What’s Hot and What’s Not: Youth Culture! LADCP 2013 Susan James-Andrews, MS, CAC President James-Andrews & Associates: CHALLENGES

Learning Objectives Explore the use of non-traditional youth service delivery systems to partner with in Drug Courts Define youth culture Learn what not to say when working with youth Revisit the 16 strategies 2

What’s Hot and What’s Not? What’s Hot What’s Not 3

James-Andrews & Associates: CHALLENGES Evidence Based Practices Evidence Based Practices (EBP) are treatment, interventions and practices with consistent, scientific evidence showing that there is improvement in client outcomes

What early studies taught us Adult models and/or mixed with adults does not work Need to modify Need to address Need to modify ?

6 What works for juvenile justice interventions Target high risk offenders Longer duration of treatment > 90 days Treatment is evidence -based Treatment involves the family Use of rewards to shape behavior Compliance is addressed with immediate responses

7 Taylor Swift Lil Wayne ??

8 Rick Ross Nicki Minaj ??

WHAT ARE SOME of THE Not So NEW DRUGS & other Stuff Creativity 9

Cinnamon Challenge Twitter mentions peaking at 70,000 per day 10 ??

Bath Salts Ivory Wave," "Purple Wave," Vanilla Sky," and "Bliss" –. Not like Epsom salt marketed as “bath salt” – not for human consumption 11

Prom? A new way of dating? 12

Prom – Celebrity cutouts as dates Justin Bieber Tim Tebow 13 ??

More about Treatment Who comes up with this stuff? 14

15 How do we decide what EBP’s would work best for our youth? …

LESSONS LEARNED EBP ◦Good outcomes ◦Can be replicated ◦Staff are trained in the use of the model ◦Supervision leads to certification ◦Monitoring ◦Outcomes measurement 16

What’s Hot and What’s NOT? 17

HOT OR NOT? ACRA ASPRA BTT Five steps to success for youth CBT MAT PYT MET BST Seeking safety 7C MST FSTD MRT MAT MI MSFT FFT 18

What Works There are a variety of models that work Quality matters 19

12 Key Elements of Effective Treatment 20 ??

Key Elements 1 Screening 2 Comprehensive Assessment – ex. GAIN- Global 3 Gender responsive 4 Culturally competent 5 Comprehensive integrated treatment approach 6 Continuing care 7 Individualized 8 What else? 21

Screen and Assess Promptness Developmentally appropriate tools Engagement and inclusivity Periodic 22

Integrating Approaches for Adolescents Three Broad Categories I. MET/MI II. Family Based Interventions III. Behavioral or Psychosocial Interventions 23

Other Common Findings  Low structure and ad hoc “treatment as usual” does not do as well as evidenced based practice  Relapse is still common

25 Impact of quality assurance Source: CSAT 2008 SA Dataset subset to 6 Month Follow up (n=1,961) Effects associated with Coaching, Certification and Monitoring (OR=7.6)

Overview of study results All programs reduced mental health / trauma problems Programs with more training, quality assurance, Seven Challenges, While it is not the most effective 26

27 Retention enhanced “safe” Has rapport Empowered

NIATx Promising Practices What treatment providers can do to improve operations and outcomes 28 ??

Reduce Increase continuation (retention) Increase admissions 29

30 The Environment Matters Build rapport through ◦Information sharing ◦Trust ◦Incentives ◦Affirmation and recognition ◦Focus on the person ◦Place the responsibility back on the youth ??

16 Strategies Review of the Strategies 31 ??

Journey Continues Areas to Consider Cost Capabilities Training Fidelity 32

Susan James-Andrews, MS,CAC James-Andrews & Associates: CHALLENGES Questions? 33