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Screening and Intervention Programs

ARC Community Services, Inc.

Intervention Type

FASD SMT Subcontractors
Screening and Modifications to Treatment (Funded in 2012*)

FASD Prevention Subcontractors
Project CHOICES (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

ARC Community Services, Inc.
Paulette Romashko, MSW, LCSW, FASD Project Director
2001 West Beltline Highway, Suite 102
Madison, WI 53713
Phone: 608-278-2300
Fax: 608-278-2313

Screening and Modifications to Treatment (2012) - Project Summary Statement

Since its inception 38 years ago, the mission of ARC Community Services, Inc. has been to develop and provide innovative, state of the art, women specific, and culturally sensitive Alcohol and other Drug Abuse treatment to meet the unique treatment needs of women and their children in Dane and Fond du Lac Counties, with an additional treatment program in Milwaukee soon to come on-line. ARC is a private, not-for-profit 501(c)(3)agency specializing in women responsive, family-focused, community-based services for at-risk, indigent women and their children as a federal, state, county, and city provider of substance abuse and mental health services. ARC provides a service delivery system that involves a continuum of services including residential, day treatment, and outpatient treatment programs. ARC will implement the SMT model for women in ARC residential treatment programs who share many of the maternal risk factors for FASD identified in the literature, including severe issues in multiple life domains including mental health, criminal justice system involvement, trauma, limited educational background and poverty, as well as a history of impaired social relationships, and poor decision-making. Targeted residential programs include:

  • ARC House (a fifteen-bed, four month treatment program for women offenders)
  • ARC Dayton (a twelve-bed, three month treatment program for women offenders)
  • ARC Maternal and Infant Program (a twelve-bed six month treatment program for pregnant/postpartum women offenders)
  • ARC Fond du Lac (a fourteen-bed, three month treatment program for women offenders
  • ARC will also phase-in ARC Milwaukee (a 13-bed treatment program for women offenders) once available on-line.

The goal of ARC’s SMT program is to expand capacity in screening and modifications to treatment for women with a suspected FASD who are in ARC residential substance abuse treatment programs and produce new knowledge on effective treatment modifications. Estimates as high as 35% of people in substance abuse treatment could have an FASD affecting treatment retention and success due to impairments in executive functioning, including sequencing information and behavior, focusing on and completing goals, effective planning and organizing behavior, response inhibition, flexible problem solving and generalizing from experience. It is anticipated that ARC will screen 246 women annually and provide evidence-based treatment modifications for those women screening positive with FASD (estimated to be 83 women). ARC’s SMT program will be focused on identifying women with an FASD who are currently in residential treatment, and then developing and implementing an individualized, evidence-based, modified treatment approach based on an understanding of how the brain processes information. The purposes of ARC’s SMT include:

  • increasing access and opportunity for evidence-based treatment for women with FASD
  • increasing the ability for independent functioning and increasing coping skills
  • increasing abstinence from alcohol and other drugs, enhancing engagement, satisfaction, and treatment retention for women with FASD
  • developing new knowledge about the empirical effectiveness of treatment modifications

Project CHOICES (2008 and 2012) - Project Summary Statement

ARC’s Smart Start is an FASD Intervention project which integrates the Project CHOICES FASD prevention protocol based on motivational interviewing with high risk women into ARC Community Services Programs. The FASD intervention was phased in beginning with women receiving AODA treatment in ARC’s most structured treatment programs, as well as residential programs first and then expanded to include ARC’s pre-treatment and diversion programs.

The project goals included:

  • Abstinence from drinking alcohol during childbearing years (18-44)
  • Effective use of birth control methods if sexually active and actively drinking alcohol

The intent of ARC’s Smart Start FASD prevention initiative is to eliminate the incidence and prevalence of alcohol-affected births among high risk women by decreasing alcohol exposed pregnancies (AEP). ARC Smart Start goals are directly related to ARC’s mission of developing and providing innovative, state of the art, gender responsive for women, culturally responsive substance abuse treatment which meets the unique treatment needs of women and their children, and is expressed in ARC’s goals of increasing the availability and accessibility of early intervention and treatment; decreases the incidence and prevalence of alcohol and other drug use among pregnant and postpartum women; improves birth outcomes, and decreases the number of children affected by maternal substance abuse.