1. JUVENILE JUSTICE TREATMENT CONTINUUM (JJTC) An Integrated Continuum of Care for Court Involved Youth

2. “Despite the large numbers of youth with mental health needs in the juvenile justice system, the current landscape of service delivery for these youth is often fragmented, inconsistent and operating without the benefit of a clear set of guidelines specifying responsibility for the population.” Skowyra & Cocozza, 2006

3. JJTC COUNTIES

4. A comprehensive intervention strategy for court referred youth with co-occurring mental health and substance abuse disorders.

5. Restorative Justice Community Service to address healing the relationship with the community Community Service to address healing the relationship with the community Restitution to address the wrong done to others Restitution to address the wrong done to others Mentoring and other services that address the needs of the offender Mentoring and other services that address the needs of the offender Provides the opportunity for mediation and/or reconciliation with victim Provides the opportunity for mediation and/or reconciliation with victim

6. JJTC Process Referral by Court Counselor Referral by Court Counselor Restorative Justice referral Restorative Justice referral Assessment Assessment Court Report Court Report Treatment Contract Treatment Contract Begin Services Begin Services

7. Continuum of Behavioral Health Services Assessment Assessment Structured Family Therapy Structured Family Therapy Multi family group (8 sessions) Multi family group (8 sessions) Parent education Parent education *Community Support *Community Support *Intensive in-home *Intensive in-home *Therapeutic foster care *Therapeutic foster care * Enhanced Services include monthly child and family team meetings

8. JJTC Organizational Structure Weekly JJTC Staffings Weekly JJTC Staffings Monthly JJTC Supervisory Meetings Monthly JJTC Supervisory Meetings Quarterly JJTC Partner Training Quarterly JJTC Partner Training (all staffs)

9. Shared Supervision and Increased Accountability Supervisors meet monthly to review data, monitor outcomes and problem solve. Supervisors meet monthly to review data, monitor outcomes and problem solve. Agency staff meet weekly to review behavioral data, discuss admissions and discharges, deal with high-risk cases and provide direction for interventions. Agency staff meet weekly to review behavioral data, discuss admissions and discharges, deal with high-risk cases and provide direction for interventions. Supervisors from all agencies rotate through clinical staffings to ensure adherence to agreements and guidelines. Supervisors from all agencies rotate through clinical staffings to ensure adherence to agreements and guidelines.

10. Data Driven Treatment Progress reports completed weekly Progress reports completed weekly Data for reports comes from the JJTC Integrated Shared Information System (ISIS) Data for reports comes from the JJTC Integrated Shared Information System (ISIS) Data is reviewed at weekly joint staffings Data is reviewed at weekly joint staffings enables monitoring of behaviors and adjustments in treatment according to data enables monitoring of behaviors and adjustments in treatment according to data Reports are provided to court counselors and judges on progress of youth and family Reports are provided to court counselors and judges on progress of youth and family

11. JJTC Evaluation Process evaluation Process evaluation Gather information on program components Gather information on program components Outcome evaluation Outcome evaluation Recidivism Recidivism Detention Detention Data sources Data sources ISIS ISIS Strengths – interwoven evaluation system Strengths – interwoven evaluation system Administrative data Administrative data

17. RECIDIVISM % of youth who re-offend following program completion % of youth who re-offend following program completion Varying definitions and timeframes Varying definitions and timeframes Additional goal – compare to North Carolina data Additional goal – compare to North Carolina data North Carolina Sentencing Commission 2007 report: North Carolina Sentencing Commission 2007 report: – 2 year recidivism – Youth with delinquent offenses only – Status offenders not included – 31.9%

18. RECIDIVISM Our focus today: Our focus today: – Delinquent youth who completed JJTC by 10/1/08 – Allow us to look minimally at 6 month recidivism through 4/1/09 – For subset of overall group – also have data on 12 month recidivism – Break out separately – Same ‘window of opportunity’ to re-offend

19. RECIDIVISM 131 youth completed services prior to 10/1/2008 (6 mos. from services) 131 youth completed services prior to 10/1/2008 (6 mos. from services) 104 delinquent youth completed in that time frame. 104 delinquent youth completed in that time frame. 11 of delinquent youth recidivated. 11 of delinquent youth recidivated. Recidivism rate of 10.6% Recidivism rate of 10.6% NC State recidivism rate 31.9% NC State recidivism rate 31.9% (NC Sentencing and Policy Advisory Commission 2007)

23. JJTC Provider Impact Project All 135 JJTC direct-service providers (court counselors, behavioral health and restorative justice providers) in 4 judicial districts surveyed: Anonymous, electronic survey Effectiveness of JJTC services Impact of JJTC on the provider’s work Overall value To what extent would you agree/disagree with the following statement:

27. Replication Invitation from Chief Court CounselorInvitation from Chief Court Counselor Creation of steering committeeCreation of steering committee Selection of private providerSelection of private provider Initial meetings with staffsInitial meetings with staffs First training – introduction to JJTC components, creation of county teamsFirst training – introduction to JJTC components, creation of county teams Second training – Motivational Interviewing trainingSecond training – Motivational Interviewing training Third training – JJTC components in detail, joint staffings, application of MIThird training – JJTC components in detail, joint staffings, application of MI

28. District/Community Specific Steering Committee Causes essential collaboration across community agencies, informal support systems, and families. Causes essential collaboration across community agencies, informal support systems, and families. Provides oversight to support program implementation Provides oversight to support program implementation Represents the entire district to better address the needs of its communities Represents the entire district to better address the needs of its communities Meets only as needed Meets only as needed

29. Patti Long JJTC Coordinator Office: 828-631-3973 Cell: 828-508-2256 patricia.long@meridianbhs.org David Hutchinson JJTC Trainer Office: 828-631-3973 Cell: 828-266-8341 david.hutchinson@meridianbhs.org Gordon Keath CEO, Project Challenge NC Office: 828-765-0776 Cell: 828-467-3909 gordonkeath@projectchallenge.org Chuck Mallonee Chief Court Counselor, 30 th District Office: 828-586-5756 Cell: 828-371-1258 chuck.mallonee@ncmail.net JUVENILE JUSTICE TREATMENT CONTINUUM Joining with Youth and Families in Equality, Respect, and Belief in the Potential to Change

30. “JJTC offers me the assurance that each recommendation is offered as a product of collaboration between the court counselor, the parents and all other agencies involved with serving the family.” Chief District Court Judge Danny Davis 30 th District

31. Quotes “This is a wonderful group because we get to express ourselves and not feel bad about it because we all got problems to deal with. We help each other get through it together. P.S. This is Cool” “JJTC has helped a lot. I always feel welcome when I come here. I would also like to remain active in the program after I graduate.” “Family sessions are positive experiences, helping teens and family relate to each other and to the fact that they are all in similar situations. It gives us a chance to express thoughts, feelings, without being judged in a negative fashion, plus the trust of confidentiality. When you leave, you will have a feeling of relationship, hope and acceptance.” Juvenile’s Parent “I helped the humane society Raise money and I felt good throwing out candy to the kids.” “I did a good thing that day by handing candy to kids and to toddlers.”