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Harvard Case - Cocaine Mothers

"Cocaine Mothers" Harvard business case study is written by Jose Gomez-Ibanez. It deals with the challenges in the field of Social Enterprise. The case study is 8 page(s) long and it was first published on : Jan 1, 1990

At Fern Fort University, we recommend a multifaceted approach to address the complex issue of cocaine-addicted mothers and their children in the Dominican Republic. This approach leverages a social enterprise model, incorporating elements of social entrepreneurship, impact investing, and corporate social responsibility (CSR). The goal is to create a sustainable and scalable solution that addresses the root causes of the problem, provides comprehensive support to mothers and children, and fosters long-term positive impact.

2. Background

This case study focuses on the dire situation in the Dominican Republic, where a significant number of mothers struggle with cocaine addiction, leading to widespread social and economic consequences. The case highlights the challenges faced by NGOs like 'Mothers of the Streets' in providing adequate support to these mothers and their children. The lack of resources, limited access to healthcare, and social stigma contribute to the perpetuation of this cycle of addiction and poverty.

The main protagonists are:

  • Mothers of the Streets: A non-profit organization dedicated to helping cocaine-addicted mothers and their children.
  • Dr. Laura: A passionate physician who dedicates her time to providing medical care to these mothers and their children.
  • Cocaine-addicted mothers: The primary target group, facing immense challenges in overcoming addiction and providing for their children.
  • Children of addicted mothers: The innocent victims of the situation, often facing neglect, health issues, and social isolation.

3. Analysis of the Case Study

This case study presents a complex social problem requiring a holistic approach. The analysis uses a stakeholder theory framework to identify the key stakeholders and their interests:

  • Mothers of the Streets: Seeking to expand their reach, improve their services, and secure sustainable funding.
  • Dr. Laura: Passionate about providing medical care but limited by resources and infrastructure.
  • Cocaine-addicted mothers: Need access to comprehensive treatment, childcare, and social support to overcome addiction and rebuild their lives.
  • Children of addicted mothers: Require access to healthcare, education, and a safe environment to thrive.
  • Dominican Government: Responsible for providing social services, healthcare, and law enforcement.
  • International organizations: Potential sources of funding, expertise, and collaboration.
  • Local communities: Impact by the prevalence of addiction and the need for community support.

Key Issues:

  • Lack of Resources: NGOs like Mothers of the Streets struggle with limited funding and infrastructure.
  • Limited Access to Healthcare: Cocaine-addicted mothers and their children often lack access to quality healthcare.
  • Social Stigma: Addiction carries a strong social stigma, hindering access to support and opportunities.
  • Lack of Sustainable Solutions: Existing programs lack long-term sustainability and fail to address the root causes of the problem.

4. Recommendations

Phase 1: Social Enterprise Development

  • Establish a Social Enterprise: Create a sustainable and scalable social enterprise that provides comprehensive services to cocaine-addicted mothers and their children. This enterprise will leverage a hybrid organization model, combining elements of a non-profit and a for-profit business.
  • Develop a Triple Bottom Line Business Model: Focus on social, environmental, and economic impact. This model will incorporate impact investing opportunities, attracting investors who seek both financial returns and positive social impact.
  • Offer Integrated Services: Provide a comprehensive package of services including addiction treatment, childcare, education, vocational training, and job placement. This holistic approach will address the root causes of the problem and empower mothers to break the cycle of addiction.
  • Develop Sustainable Funding Strategies: Explore a mix of funding sources, including grants, donations, social impact bonds, and revenue generated from the social enterprise's activities. This diversified approach will ensure long-term financial sustainability.

Phase 2: Community Engagement and Partnerships

  • Build Strong Community Partnerships: Engage with local communities, government agencies, and international organizations to create a network of support. This collaboration will leverage resources, expertise, and advocacy to maximize impact.
  • Promote Social Awareness: Conduct public awareness campaigns to reduce stigma associated with addiction and encourage community support for mothers and children.
  • Develop a Social Impact Measurement Framework: Track and measure the social impact of the enterprise's activities, demonstrating the effectiveness of the model and attracting further investment.

Phase 3: Scaling and Replication

  • Develop a Scalable Model: Design a replicable model that can be adapted to other communities facing similar challenges. This will enable the expansion of the social enterprise's reach and impact.
  • Explore Franchise Opportunities: Consider establishing a social franchise model to empower local communities to implement the program in their areas. This will leverage local knowledge and resources while maintaining the core principles of the social enterprise.

5. Basis of Recommendations

These recommendations are based on the following considerations:

  • Core Competencies and Consistency with Mission: The proposed social enterprise aligns with the mission of Mothers of the Streets and leverages their existing expertise in providing support to cocaine-addicted mothers and their children.
  • External Customers and Internal Clients: The enterprise directly addresses the needs of cocaine-addicted mothers and their children, providing them with essential services and opportunities for a better future.
  • Competitors: The enterprise will differentiate itself by offering a comprehensive and sustainable model that addresses the root causes of the problem, fostering long-term positive impact.
  • Attractiveness - Quantitative Measures: The enterprise's financial viability is supported by a triple bottom line business model, attracting impact investors who seek both social and financial returns.

Assumptions:

  • The Dominican government will be supportive of the social enterprise's mission and provide necessary legal and regulatory frameworks.
  • The community will embrace the enterprise and actively participate in its activities.
  • Sufficient funding will be secured to support the enterprise's initial development and expansion.

6. Conclusion

By implementing a social enterprise model, the Dominican Republic can effectively address the complex issue of cocaine-addicted mothers and their children. This approach offers a sustainable and scalable solution that provides comprehensive support, fosters community engagement, and creates lasting positive impact.

7. Discussion

Alternatives:

  • Government-led initiatives: While government intervention is essential, relying solely on government programs may be slow and inefficient.
  • Traditional non-profit model: This model may struggle with long-term sustainability due to dependence on donations and grants.

Risks:

  • Lack of funding: Securing sufficient funding for the enterprise's initial development and expansion is crucial.
  • Community resistance: Overcoming social stigma and gaining community acceptance is critical.
  • Lack of government support: A supportive legal and regulatory environment is essential for the enterprise's success.

8. Next Steps

  • Develop a detailed business plan: Outline the enterprise's mission, services, target market, financial projections, and funding strategies.
  • Secure initial funding: Approach potential impact investors, foundations, and government agencies for seed funding.
  • Establish partnerships: Collaborate with local NGOs, government agencies, and international organizations.
  • Pilot the program: Launch a pilot program to test the model and gather data on its effectiveness.
  • Scale and replicate: Based on the pilot program's success, expand the enterprise's reach and replicate the model in other communities.

By taking these steps, the Dominican Republic can create a sustainable and impactful solution to address the challenges faced by cocaine-addicted mothers and their children, contributing to a brighter future for all.

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Case Description

Early in 1989, prosecutors in Florida charged a woman with child abuse after she gave birth to her second baby born with signs of cocaine dependency. This case briefly summarizes the problem of cocaine use, the effects of prenatal exposure, and the legal issues surrounding the Florida prosecution. The case can be used to raise a variety of issues, such as the frequency with which disputes about policy are often thinly disguised, disputes about objectives and basic values, and the circumstances under which the state is justified in coercing the behavior of individuals. HKS Case Number 944.0

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