Program Implementation

Tips to Implementation: Through the years of implementing the Work First/CPS Substance Abuse Initiative, the North Carolina Department of Health and Human Services has learned that the initiative is always evolving and requires ongoing revisions of policy across the child welfare, substance abuse/mental health, and Work First systems. A consistent message must be conveyed from all parties (DSS, DMH/DD/SAS, LMEs, and QPSAs).

• More successful when the QPSA is out-stationed in DSS; easier to provide follow through, be accessible to applicants, create collaborative relationships with DSS, and solve transportation issues.
• Need for confidential space within sites for QPSAs and other treatment providers to serve clients.
• Practical and efficient screening tools, particularly the Substance Abuse Behavioral Indicator Checklist.
• Need to provide accessible and appropriate treatment services.
• Ongoing monitoring needed through reviews of MOAs, performance agreement, and audit.
• Need to provide ongoing support and staff training for QPSAs and DSS staff.