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Screening and Intervention Programs

CARE of Southeastern Michigan

Intervention Type

FASD Prevention Subcontractors
Project CHOICES (Funded in 2012*)

FASD Diagnosis and Intervention Subcontractors
Diagnosis and Intervention (Funded in 2008 and 2012*)

*Projects funded in 2012 were unable to complete their programs due to funding cuts after the first year.

Project Contact Information

CARE of Southeastern Michigan
Shelly L. Bania, BA, CPC-R, ICPS, FASD Prevention Specialist/Program Coordinator
31900 Utica Road
Fraser, MI 48026
Phone: 586-541-0033, ext. 128
Fax: 586-541-0034
E-mail: sbania@careofsem.com

Project CHOICES (2012) - Project Summary Statement

Agency Setting

CARE is a non-profit, community-based, human service agency that has been providing substance abuse related services since 1977. Each year CARE impacts the lives of over 25,000 individuals from early childhood to older adults through our diverse programming. While the agency has broadened its scope and now serves families throughout southeastern Michigan, the bulk of programming is provided in Macomb County. The agency’s headquarters are centrally located in Macomb County in the city of Fraser.

Macomb County is the 3rd largest county in the State of Michigan. It is a mix of urban cities, suburban townships, and rural communities; and a diversified economy consisting of a growing transportation and automobile industry, research and development facilities, advanced manufacturing, healthcare, national defense and engineering design firms. With 31 miles of Lake St. Clair coastline, Macomb County residents enjoy water recreation, outdoor events, and year-round family friendly community events hosted by a variety of its cities and small towns.

Target Populations Served

Statistics about alcohol use by female Macomb County residents of childbearing years indicated a need for the expansion of Project CHOICES.

  • The 2009 Macomb County Behavioral Risk Factor Survey indicated that 10.4% of the female population consumes alcohol at binge-drinking levels, with 24.6% of binge drinkers being of childbearing age and 4.6 % of women reporting a heavy drinking pattern of consumption.
  • According to the 2012 State of Michigan Infant Mortality Reduction Plan, 45.2% of women in Michigan experienced an unintended pregnancy in 2010.

CARE integrated Project CHOICES into its clinical case management programs. Additionally, women were referred internally by its prevention and community-based programs, as well as from external community partners, such as public health agencies along with colleges and universities.


Diagnosis and Intervention - (2008 and 2012) - Project Summary Statement

CARE is a local, non-profit, community agency whose mission is to educate, link and support individuals, families, businesses and communities affected by family concerns, workplace challenges, mental health conditions and the misuse of alcohol, tobacco, and other drugs in Southeastern Michigan.

Reflecting CARE’s overriding mission and passion to improve lives of Southeastern Michigan youth, the initiative is named Project FASD ACHIEVE identifying the overall project goal - improved functioning and life-long achievement for individuals living with FASD. Project FASD ACHIEVE integrates screening for FASD, referral for an FASD diagnostic evaluation and the provision of interventions based on the FASD diagnostic evaluation into CARE’s service delivery system for children ages 0-7.

The initiative is voluntary and must meet parents and caretakers where they are in the process of learning more about their child’s functioning; thus, CARE’s process allows for “no wrong door” to receiving services for children who have been prenatally exposed to alcohol. CARE offers a multitude of programs for families and children within Project FASD ACHIEVE’s target population. Working in collaborative way with Macomb County and other Southeastern Michigan partners and agencies, we are meeting the needs of the community.

By formalizing its working relationships with service providers and providing intensive case management, CARE ensures that families receive the supports that they need through the entire process. The goal is for all children who are diagnosed with an FASD to receive intervention services that assist them in achieving their full potential and to document the outcomes for all children. This work will not only improve the functioning of children but advance knowledge about FASD screening, diagnosis and intervention. Objectives for children who received these services will:

  1. Remain in current home placement at the time they enroll in FASD Achieve
  2. Improve school performance
  3. Remain in their daycare or preschool setting
  4. Meet treatment goals of individual service plan developed from diagnostic evaluation recommendations
  5. Improve functioning