juvenile justice treatment continuum (jjtc)

JUVENILE JUSTICE JUVENILE JUSTICE TREATMENT CONTINUUM TREATMENT CONTINUUM

(JJTC)(JJTC)

An Integrated Continuum of Care for Court Involved Youth

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

Skowyra & Cocozza, 2006Skowyra & Cocozza, 2006

JJTC JJTC COUNTIESCOUNTIES

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

Restorative JusticeRestorative Justice• Community Service to address healing Community Service to address healing

the relationship with the community the relationship with the community • Restitution to address the wrong done to Restitution to address the wrong done to

othersothers

• Mentoring and other services that Mentoring and other services that address the needs of the offenderaddress the needs of the offender

• Provides the opportunity for mediation Provides the opportunity for mediation and/or reconciliation with victimand/or reconciliation with victim

JJTC ProcessJJTC Process• Referral by Court CounselorReferral by Court Counselor• Restorative Justice referralRestorative Justice referral• Assessment Assessment • Court ReportCourt Report• Treatment ContractTreatment Contract• Begin ServicesBegin Services

Continuum of Behavioral Continuum of Behavioral Health ServicesHealth Services

• AssessmentAssessment• Structured Family TherapyStructured Family Therapy• Multi family group (8 Multi family group (8

sessions)sessions)• Parent educationParent education• *Community Support*Community Support• *Intensive in-home*Intensive in-home• *Therapeutic foster care*Therapeutic foster care**Enhanced Services include monthly Enhanced Services include monthly

child and family team meetingschild and family team meetings

JJTC Organizational JJTC Organizational StructureStructure

• Weekly JJTC StaffingsWeekly JJTC Staffings

• Monthly JJTC Supervisory Monthly JJTC Supervisory MeetingsMeetings

• Quarterly JJTC Partner Training Quarterly JJTC Partner Training (all staffs)(all staffs)

Shared Supervision and Shared Supervision and Increased AccountabilityIncreased Accountability

• Supervisors meet monthly to review Supervisors meet monthly to review data, monitor outcomes and problem data, monitor outcomes and problem solve. solve.

• Agency staff meet weekly to review Agency staff meet weekly to review behavioral data, discuss admissions and behavioral data, discuss admissions and discharges, deal with high-risk cases discharges, deal with high-risk cases and provide direction for interventions. and provide direction for interventions.

• Supervisors from all agencies rotate Supervisors from all agencies rotate through clinical staffings to ensure through clinical staffings to ensure adherence to agreements and adherence to agreements and guidelines. guidelines.

Data Driven TreatmentData Driven Treatment• Progress reports completed weekly Progress reports completed weekly • Data for reports comes from the JJTC Data for reports comes from the JJTC

Integrated Shared Information Integrated Shared Information System (ISIS)System (ISIS)

• Data is reviewed at weekly joint Data is reviewed at weekly joint staffingsstaffings

• enables monitoring of behaviors and enables monitoring of behaviors and adjustments in treatment according adjustments in treatment according to datato data

• Reports are provided to court Reports are provided to court counselors and judges on progress counselors and judges on progress of youth and familyof youth and family

JJTC EvaluationJJTC Evaluation• Process evaluationProcess evaluation

• Gather information on program componentsGather information on program components

• Outcome evaluationOutcome evaluation• RecidivismRecidivism• DetentionDetention

• Data sourcesData sources• ISISISIS

• Strengths – interwoven evaluation systemStrengths – interwoven evaluation system• Administrative dataAdministrative data

Training: District 30

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Training: District 23

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Training: District 28

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RECIDIVISMRECIDIVISM• % of youth who re-offend following program % of youth who re-offend following program

completioncompletion

• Varying definitions and timeframesVarying definitions and timeframes

• Additional goal – compare to North Carolina Additional goal – compare to North Carolina datadata

• North Carolina Sentencing Commission 2007 North Carolina Sentencing Commission 2007 report:report:– 2 year recidivism2 year recidivism– Youth with delinquent offenses onlyYouth with delinquent offenses only– Status offenders not includedStatus offenders not included– 31.9%31.9%

RECIDIVISMRECIDIVISM• Our focus today:Our focus today:

– Delinquent youth who completed JJTC Delinquent youth who completed JJTC by 10/1/08by 10/1/08

– Allow us to look minimally at 6 month Allow us to look minimally at 6 month recidivism through 4/1/09recidivism through 4/1/09

– For subset of overall group – also have For subset of overall group – also have data on 12 month recidivismdata on 12 month recidivism

– Break out separately Break out separately – Same ‘window of opportunity’ to re-Same ‘window of opportunity’ to re-

offendoffend

RECIDIVISMRECIDIVISM• 131 youth completed services prior 131 youth completed services prior

to 10/1/2008 (6 mos. from services)to 10/1/2008 (6 mos. from services)• 104 delinquent youth completed in 104 delinquent youth completed in

that time frame.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 (NC Sentencing and Policy Advisory Commission 2007)2007)

Recidivism Offense Type

91%

9% 0%

Minor Offenses

Serious Offenses

Violent Offenses

30th District Recidivism (at intervals)

46%

45%

9%

Recidivism - 6 mos

Recidivism - 12 mos

Recidivism - 12+ mos

30th District Recidivism Rates for 6 Months and 12 Months

8%

14%

0%

2%

4%

6%

8%

10%

12%

14%

16%

6 months 12 months

Time

Rec

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Per

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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:

JJTC Provider Respondents by Agency(106 Total Respondents)

Behavioral Health (54)

51%

Restorative Justice (18)

17%

DJJDP (34) 32%

"JJTC is currently functioning in my district as an effective platform for delivering services to court-involved youth and families."

9.9%(10)

4%(4)1%

(1)

17.8%(18)

27.7%(28)

39.6%(40)

0

10

20

30

40

50

Very StronglyDisagree

Strongly Disagree Disagree Agree Strongly Agree Very Strongly Agree

Perc

enta

ge

"Considering the impacts on my work, I consider the effectiveness of JJTC to be worth my effort."

6.9%(7)

2%(2)0%

(0)

23.8%(24)

32.7%(33)

34.7%(35)

0

10

20

30

40

50

Very StronglyDisagree

Strongly Disagree Disagree Agree Strongly Agree Very Strongly Agree

Perc

enta

ge

ReplicationReplication• 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 staffs Initial meetings with staffs • First training – introduction to JJTC First training – introduction to JJTC

components, creation of county teamscomponents, creation of county teams• Second training – Motivational Second training – Motivational

Interviewing trainingInterviewing training• Third training – JJTC components in Third training – JJTC components in

detail, joint staffings, application of MIdetail, joint staffings, application of MI

District/Community District/Community SpecificSpecific

Steering CommitteeSteering Committee• Causes essential collaboration across Causes essential collaboration across

community agencies, informal support community agencies, informal support systems, and families. systems, and families.

• Provides oversight to support program Provides oversight to support program implementation implementation

• Represents the entire district to better Represents the entire district to better address the needs of its communitiesaddress the needs of its communities

• Meets only as neededMeets only as needed

Patti LongJJTC Coordinator

Office: 828-631-3973Cell: 828-508-2256

patricia.long@meridianbhs.org

David HutchinsonJJTC Trainer

Office: 828-631-3973Cell: 828-266-8341

david.hutchinson@meridianbhs.org

Gordon KeathCEO, Project Challenge NC

Office: 828-765-0776Cell: 828-467-3909

gordonkeath@projectchallenge.org

Chuck MalloneeChief Court Counselor, 30th District

Office: 828-586-5756Cell: 828-371-1258

chuck.mallonee@ncmail.net

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

““JJTC offers me the assurance JJTC offers me the assurance that each recommendation is that each recommendation is offered as a product of offered as a product of collaboration between the collaboration between the court counselor, the parents court counselor, the parents and all other agencies involved and all other agencies involved with serving the family.”with serving the family.”

Chief District Court Judge Danny DavisChief District Court Judge Danny Davis3030thth District District

QuotesQuotes“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 kidsand to toddlers.”