Amethyst, Inc.

Amethyst exists to nurture and sustain healthy women and families.

We have been providing gender specific and trauma informed alcohol, tobacco and and

other drug treatment, transitional and permanent supportive housing services to homeless women and their children since

1983

Amethyst Program Philosophy

• Client focused treatment, program design and evaluation through clustering

• Blending treatment and housing components to provide the time and resources necessary for meaningful life changes

• Gender specific, trauma informed treatment to create an environment where women and children are welcomed.

Treatment Model

• Alcohol and Drug Treatment– Orientation– Entry Level– RSvP/RIP– Four levels of Care– Transitional Housing – Permanent Supportive Housing

Treatment Model

• Additional clinical services include:– FamilyQuest, SummerQuest and KidsQuest– Spirituality– Cultural Exploration– Art Therapy

Treatment Model

• Trauma Services– Trauma Counselors (2)

• EMDR

– Crisis Counselor– Transition Counselor

Client Services

• Case management

• Education and employment

• Life skills development

• Physical health

• Reunification

Continuous Quality Improvement

• Goal Sheets

• Organizational Culture

• Evaluation

• Quarterly Client Satisfaction Surveys

• Consumer input

Amethyst Housing

• Transitional (RSvP/RIP)– 13 one and two bedroom units

• On site Resident Manager

• Permanent Supportive:– 77 one and two bedroom units– 18 one bedroom units

• On site Resident Manager

– Scattered sites

RSvP Program Components

• Daily exercise, relaxation, leisure

• Child care, after school activities

• Transportation

• Staff and peer support 24 hours a day, seven days a week

RIP Program Components

• Return to intensive level of care

• Crisis counseling

• Relapse autopsy

• Relapse prevention planning

• Nutrition, exercise

RIP Program Components

• Return to intensive level of care

• Crisis counseling

• Relapse autopsy

• Relapse prevention planning

• Nutrition, exercise

Amethyst Facts

• In 2005:– 145 women and 83 children lived in

Amethyst permanent supportive housing– Average length of stay is 30 months– Average age of client is 40– 100% of the women were homeless and

chronic substance abusers

Amethyst Facts

• 84% of the women in the program had co-existing mental health issues

• 94% of the women in the program had trauma issues

• 4% of the women in the program were HIV+

Amethyst Facts

• In 2005:– 92% maintained sobriety throughout

participation in the program– 65% maintained sobriety for more than one

year– 80% maintained sobriety for six months or

more

Amethyst Facts

• 66% participated in education/employment training

• 35% volunteered in the community• 19% were working full or part time jobs• 96% of those working maintained employment

for six or more months

Amethyst Facts

• 100% of the women had no new contacts with the criminal justice system

AND…….

• 11 Families were reunited with 14 children returning to their mothers from foster care

• An additional 26 women were in process of reunifying with 46 children

• 3 babies were born drug-free

Amethyst Fiscal Year 2005

28%

15%

6%17%

2%

3%

21%

4%2%

2% ODADAS

ADAMH

ODD

HUD

CDBG

CSAT

MEDICAID

PRIVATE DONATIONS

OTHER

DONATIONS

Cluster Planning and Outcome Management (Women)

MORE MATURE

WOMEN WHO ABUSE CRACK

WOMEN ADDICTED TO

PRESCRIPTION DRUGS

SUBSTANCE ABUSERS

WITH MORE SEVERE MENTAL HEALTH

PROBLEMS

YOUNGER ADULT WOMEN ADDICTED TO

CRACK COCAINE

MORE MATURE WOMEN WHO

ABUSE ALCOHOL

Cluster Planning and Outcome Management (Children)

CHILDREN AND ADOLECENTS WHO

HAVE ADHD OR OTHER

NEUROBEHAVIORAL CONDITIONS

CHILDREN AND

ADOLESCENTS WITH

SERIOUS BEHAVIOR PROBLEMS

CHILDREN AND ADOLESCENTS

WHO ARE DEPRESSED

AND/OR SUICIDAL

CHILDREN AND ADOLESCENTS

WHO HAVE BEEN

SEXUALLY, PHYSICALLY

OR EMOTIONALLY

ABUSED

Cluster Planning and Outcome Management (Children)

WITNESSES OF CHRONIC TRAUMA

CHILDREN AND

ADOLESCENTS WITH

SUBSTANCE ABUSE ISSUES

ANXIOUS CHILDREN

INFANTS AND TODDLERS

WITH EARLY DEVELOPMEN

TAL AND BEHAVIORAL DIFFICULTIES

Amethyst Treatment Model Levels of Care

Amethyst Treatment Model Levels of Care

Amethyst Treatment Models

• Level One

• Level Two

• Level Two-B

• Level Three

• Level Four

• Aftercare

Level One

• Relapse Triggers and Prevention Plans

• Budgeting and Financial Planning

• Volunteer Work Experience

• Case Management/Life Skills Development

• Cluster Groups

Level Two

• Adult Children of Dysfunctional Families

• Anger, Guilt, Shame and Grief

• Negative Messages, Negative Attitudes

• Assertiveness

• Career exploration

Level Two

• Art Therapy

• Abuse Issues

• Parenting

• Budgeting

• Spirituality

Levels Three and Four

• School

• Work

• Day and evening schedules

• Economic independence

• Homeownership

FamilyQuest• Orientation for Families and Children• Child and Family Assessments• Medication Assessments and Monitoring• Treatment Planning• Children’s Groups• Individual Counseling For Children• Family Counseling• Evidence-Based Parenting Classes Assigned by Cluster• Home Visits• Crisis Intervention and Support• Treatment Team Meetings• Coordination with collateral service providers and systems• Transportation• SummerQuest

Trauma Specific Outcomes For All Women’s Clusters

• Understanding and Acceptance of Trauma

• Toxic Shame

• Interference From Post Traumatic Stress Responses

• Ability to Deal with Transitions

Results• Successful family cohesion• Retention of women in treatment• Breaking the cycle of addiction and trauma• Prevention of children and families from replicating the

harmful behaviors that have been passed down• Reduction in the problematic use and harmful effects of

alcohol and other drugs• Reduction in the rate of and generational cycle of violence• Reduction in the number of families involved with protective

services• Reduction in criminal justice contacts for both women and

children• Improved education, employment and income for

participants