A Must Read – Reclaiming Futures and Organizing Justice for Drug-Using Youth

by Bridget Murphy

Researchers from John Jay College of Criminal Justice (John Jay) have been involved in evaluating Reclaiming Futures since its inception. Beginning in 2002, Jeffrey Butts, PhD and colleagues began studying the relationship between the Reclaiming Futures’ system-level change approach and the way stakeholders across all the inter-connected systems in juvenile justice settings perceive the effectiveness of their system of care and the delivery of services to youth. In his approach, Dr. Butts examined variables in key domains like administration, collaboration and quality. While no evaluation is perfect, the work Butts and colleagues did to begin to quantify system-level change variables in a meaningful way was quite original and generated useful information for Reclaiming Futures and the field.  The initial evaluation results were also helpful in guiding subsequent evaluations by The University of Arizona, Chestnut Health Systems, and Carnevale Associates, LLC.

In Reclaiming Futures and Organizing Justice for Drug-Using Youth (Butts, Tomberg, Peirce, Evans & Irvine, 2016), John Jay researchers begin by reviewing Reclaiming Futures history and previous evaluations: the strengths and shortcomings and then report findings froUntitledm a survey of Reclaiming Futures sites around the country that served as a follow up to the original community networks analysis conducted a decade ago (Butts and Roman, 2007). While there are numerous interesting qualitative and quantitative aspects to this report, I found the follow up to the community networks analysis very relevant and practical. Butts and colleagues contacted sites that participated in the 2003 and 2006 analysis to collect a third wave of data. The researchers asked Reclaiming Futures leadership to rank each site on its “relative level of engagement” with the National Office and Reclaiming Futures activities and events (p. 13).  Then, the researchers examined these site-engagement rankings relative to several survey indices. The investigators found that sites that remained strongly engaged showed significantly better perceptions of “access to services” (e.g., location; funding) as compared to those with weak or no engagement. They also found statistically significant differences in “resource management”  (e.g., sharing resources; efficient use of existing funding) with sites that were more strongly engaged reporting better resource management scores than sites with less strong or no engagement. Similarly, engaged sites reported more positive perceptions of their alcohol and other drug assessment practices as compared to those with less engagement.… Read More »

News from the National Executive Director, August 2016

by Evan Elkin

In the current Reclaiming Futures newsletter we focus our attention on Screening Brief Intervention and Referral to Treatment (SBIRT). SBIRT is a public health-oriented framework revolutionizing the way we think about behavioral health and substance use screening and prevention. Buoyed by strong evidence from the adult research literature, there has been a surge in national interest in translating the successes of the adult SBIRT model for youth populations.

The process of developing an SBIRT framework for youth is in its very early stages and the interest in the approach is currently outpacing the presence of either a body of research evidence and a set of best practices to guide the field. However, with a significant strategic investment by the Conrad N. Hilton Foundation (CNHF), the field is making strides. Among other elements of a multi-pronged strategy, CNHF is supporting the field to develop and pilot innovative approaches to youth SBIRT, to look at workforce training, and to explore appropriate settings for implementation. The result has been to challenge a number of youth-serving systems like schools and juvenile justice systems to view their work with youth through a public health lens.… Read More »

Year 2 Update! Reclaiming Futures’ Version of Screening, Brief Intervention, and Referral to Treatment (SBIRT)

by Bridget Murphy

As many of you know, Reclaiming Futures was awarded a Conrad N. Hilton Foundation grant in September 2014. The purpose of this grant is to develop, pilot test, evaluate, and disseminate a new version of SBIRT for youth at risk for deeper involvement with the juvenile justice system. As a first step, Reclaiming Futures issued a request for proposals and awarded five sites to help us in the endeavor. The sites selected, through a competitive process, were:… Read More »

“Read All About It” – Research Findings Published!

by Bridget Murphy

Reasons why I am proud to write this blog…

Reason 1: My former colleagues (and friends) at The University of Arizona, Southwest Institute for Research on Women (UA SIROW) (UA SIROW) have been leading the efforts on the national evaluation of Juvenile Drug Courts and Juvenile Drug Courts blended with Reclaiming Futures (JDC/RF).  UA SIROW collaborated with Chestnut Health Systems and Carnevale Associates, LLC to implement a comprehensive evaluation that included data from Juvenile Drug Courts, Juvenile Drugs Courts blended with Reclaiming Futures, and non-justice related intensive adolescent outpatient programs. The purpose was to examine processes, outcomes, and costs.

Reason 2: A collection of five research reports and two commentaries are published in a guest issue of the Drug Court Review – a project of the National Drug Court Institute.… Read More »

News from the National Executive Director, June 2016

by Evan Elkin

It is widely known that arrest rates for adolescents have steadily declined over the past two decades. During this time, we’ve also seen a gradual shift in the nation’s juvenile justice practices away from the use of out-of-home placement for minor, non-violent offenses and toward more treatment-oriented, trauma-sensitive and community-based responses.

This, unfortunately, has not been the story for girls involved in the juvenile justice system. In fact, the proportion of girls involved at all stages of the juvenile justice continuum increased over this time period. Experts and policymakers agree that the system remains insensitive and ill-equipped to serve the needs of girls – particularly girls of color – at all levels of juvenile justice continuum.… Read More »

Adolescent Girls in the Spotlight

by Bridget Murphy

In 2008 my colleagues and I wrote for and were awarded a recovery-oriented systems of care grant from the Substance Abuse and Mental Health Services Administration (SAMHSA). The primary goal of this grant was to develop and implement a trauma-informed and recovery-oriented system of care for adolescent girls. My colleagues and I were concerned about the increasing juvenile justice involvement and substance use rates among adolescent girls with little to no increases in their rates of enrollment in treatment. Our previous research highlighted the significant levels of trauma and other co-occurring mental health problems among girls. In addition, we found girls had higher PAGE3_NEWCOLORrates of “harder” drug use such as cocaine, amphetamines, and heroin/opiates as compared to boys. And on the positive side, we also found that girls who accessed treatment responded really well and made significant behavioral improvements over time.

Other juvenile justice and behavioral health policy makers and program developers have recognized the importance of responding to these increased rates of behavioral health and substance use problems among adolescent girls. We now have a better understanding that while males and females are equally vulnerable to addiction, that from a physiological standpoint, females can have lower tolerance and may progressive to physical dependence at different rates.  We also have a better understanding of the critical role played by trauma in substance use and addiction as well as a broader range of available approaches for providing gender-specific and trauma-informed treatment. The positive news is that we have seen the rates of illicit substance use significantly decrease for girls from 2008 to 2014 (26.5% versus 23.7%) and decreases in comparison to boys.… Read More »

Talking About Addiction

by Kate Knappett

On June 1, 2016, our Reclaiming Futures national executive director Evan Elkin spoke at Red Emma’s in Baltimore for Open Society Institute-Baltimore’s second event in their “Talking About Addiction” series. Elkin was accompanied on the panel by Dr. Hoover Adger from Johns Hopkins Children’s Center and by Carin Callan Miller, who founded Save Our Children Peer Family Support. The conversation was moderated by Scott Nolen, director of OSI-Baltimore’s Drug Addiction Treatment Program. A full room of community members joined them for the evening, including families affected by adolescent addiction.

Youth, Addiction and the Juvenile Justice System

Whereas the first “Talking About Addiction” event explored alternative law enforcement approaches to addiction, this event focused on youth, addiction, and the juvenile justice system. Despite public acknowledgment of the failures of the “War on Drugs,” and an increased understanding of addiction as a public health issue rather than a criminal justice issue, OSI-Baltimore recognizes that research and policy around adolescent addiction are slow to reach the mainstream. Indeed, during the discussion, some attendees expressed frustration with how long addiction treatment reform is taking; OSI moderator Nolen suggested reassurance that the addiction paradigm is finally shifting.… Read More »

Youth Justice News Roundup

by Kate Knappett

We round up the latest news on youth justice reform and national public health.

Read More »

News from the National Executive Director, May 2016

by Evan Elkin

America is facing a heroin and opiate crisis. Heroin is increasingly popular – a report by the federal Substance Abuse and Mental Health Administration indicates that first-time heroin users doubled between 2006 and 2013 and data from the National Institute on Drug Abuse opiates imageindicate that deadly heroin overdoses increased sixfold in the years between 2001 and 2014. More than ever before, this crisis is addressed as a public health issue more than a public safety or criminal justice issue. This shift has sparked much public debate about why this is the case. Have we finally reached a tipping point as a society in our views of addiction as a health concern? Have irresponsible pain management prescription practices contributed to opening our eyes to one of the epidemic’s root causes? Some argue that race is a critical part of the story and feel that the shifting demographic – with an apparent increase in the proportion of white heroin and opiate users – is what has changed the perception of heroin abuse and finally mobilized policy makers. In this month’s Reclaiming Futures newsletter, we focused our attention on the issues surrounding the opiate crisis and featured a new blog post by Reclaiming Futures Program and Policy Analyst Bridget Murphy.… Read More »

Opiates: A National Discussion

by Bridget Murphy

On March 29, 2016 President Barack Obama communicated support for addressing the opiate and heroin crisis in the United States. Joined by physicians and individuals in recovery on a panel at the National Rx Drug Abuse and Heroin Summit in Atlanta, GA, President Obama announced several private and public sector supports including access to treatment, medical coverage and physician training, enforcement to combat distribution, and a number of other services. At the same time, the Centers for Medicare & Medicaid Services finalized “a rule to strengthen access to mental health and substance use disorder treatment.

These services and supports are specific to opiates and heroin and thisPAGE 2-COUNSELOR is good news for the juvenile justice and substance use disorders fields. Why….? Let me explain.

Although the majority of adolescents present to treatment for alcohol or cannabis problems and disorders, intervening early may prevent the onset of heroin and non-prescription use of pain relievers. Adolescent use of opiates has not significantly changed in recent years; however, for transitional aged youth it has. According to the 2014 National Survey on Drug Use and Health found that as compared to the 2009 rates, past year heroin use among 18 to 25 year olds has significantly increased (0.5 vs. 0.8). Additionally, the Center for Disease Control (CDC) reported a 14% increase in opioid overdoses in one year. Providing the necessary services and supports to adolescents and their families involved with the juvenile justice system, including education of heroin and opiate addiction, has the potential to change these significant increases in use and deaths.… Read More »