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Midland County Day Treatment Program

Midland County Day Treatment Program. USING DATA TO DRIVE EVIDENCE-BASED PRACTICES Michele M. Bell Assistant Director Midland County Juvenile Care Center. ELEMENTS TO SUCCESSFUL IMPLEMENTATION. Identify Champions and Stakeholders Educate & collaborate with community leaders & agencies

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Midland County Day Treatment Program

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  1. Midland CountyDay Treatment Program USING DATA TO DRIVE EVIDENCE-BASED PRACTICES Michele M. Bell Assistant Director Midland County Juvenile Care Center

  2. ELEMENTS TO SUCCESSFUL IMPLEMENTATION • Identify Champions and Stakeholders • Educate & collaborate with community leaders & agencies • Use data to drive program selection and decisions targeted to the criminogenic needs and risk factors of the youth in the Court • Monitor implementation for fidelity to the model • Collect data to support the use of the evidence-based practice • Have Patience: Change is difficult and be ready for resistance

  3. Dr. Ed Latessa returns to evaluate juvenile programming progress Legacy Center provides Search Institute's Youth Survey Day Treatment is revamped to become reward-based Juvenile Task Force Examines Files Court Run Foster Care Provides CMH Respite Care Juvenile Care Center Opens Baby Court is implemented Midland Kids First - Nonprofit 501c3 1997 2002 2003 2005 2005 2008 2008 20102011 2001 2002 2004 2005 2005 2008 2009 Juvenile Offense Rates & Recidivism Rates are lowest since 1998 Truancy Protocol Substance Abuse Treatment Services Are Offered through Detention Court holds Jurisdictional Planning CMH Youth Intervention Specialist MST program is implemented Dr. Ed Latessa evaluates juvenile programming Midland Mentors provides Adult Mentors for Juvenile Wards with Community Stakeholders Timeline

  4. Principles of Evidence-Based Practices • Assess Risk Level: • YASI • Youth Assessment Screening Instrument • MAYSI • Massachusetts Assessment Screening Instrument • Youth Skill Assessment

  5. Assess Needs & Target Interventions The Top Four Needs

  6. Assess Needs & Target Interventions The Lesser Four Needs

  7. Need/Intervention Guidelines

  8. Dosage • Medium Risk youth receive 100 hours of cognitive-based interventions • High Risk youth receive 200 hours of treatment • All intervention hours are tracked • All interventions challenge thinking errors, cognitive distortions • Family Involvement: Weekly family contact, family activity, family counseling, parenting classes, intervention meetings as needed • Treatment plans reviewed informally on a weekly basis, formally on a monthly basis with the treatment team, and reviewed with the Court every three months

  9. Sample Day Treatment Tracking Form

  10. Daily Schedule

  11. Cognitive Based Interventions • A.R.T.: AGGRESSION REPLACEMENT TRAINING Cornerstone Program for Day Treatment Three Components: Skillstreaming Anger Control Moral Reasoning Used for all behavior interventions (role plays) • BOOSTER SESSIONS for Transitioning Youth • VICTIM IMPACT • SAFE DATES • MST-PSB • SUBSTANCE ABUSE GROUP

  12. Family Focused • Common Sense Parenting (Trained Staff) • MST-PSB (CMH) Multi-Systemic Therapy • BSFT (CMH) Brief Strategic Family Therapy • Home-Based and Wraparound (CMH) • Intensive family outpatient (J & A Counseling) • Interactive Skillstreaming Nights • Team Meetings

  13. Trained Staff • A.R.T. – Aggression Replacement Therapy • Common Sense Parenting • Collaborative Problem Solving • Victim Impact • Next Steps for Training: • Thinking for a Change • Motivational Interviewing

  14. Interventions: CBT, Educational, and Strength Based • Skill Streaming • Anger Control • Moral Reasoning • Victim Impact Group • Substance Abuse Group • Dialectical Behavior Therapy • Multi Systemic Therapy & Problem Sexual Behavior • Counseling • Trauma & Loss Group • PX2 • MITI • Safe Dates • Parenting Support / CSP • Midland Mentors • Healthy Teens • Life Skills • Midland Community Center Leadership Adventure Program • Horse Sport Camp • E2020 Credit Recovery • Bay Arenac Skill Center • MiTech Construction Camp

  15. Increase Positive Reinforcement • RESPECT, RESPONSIBILITY & SAFETY emphasized in every activity used in student evaluations for “Making Their Day” • Verbal Praise 4:1 • Daily, weekly, monthly incentives for “Made My Day” and Character Coupons • Staff Drawing • Phase Incentives • Earn increasing time in structured activity outside the program • Going to high school ½ day classes • School Friday Fun Day • Encourages homework completion, good behaviors, parent support,etc. • Working with parents on positive responses to youth’s increased positive behaviors or accomplishments (weekly reports to the parents)

  16. Consequences • Sanctions Grid • Contracts for patterned negative behavior • Parents join youth in evening for homework time

  17. Violations

  18. Sanctions

  19. Measure Progress, Practices & Feedback • Daily youth evaluation for demonstration, interaction, participation (RRS) for “Made My Day” or not • Youth skill assessment and demonstration of skills for phase advancement • YASI (completed every three months by PO) • Participation in outside activities: Evaluate ability to generalize learned skills • Family and professional staff team meetings to evaluate goals • Weekly contact with parents • Exit interviews • Transition meetings with schools • Recidivism measurement

  20. Recidivism Rates Analysis of recidivism rates proves that the local rehabilitative programs that have been put into place over the last three years are working. Recidivism has dropped significantly in the Day Treatment Program from 59% (1997-2007) to 17% (2008-2010)

  21. Community Support Midland Public Schools Midland Mentors Midland Community Center Michigan Works Boy Scouts MITECH Bay Arenac Skill Center Day Treatment The Rock Delta College Habitat for Humanity J and A Counseling Janis Duke Shelterhouse Community Mental Health Humane Society Horse Sports Center Partners in Change The Legacy Center Family and Children’s Services Donors: The Herbert H and Grace A Dow Foundation, The Midland Community Foundation, Rebecca Cox, Richard and Donna Gross, Various individual donations

  22. Parents Weekly Phone Updates Team Meetings Parent Intervention Meetings Interactive Skillstreaming Nights Education Classes Newsletter Education MPS Classes E2020 Bay Arenac Skill Center Tutors Credit Recovery Service Projects Humane Society MCC Leadership Adventure Collaborate with Kiwanis Dog Run Shelterhouse Habitat for Humanity Horse Farm Education Groups Safe Dates Cooking Classes Botvin Life Skills Job Shadowing/Job Search PX2 and MITI Ongoing Skills forLife Training Art Projects Pro-Social Skills Midland Mentors MCC Leadership Adventure Program MCC Classes Work Groups MCC Summer Camp Boy Scouts Venture Crew Muy Thai Kickboxing Karate Volunteering Gymnastics Sports The Rock Day Treatment Youth Substance Abuse See Family and Youth Treatment Yoga and Mindfulness Training Family Treatment “Common Sense Parenting” In-Home Counseling Wraparound MST and MST-PSB BSFT Intensive Outpatient Substance Abuse Family Treatment Youth Treatment Victim Impact Trauma and Loss Group ART Programs Individual and Family Counseling Substance Abuse DBT MST-PSB Day Treatment Targeted Programs for High Risk Areas for Youth

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