Practice-Informed Approaches to Addressing Substance Abuse and Trauma Exposure in Urban Native Families Involved with...

Area of Science:

• Social Work and Public Health
• Indigenous Studies and Child Welfare

Background:

• Urban Native American families involved with child welfare due to substance abuse often face untreated trauma.
• Historical genocidal policies and ongoing discrimination compound challenges for these families.
• Existing child welfare systems may lack cultural responsiveness and trauma-informed care for Native families.

Purpose of the Study:

• To present strategies from the Denver Indian Family Resource Center (DIFRC) trauma-informed and culturally responsive model.
• To guide non-Native caseworkers and supervisors in implementing culturally based practices with Native families.
• To support adherence to the Indian Child Welfare Act (ICWA) through Active Efforts.

Main Methods:

• Utilizing a trauma-informed and culturally responsive model developed by DIFRC.
• Implementing intensive and proactive case management for high-need families.
• Employing a caseworker brief screening tool for trauma exposure.
• Training caseworkers to recognize trauma symptoms and make timely referrals to culturally competent behavioral health specialists.

Main Results:

• The DIFRC model shows promise in reducing out-of-home placements and re-referrals.
• Improvements observed in caregiver capabilities, family safety, and child well-being.
• Culturally responsive practices enhance service delivery and meet ICWA requirements.

Conclusions:

• A trauma-informed, culturally responsive approach is effective for urban Native families in the child welfare system.
• Key strategies include caseworker training, trauma screening, timely referrals, and a safe service environment.
• Agencies should enhance cultural responsiveness by understanding cultural values, worldviews, and incorporating traditional healing practices.