JUVENILE JUSTICE TREATMENT CONTINUUM Joining with Youth and Families in Equality, Respect, and Belief in the Potential to Change

JJTC Counties 26 counties in North Carolina 6 NC Judicial Districts Over 1,000 court involved children & families were served in FY 09-10

substance abuse disorders JJTC is… A comprehensive intervention strategy for court referred youth specifically designed to treat co-occurring mental health and substance abuse disorders Joining with youth and families in equality, respect, and belief in the potential to change

JJTC is a Series of Processes That Ensure: Access for court involved youth to a comprehensive, integrated continuum of care within existing resources and funding streams Accurate consistent reports of progress through services Outcome-driven, data-driven services that end when the goals of the treatment contract are met Interagency collaboration and partnership resulting in increased supervision and accountability

Collaborative Approach Behavioral Health Restorative Justice / Community Service Department of Juvenile Justice Here put about treatment contract, etc? Staff from all three agencies train together in JJTC processes and utilize evidence based practices such as Motivational Interviewing

JJTC Teams Work in partnership to: Design and support community service projects that provide opportunities to give back to the community, create relationships, and build self esteem Create relationships with families Attend and participate together in child and family teams Creatively address out of school suspension periods so that youth are not unsupervised and can continue to meet educational and treatment goals Respond to crisis situations in home, school, and community settings

Structure Weekly Clinical Staffing Monthly Supervisory Meetings Quarterly Meetings Steering Committee Meetings

Steering Committee Courts - District Judge, District Attorney DJJDP - Chief Court Counselor Schools - Superintendent(s) Child Welfare - DSS Director(s) Mental Health, State/County - LME Director(s) Behavioral Health Services Providers – CEO/Director Restorative Justice Providers – CEO/Director JCPC Consultants Family Advocates JJTC Consultants

Funding All services are funded through existing resources: Medicaid Health Choice Private Insurance State funding for uninsured consumers (through contract arrangement with participating MH/DD/SA Local Management Entities)

Agency Services Department of Juvenile Justice Restorative Justice Court Counselors are involved in the treatment process Restorative Justice Creates opportunity for youth to give back to their communities Behavioral Health Offers a clinical continuum of services in which youth move through services based on acuity. Therapists are dually credentialed in mental health and substance abuse. MFG, TFC

JJTC Platform Structure JJ Referral to JJTC Based on Risk and Needs Assessment JJTC Clinical Assessment Treatment Contract Between Family Members with 3 Agencies Present Monthly Child and Family Team Meetings Weekly Clinical Staffings Monthly Supervisory Meetings Quarterly All Agency Meetings Quarterly Steering Committee Meetings

Continuum of Behavioral Health Services Assessment Structured Family Therapy Multi-Family Group (8 Sessions) Parent Education *Case Management *Intensive In-Home *Therapeutic Foster Care *Enhanced Services include monthly child and family team meetings

School Participation in JJTC Child and Family Team Meetings frequently held on school grounds JJTC team organizes a “virtual supervision” plan for suspended students JJTC teams are regularly contacted to deal with crisis situations at school Students on long-term expulsion are involved with community resources Students who drop out are assisted with GED, employment, and community college

Data Driven Treatment Data comes from the JJTC Integrated Shared Information System (ISIS) Data is shared in every meeting Performance Indicators Reports created from ISIS: Youth and Family Report (Staffings) Team Performance Report (Staffings) District Performance Report (Supervisors, Joint Agency, and Steering Meetings) Quarterly Monitoring Report (LME, Judges)

ISIS Shared database used by all three agencies to track consumer progress through services and treatment Allows treatment to be directed based on measurable outcomes Allows court counselors, mental health professionals, and restorative justice staff to be constantly aware of youths progress through JJTC Allows the ability to report out on data needed to fully evaluate service delivery and effectiveness in each JJTC judicial district Show reports: staffing, LME

Q1 FY 2010/2011 Active Caseload

Population

Wait Time Between Referral & Assessment

24th District Payer Source

24th District Service Type

DJJ Contacts

This is an overall success rate of 85.26% Outcomes Completion Rate As of 9/30/2010, 1,687 youth received services through a JJTC team 760 completed services 648 completed successfully This is an overall success rate of 85.26%

Recidivism Youth who completed JJTC services before 1/1/2010; minimum of six months to recidivate Youth w/ delinquency as referring charges All delinquent complaints were counted as recidivating offenses regardless of status or outcome of the offense Recidivating offenses were counted regardless of time elapsed since completion of services

Recidivism Below are the recidivism rates for NC Judicial Districts 23, 24, and 30 compared to the NC Sentencing Commission Study These districts had JJTC in their area at least two years, creating a larger population of youth to include