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Mental Health Services for Children and Teens: A Community Approach

In an effort to more effectively provide mental health services for children and teens, funds were provided to create The Comprehensive Community Mental Health Services for Children and Their Families Program, also known as the Children’s Mental Health Initiative (CMHI)--a cooperative agreement program administered by the Substance Abuse and Mental Health Services Administration (SAMHSA) in the Department of Health and Human Services.
The CMHI helps promote the coordination of the multiple and often fragmented systems that serve children and youth from birth to age 21 diagnosed with a serious emotional disturbance and their families.
SAMHSA’s report, “The Comprehensive Community Mental Health Services for Children and Their Families Program, Evaluation Findings” found encouraging results, including self-reported anxiety symptoms decreasing for 24.2 percent of youth from intake to 12 months, and for 30.2 percent of youth from intake to 24 months.
The system of care philosophy revolves around the following eight principles that state services should be:

  1. Family driven
  2. Based on service plans that are individualized, strengths based, and evidence informed
  3. Youth guided
  4. Culturally and linguistically competent
  5. Provided in the least restrictive environment possible
  6. Community based
  7. Accessible
  8. Collaborative and coordinated through an interagency network

The Court's Role in Reclaiming Our Children's Futures

Relying on negative reinforcement and punishment to rehabilitate a troubled teen is not effective, writes retired juvenile court Judge William Hitchcock in a Juvenile Justice Information Exchange (JJIE) op-ed. While teens should be held accountable for their offenses, courts should also help them get back on track and away from a life of crime. One way to do this is by building on their strengths.
Judge Hitchcock explains:

Despite the fact that the vast majority of offenders commit nonviolent property crimes, we still detain too many of these youth in the guise of managing misbehavior by consequences. Most of the disposition reports that I would read as a juvenile court judge contained only references to the negatives, rarely highlighting the assets that the young person may have.
Where is the other side of the coin? With rare exception, these youthful offenders have assets that can be built upon by an intentional approach to managing their probation. Yet most probation officers are not trained in strength-based planning.

Recognizing the role that courts can play in rehabilitating youth, Reclaiming Futures uses assessments to determine teens' needs and builds a plan around them. According to Judge Hitchcock:

Educational Needs of System-Involved Youth

I am pleased to share with you the second edition of “Addressing the Unmet Educational Needs of Children and Youth in the Juvenile Justice and Child Welfare Systems.” Due to the popularity of the first edition, CJJR is re-releasing this publication with updated material. The updates include references to guides that the National Evaluation and Technical Assistance Center for the Education of Children and Youth Who Are Neglected, Delinquent, or At-Risk (NDTAC), which is housed at the American Institutes for Research, has developed to elaborate upon the principles this paper presents. Since the time this paper was originally released, two guides have been published:

These guides draw on both general research and on the experiences of the NDTAC authors to provide concrete strategies for adopting this paper’s principles and practices and achieving the type of comprehensive education system the authors describe. Both of these guides are described in the epilogue of this paper.

What’s Next for Nebraska’s Juvenile Justice System?

On Thursday, December 6, nearly 250 Nebraskans gathered in Lincoln for Voices for Children’s first ever Juvenile Justice Summit. For the past 25 years, Voices for Children has been working to improve Nebraska’s juvenile justice system, but we know we haven’t gotten where we need to go for children and youth.
The juvenile justice summit was an opportunity for a range of stakeholders to begin a broader conversation about how Nebraska’s system functions and what changes need to be made so that youth in the juvenile justice system are put on a path towards a bright future.With the generous support of the Woods Charitable Fund, Boys Town, Douglas County’s Juvenile Detention Alternatives Initiative, the Platte Institute, and the Nebraska Juvenile Justice Association, participants heard from a number of national and local experts on juvenile justice reform.
So just where does Nebraska go from here? Experts shared some of their thoughts:

  1. Reducing Nebraska’s Reliance on Juvenile Incarceration: The United States is alone among developed nations in its frequent use of incarceration, which over time has proved to be costly, ineffective, and dangerous for youth. Nebraska currently incarcerates about 600 youth a year. Almost ¾ have never committed a violent offense. Bart Lubow of the Annie E. Casey Foundation recommended reducing the use of incarceration, which is better for youth and will free up resources for investment in other areas of the juvenile justice summit. [download his PPT presentation]
  2. Decreasing the Number of Filings in Adult Court: Nebraska is one of the few states in the nation that frequently processes nearly half of children and youth through adult court, where few rehabilitative opportunities are available. Dr. Anne Hobbs, director of the Juvenile Justice Institute, pointed out the links between adult court involvement and higher rates recidivism. [download her materials]
  3. Creating a System Consistent with the Needs of Children: Youth with involvement in Nebraska’s juvenile justice system shared their desire for more consistency, more contact and support from family and other significant adults in their lives, and more voice and choice in juvenile justice cases. Dr. Kayla Pope talked about the need to build trauma-informed juvenile justice systems acknowledging the mental health needs and histories of youth who come through its doors. [download her PPT presentation]
  4. Bolstering Community-Based Services: Many states rely on incarceration and detention because of a lack of community-based juvenile justice services. Betsy Clarke and Jim McCarter from Illinois shared the success of the Redeploy Illinois program in improving community safety, effectively serving youth, and saving state dollars. [download their PPT presentation] Jeanette Moll and Marc Levin presented a paper on Nebraska’s juvenile justice system that highlighted the need for greater County Aid dollars.

Child Sex Abuse in Female Adjudicated Youth

The last 15 years of my professional focus has been working with youth and families with an emphasis on child sex abuse prevention. While working as a Juvenile Officer in Jefferson County Oregon (2002-2006), I provided gender specific services for our department. My role was to assess, develop and implement gender specific services. Girls Circle(1) curriculum and training was the best practice service that our department implemented in 2003.
We had eight female youth signed up for the class and averaged about five attending weekly. Within about 2 class sessions, I started to hear the girls talking about various types of sexual assaults. Unfortunately, there wasn’t specific group content that addressed child sex abuse and rape. With approval, I adjusted the curriculum to include an art project that would allow the girls to outline each other and color in their body outline with colors representing emotions. This was a very eye opening activity for myself and our department. The common theme in their color representations was scribbled hearts and black stomachs. The girls talked about feeling empty, numb and hopeless about their future. That was affirmation that child sex abuse was important for us to address with the female juvenile clients.
This was what made me realize that so many of the females that came into our Department had experienced child sex abuse and many times additional sexual assaults into their teen years. OJJDP promotes publications that site anywhere from 70-90% of adjudicated female juvenile’s have been sexually abused. Unfortunately, the data on males is very limited but because of high profile cases, it appears that more resources are focusing on males.
Lessons learned:

  • Child sex abuse is very real for a large percent of adjudicated juveniles
  • Grooming creates very deep seeded issues
  • JJO’s need child sex abuse training and assessment tools
  • Juvenile Officer’s have opportunities to address this root cause issue
  • Adult’s need education and training to talk about child sex abuse
  • Positive youth development activities really do work (especially child sex abuse focused)
  • Teens are very protective of the kids in their lives (they don’t want what happened to them happen to other kids)
  • Teaching ourselves and teens how to protect themselves and others from predators works

SAMHSA: Juvenile Drug Treatment Courts Break Cycle of Drugs, Alcohol and Crime

Across the country, juvenile treatment drug courts (JTDC) are helping teens achieve better outcomes by focusing on treatment and family engagement. JTDCs treat teens for both substance abuse problems and mental health issues, as needed. As David Morrissette, senior program manager at SAMHSA, explained to SAMHSA News, "up to 70 percent of youth in the juvenile justice system have mental health disorders and more than 60 percent of those also have a substance use disorder."
The latest issue of SAMHSA News highlights a number of successful drug court programs, including Reclaiming Futures. From the article [emphasis mine]:

In a 2012 evaluation [ppt] examining data from 1,934 young people participating in drug courts at 17 CSAT grantee sites, evaluators found that participants saw a 26 percent increase in the number of days they abstained from alcohol and other drugs between intake and a 1-year follow-up. Participants' scores on a scale measuring emotional problems and difficulties with self-control declined by 16 percent. The average number of crimes reported dropped by half.
According to the evaluation, a more intensive approach to juvenile treatment drug courts called Reclaiming Futures reached youth with more severe problems, provided more services, and did an even better job of increasing abstinence, reducing emotional problems, and reducing criminal behavior.
...
"There are six stages in the [Reclaiming Futures] model," said SAMHSA Project Officer Holly Rogers, M.A. "These include screening and assessing young people to identify alcohol or substance use problems, coordinating services across agencies, helping kids and families make an initial contact with services, getting them actively engaged in services, and transitioning them out of services and into long-term supports, such as helping relationships and community resources."

Calling All Researchers: SAMHSA Opens Data for Research

Calling all researchers! The Substance Abuse and Mental Health Services Administration (SAMHSA) is opening up access to its Drug Abuse Warning Network (DAWN) and National Survey on Drug Use and Health (NSDUH) confidential data for research purposes. 
From the call for applications:

Through receipt, review and approval of applications, researchers may access confidential DAWN and NSDUH data through CBHSQ's new Data Portal system. The Data Portal is a secure virtual computing environment. It is designed to provide authorized researchers access to confidential data for approved research projects. The goal of the Data Portal is to maximize the use of data collected by CBHSQ for important research and policy analyses, while conforming to Federal law and protecting identifiable data from disclosure.
Access to the Data Portal is provided through approved computer location(s) and IP address(es) at the researcher's organization. Users are required to maintain the confidentiality of the data used in the Data Portal. Information cannot be transferred into or out of the secure Data Portal by researchers until a disclosure review is conducted by CBHSQ. CBHSQ will conduct site inspections of each approved applicant.

Topics: No bio box, SAMHSA

Juvenile Injustice; News Roundup

Juvenile Justice Reform

  • Juvenile Injustice (Honolulu Weekly)
    A recent study finds that native Hawaiian youth are twice as likely to end up in the juvenile justice system (JJS) as any other ethnic group. And with youth employment at lower rates in 2011 than at any time during the prior decade, the problem may get worse.
  • Local Law Enforcement Officials See Drop in Juvenile Crime (Boston.com)
    From prosecutors to police officers on the street to the state Department of Youth Services, there is consensus that juvenile crime has declined in this region as well as the rest of the Massachusetts. Overall, juvenile crime is down 37 percent in Massachusetts from 2009 to 2011, according to a recent report by Citizens for Juvenile Justice, a research and advocacy group in Boston.
  • Juvenile Court Reform in Tennessee (The New York Times)
    The juvenile justice system in the United States is supposed to focus on rehabilitation for young offenders. But for generations, it has largely been a purgatory, failing to protect them or give them the help and counseling they need to become law-abiding adults. Children who end up in juvenile courts often do not get due process protections like written complaints presenting the charges against them, adequate notice about legal proceedings or meaningful assistance of counsel.
  • Meetings to be Held on Overrepresentation of Minority Youth in Kansas Criminal Justice System (DodgeGlobe.com)
    The state of Kansas is undertaking a statewide assessment on the extent to which minority youth are over-represented in the juvenile justice system. A series of public meetings will be held so that members of the public can hear the results of the study and to provide feedback to public officials involved in the juvenile justice system in Kansas.
  • Durbin Chairs First Hearing on School to Prison Pipeline (DailyHerald.com)
    U.S. Sen. Dick Durbin Wednesday chaired the first federal hearing looking at the relationship between schools and the criminal justice system. The hearing follows a recent change in Illinois law prompted by an attack on an Elgin teacher and subsequent Daily Herald investigation.
  • Juvenile Justice: State Sees Decrease in Incarcerated Youth (Amarillo.com)
    How times have changed for the Texas juvenile justice system. Five years ago, the number of youths locked up in state-run detention centers was about 4,700. Since then, the number has steadily dropped, and now it is less than 1,500 — more than a two-thirds reduction.

SAMHSA Reports Encouraging Progress on Underage Drinking

SAMHSA’s recent Report to Congress on the Prevention and Reduction of Underage Drinking 2012 shows positive impact on the reduction of underage drinking. Via the report,

From 2004 to 2010, young people ages 12 to 20 showed statistically significant declines in both past-month alcohol use and binge alcohol use. These encouraging results were most significant in the 12- to 17-year-old age group, where past-month alcohol use declined by 22.7 percent and past-month binge drinking declined by 29.7 percent.

The news isn’t all good though--in 2010, 37 percent of 20-year-olds reported binge drinking (drinking at levels substantially increasing the risk of injury or death) in the past 30 days; about 14 percent of 20-year-olds had, in those 30 days, binged five or more times.
Additional takeaways from the report include:

  • Alcohol is the most widely used substance of abuse among american youth
  • Binge drinking is the most common underage consumption pattern.
  • Female youth drinking rates are converging with male youth rates
  • Adolescents’ beverage preferences are shifting from beer to distilled spirits
  • Young people perceive alcohol to be readily available

ABA Seeks Workshop Proposals for Children and Law Conference

The American Bar Association is seeking workshop proposals for their national conference on children and the law. Held in Washington, DC, "Raising the Bar: Lawyers as Partners for Family Well-Being" will feature emerging child welfare policy and systemic reform issues and their effects on practice, children and families. 
Workshop proposals should address family well-being and ways to improve the skills of attorneys, judges and other advocates. Some of the topics likely to be covered at the conference include:

  • Lawyers’ Role in Prevention vs. Intervention
  • Bullying and Sexual Harassment
  • Educational Needs of Young People
  • School to Prison Pipeline
  • Representing Older Youth
  • Psychotropic Medication
  • Partnering with Social Services
  • Pregnant and Parenting Teens
  • Needs of Youth who Identify as LGBTQ
  • Evaluating Legal Representation Programs
  • Trauma-Informed Legal Representation
  • Child Trafficking
  • Representing Undocumented Young People and Parents
  • Interviewing Children
  • Mediation
  • Cross Over Representation
  • The Affordable Care Act and Transitioning/Transitioned Foster Youth
  • Minimizing Use of APPLA Goal

Topics: No bio box

Thousands More Teens Now Diverted from New York Juvenile Court

Each year, more than 10,000 teens aged 15 and younger are arrested by police. They begin their journey into the criminal justice system with a visit to an intake officer at the Department of Probation. Increasingly, the trip stops there. In a remarkable turnaround, the probation department has become an off-ramp for thousands of teens each year, diverting them away from court and into short-term community programs.
The number of teens aged 15 and under whose cases have been “adjusted” and closed by the probation department increased 47 percent between 2009 and last year, and has more than doubled since 2006. In 2011, 4,564 teens under age 16 arrested in New York City—38 percent of the total—had their cases closed through adjustment, up from 3,107 two years earlier.
Today, the city funds nearly 30 community-based adjustment programs, serving just over 800 young people as of June. The terms of an adjustment can include restitution for victims and the completion of one of these special programs, which involve community service or other projects. Adjustment periods typically last 60 days, though they can be extended to four months with a judge’s approval. If a young person meets the terms, he or she walks away from the case with no need to go deeper into the justice system. And that’s exactly the point: Especially for low-level offenders, explains Deputy Commissioner of Probation Ana Bermudez, involvement with the justice system often does more harm than good. “There is significant research that youth outcomes actually deteriorate with court processing, particularly when you’re looking at low-risk youth,” she says. “You interfere with those supports that were making them low-risk in the first place.”

Top 5 Juvenile Justice Blog Posts | 2012

And this is it, folks, the end of our countdown! We've already shared the top 25, top 20, top 15, and top 10. And now, here are the top 5 blog posts of 2012!
5. Scared Straight Programs Are All Talk
After "Scared Straight" became popular in the 1970s, a number of research reports evaluated children who went through the program compared to control groups and found that many of the youth who attended “scared straight” programs were actually worse off than the youth who had no intervention.
4. Punishment vs. Rehabilitation and the Effects of Trauma on High-Risk Youth
Studies show that 75 percent of youth in the juvenile justice system have experienced traumatic events; 50 percent have endured post-traumatic stress symptoms.

Top 6-10 Juvenile Justice Blog Posts | 2012

We've counted down the top 25, 20 and 15 juvenile justice blog posts from 2012. Here are 6-10:
10. Missouri’s Unique Approach To Rehabilitating Teens in Juvenile Justice System
Missouri is changing the way it approaches rehabilitating teens in its juvenile justice system, and it’s working. With a focus on therapy and education rather than punishment, the state closed its training schools and large facilities with minimal schooling in the early 1980s.
9. Stop the Trauma. Start the Healing: A Latino Health Context
Latino children are the fastest growing population in the United States and over half will end up incarcerated, jobless, or dead at a young age. Recognizing this, the National Compadres Network released a brown paper explaining how transformational based healing can disrupt this cycle and improve health outcomes for Latino children.

Back on Track after Being Behind Bars; News Roundup

Juvenile Justice Reform

  • A Flash Mob for Juvenile Justice Reform, Family Engagement and More (NJJN.org)
    Update from Youth Justice Leadership Institute Alumna, Rukia Lumumba: "To provide more visibility to the raise the age issue, I coordinated a flash mob in Times Square for YJAM (Youth Justice Awareness Month) in collaboration with my agency (the Center for Community Alternatives) and the Correctional Association of New York. Approximately 15 advocates and youth participated in the flash mob, which was viewed by hundreds of people in Times Square."
  • Letter: Juvenile Justice Sees Progress (TheAdvocate.com)
    Some good news about Louisiana’s success on the juvenile justice reform front was announced last week in the results of a nationwide study. While the news did not make headlines in state media, it is certainly noteworthy and indicative of the state’s reform progress. The study examined implementation of proven programs for juvenile offenders and indicated Louisiana as one of the five top states in adopting programs proven to be most effective in dealing with delinquent or violent youth and their families.
  • Back on Track after Being Behind Bars (FindYouthInfo.gov)
    Returning to society after being incarcerated isn’t easy. Yet a group of formerly incarcerated youth that recently met with U.S. Department of Education (ED) Secretary Arne Duncan and Assistant Secretary for Vocational and Adult Education Brenda Dann-Messier are refusing to let their past lives determine their future. They’re overcoming challenges and building better lives for themselves through grit and resilience.

Top 11-15 Juvenile Justice Blog Posts | 2012

Continuing our countdown of the top blog posts from 2012, here's 15 - 11.
15. Bryan Stevenson at TED2012 on Injustice, Juvenile Justice System, Need for Reform
"How can a judge turn a child into an adult?" That's a question lawyer Bryan Stevenson has spent years asking. 
14. Rethinking Juvenile Justice: Promoting the Health and Well-Being of Crossover Youth
A recent report by the Conrad Hilton Foundation found “membership in the crossover group to be a strong and consistent predictor of less desirable [adult] outcomes,” including heavy use of public services, high likelihood of criminal justice involvement, lower educational attainment, and extremely high use of outpatient mental health treatment.
13. The Relationship Between Substance Abuse and Teen Crime
Consistent and substantial evidence exists that supports the relationship between substance abuse and criminal behaviors in youth.

Top 16-20 Juvenile Justice Blog Posts | 2012

Continuing our countdown of the top juvenile justice blog posts of 2012, here are numbers 16-20:
20. Lessons from Death Row Inmates: Reform the Juvenile Justice System
In looking for ways to reduce the number of death penalty cases, David R. Dow realized that a surprising number of death row inmates had similar biographies -- they started out as economically disadvantaged and otherwise troubled kids.
19. Youth Transfers to the Adult Corrections System More Likely to Reoffend
Juveniles transferred to adult corrections systems reoffend at a higher rate than those who stay in the juvenile justice system, according to a recent report from the National Institute of Corrections (NIC).
18. Beating the School-to-Prison Pipeline by Focusing on Truancy, Absenteeism
There is a strong correlation between missing school in the elementary years and winding up in jail, explains a Superior Court Judge.

Top 21-25 Juvenile Justice Blog Posts | 2012

This has been quite a year for our juvenile justice blog. Not only has readership more than doubled (thank you!) but we've partnered with a number of great organizations and journalists to provide you with more frequent analysis, research and ideas for reform.
As last year, our articles explaining why "Scared Straight" tactics do more harm than good, continue to be some of our most-read and shared posts. But this year, we also took a look at the effects of trauma on kids, raise-the-age efforts and the Supreme Court decision to ban life without the option of parole for juveniles. 
This week, we're doing a countdown of the top 25 stories from 2012.
25. Mentoring: Best Practices for High Risk Youth
Mentoring has been shown to reduce drug and alcohol use and help justice-involved teens get back on track. Jessica Jones share five best practices for a successful mentoring program.
24. Inside the Juvenile Justice System: A Look at How the System Works
While readers may be familiar with the criminal system through tv shows, the juvenile system is less well-known and understood. The County of San Diego explains the juvenile system.

The Crime Report's Person of the Year; News Roundup

Juvenile Justice Reform

  • The Crime Report's Person of the Year (TheCrimeReport.org)
    A New York University law professor who persuaded the Supreme Court to extend its ban on mandatory sentences of life without parole (LWOP) for juveniles to young people convicted of murder—and thereby dramatically transformed the landscape of juvenile justice—is The Crime Report’s choice for Criminal Justice Person of the Year in 2012.
  • Georgia Juvenile Justice Reform Recommendations Would Lock Up Fewer to Save Millions (AJC.com)
    Georgia should save taxpayers tens of millions of dollars a year by diverting some juveniles away from detention facilities and into community-based programs, according to a group tasked with reviewing the state’s criminal justice system. The state’s Special Council on Criminal Justice Reform for Georgians recommends reversing some of the harsher policies of the 1990s on how Georgia punishes its youngest offenders.
  • Discussing Juvenile Justice with "Pure Politics" In Kentucky (RightOnCrime.com)
    Last month, Right On Crime’s Jeanette Moll traveled to Kentucky to present research on juvenile justice to stakeholders involved in reforming several aspects of the state juvenile system — including how it handles status offenders. A task force in Kentucky is studying the issue, and it is looking for lessons from Texas’s experience.
  • Department of Justice Enters into Agreement to Reform the Juvenile Court of Memphis and Shelby County, Tennessee (Justice.gov)
    The Department of Justice announced that it has entered into a comprehensive memorandum of agreement with the Juvenile Court of Memphis and Shelby County, Tenn., to resolve findings of serious and systemic failures in the juvenile court that violate children’s due process and equal protection rights.
  • Improving Juvenile Justice (MiamiHerald.com)
    Florida Department of Juvenile Justice officials and staff are traveling around the state to educate stakeholders and citizens on the reach of its new “Roadmap to System Excellence” plan. What the plan does is sets Florida on a new path in this endlessly fraught area of juvenile delinquency and its prevention. As president/CEO of the Florida Network, I stand with DJJ secretary Wansley Walters and this bold plan.
  • Harsher Discipline Often Dispensed to Minority, Disabled Students (NationalJournal.com)
    Students of color and those with disabilities receive harsher punishment in schools, punishments that are often a precursor to their entry into the juvenile justice system, The Washington Post reports. Each year, more than 3 million children are expelled or suspended from schools, according to Civil Rights Data Collection figures released last spring by the Education Department. During analysis of 72,000 schools in the 2009-10 academic year, at least 240,000 students were referred to law enforcement.

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