Prenatal alcohol and drug exposure puts children at risk due to:
- the possible effects of prenatal exposure on their health and development
- the likelihood of a compromised home environment
The Goals of PCAP
The goals of PCAP are to help mothers with substance use disorders to:
- build and maintain healthy, independent, alcohol/drug-free lives
- prevent future births of alcohol and drug exposed children
The PCAP Approach
Pregnant and parenting women are enrolled in PCAP for 3 years. PCAP forms partnerships with and between clients and families and community service providers.
Clients are not asked to leave the program if they relapse or experience setbacks.
Trained and supervised case managers meet with clients twice monthly, in clients’ homes when possible, to assist clients in:
- Setting goals and identifying steps to achieve them
- Obtaining alcohol/drug treatment
- Staying in recovery
- Choosing a family planning method
- Staying up-to-date with child health care/immunizations
- Addressing housing, domestic violence, child custody problems
- Connecting with community services
- Resolving system service barriers
Case managers provide extensive practical assistance and long-term emotional support that is often essential to women who are making fundamental changes in their lives.
Though voluntary, home visitation plays a valuable role in the PCAP intervention.
- The purpose is to see the client in her home environment, to better understand her needs and goals.
- While PCAP case managers are mandated reporters of observed or disclosed abuse or neglect, the purpose is not to monitor the PCAP client or her children.
- When home visitation is not possible due to homelessness or non-consenting household members, case managers may meet with clients elsewhere in their communities.
Through home visitation and/or other in-person contacts the case manager is able to “meet the client where she’s at” while providing ongoing support.