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NOTE: Two of the co-authors of this post, Carol A. Schubert M.P.H., and Edward P. Mulvey, Ph.D., will be presenting on other aspects of their research on youth in the juvenile justice system at the Office of Juvenile Justice and Delinquency Prevention (OJJDP) juvenile justice conference next week.

The general adolescent population is estimated to have a rate of 9% to 21% in occurrence of diagnosable psychiatric disorders. In comparison, researchers have established that the juvenile offender population has a disproportionately high rate of mental health problems, with estimates suggesting it is as high as 50% to 70%. Additionally, a majority of the diagnosable youth in the juvenile system have a co-occurring substance-use disorder.
Many initiatives dealing with mental health problems in juvenile offenders have treated them as a criminogenic risk factor; positing that, if these problems are addressed, youth’s risk for repeat offenses will decrease and their involvement in pro-social activity will increase. It is important that mental health problems be addressed for these youth,  but we require a better understanding of the role mental health problems play for offending to better inform program development.
Demonstrations that youth with mental health problems have an increased risk for criminal involvement proves an association, but not a definite cause or explanation about the means by which mental disorders elevate criminal risk. It is possible that there is a deeper root cause in the relationship between the two and that having a better understanding of this association can help determine the most effective treatment options.
There is not much data regarding whether and/or how mental health problems relate to continued offending or adjustment problems in adolescent offenders. The purpose of this study is to investigate the relationship among certain mental health problems (affective, anxiety, ADHD, and substance use disorders), criminogenic risk, and outcomes (such as re-arrest) in a sample of serious adolescent offenders.
This investigation used data from a longitudinal study of serious adolescent offenders (The Pathways to Desistance Study). The sample of serious adolescent offenders included 949 individuals (84% male; 78% minority) with a mean age sixteen. 57.7% of the sample met the criteria for at least one of the assessed MPHs. The study investigated three questions:

The complete program/agenda for the Office of Juvenile Justice and Delinquency Prevention's 2011 conference is now available (just follow the link).  For those of you who can attend in person in Maryland next week, it looks like a fantastic, jam-packed event. (Be sure to pass on what you learn to those of us who can't go!)
The main conference runs October 12-14, 2011. The agenda's enormous, and I haven't had time to read it thoroughly yet, so what follows are just a few things that jumped out at me that you might want to catch (remember, all sessions are first-come, first-serve!). Only in a few cases have I reproduced the session description - for those you're interested in, see the full program (use the "find" function to find things quickly).
NOTE: I've also hyperlinked individuals who have written blog posts or webinars for Reclaiming Futures - click through to learn more about each one.
Wednesday, October 12, 2011
Development of the Adolescent Brain: These Are Not Miniature Adults
Randy Muck, Advocates for Youth and Family Behavioral Health Treatment, LLC
Moderator: Gwendolyn Williams, OJJDP
Serious Adolescent Offenders Moving Into Adulthood: Life events and the Role of Deterrence
Edward P. Mulvey, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine
Thomas Loughran, Department of Criminology and Criminal Justice, University of Maryland
Joseph J. Cocozza, National Center for Mental Health and Juvenile Justice
Moderator/Presenter: Carol A. Schubert, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine

Imagine a group of young girls who suffer from depression, severe neglect, sexual and physical abuse and are in the care of a government agency. 
Now imagine that these girls’ caretakers have little or no experience working with children, little or no familiarity with the medical and mental health needs of emotionally and physically battered girls, little or no support for formalized training on child development and no supervision by professionals with child-specific experience either. Then consider extremely limited resources for the care, health services and education of these particularly vulnerable and needy children. 
This scenario sounds like it would lead straight to public calls for vastly improved child protection and investigations into government agencies’ poor management and improper use of taxpayers’ dollars. Unfortunately, it accurately describes legislation that was rushed through by the 2011 Florida Legislature (Senate Bill 2112) and signed into law.

Make access to alcohol more difficult and young adults are likely to commit fewer violent crimes. That’s what two studies by University of California at Riverside researchers showed recently, according to an article published by CBS Los Angeles.
The first study, which examined 91 of the largest American cities in 36 states, found a link between alcohol store density and violent crime among teens and young adults aged 13-24.
In the second study, researchers found higher rates of violent crimes in neighborhoods near alcohol outlets with more than 10 percent of freezer space for single-serve containers. The researchers described the effect as “modest,” yet crime did increase in areas with a higher percentage of single serve alcohol containers.

As a busy project director for Reclaiming Futures Hocking County, communications with the community and positive staff recognition often fall to the bottom of my to-do list, despite my best intentions. This is why the designation of September as National Recovery Month by the Substance Abuse and Mental Health Services Administration (SAMHSA) and their annual Recovery Month toolkit is extremely helpful to me. I know that during the month of August and September, I will be focusing my efforts on helping to promote prevention, treatment and long-term recovery from substance use disorders, and that there are resources available to help me easily complete my mission. 
In August, I begin by preparing proclamations for our local government officials. In the toolkit, there are ready-made examples of both traditional and modern proclamations. Our local mayor and county commissioners have been very willing to sign on to this special initiative for the past three years. (To do this yourself, just call the office of that elected official whose support you want. There's usually someone in their office whose job it is to handle proclamations who can tell you what they need.)
Once I receive the signed proclamations, I post copies in prominent areas and ask our Reclaiming Futures Change Team members to do the same. During the month of September, I share the proclamations and information about Recovery Month and Reclaiming Futures Hocking County at any meeting I attend. I also send a copy of the signed proclamations to the Recovery Month website, where SAMHSA shares them online.

In Connecticut, you need a good reason to arrest a kid. That shouldn’t be any big surprise. But to advocates who’ve witnessed decades of increases in school-based arrests for things like dress code violations and running in the hallway, it’s huge.
 
Connecticut’s judicial branch is now rejecting delinquency summonses and status offender complaints unless “the facts, if true, would be sufficient to be a juvenile matter, and whether the interests of the public or the child require that further action be taken …” If Judicial’s Court Supportive Service Division [juvenile probation officers] rejects an arrest, the arresting officer and the youth’s parents will receive a letter informing them of services in the community that could more appropriately address the problem behavior.
 
The credit for this enlightened policy goes largely to Court Supportive Service Division Executive Director William Carbone, who has been a champion of good, evidence-based programming throughout his tenure. Carbone was shocked by the number of children who enter the juvenile justice system for things like possession of tobacco. (No kidding -- there was at least one school district in Connecticut that had kids arrested for that.)

Our mantra at Reclaiming Futures sums up our goals for youth in the juvenile justice system: more treatment, better treatment, and beyond treatment.  
While not every young person who uses or abuses drugs and alcohol is addicted, we know that addiction is a disease that usually has its onset in adolescence, so intervening early is important. But the problem is particularly acute in the juvenile justice system, which refers nearly half of all teens who enter publicly-funded substance abuse treatment.
We also know that nearly one in five youth at the door of the juvenile justice system have diagnosable substance abuse disorders-- and that the percentage goes up, the deeper youth penetrate the system. Of youth in post-adjudication placements, 47%  have alcohol and drug disorders.  Furthermore, the groundbreaking Pathways to Desistance research on serious juvenile offenders found that substance use was strongly related to their continued criminal activity.
The good news is that substance abuse programs that involve an individual’s family in the intervention are one of the few things that reduced recidivism. That's why, in the communities we work with, we promote the expansion of treatment – more treatment – and the implementation of evidence-based screening and assessment tools, such as the Global Appraisal of Individual Needs (GAIN) – better treatment.  Many times, trauma or other unmet needs can be a contributing factor in a youth's negative behavior choices and need to be addressed.  

CIGNA and The Partnership at Drugfree.org are kicking off a monthly series of telephone seminars that will help you better understand today’s changing landscape of substance abuse. The seminars are free and there is no registration required. They’re open to any parent, caregiver or loved one interested in learning more about teen drug addiction. Each seminar will include the participation of a leading expert within the field and a parent from The Partnership at Drugfree.org’s Parent Advisory Board, who will share his or her personal experience with the topic being presented.
 
On Wednesday, September 21, 2011, at Noon-1:00 pm EDT, the series kicks off with a call about teen abuse of prescription and over-the-counter drugs and what parents can do to prevent this dangerous behavior.
 
WHAT:
Did you know that one in five teens has used a prescription drug not prescribed to them by a doctor?* This month’s podcast and Q&A will explore teen abuse of prescription and over-the-counter drugs and what parents can do to prevent this dangerous behavior.

• Messaging Brief: Human Needs on the National Radar Screen
  This brief from the National Human Services Assembly provides a great summary of framing messages effectively to support human services; includes worksheets.
• Video: "What's Your Elevator Speech?"
  Youth workers give their best pitches telling viewers what their organization does to help youth -- and why viewers should support it. Thanks to National clearinghouse on Families and Youth.