Providing Mental Health Services for Families Impacted by

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Transcript Providing Mental Health Services for Families Impacted by

Providing Mental Health Services for Families
Impacted by Psychological and Physical
Kimberly Bradley, PsyD
Center for the Vulnerable Child
Children’s Hospital & Research Center Oakland
National Conference on Ending Family Homelessness:
Building Healthy Families
Oakland, CA
February 9, 2007
Children’s Hospital & Research Center Oakland
Cheryl Zlotnick, RN DrPH
Tammy Tam, PhD
Physical Homelessness is associated with:
• housing instability
• food insecurity
• lack of adequate clothing
• lack of adequate health care
Psychological Homelessness is
associated with:
• the impact of generational homelessness
• social isolation: lack of connection, lack of stable
attachments/ relationships
• a history of chaotic, haphazard, and sporadic
• trauma, victimization and multiple losses
Systemic Circles of Influence on the Family
Health care
Child Welfare
C.O.R.E. Program Framework
Program Approach:
• social justice
• cultural responsiveness
• family preservation
• public health
Services Provided:
• therapeutic, direct-care services at 3
different levels: child, mother and family
• collaboration with other agencies
• helping families navigate systems
• psychoeducation
•referral to community resources
Mental Health Practices
• family assessment on the roots of homelessness for the
family: situational or generational homelessness;
psychological or physical; emotional or economic
• meet family where they are
• provide emotional support through individual, family
and/ or group therapy
• provide parent education, counseling and support
• educating systems on the needs of homeless families
• advocacy for homeless children and families
• creative treatment plans that meet the individual needs
of the family
• crisis intervention and management
• working with whoever is considered family
Barriers to Ending Family Homelessness
• Chronic homelessness, instability and poverty
• Lack of employment skills necessary to earn a living wage
inadequate affordable housing
• Substance abuse problems & history of inadequate drug tx
for homeless mothers
• History of trauma and victimization
• CPS involvement - child placement in foster care system
• Loss of public entitlements
• Lack of external supports
Gaps in Service - Service Needs
• culturally accountable and responsive services
• affordable housing with supportive services
• family preservation & child abuse prevention services
• rent subsidies for times of family crisis
• federal dollars funding homeless families
• mental health services specifically for caregivers
• mother-child residential substance abuse treatment
• systems collaboration
• services for youth transitioning out of foster care
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