CSimpleWorks, PLLC - Family System Therapy

The Parent‐Child Assistance Program (PCAP) is an evidence‐based home visitation case‐management model for highest-risk pregnant & parenting women who abuse alcohol or drugs during pregnancy. Its goals are to help mothers build healthy families and prevent future births of children exposed prenatally to alcohol and drugs.
I have been heavily involved with PCAP since 2008, having established and maintained the Kitsap county site in collaboration with Agape Unlimited as their Clinical Director / Clinical Supervisor for 7 years, then transferring to King county to re-establish PCAP now connected to Evergreen Recovery Centers located in North Seattle, as Program Manager & Clinical Supervisor since 2015.  PCAP is a human-subject research program in WA since 1991 via the University of Washington - Fetal Alcohol and Drug Unit. As  of July 2017, PCAP is now considered "Essential Needs" by WA State DBHR. PCAP is 30/70 funded by WA State DBHR and Medicaid.

PCAP currently serves 18 counties in WA state with physical sites located in King, Pierce, Yakima, Spokane, Grant, Clallam, Kitsap, Skagit, Grays-Harbor, Cowlitz, Clark, Thurston, Snohomish, Whatcom, and Benton/Franklin; and is an award winning unique case management system utilizing best practices. Participants receive 3 years Case Management advocating for Mom's and their families by connecting clients to existing providers & resources in community while coaching them via home visitation, transporting occasionally when necessary, attending provider meetings and linking clients to existing systems.

The PCAP client is vulnerable in community, oftentimes homeless with children, suffers a high ACE score (adverse childhood experiences), is at risk of continued substance addiction, pregnancy, domestic violence, homelessness, and death.  Our clients want dignity restored to their life and to the lives of their children, desire safe & secure housing, seek to be clean/sober from addiction(s), want stable employment, oftentimes continue their pursuit of higher education, yet have difficulty navigating existing community systems and breaking free from existing negative patterns of behavior.

Why do I participate in PCAP?

PCAP clients are not much different than you or I other than the influences in their lives and how harsh experiences have impacted them.  They experience the world as unforgiving, unprotective, damning.  They likely have gone through their own childhood with incredible disruption, abuse or neglect, overlooked; often either in the system as a child or experienced little to no support regardless of system involvement.  I see PCAP clients as worthy, beautiful women in need, potentiated. Their health, body condition, lack of connection to healthy system providers speak much of their story. With connection to healthy system supports they are provided another opportunity to rediscover their worth & value, as a woman, parent, and as a healthier community member.  Their children, in turn, learn healthier ways of being, participate in school experiences in healthier ways, and form healthier & more appropriate social bonds.  Our mothers love their children but don't always have the skills expected to raise them as they might otherwise understand how to do. PCAP is an intervention. We assist the fundamental needs our mothers and her family has by assisting the mother and her partner to connect to system providers, and connecting all her children in her care to daycare, school, specialists & medical providers.

To me, it is a sad statement on community when any human life is considered less than valuable.  My passion for PCAP as a system of care is deeply integrated in my philosophy of care for the family system and community. There is no more humane way to envelop community members in need of significant support than to pitch in by supporting those who assert this work, or endorsing policy around the service aspect of providing services, or valuing program funding as vital to secure the network of support in community services.  This is an investment in our community members, not a give-away of resources.  It only takes one big mistake or mishap in life to throw any one of us off course, including financial reversal or death of a loved one.  Would that be you or someone you love and care about, wouldn't you desire they had options in community to heal and be restored to productive living?

Although PCAP sites are operationally fully funded and operate in tandem with "host" agencies who bear the burden of responsibility to their communities by providing PCAP, they do not have excess funding to close the gap on general needs our mothers and their children may have. 

Here's what you can do ...

* Offer your professional services pro-bono
(I donate minimally 10% of my professional services pro-bono)
PCAP families cannot afford co-occurring services, substance treatment, or assessments and evaluations needed to qualify for services; they need affordable medical attention, dental attention, and alternative care access

* Create a service project with your family, students or community group
(i.e. make baby blankets, do a fundraiser for personal hygiene supplies, diapers/wipes, haircuts, shoes, essential clothing, etc)

* Create or donate "dedicated" housing to PCAP in or near your community (faith-based private organizations or individuals can provide this without forcing a parent/child or family to wait on the street while waiting for coordinated-housing-entry to call them, which can take years). The new homeless definition for standard methods of securing subsidized housing includes "must not have any shelter" which means a homeless person must literally be on the streets or sidewalks! A car, couch-surfing, staying with well-meaning relatives or friends will actually disqualify them today!

* Donate money directly to a PCAP site of your choice and designate a specific purpose for the use of it (i.e. supplies for children, family members, pay utility bill for client(s), school scholarship for child(ren) or mother(s) & their partner(s), pay for assessments or treatment, medical services access coupon, etc)  Be aware any company that receives monetary donations can exercise its own discretion on what those monies ultimately are spent on, therefore, I highly recommend monetary donations take the form of "Gift Cards for exclusive use of PCAP clients and their families by PCAP staff only".

* Contact your legislators and request PCAP for your community, the more people interested in the health & welfare of families in your particular community the higher the likelihood funding can become a priority for your community.

Bottom line, all members in community are valuable.  The healthier our neighbors, the healthier our community, the healthier our future.  As a community we can not afford to keep looking the other way, or continue to judge ... by doing so we contribute to the creation of the demise of others who are subject to unspeakable behaviors that co-create their circumstances. We are all impacted by that process.  There is no such thing as "us" or "them" or  "those people".  WA has shown itself to care about it's communities, and there are many great works in  motion as a result.  PCAP is one of those great works I dub as "the antidote".  It seeks to correct those unspeakables utilizing existing systems of care and community resources.

For further information on PCAP visit: 

For further information on ACEs visit:  https://www.cdc.gov/violenceprevention/acestudy/