S.T.A.R.T.

Sobriety Treatment and Recovery Teams Cuyahoga County Department of Children and Family Services

MISSION

To protect children born exposed to drugs from abuse and neglect by empowering families to utilize intensive case management services with the support of the community and treatment providers, while achieving permanency for children.

GOALS

To Keep Children Safe To Develop a Safe, Nurturing, Stable and Timely Living Situation for Children Born Exposed to Drugs To Help Drug Addicted Parents Overcome Their Drug Problems

Resources and Program Structure

Case Identification Participant Requirements Internal Resources Developing a Provider Relationship Service Agreements Tenets Accountability Program Evaluation

Substance of Choice for S.T.A.R.T. Clients 2001-2003 Crack/Cocaine 35% Amphetamines 1% Alcohol 11% Barbiturates 1% Benzodiazepines 3% Ecstasy 1% Heroin 3% LSD 1% PCP 4% Marijuana 38% Opiates 3% Other 1% Unknown 1%

Trends in Substance of Choice for S.T.A.R.T. Clients 2001-2003

50.00% 45.00% 40.00% 35.00% 30.00% 25.00% 20.00% 15.00% 10.00% 44% 39% 27.40% 32.40% 2001 2002 2003 Cocaine Marijuana

Substance of Choice for Women in Cuyahoga County

Marijuana 15% Alcohol 30% Crack 31% Cocaine 3% Heroin 13% PCP 1% Opiates 2% Other 3% None 4%

S.T.A.R.T. Clients

Between 2/21/1997 and 12/31/03 S.T.A.R.T. Served 1293 Clients

Number of START episodes per mom 1 episode = 94.8% 2 episodes = 4.9% 3 episodes = .2%

S.T.A.R.T. Clients Profile

Race 76% African American Age at Referral: 7% less than 18 years old 44% between 21 and 29 years old 49% over 30 years old

History of Abuse/Neglect

33% of S.T.A.R.T. mothers were child victims of abuse and/or neglect

Relapses

44% of the S.T.A.R.T. Moms Suffer Relapse