Blog: Adolescent Substance Abuse Treatment

Adolescents, Young Adults and Recovery Support Groups: Science-Grounded Principles for Juvenile Probation Officers

 
adolescent-substance-abuse-treatment_El-Alma-del-Ebro-statue[The following is reposted with permission of the author from his website, Selected Papers of William L. White. -Ed.]

Every one seems to have an opinion about the need for or appropriateness of adolescent involvement in recovery support groups. One doesn’t have to go far to hear that such groups are inappropriate for adolescents or that adolescents do not do well in such groups. But what do we know about such involvement from the standpoint of science?
Listed below are the latest scientific findings related to such involvement. It should be noted that nearly all of these studies have evaluated adolescent involvement in 12-step groups and almost exclusively adolescents who have been treated in inpatient settings. There is scant scientific literature on the effects of adolescent involvement in secular or religious alternatives to 12-step groups. Here’s what is known about adolescents and 12-step involvement: 

Bonus Roundup: What to Do about K2 - and More

juvenile-justice-system-adolescent-substance-abuse-treatme_sign-that-says-newsEvents - Juvenile Justice and Adolescent Substance Abuse

  • September is National Youth Court Month, and the National Criminal Justice Reference Service (NCJRS) has posted resources about them to celebrate. Also called "teen courts" and "peer courts," youth courts are an alternative disposition for youth who've committed low-level, first-time offenses in which teens hold each other accountable. (Hat tip to OJJDP.) UPDATED: Global Youth Justice is hosting a conference titled, "Establish or Enhance a local Teen Court/Youth Court Diversion Program," December 7-9, 2010, in Las Vegas. (H/t to John Kelly at Youth Today.)
  • Don't miss out on the National Take Back Initiative, sponsored by the Drug Enforcement Administration (DEA). Held on September 25, 2010, 10am-2pm (local time, I believe), law enforcement agencies are collaborating with the DEA to collect unused prescription drugs.  Find a collection site near you. (H/t to @SPHEREproject.)

Roundup: Teens Saving Teens - and More

juvenile-justice-reform-adolescent-substance-abuse-treatment_News-signJames Bell on Juvenile Justice Reform

I am still, at 51, propelled by outrage. I am just p***d off that the greatest country in the world -- that the only way they can figure out to socially control teenagers is to put them in cages... But we don't do that to White people. That is the bottom line.
It's worth watching all 10 minutes of this video, because Bell is passionate, entertaining, and motivating. My only caveat (which I'm sure Mr. Bell would agree with) has to do with his urgent call to people of color to put pressure on vested interests and the White community to reform the justice system. It can't just be on people of color to change the system -- allies from all communities are needed so that the effort is not pigeonholed by skeptics. (Hat tip to the W. Haywood Burns Institute on Facebook.) 

 

Health Care in the Juvenile Justice System: Recommendations to Increase Medicaid's Role

adolescent-substance-abuse-treatment_Medicaid-survey-reportCould juvenile justice agencies and Medicaid agencies work together to make sure teens in the juvenile justice system get evidence-based care when it comes to treatment for substance abuse, mental health issues, and medical care?
Could they improve the continuity of health care for youth leaving the justice system for the community? 

Juvenile Justice & Adolescent Substance Abuse Issues - Who’s Tweeting About Them?

juvenile-justice-adolescent-substance-abuse-Twitter-logoHello, I’m person behind the Reclaiming Futures Twitter account. As you know, Twitter is a free service where people post very short updates and links.
If you’re like many professionals in the fields of juvenile justice and adolescent substance abuse, you might think that Twitter has nothing to offer you. And while that might once have been true, nothing could be further from the truth now.
 
What are some of the ways you can use Twitter and to support your work?

  • Exchange ideas about juvenile justice and substance abuse treatment. 
  • Many people post links, so use it like a search engine. 
  • Show support for others by following them. 
  • Demonstrate the good work of your organization.

Roundup: Marijuana "Gateway" Effect Less Important than Other Factors - and More

adolescent-substance-abuse-treatment_News-signAdolescent Substance Abuse and Related Treatment News

  • Is marijuana a "gateway" to other drug use? Not so much, according to new research, and "over-criminalizing" its use can contribute to young adults' use of other illicit drugs. According to the study, race and ethnicity are the best predictors of whether someone will use illicit drugs besides marijuana: non-Hispanic whites are more likely to use them than are (in order) Hispanics or African Americans. Furthermore, although marijuana use in one's teen years might lead to use of other drugs, youth apparently "age out" of that when they reach 21. Unemployment is a factor too, which suggests that, as one researcher concluded, "over-criminalizing youth marijuana use might create more serious problems if it interferes with later employment opportunities." (Hat tip to Robert Ackley.) Related reading: Jeff Butts on "The Enduring Gateway Myth."
  • Teen use of alcohol and drugs can be significantly reduced with brief, school-based interventions by mental health therapists or even by teachers given minimal training, according to a new study from the U.K. Researchers evaluated their use of alcohol and drugs at six months post-intervention, so it's not clear if the effects would need to be repeated on a regular basis.

 

Why Can't We Treat Addiction as a Chronic Disease?

[The following is reposted with permission from Jim Gogek's excellent new blog, alcohol, tobacco, and other drugs, where it appeared under a different title. -Ed.]
adolescent-substance-abuse-treatment_cover-of-JAMAIt’s been ten years since a special communication in the Journal of the American Medical Association [JAMA] by four leading experts declared that drug dependence (including alcohol) should be treated as a chronic medical problem, not a social problem. This was not a brand new idea, but seeing it in JAMA was like the golden seal of approval. Or it should have been.
Ten years later, are we closer to that goal? There’s been a lot more thinking about how we should integrate treatment of substance use disorders into primary care and public health systems. A few places are doing it, including some pilot projects. But when it comes to health system-wide, daily clinical level — that remains abysmal.

Substance Abuse Treatment: SAMHSA Offers Continuing Education Online

adolescent-substance-abuse-treatment_man-with-television-over-his-eyesAdapted from a post by the Addiction Technology Transfer Center Network:

The Substance Abuse and Mental Health Services Administration’s (SAMHSA’s) Center for Substance Abuse Treatment (CSAT) is pleased to announce the availability of five six new e-learning courses for substance abuse treatment professionals:

  • Prescription Medication (Part 1): Misuse, Abuse, and Dependence;
  • Prescription Medication (Part 2): Addressing Addiction;
  • Organizational Development: Governance and the Board of Directors;
  • Organizational Development: Marketing as Collaboration; 
  • Organizational Development: Using Financial Information as a Nonfinancial CEO; and
  • Acamprosate: A New Medication for Alcohol Use Disorders

These courses provide an opportunity for professional growth as well as one continuing education unit per module for maintaining certification or licensure. Learn more.

These courses are a great development. Looking forward to SAMHSA adding more courses -- especially some that are specific to adolescent substance abuse treatment!

Roundup: America Behind Bars, and More

Last year, we posted about a hugely important study by the Center for Court Innovation. In it, young people reported that they did not receive a clear explanation of the juvenile justice system when they entered. Nor did they -- or their parents and guardians -- learn how their actions affected what happens in juvenile court
Our Reclaiming Futures site in Orange/Chatham Counties, North Carolina is trying to change this and created the video above for parents/guardians of youth entering juvenile court. Congratulations!  (They're also working on a handbook for youth; I'll share it when it's available.)
Has your jurisdiction done something similar? Leave a comment or drop me an email and we'll be glad to post it!

Top Facebook Pages in Juvenile Justice and Adolescent Substance Abuse Treatment

 
Hello, I'm the new voice of the Reclaiming Futures Facebook page. I'm new to the fields of juvenile justice and adolescent treatment but I’m learning fast. I thought I'd share what I'm learning and ask for your advice.
 
Helpful Facebook Pages

juvenile-justice-system-adolescent-treatment_can-labelled-Great-StuffHere are two lists of Facebook pages that have been helpful to me in not only learning more about juvenile justice and adolescent treatment, but also in becoming acquainted with Reclaiming Futures’ peer groups. These lists might be helpful to others… even to seasoned practitioners who are new to Facebook or are looking for fresh sources of info.

Roundup: The End of the "War on Crime" -- or Just the Beginning?

 
juvenile-justice-system_sign-reads-newsResources for the Juvenile Justice System

  • The Office of Juvenile Justice and Delinquency Prevention (OJJDP) has completed its first-ever "Census of Juveniles on Probation" (CJP), which it says "provides critical data on the characteristics of youth on probation, the nature of their offenses, and how they are served." Initial findings were presented at the American Probation and Parole Association's Annual Training Institute on August 17, 2010. I can't find a report on line, but I expect it'll be out shortly. If I've just overlooked it, let me know where I can find it and I'll post it here. 
  • Work with Native American youth, or for a tribe? You might be interested in the Office of Juvenile Justice and Delinquency Prevention's (OJJDP) Tribal Youth Program Web site. There, you'll find funding opportunities, resources on culturally appropriate prevention and intervention strategies, and federally-recognized tribes can request "web-based resources, individualized technical assistance, or on-site training or technical assistance."

Adolescent Substance Abuse: Connections between Chronic Neglect and Substance Abuse Forum

adolescent-substance-abuse-treatment_young-teenSubstance abuse is often a factor in families where the children are chronically neglected. That's why you might want to take part in webinar-plus-online-forum being put on by the American Humane Association, the National Association of Public Child Welfare Administrators, and the National Center on Substance Abuse and Child Welfare. (Hat tip: Paul Savery.)

Yes, Dr. Johnson. Treatment Does Work!

[The following is reposted with permission of the author and its original publisher, Phoenix House. --Ed.]
adolescent-substance-abuse-treatment_measuring-tape-with-word-success
Addicted to Rehab?
On Sunday, I was more than a little put off by Bankole Johnson’s Washington Post [August 8, 2010] editorial, “We’re Addicted to Rehab. It Doesn’t Even Work.” It’s interesting to note that this piece comes just six months before the release of his new book on medications that “conquer alcoholism,” which will join countless other tomes that also claim to have the cure.

Roundup: Juvenile Justice Reform at a Crossroads

juvenile-justice-reform_old-TVJuvenile Justice Reform in Jeopardy, or Headed for a Golden Age? 

  • The Juvenile Justice and Delinquency Prevention Act (JJDPA) may be in trouble, if Congress reauthorizes it without increased funding for states to comply. That could mean that cash-strapped states may opt out, despite its long success and the high marks given to the Office of Juvenile Justice and Delinquency Prevention (OJJDP) for the training and technical assistance it provides to support the JJDPA. What would happen in your state, if the federal allocation was reduced or stayed the same? 

Adolescent Substance Abuse Treatment: NIATx Third-Party Billing Guide

adolescent-substance-abuse-treatment_woman-and-printing-calculatorWith parity legislation and the changes that health care reform will bring, agencies that treat adolescents will need to adapt their business practices.
Reform expands available funding for prevention, treatment and recovery support services. It also opens the door to third-party reimbursement.
NIATx developed the NIATx Third-party Billing Guide to help agencies create or improve a system for billing third-party payers. The guide includes step-by-step instructions to implement a billing system, improve collections, and strengthen the business practices essential to stability and growth.

Download a copy of the NIATx Third-party Billing Guide today!

Juvenile Drug Courts & Reclaiming Futures -- Evaluation Grant Opportunity

juvenile-drug-courts_abstract-shapesAre you a researcher with a background or interest in juvenile drug courts? Know someone who fits the bill?
Then check out a new grant solicitation from the Office of Juvenile Justice and Delinquency Prevention (OJJDP) to evaluate juvenile drug courts implemented with the Reclaiming Futures model. These sites have also been funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Robert Wood Johnson Foundation.
This goal of this three-year grant is "to conduct an independent evaluation of the combined effects of the two interventions to determine what system-level changes may result in increased efficiencies and cost effectiveness."
Objectives(as listed in the solicitation):

  1. Assess the operations of juvenile drug courts/Reclaiming Futures model using established indices for performance, efficiencies, and cost effectiveness.
  2. Improve the empirical knowledge base about juvenile drug courts and the Reclaiming Futures model.
  3. Analyze the efficacy of combined efforts of juvenile drug courts and the Reclaiming Futures model.
  4. Conduct case studies using administrative, collaboration, and quality indices and the sixteen (16) key elements of juvenile drug courts.
  5. Evaluate the potential for replication of these models

Application deadline is August 20, 2010.

"Brain Cells. Trust Me, You Need Them," and More in Our Weekly Roundup

 

  • Families and teens often need a quick orientation to the juvenile justice system -- but there's never one there when you want one. YouTube is changing that, though. Above is a 9-1/2-minute video from a Florida teen court that provides a thorough overview of how things work there (although it is, unfortunately, cut off prematurely.) Anyone have other examples they want to share?

Marijuana vs. Alcohol: A made-up story brought to you by the MJ lobby

[The following post on adolescent substance abuse and the fight over legalizing marijuana is reposted with permission from Jim Gogek's excellent new blog, alcohol, tobacco, and other drugs, or atodblog.com for short. I recommend you bookmark it - I have. Also, hat tip to Minnesota Recovery Connection for bringing the Join Together story on Gogek's blog to my attention. -Ed.]
adolescent-substance-abuse-treatment_youth-smoking-joint-as-another-reaches-for-itOne of the craziest arguments from the marijuana lobby is that young people should smoke marijuana because it’s less dangerous than alcohol. We were recently subjected to the strange spectacle of a group of mothers in Colorado pushing for marijuana legalization because alcohol is so dangerous for kids. There’s a whole organization dedicated to this cause. I’ll let you find the website yourself.

Chronic Trauma and the Teen Brain - an Online Forum

  • adolescent-brain-development_Figure-under-stressDid you know that 60.6% of youths have witnessed violence and 46.3% have reported experiencing physical assault?
  • Did you know that exposure to trauma, delinquency, and school failure are related? 

Chances are, trauma has affected many of the young people you work with in schools, child welfare, the juvenile justice system, or any other place where teens gather. 
That's why the Vulnerable Populations Portfolio at the Robert Wood Johnson Foundation (RWJF) is taking the unusual step of creating a time-limited online community forum, "Chronic Trauma and the Teen Brain -- foundation staff may direct funding to address the issue and want to know more about it. The goal of the forum is to learn from you—the expert—while connecting you to other experts.

National Conference on Juvenile and Family Law Seeks Presentation Proposals

juvenile-court_English-judgesGot a great idea for improving outcomes for children, youth, families, and victims who come into contact with the juvenile court?  The National Council of Juvenile and Family Court Judges (NCJFCJ) wants to hear from you.
NCJFCJ will hold its annual conference next year on March 27-30, 2011, in Reno, Nevada -- and would like you to submit your presentation proposal between now and September 15, 2010. Proposals will be entertained on a broad range of topics, including child abuse and neglect, mental health, delinquency, family law, domestic violence, and substance abuse.
If you still have questions, contact Diane Barnette via email, or via phone at (775) 784-6012.

Pages