Reaching In and Reaching Out: The JJET Approach Juvenile Justice Engagement Team

1. Reaching In and Reaching Out: The JJET ApproachJuvenile Justice Engagement Team Kim Hemmersbach, LPC JJET Liaison Mercy Care

2. Learning Objectives • How to build strong relationships with justice partners along with other stakeholders • How to effectively coordinate care for justice involved youth • Apply to your work the initiatives that promote better outcomes for delinquent/dependent youth

3. “Arizona Vision” Outcomes • Optimizing the talents, resources of young adults • Avoid delinquency • Have success in school • Be connected in their communities • Become productive adults

4. Building Relationships with Juvenile Justice and Other Stakeholders • Keep your word – deliver on promises • Have an open mind, listen to ideas • Address issues when they arise • Being proficient in the 3 C’s • Share vision • Mutual respect and trustworthiness

5. How to Effectively Coordinate Care for Justice Involved Youth

6. Coordination of Care Detention Roster/JJET referral • Referral for intake* • Oversee service & discharge planning • Promote natural settings/least restrictive • *Connected 32 detained youth to intake • Detention stay is qualifying event • Act timely • Collaboration

7. Detention Roster & AHCCCS benefits • Individuals are not eligible to receive AHCCCS benefits while incarcerated; and suspension, rather • than termination, of AHCCCS benefits during any period of incarceration is economically efficient. • Additionally, for individuals released from custody, suspension of benefits facilitates continuity of • care and minimizes the number of uninsured because reinstatement of benefits is more timely. • Retrieved from https://www.azahcccs.gov/AHCCCS/Initiatives/CareCoordination/justiceinitiatives.html

8. Coordination of CareMental Health Block Grant Funding • Can be utilized for detained youth when AHCCCS benefits have been suspended • Covers the following services: Intake and assessments Therapy Case management Psychiatric evaluation CFT meeting Medication management appointment • Any qualifying SED diagnosis qualifies for use of Mental Health Block Grant Funding (MHBG)

9. Coordination of CareDetention Roster-Statistics (10/01/2018-02/28/2019)

10. Apply to your work the initiatives that promote better outcomes for both delinquent and dependent youth

11. Crossover Youth Practice Model (CYPM) Multi-System Crossover Protocol for Maricopa County • The Crossover Youth Practice Model (CYPM) is a multi-agency collaboration which seeks to improve outcomes for youth who are dually-involved in the child welfare and juvenile justice systems by enhancing communication between agencies, increasing information sharing, and coordinating services intended to stabilize the family unit as early as possible so they can function without system involvement. Additionally, this model seeks to decrease the incidence of youth crossing between these two systems. • Retrieved from https://www.mercymaricopa.org/assets/pdf/providers/forms/new-provider-manual-forms-and-attachments/Collaborative-Protocol-with-Maricopa-County-Juvenile-Probation-Department%20Scanned.pdf

12. Crossover Youth Practice ModelThe Multi-System Approach • Justice involved youth are typically involved in multiple systems, therefore they necessitate multi-systemic approaches to support them to remain in their community

13. Crossover Youth Practice ModelWhy focus on dually involved youth? • Detained more often for longer periods of time • Experience more frequent placement changes • Higher rates of recidivism • Link between childhood maltreatment and later delinquent behaviors • More likely to experience failure in schools • More extensive mental health needs • More likely to experience formal court proceedings • Younger at the time of first arrest

14. Georgetown University’s McCourt School of Public Policy (Center for Juvenile Justice Reform) Retrieved from http://cjjr.georgetown.edu/our-work/crossover-youth-practice-model/

15. Crossover Youth Practice ModelOffense Frequency 2018 OFFENSE FREQUENCY General Delinquency Population Dually Involved On average 4.4offenses in history 49%four + offenses in history (includes VOPs and status) 21%four + delinquent offenses in history (felonies and misdemeanors only) • On average 2.5offenses in history • 21%four + offenses in history (includes VOPs and status) • 8%four + delinquent offenses in history (felonies and misdemeanors only) Data obtained from the Superior Court in Maricopa County, Juvenile Probation Department Based on active youth 06/30/18

16. Crossover Youth Practice ModelProgress – 2018 Of all youth in the delinquency system (n=4,309) Of all of the dual wards from the snapshot (n=533) Data obtained from the Superior Court in Maricopa County, Juvenile Probation Department Based on active youth 06/30/18

17. Success Story

18. For Questions/Additional Information • Kim Hemmersbach, LPC • hemmersbachk@mercycareaz.org • 602-918-0226 • Paula Krasselt, LPC, Court Services Administrator • krasseltp@mercycareaz.org • 480-215-8722

19. Resources • Center for Juvenile Justice Reform – Georgetown • http://cjjr.georgetown.edu/resources/ • National Center for Mental Health and Juvenile Justice • https://www.ncmhjj.com/ • Annie E. Casey Foundation • http://www.aecf.org/work/juvenile-justice/ • https://www.azcourts.gov/orders/Administrative-Orders-Index/2017-Administrative-Orders • Maricopa County Juvenile Probation Department (MCJPD) Collaborative Protocol https://www.mercymaricopa.org/assets/pdf/providers/forms/new-provider-manual-forms-and-attachments/Collaborative-Protocol-with-Maricopa-County-Juvenile-Probation-Department%20Scanned.pdf • Department of Child Safety (DCS) Collaborative Protocol https://www.mercymaricopa.org/assets/pdf/providers/forms/new-provider-manual-forms-and-attachments/Collaborative-Protocol-with-Department-of-Child-Safety%20Scanned.pdf • Crossover Youth Practice Model (CYPM) Collaborative Protocol • https://www.mercymaricopa.org/assets/pdf/providers/forms/new-provider-manual-forms-and-attachments/Collaborative-Protocol-with-Maricopa-County-Juvenile-Probation-Department%20Scanned.pdf • https://www.youtube.com/watch?v=nMS3rJVgH9k

20. References • Transitions out of the Criminal Justice System. Retrieved from https://www.azahcccs.gov/AHCCCS/Initiatives/CareCoordination/justiceinitiatives.html • Multi-System Crossover Protocol for Maricopa County. Retrieved from • https://www.mercymaricopa.org/assets/pdf/providers/forms/new-provider-manual-forms-and-attachments/Collaborative-Protocol-with-Maricopa-County-Juvenile-Probation-Department%20Scanned.pdf • Crossover Youth Practice Model. Retrieved from http://cjjr.georgetown.edu/our-work/crossover-youth-practice-model/

21. Thank You