; and Aurora Martinez Jones, Presiding Judge, 126th District Court, Travis County, Texas.<br \/>\n2 Center for Children and Family Futures and National Association of Drug Court Professionals. (2019). <a href=\"https:\/\/www.nadcp.org\/standards\/family-treatment-court-best-practice-standards\/\" target=\"_blank\" rel=\"noopener\"><span class=\"s1\">Family treatment court best practice standards<\/span><\/a>. Supported by Grant #2016-DC-BX-K003 awarded by the Office of Juvenile Justice and Delinquency Prevention, Office of Justice Programs, U.S. Department of Justice.<\/p>\n<p><!-- \/wp:paragraph --><\/p>\n\n  <\/div>\n<\/div>\n\n\n<div class=\"content-section light fresh-text single wp-block-fresh-text backgrounds-and-margins-aware-block margin-top margin-bottom\">\n <div class=\"container mx-auto px-5\">\n\n \n \n <!-- The CTA is moved up next to the title when in the Head Section style -->\n \n  <div class=\"callout\"><script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' 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