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Crossroads' Turning Points, Inc.

Gifts to CTP sustain and strengthen the availability of co-occurring substance abuse and mental health treatment for such critically-needed underserved populations as pregnant women and women with dependent children in rural southeastern Colorado counties.

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Womens Residential Unit

Class

Human Services 

Beneficiaries

Females
Infants/Babies (under age 5)
Poor/Economically Disadvantaged/Indigent
Single Parents
Substance Abusers (Drug/Alcohol Abusers)

Description

CTP offers Intensive Residential Treatment programs for women. These programs are designed for women experiencing substance abuse and co-occurring mental health issues that may create problems for them physically, socially, and legally, which in many instances may affect their family structure.
Included in the women's programs is CTP's Women's Residential Unit (WRU). This specialized program is designed to remove barriers and improve access to treatment for pregnant women and women with dependent children, who either live with them, or are temporarily living somewhere else. The primary focus is to assist women to achieve self-sufficiency in a supportive, substance-free setting. Outpatient, intensive outpatient, and residential services are offered, including individual, family, and group sessions, and case management referral information. Women are encouraged to involve their children in treatment to improve parenting skills, and strengthen recovery efforts.
The WRU is the only residential treatment program in Colorado licensed to provide both Intensive Residential Treatment and Transitional Residential Treatment to clients. This unique treatment status allows CTP to tailor services more precisely to the needs of the women and children served. Intensive Residential Treatment (IRT) emphasizes current evidence-based practices for this population including Motivational Interviewing linked to the women's stages of change; Cognitive-Behavioral Treatment; and Strengths-Based Case Management.
Transitional Residential Treatment (TRT) provides services founded in evidence-based practices that help women transition back into the 'real world,' including Relapse Prevention Skills, Strengths-Based Case Management to assist the women in re-connecting with the community, Seeking Safety Protocol to address trauma, and linkage to continuing care through CTP's outpatient services and/or self-help groups in the community.
Since 2006, CTP has also offered a life-changing integrated co-occurring program in conjunction with the WRU to provide critically needed substance abuse treatment and mental health treatment to those women who suffer from both.

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Evidence of Program's Success

The evaluation of the CTP Co-Occurring program in the WRU was designed to assess changes over time in the clients admitted to this modified program. While any findings from an evaluation using this kind of non-experimental design should we interpreted with some caution, the findings are highly consistent and indicate that the women in this program generally exhibited significant positive change or improvement across a set of outcome measures. Every outcome indicator in the DACODS reflected highly significant improvement, including the number of days of drug use in the previous 30 days, and family, social, education/employment, and medical physical issues. Almost 99% of the clients were rated as having made moderate (47.9%0 to high (50.7%) progress toward their treatment goals. Similarly the clients gained significantly in knowledge about co-occurring disorders and expressed very high levels of satisfaction with the program.

The ASI-Lite, which was assessed for clients from baseline or enrollment to the three-month post-discharge follow-up, also reflected significant positive improvement for five of seven composite scores, four of six perception scores, and three of six motivation scores. The most central areas of outcome for this particular program are substance abuse and mental health functioning, and these two outcomes showed significant positive change regardless of the outcome measure. Moreover, these positive changes were sustained at the three-month post-discharge follow-up, reflecting highly statistically significant improvement after the client is returned to the community.

In summary, based on the pattern of findings from this evaluation, it appears that the augmentation of the Women's Residential Unit substance abuse treatment program with a series of groups and some individual counseling focusing on co-occurring mental health disorders was highly successful. Clients showed improvement on virtually every measure, including those taken at follow-up. The findings must be interpreted with some reservations because of weaknesses inherent in the longitudinal design of the evaluation, but based on this study, the program appears to be achieving and exceeding the goals it established for this modified program.

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