1. Kim Hemmersbach, LPC JJET Liaison Mercy Care
Reaching In and Reaching Out: The JJET Approach Juvenile Justice Engagement Team
Introduce myself and background. Find out who’s in the room; their familiarity with Medicaid programs and CFT process. Has anyone heard of JJET and worked with team?
Kim Hemmersbach, LPC
JJET Liaison Mercy Care

2. Learning Objectives
How to build strong relationships with justice partners along with other stakeholders
How to effectively coordinate care for justice involved youth
Apply to your work the initiatives that promote better outcomes for delinquent/dependent youth

3. “Arizona Vision” Outcomes
Optimizing the talents, resources of young adults
Avoid delinquency
Have success in school
Be connected in their communities
Become productive adults
Establish foundation by introducing Az Vision

4. Building Relationships with Juvenile Justice and Other Stakeholders
Being proficient in the 3 C’s
Share vision
Mutual respect and trustworthiness
Keep your word – deliver on promises
Have an open mind, listen to ideas
Address issues when they arise
3 C’s are collaboration, communication, and conflict resolution
Self-awareness: Court can create anxiety or provoke intense emotions for family member or even professional. Practice emotional intelligence in finding solutions, problem solve, and avoid anger in stressful situations
Share vision
Team approach(open mind)

5. How to Effectively Coordinate Care for Justice Involved Youth

6. Coordination of Care Detention Roster/JJET referral
Detention stay is qualifying event
Act timely
Collaboration
Referral for intake*
Oversee service & discharge planning
Promote natural settings/least restrictive
*Connected 32 detained youth to intake
Link the statue to the detention roster process
Barriers: cannot reach JPO, CFT stuck on needs identification, promotion of least restrictive, family voice and choice, clinically sound services
Allow to reduce recidivism and keep track of planning for TAY youth

7. Detention Roster & AHCCCS benefits
Individuals are not eligible to receive AHCCCS benefits while incarcerated; and suspension, rather
than termination, of AHCCCS benefits during any period of incarceration is economically efficient.
Additionally, for individuals released from custody, suspension of benefits facilitates continuity of
care and minimizes the number of uninsured because reinstatement of benefits is more timely.
Retrieved from
AHCCCS suspension: explain criminal vs non-criminal complaint. Entry into detention, not length of stay. Language is important suspension, not termination
Explain that meds are covered by County and clinic knows what to do

8. Coordination of Care Mental Health Block Grant Funding
Can be utilized for detained youth when AHCCCS benefits have been suspended
Covers the following services:
Intake and assessments Therapy
Case management Psychiatric evaluation
CFT meeting Medication management appointment
Any qualifying SED diagnosis qualifies for use of Mental Health Block Grant Funding (MHBG)
Explain history of cases being closed in its entirety when youth entered detention now due to JJET program and MHBG cases being kept open to coordinate care, and plan for services
Allowed for more reach-in
Examples of SED
North and South RBHA’s get MHBG funding

9. Coordination of Care Detention Roster-Statistics (10/01/2018-02/28/2019)
Explain what happens to AHCCCS benefits when detained on criminal vs non criminal
Total detained 272

10. Apply to your work the initiatives that promote better outcomes for both delinquent and dependent youth

11. Crossover Youth Practice Model (CYPM) Multi-System Crossover Protocol for Maricopa County
The Crossover Youth Practice Model (CYPM) is a multi-agency collaboration which seeks to improve outcomes for youth who are dually-involved in the child welfare and juvenile justice systems by enhancing communication between agencies, increasing information sharing, and coordinating services intended to stabilize the family unit as early as possible so they can function without system involvement. Additionally, this model seeks to decrease the incidence of youth crossing between these two systems.
Retrieved from attachments/Collaborative-Protocol-with-Maricopa-County-Juvenile-Probation-Department%20Scanned.pdf
Breaking down silos
Cross system training
CYPM is state wide

12. Crossover Youth Practice Model The Multi-System Approach
Justice involved youth
Mental Health Services
Social Services
Education Services
Health Services
Substance Abuse Services
Vocation Services
Recreation Services
Correctional Services
Justice involved youth are typically involved in multiple systems, therefore they necessitate multi-systemic approaches to support them to remain in their community

13. Crossover Youth Practice Model Why focus on dually involved youth?
More likely to experience failure in schools
More extensive mental health needs
More likely to experience formal court proceedings
Younger at the time of first arrest
Detained more often for longer periods of time
Experience more frequent placement changes
Higher rates of recidivism
Link between childhood maltreatment and later delinquent behaviors

14. Georgetown University’s McCourt School of Public Policy (Center for Juvenile Justice Reform)
Reduction in the number of youth placed in out of home care
Reduction in the use of congregate care
Reduction in the number of youth crossing over and/or becoming dually-adjudicated
Reduction in the disproportionate representation of color; particularly in the crossover population
Crossover Youth Practice Model (CYPM)
In 2010, the Center for Juvenile Justice Reform developed the Crossover Youth Practice Model to address the unique needs of youth who fluctuate between and are known to the child welfare and juvenile justice systems. These youth are commonly referred to as “crossover youth
Retrieved from

15. Crossover Youth Practice Model Offense Frequency 2018
General Delinquency Population
Dually Involved
On average 4.4 offenses in history 49% four + offenses in history (includes VOPs and status) 21% four + delinquent offenses in history (felonies and misdemeanors only)
On average 2.5 offenses in history 21% four + offenses in history (includes VOPs and status) 8% four + delinquent offenses in history (felonies and misdemeanors only)
As of 02/28/ CYPM since 05/ current
Data obtained from the Superior Court in Maricopa County, Juvenile Probation Department
Based on active youth 06/30/18

16. Crossover Youth Practice Model Progress – 2018
36% Diversion
37% Probation
Of all youth in the delinquency system (n=4,309)
13%
Diversion
63%
Probation
Total 645 Dually Involved Youth (defined as an open delinquency case and an open dependency petition)
****The methodology used was the one used for the monthly active cases EXCEPT that when a youth is on Diversion and another case status, the Diversion case status is NOT counted. This makes it consistent with the prior snapshots.
Of all of the dual wards from the snapshot (n=533)
Data obtained from the Superior Court in Maricopa County, Juvenile Probation Department
Based on active youth 06/30/18

17. Success Story Justice involved youth Mental Health Services
Social Services
Education Services
Health Services
Substance Abuse Services
Vocation Services
Recreation Services
Correctional Services

18. For Questions/Additional Information
Kim Hemmersbach, LPC Paula Krasselt, LPC, Court Services Administrator

19. Resources
Center for Juvenile Justice Reform – Georgetown National Center for Mental Health and Juvenile Justice Annie E. Casey Foundation Maricopa County Juvenile Probation Department (MCJPD) Collaborative Protocol attachments/Collaborative-Protocol-with-Maricopa-County-Juvenile-Probation-Department%20Scanned.pdf Department of Child Safety (DCS) Collaborative Protocol attachments/Collaborative-Protocol-with-Department-of-Child-Safety%20Scanned.pdf Crossover Youth Practice Model (CYPM) Collaborative Protocol attachments/Collaborative-Protocol-with-Maricopa-County-Juvenile-Probation-Department%20Scanned.pdf

20. References
Transitions out of the Criminal Justice System. Retrieved from Multi-System Crossover Protocol for Maricopa County. Retrieved from attachments/Collaborative-Protocol-with-Maricopa-County-Juvenile-Probation- Department%20Scanned.pdf Crossover Youth Practice Model. Retrieved from youth-practice-model/

21. Thank You