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Youth Services Institute Continuum of Care

Youth Services Institute Continuum of Care. Program Joanne Terrell. I. History. Juvenile Sex Offender Law Department of Youth Services (DYS) Response Accountability Based Sex Offender Program (ABSOP Residential) Aftercare Program

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Youth Services Institute Continuum of Care

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  1. Youth Services Institute Continuum of Care • Program • Joanne Terrell

  2. I. History • Juvenile Sex Offender Law • Department of Youth Services (DYS) Response • Accountability Based Sex Offender Program (ABSOP Residential) • Aftercare Program • Funding from OJJ through ADECA 5 year grant with 2 extensions 2000 – 2008 • Annie B. Casey Foundation • Juvenile Detention Alternatives Initiatives (JDAI) • DYS/ADECA Funds ABSOP: COC Program

  3. II. COC Mission Statement • “To establish a continuum of care aimed at fostering accountability relapse prevention, community safety, and positive growth for youth in need of diversion and alternative sentencing options, transitional services and aftercare treatment.”

  4. Three Programs of COC • Sexually Reactive • Referrals from DHR, Schools, Mental Health Centers, Families • Alternative Sentencing • Referrals from Juvenile Court • Referrals from D. A.’s office (Youthful Offender status) • Referrals from defense attorneys

  5. Three Programs of COC • Aftercare • ABSOP Residential in Conjunction with Juvenile Courts • Referrals from private facilities ( Hillcrest Hospital, Three Springs, Alabama Clinical Schools) • Assessment Only Referrals from Juvenile Courts, DHR ,Mental Health Centers, Schools, Families etc.

  6. Goals of COC • To provide quality program staff • 5 Therapists (3 MSW’s & 2 M.S. –Counseling) • 5 Case Managers • MSW Interns • Program Specialists • * Program Specialists • * Program Training Staff

  7. Goals • To establish and maintain positive interagency collaboration - To develop and maintain the “Therapeutic Triangle”

  8. Therapeutic Triangle Juvenile Probation Officer DHR Social Worker Mental Health counselor COC Therapist COC Case Manager

  9. To Provide an Evidenced Base Therapy and Psychoeducation Program • Aftercare Program/Alternative Sentencing • Self-regulation model of relapse prevention

  10. Goal Categories I. Acquisitional Goals (Approach) II. Inhibitory Goals (Avoidance) III. Self- Regulation Theory Goal-Dependent Action Plans A) Offense Scripts B) Mental Simulation

  11. Three Styles of Dysfunctional Self-Regulation 1) Disinhibition 2) Misregulation 3) Effective but pathological self-regulation

  12. Relapse Process Phase 1- Life Event Phase 2- Desire for Deviant Sex or Activity Phase 3- Offense-Related Goals Phase 4- Strategy Selected a) Avoidant Goals avoidant- passive pathway avoidant- active (misregulation) b) Approach Goals approach- automatic approach- explicit

  13. Relapse Process Phase 5- High-Risk Situation EnteredPhase 6- LapsePhase 7- Sexual Offending Self-focus Victim focus Mutual focusPhase 8- Post Offense EvaluationPhase 9- Attitude Toward Future Offending

  14. Relapse Prevention- Assessment and Treatment Implications Phase 1- Assessment Developmental Issues Social Competency Issues Psychosocial Assessment Clinical Interview Collateral Contacts Phase2 & 3 Goal Assessment Offense- Specific Factor Assessment

  15. Relapse Prevention- Assessment and Treatment Implications Phase 4, 5, & 6 Offense cycle assessment Offense skill assessment Phase 7 Details of actual offense Phase 8 & 9 Offender evaluation assessment

  16. Interventions 1) Avoidant- Passive Phase 1 Phase 2 Phase 3 2) Avoidant- Active 3) Approach- Automatic 4) Approach- Explict

  17. Aftercare Program / Alternative Sentencing • Provide a seamless transition from residential care back into the community • Case Management Program • Case Manager will broker resources for client and their families (mental health treatment, medication, vocational rehabilitation, educational services housing needs, leisure activities) • Case Manager will service as a mentor for client

  18. Sexually Reactive Program • Psychosocial Assessment • Weekly Individual Therapy Sessions (number of sessions vary) • Psychoeducational Group Sessions (10-12 session, 10 are mandatory) • Family Psychoeducational Group Sessions (5-8 sessions)

  19. To Provide a Community Education and Safety Program • Community Education Program • Conduct presentations for county courts, juvenile probation officers and other community stakeholders • Conduct educational forums conference presentations and develop partnerships with community stakeholders

  20. Community Safety Program • Community Safety • Conduct a comprehensive risk assessment at either the beginning of treatment or at the completion of treatment • Termination Summary includes the client’s progress during treatment, risk level and expectations after release to ensure community safety

  21. Community Safety Program • Community Safety • Weekly Treatment Team Meetings to discuss case co-ordination, assess case progress and receive supervisory support and feedback • Therapist / Case manager will conduct face to face meetings to discuss case co-ordination

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