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FASD in Review

Screening and Intervention Programs

Serving Children and Adolescents in Need, Inc. (SCAN)

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


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

Serving Children and Adults in Need, Inc. (SCAN)
Fatima Garza, M.A., LCDC, Program Director
2347 E. Saunders, Suite B
Laredo, TX 78041
Phone: 956-791-7800
Fax: 956-791-7804
Email: fatima.garza@scan-inc.org

Agency Setting

Serving Children and Adults in Need (SCAN), founded in 1982, is a community-based, nonprofit social services organization with a 32-year history of providing a variety of comprehensive and culturally sensitive services along the U.S.-Mexico Border in Southwest Texas. SCAN offers more than 30 programs providing services in 14 different South Texas counties. These programs provide diverse, culturally responsive, and linguistically sensitive prevention, intervention, and treatment services for children, adolescents, adults, and families. SCAN created and administers Serenidad Women's Recovery Home Program which provides residential treatment services to adult women who are medically indigent and have substance abuse and dependence problems from Webb and the surrounding Texas counties. Serenidad provides specialized services for women, based on whether or not they have children, in both intensive and supportive residential levels of care as well as comprehensive case management for those who meet the criteria for dual-diagnosis.

Target Populations Served

Serving Children and Adults in Need strives to foster the healthy development of individuals and families through empowerment opportunities that are effective, culturally-responsive, trauma-informed and community-centered. The service population in Webb County, Texas is composed of approximately 95% Hispanic, with more than 80% speaking Spanish as their first language at home. More than one-third (37.6%) of the population in this region earns below the national poverty income level. Furthermore, one-eighth (12.3%) of the population across the service area has an income that is below half of the national poverty figure. The particular target group for this project is the adult women in Serenidad Women's Recovery Home Program. Approximately 75% of the women who participate in the inpatient residential treatment programs of SCAN are functionally bilingual in English and Spanish, while about 25% neither read nor write English. About half of the target population has graduated from high school, and about one-third drop out of school between eighth and twelfth grades.

Goals and Objectives

The FASD Residential Treatment Project of SCAN seeks to identify women in residential treatment with a possible FASD and make modifications to their course of treatment to help improve their immediate and long-term outcomes. Through support and education the clients will gain the understanding and skills needed to prevent alcohol-exposed pregnancies and thereby reduce the incidences of their children being born with an FASD. The project aims to reduce the incidence of FASD and the number of alcohol-exposed pregnancies in Webb County by enhancing the agency’s capacity to provide FASD prevention and treatment modification services, expanding the FASD prevention knowledge base, and creating changes in high-risk behaviors for alcohol-exposed pregnancies among the target population receiving services from the residential treatment program of SCAN. The primary goals for the FASD Project are:

  • expand capacity in screening and modification to treatment for women with a suspected FASD
  • increase knowledge of FASD among staff of the female residential treatment center
  • produce new knowledge on the ability of screening and modification to treatment to be integrated into existing residential substance abuse treatment programs
  • increase engagement, satisfaction, and retention of women with a possible FASD in residential treatment services

The major process objectives include:

  • training staff to understand and implement the evidence-based model
  • screening clients in residential treatment for project participation
  • modifying treatment services to improve outcomes of clients with possible FASD
  • strengthening collaboration among community agencies

The main outcome objectives of the project include:

  • maintaining client recovery at three and six month follow-ups
  • effecting positive change in FASD values, attitudes and beliefs among staff
  • demonstrating program satisfaction among the clients and the staff

Project CHOICES (2008 and 2012) - Project Summary Statement

Project Contact Information

Serving Children and Adolescents in Need, Inc. (SCAN)
Dora Maria Ramirez, Program Director
2387 East Saunders, Suite 2
Laredo, TX 78041
Phone: 956-724-3177
Fax: 956-724-4861
E-mail: doramaria@scan-inc.org


The goals of SCAN’s FASD Prevention Project are to reduce the incidence of FASD and the number of alcohol-exposed pregnancies in Webb County, Texas, by changing two key behaviors among the target population of adult and adolescent Hispanic females receiving services from the Pregnant and Post-Partum Intervention (PPI) Program, Border Enhancement and Expansion Program (BEEP), Llave al Futuro (Key to the Future) Program, Juntos Podemos (Together We Can) Program, Community-Supported Transition and Recovery (C-STAR) Program, Esperanza (Hope) Recovery Home, and the Recovery-Oriented Systems of Care (ROSC) Female Serenidad Residential Treatment Center (other intra-agency SCAN programs).

The two primary objectives of our goals are to increase abstinence from alcohol in non-pregnant females who are receiving treatment services from SCAN, and to increase the use of effective contraception among females who drink alcohol and are sexually active and receiving intervention or treatment services from SCAN. These goals and behavioral objectives seamlessly mesh with SCAN’s mission and philosophy of providing cost-free and culturally relevant services that foster the healthy development of people.