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Parent Child Assistance Program (PCAP)

If you are interested in applying for PCAP, please complete this brief interest form below:

Questions? Call


For detailed information on PCAP, please visit the University of Washington’s site:

Parent Child Assistance Program (PCAP)

Parent Child Assistance Program (PCAP) is a home visitation case management program founded on a research study conducted by the University of Washington to support pregnant and parenting women with substance use disorders.

Our evidence-based program is staffed by experienced Case Managers who work with pregnant and parenting women to provide recovery support in order to build and maintain healthy, independent family lives and ensure that children are living in safe and stable homes.

Case Managers partner with clients to provide intensive case management and interventions for three years. Case Managers and clients generally meet twice a month to work on:

Setting goals and identifying steps to achieve them

Accessing treatment for alcohol and substance use disorders

Maintaining long-term sobriety and recovery support

Connecting with community services

Resolving system service barriers

Addressing housing, domestic violence, child custody, and legal issues

Staying up-to-date with child health care/immunizations

Choosing a family planning method

Developing parenting and life skills

Often, Case Managers attend court hearings with clients, advocating for them and ensuring their voices are heard.

Throughout this three-year process, Case Managers provide essential, practical assistance and long-term emotional support to women who are making fundamental changes in their lives. This is a thoughtful and caring process. Clients are not asked to leave the program if they experience setbacks.

Fetal Alcohol Spectrum Disorder (FASD) specific clients require specialized support as typical interventions that rely on verbal approaches, abstract thinking, memory, and classic reward and consequence techniques are often unsuccessful. PCAP’s Case Managers are specially trained to support FASD clients with approaches designed to improve their outcomes.

In addition to individualized support, PCAP also reaches out to community organizations to ensure local service providers understand how to work most effectively with their clients.

Working on both sides of this equation, PCAP creates a broader and more effective impact for each family and for the community as a whole.

The PCAP program has proven to provide cost savings to our communities, including:

Savings from reduced dependence on child welfare

Savings from fewer subsequent alcohol- and drug-exposed infants

Reduced dependence on public assistance

Reductions in subsequent birth rates for mothers on Medicaid

Increased employment

Increased levels of education

This Program Serves:

Pregnant and parenting women with substance use disorders

Women who abused alcohol and/or drugs during pregnancy

Women who have a child with Fetal Alcohol Spectrum Disorder (FASD)

Women who are ineffectively connected to community services

PCAP Program Goals

● Help mothers with substance use disorders build and maintain healthy, independent family lives.
● Prevent future births of drug and alcohol exposed children.
● Assure that children are in safe, stable home environments and receiving appropriate health care.

After three years of work with a PCAP Case Manager:


Clients completed alcohol/drug treatment programs.


Clients with at least one period (6 months or more) of sustained abstinence from drug/alcohol use.


Mothers are using family planning methods regularly.


Children are living with their own families. 


Families are in permanent, stable housing.


Children are receiving well-childcare.

Questions? We have you covered.

PCAP is a targeted-intensive, three-year case management program. Our trained and supervised bachelor-level case managers work one-on-one with their clients during this time period. Clients can expect to see their Case Manager face-to-face an average of two times per month. In-between in-person visits, clients can expect to hear from their Case Managers via call, text, or other electronic communication.

Case Managers offer regular home visitation and connect women and their families with a comprehensive array of existing community resources to address health care, housing, child welfare, and other issues. Case Managers help mothers identify personal goals and the steps necessary to achieve them; they monitor progress, facilitate case conferencing and integrated service delivery among providers, transport clients and children to important appointments and work actively with the extended family.

There are several ways a woman can qualify for PCAP services. (1) Women who have abused alcohol/drugs during pregnancy; are pregnant or up to 24 months post-partum; and are ineffectively connected to community services (2) Women who have a child with Fetal Alcohol Spectrum Disorder (FASD), are currently abusing alcohol, and are in their childbearing years.

Currently, due to the pandemic, we are not providing childcare or in-person groups. However, for active PCAP clients, a Case Manager can be available to accompany you and your child(ren) to an important appointment.

PCAP Case Managers do not offer legal advice but can facilitate referrals for clients to receive legal services at no cost.

PCAP services are offered free of charge to the client. PCAP is funded through a contract with the Department of Health.