JUVENILE JUSTICE TREATMENT CONTINUUM JJTC

1. JUVENILE JUSTICE TREATMENT CONTINUUM (JJTC) An Integrated Continuum of Care for Court Involved Youth

2. �Despite the large numbers of youth with mental health needs in the juvenile justice system, the current landscape of service delivery for these youth is often fragmented, inconsistent and operating without the benefit of a clear set of guidelines specifying responsibility for the population.� Skowyra & Cocozza, 2006

4. A comprehensive intervention strategy for court referred youth with co-occurring mental health and substance abuse disorders.

5. Restorative Justice Community Service to address healing the relationship with the community Restitution to address the wrong done to others Mentoring and other services that address the needs of the offender Provides the opportunity for mediation and/or reconciliation with victim

6. JJTC Process Referral by Court Counselor Restorative Justice referral Assessment Court Report Treatment Contract Begin Services

7. Continuum of Behavioral Health Services Assessment Structured Family Therapy Multi family group (8 sessions) Parent education *Community Support *Intensive in-home *Therapeutic foster care *Enhanced Services include monthly child and family team meetings

8. JJTC Organizational Structure All staff meet quarterly for the purposes of cross-training, program outcomes review, discussion of progress, and collaboration around program design. All staff meet quarterly for the purposes of cross-training, program outcomes review, discussion of progress, and collaboration around program design.

9. Shared Supervision and Increased Accountability Supervisors meet monthly to review data, monitor outcomes and problem solve. Agency staff meet weekly to review behavioral data, discuss admissions and discharges, deal with high-risk cases and provide direction for interventions. Supervisors from all agencies rotate through clinical staffings to ensure adherence to agreements and guidelines. Supervisors Meetings: supervisors from private provider, community service provider and juvenile justice will meet monthly to review data, monitor outcomes and problem solve. Quarterly Meetings: all juvenile justice and private provider staff involved with the JJTC program for the purposes of cross-training, program outcomes review, discussion of progress, and collaboration around program design. CFT meetings: occur monthly, follow System of Care Guidelines, and will always include the youth and parent/guardian, court counselor and private provider. Joint Staffings: Staff from mental health, community service and juvenile justice providers meet weekly to review behavioral data, discuss admissions and discharges, deal with high-risk cases and provide direction for interventions. Notes will be entered into the JJTC database. Supervisors from all agencies will rotate through clinical staffings to ensure adherence to agreements and guidelines. Supervisors Meetings: supervisors from private provider, community service provider and juvenile justice will meet monthly to review data, monitor outcomes and problem solve. Quarterly Meetings: all juvenile justice and private provider staff involved with the JJTC program for the purposes of cross-training, program outcomes review, discussion of progress, and collaboration around program design. CFT meetings: occur monthly, follow System of Care Guidelines, and will always include the youth and parent/guardian, court counselor and private provider. Joint Staffings: Staff from mental health, community service and juvenile justice providers meet weekly to review behavioral data, discuss admissions and discharges, deal with high-risk cases and provide direction for interventions. Notes will be entered into the JJTC database. Supervisors from all agencies will rotate through clinical staffings to ensure adherence to agreements and guidelines.

10. Data Driven Treatment Progress reports completed weekly Data for reports comes from the JJTC Integrated Shared Information System (ISIS) Data is reviewed at weekly joint staffings enables monitoring of behaviors and adjustments in treatment according to data Reports are provided to court counselors and judges on progress of youth and family

11. JJTC Evaluation Process evaluation Gather information on program components Outcome evaluation Recidivism Detention Data sources ISIS Strengths � interwoven evaluation system Administrative data

17. RECIDIVISM % of youth who re-offend following program completion Varying definitions and timeframes Additional goal � compare to North Carolina data North Carolina Sentencing Commission 2007 report: 2 year recidivism Youth with delinquent offenses only Status offenders not included 31.9%

18. RECIDIVISM Our focus today: Delinquent youth who completed JJTC by 10/1/08 Allow us to look minimally at 6 month recidivism through 4/1/09 For subset of overall group � also have data on 12 month recidivism Break out separately Same �window of opportunity� to re-offend

19. RECIDIVISM 131 youth completed services prior to 10/1/2008 (6 mos. from services) 104 delinquent youth completed in that time frame. 11 of delinquent youth recidivated. Recidivism rate of 10.6% NC State recidivism rate 31.9% (NC Sentencing and Policy Advisory Commission 2007)

23. JJTC Provider Impact Project All 135 JJTC direct-service providers (court counselors, behavioral health and restorative justice providers) in 4 judicial districts surveyed: Anonymous, electronic survey Effectiveness of JJTC services Impact of JJTC on the provider�s work Overall value To what extent would you agree/disagree with the following statement:

27. Replication Invitation from Chief Court Counselor Creation of steering committee Selection of private provider Initial meetings with staffs First training � introduction to JJTC components, creation of county teams Second training � Motivational Interviewing training Third training � JJTC components in detail, joint staffings, application of MI GCC grantGCC grant

28. District/Community Specific Steering Committee Causes essential collaboration across community agencies, informal support systems, and families. Provides oversight to support program implementation Represents the entire district to better address the needs of its communities Meets only as needed

30. �JJTC offers me the assurance that each recommendation is offered as a product of collaboration between the court counselor, the parents and all other agencies involved with serving the family.� Chief District Court Judge Danny Davis 30th District

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