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Walk Through Presentation Franklin County, Ohio Robert Wood Johnson Initiative March 2007 Partners:

Walk Through Presentation Franklin County, Ohio Robert Wood Johnson Initiative March 2007 Partners: Alcohol, Drug and Mental Health Board of Franklin County (ADAMH) Franklin County Children Services (FCCS) Franklin County Family and Children First Council (FCFC).

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Walk Through Presentation Franklin County, Ohio Robert Wood Johnson Initiative March 2007 Partners:

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  1. Walk Through Presentation Franklin County, OhioRobert Wood Johnson InitiativeMarch 2007 Partners: Alcohol, Drug and Mental Health Board of Franklin County (ADAMH)Franklin County Children Services (FCCS)Franklin County Family and Children First Council (FCFC) Purpose Statement:To create a community based system of care that is family focused and child centered, utilizing evidenced based models for integrated services across child serving systems and to maximize financial resources.

  2. Franklin County Walk Through • Service System Focus • Behavioral Health/Juvenile Justice Diversion Model • Beginning Phase – Court with co-location of assessment/clinical team on site • Juvenile Court - Adjudication Hearing where Pre-Sentence Investigation was ordered (3 hrs) • Behavioral Health Screen at Juvenile Court – MAYSI (1 hr) • Pre-Sentence Investigation and Behavioral Health Assessment at Juvenile Court – (5.5 hrs) • Care Coordination/Research packet - location options Juvenile Court, home or community (3 hrs) • Ending Phase • Intake and 1st appointment with Treatment Provider (3.5hrs)

  3. Franklin County Walk Through • Walk Through Participants: • Role of Youth: • Kythryn Carr Hurd, ADAMH • Kythryn is 15 year old female who recently moved and changed schools. Her grades have dropped, she is hanging around a negative crowd and is getting high before school and drinking. • Kythryn has to take care of her siblings, has undiagnosed depression, has been sexually abused, and has anger issues and is unable to express her feelings. • Kythryn was charged with Aggravated Arson for throwing chemicals on a student and lighting her hair on fire over the threat of losing her boyfriend • Role of Mother: • Beth Crawford, Family and Children First Council • Mom is a functional alcoholic with 5 children with 5 fathers. There is a lot of conflict in the home and mom is worried about driving stepfather away. Mother has no support. Her parents both died within the past 4 years. She works in a factory and is at risk of losing her job if her has to continue to miss work for all the appointments with her daughter. Mom is under financial stress.

  4. Franklin County Walk Through • Observations/Experience • Most of the model does not feel integrated model. Silos of juvenile justice and treatment that are co-located. • Amount of time involved before receiving treatment (approximately 3-4 months) which appears to contribute to higher than normal “no show” rates, as crisis has passed • Inconvenience for families (not family centered): amount of time to complete assessments, hours of appointments, cost of parking($10 per visit to court) , significant duplication information throughout the process • Until the first session of treatment, youth’s voice, thoughts and opinions were disregarded.

  5. Franklin County Walk Through • Recommended Changes • Practice Changes: • Modify process to get families in treatment services much quicker Engage in treatment at the time they are most motivated to make changes. Second-order change is more likely to occur when the timing of therapy corresponds with the client’s “motivational readiness” for change (Hubble, Duncan, & Miller, 1999; Prochaska & DiClemente, 1992) • Reduce redundancy in paperwork and information • Empower youth and family throughout the model • Ensure all staff (court/treatment) are trained and understand a systems approach to care. • Develop protocols and training regarding engaging resistant families • Determine need for high quality care coordination and model (i.e. Wraparound)

  6. Franklin County Walk Through • Recommended Changes • System/Policy Changes: • Integration of Juvenile Justice/Treatment within the model • Develop methods for sharing information (web based system) • Cross-training of front line staff so process becomes standard operating procedures (i.e. familiar with care coordination, the value added, and the roles of various team members • Determine if research requirements are worth time and added cost to project

  7. Franklin County Walk Through • Implications from Walk Through for Proposed Model • Must spend time to operationalize the model • Develop the infrastructure across ADAMH & FCCS • Cross training for staff from both organizations • Develop protocal and system for information sharing

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