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Webinar - Psychotherapeutic Medications 2011: New Online Resource for Counselors, Clients and Their Families

adolescent-substance-abuse-treatment_learning-revolutionThe Addiction Technology Transfer Center (ATTC) Network announced a webinar hosted by the Mid-America ATTC. It's not youth-specific, but may be of interest to adolescent substance abuse treatement providers:
Psychotherapeutic Medications 2011: Announcing a New Online Resource for Counselors, Clients and Their Families
Hosted by: Mid-America ATTC
March 17, 2011
2:00 - 3:30 p.m. (EASTERN)
Psychotherapeutic Medications 2011: What Every Counselor Should Know, 8th Edition, was originally developed in 1999 as a companion piece to a Mid-America ATTC curriculum, A Collaborative Response: Addressing the Needs of Consumers with Co-Occurring Substance Use and Mental Health Disorders. Due to popular demand, the publication has become a desk-top reference for counselors across the United States and is now available in an online, searchable database!
Alex Barajas-Muñoz, M.S., Editor of Psychotherapeutic Medications 2011, along with Pat Stilen, LCSW, Director of Mid-America ATTC, will guide participants through a tour of the free, downloadable booklet and announce the just released, web-based online database resource.
Specific topics of discussion for this session include:

  • How to access information about psychotherapeutic substance use disorder treatment medications with a list of their generic and brand names;
  • Medication purpose, usual dose, frequency and side effects, emergency conditions, cautions and special considerations for pregnant women;
  • Tips for communicating with physicians about clients’ medications
  • Tips for communicating with clients about taking prescribed medications.

>>Register here.

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Webinar: Achieving Success in Both Education and Recovery

adolescent-substance-abuse-treatment_kevin-jenningsKevin Jennings, Assistant Deputy Secretary for Safe and Drug-Free Schools at the Department of Education
March 17, 2010 at 10am PT / 1pm ET

Mr. Jennings will reprise his plenary presentation from the 2010 Joint Meeting on Adolescent Treatment Effectiveness (JMATE)on the efforts by the Department of Education and the federal government to reach out to youth currently in recovery.
 
As part of this work Mr. Jennings will discuss how the Department of Education is hoping to increase the number of recovery schools, including programs designed for students and families committed to achieving success in both education and recovery.
 
To learn more about Mr. Jennings you can read his bio.

Register now »

Is the Juvenile Justice System "Improving Lives or Devastating Them?" and More: a Roundup

  • juvenile-justice-system_old-TVIs the Juvenile Justice System "Improving Lives or Devastating Them?" U.S. Attorney General Asks
    Attorney General Eric Holder wants to see the juvenile justice system shift from prosecution and punishment to prevention and intervention, as he made clear in a March 7th speech to the National Association of Counties Legislative Conference. Among other things, he pointed to the evidence showing that "scared straight programs" are ineffective, and the high rate of sexual victimization of detained youth. 
     
  • States Try Fewer Youth in Adult Court  
    Only a few states -- New York and North Carolina among them -- continue to treat 16-year-olds as adults when it comes to the justice system. Money's an issue, because it's more expensive to try them in the juvenile justice system. However, a new analysis from the Vera Institute of Justice finds that the fiscal benefits outweigh the costs.
  • States Back Away From Punitive Drug Laws
    The high cost of imprisoning low-level drug offenders is adding momentum to efforts to reform punitive drug laws that incarcerate people without addressing their underlying treatment problem.

How Juvenile Probation Officers Identify Youth Mental Health Needs

juvenile-justice-system_broken-pencil-crumpled-paperA few weeks ago, my colleague, Jeff Butts, discussed here the implications of our recent study of rates of psychiatric disorder in almost 10,000 young persons at various levels of penetration of the justice system. (Here's the original study: "Psychiatric Disorder, Comorbidity, and Suicidal Behavior in Juvenile Justice Youth.")
He drew attention to our finding that, when evaluated in a standard way, approximately 35% of young persons at system entry (i.e., entering the juvenile justice system via probation or family court processing) met criteria for a mental health or substance use disorder.

In that work, we relied on a well-validated, computerized, instrument which aggregates a youth’s answers to specific questions about symptoms to generate a set of provisional psychiatric disorders (the DISC-IV). But what happens about identifying mental health problems in settings where such research activities are not in place?

OJJDP's 2011 National Conference

juvenile-justice-system_OJJDP-conference-logoThe Office of Juvenile Justice and Delinquency Prevention (OJJDP) will be hosting a national conference, "Children's Justice & Safety: Unite, Build, Lead," on October 12-14, 2011. It will be held at the Gaylord National Hotel & Convention Center in National Harbor, MD.
Workshops, plenaries, and presentations by leading experts and researchers will promote evidence-based practices that address emerging concerns in delinquency prevention, juvenile justice, and victimization.
Who Should Attend?

  • Advocates
  • Educators
  • Faith-based and community leaders
  • Federal, state, and local officials and representatives
  • Juvenile justice practitioners
  • Law enforcement
  • Policymakers
  • Researchers

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What is the Real Cost of Trying Teens as Adults?

juvenile-justice-system_empty-jail-cellsThe New York Times reported March 5 that the national trend of trying teens as adults in criminal cases is reversing. Almost all states have raised, or are raising, the age teens are tried as adults. The opposition to this trend argues that it is too costly to try teens as minors.

The generally accepted assumption is that states save money by trying teens in adult criminal court, rather than in juvenile courts. But is this assumption really true in the long run? What is the real cost of trying teens as adults?

Certainly, in the short-term, the more involved and supportive approach of juvenile courts may cost more than criminal courts. Juvenile courts emphasize treatment rather than punishment. That focus can mean that more people are employed in the care and rehabilitation of offenders in juvenile court than in the adult counterpart. 
These costs, however, yield long-term benefits. Youth and society benefit from supportive rehabilitation. And states can make back the money from that initial investment. A recent study by the Vera Institute on the cost of raising the age of juvenile jurisdiction in North Carolina found that with an investment of $70.9 million a year to include 16 year olds in juvenile court, the state would accrue “$123.1 million in reoccurring benefits to youth, victims, and taxpayers over the long term.”

Georgia Could Become “Asylum State” for Juvenile Delinquents

juvenile-justice-system_FenceGeorgia is set to become the go-to state for delinquent juveniles trying to escape the system.  If legislation is not passed in this session of the General Assembly, Georgia will become the only state without pending legislation to enact the new Interstate Compact for Juveniles (ICJ), an agreement that allows for the transfer of delinquent juveniles and runaways between states.

The potential implications are enormous.  Without an agreement with other states, Georgia will have no mechanism for sending delinquent kids from other states back home or for registering teen sex offenders who cross the border into Georgia, according to Rick Masters, General Counsel for the Interstate Commission for Juveniles, in Lexington, Ky., the governing body of the ICJ,

The ICJ replaces and updates a compact established in 1955 that Georgia was a member of.   Currently, Georgia still operates under the framework for the old compact, but the transition period expires on June 30, 2011.  After that date, Georgia will no longer be able to do business with member-states of the ICJ.

The National Parent Caucus; Meeting the Needs of Forgotten Families

juvenile-justice-reform_forget-backwardsBeginning in 1998, with my son's first arrest at the age of 12, I embarked on a journey that I was ill-equipped to handle. When I gave birth to my children, I had high hopes and dreams for them -- this arrest and the succeeding problems that lay ahead for him were never a part of those hopes and dreams.
I, like most family members who find themselves involved in the juvenile and criminal justice systems, was incredibly naive and made decisions based on what system professionals told me, never considering that it wasn't their job to help my son. Those decisions set a predictable course for my son, for those with knowledge and understanding, that would leave him emotionally and physically scarred for the rest of his life. I made those decisions without an understanding of what they meant for him or a conception of what it meant to have a "system-involved" child.  For the next three years, I walked this path alone in confusion and isolation. 

I sat through meetings where professionals talked about my son and I said nothing, because they presented themselves as the experts and seldom asked me anything. I sat in court rooms in front of a judge without an attorney or advocate, because I was told an attorney would only slow down my son getting the help he needed, and I believed this lie to be the truth. I sat outside the court house on the day my son was adjudicated as a delinquent and sent to a far-off facility because my legs would not carry me away from my baby, and still believed that I had done what was right. I sat by the phone for days, awaiting a call from the facility to inform me of where my son would be placed and when I would be able to visit.

Apply Now for NJJN Youth Justice Leadership Institute

"It's important that people really do understand that this void in [juvenile justice reform] leadership really is a hindrance ..."
-Diana Onley-Campbell, Program Manager, NJJN Youth Justice Leadership Institute
 
The National Juvenile Justice Network (NJJN) is seeking applicants for its new Youth Justice Leadership Institute. For a quick introduction to what the institute is and why it's critical to juvenile justice reform, check out my 6-minute interview with Ms. Onley-Campbell above, conducted in December, 2010. (Sorry the audio isn't quite in synch - I'm having extended technical difficulties - but I figured it worked well enough to get the point across.)

Events: Responding to Tragic Incidents Involving a Person with Serious Mental Illness, and More

  • adolescent-substance-abuse-treatment_light-coming-in-windowWebinar 3/10: Responding To A High-Profile Tragic Incident Involving A Person With A Serious Mental Illness
    From the Council of State Governments' Justice Center's Criminal Justice/Mental Health Consensus Project press release:

    When a person with a history or current diagnosis of serious mental illness is involved in a high-profile tragic incident, community leaders face public, media, legal and legislative scrutiny. Incomplete and/or inaccurate information may spread quickly—not only about the incident, but also about the likelihood of violence among individuals with mental illnesses. This is often fueled by community members’ mistaken assumptions that mental health treatment is ineffective and that most people with mental illnesses are violent. Though most individuals with serious mental illnesses will never be violent and can live successfully in the community with adequate treatment, supports, and housing, when a high-profile, tragic incident does occur that involves a member of this population, it can engender fear and lead to heated public debate.

    To help policymakers better anticipate and respond to these events, the National Association of State Mental Health Program Directors and the Council of State Governments Justice Center have released a toolkit for responding to tragic incidents involving a person with serious mental illnesses. In this webinar presenters will discuss the toolkit’s origins and applications. Presenters include:

    Dr. Lorrie Rickman-Jones, Director of Mental Health for the Illinois Department of Human Services
    Dr. Fred Osher, Director of Health Systems and Services Policy for the Council of State Governments Justice Center
    Mr. David Miller, Project Director for the National Association of State Mental Health Program Directors.

    Date: Thursday, March 10, 2011
    Time: 2:00-3:15 pm E.T.

    To register for this event, please click the link above.

Justice for an Awful Juvenile Court Judge, and More: Roundup

OJJDP Funding: Mentoring for Juveniles Leaving Secure Confinement

juvenile-justice-system_funding-smartiesThe Office of Juvenile Justice and Delinquency Prevention (OJJDP) is offering grants to support mentoring for youth  leaving secure facilities. One-time awards of up to $625,000 will be made for a project period of up to three years. (Hat tip to Mark Fulop.) 
From the call for proposals: "The purpose of this initiative is to support the successful and safe transition of juvenile offenders from correctional facilities to their communities. To this end, OJJDP will provide funding to develop, implement, and expand mentoring programs and transitional services. OJJDP expects successful applicants to integrate best practices and proven principles into mentoring service models, develop strategies to recruit and maintain mentors, and assess and develop services to respond to the needs of youth offenders reentering their communities. Local community collaboratives should lead such programs, design them to address local needs, and use local resources. If local resources are not available, the program should obtain resources outside of the community through partnerships and other collaborative efforts.
Application deadline: May 2, 2011. 
[UPDATE March 11, 2011:  Got questions?  Check the FAQ.]

For Youth Removed From Home, Is it Helpful to Meet with Parents Not in Recovery?

juvenile-justice-system_question-mark-spray-paintedRecently, I posted a question from a juvenile justice professional about what the research said about possible harm done to youth who visit their family members in juvenile detention or prison. We got an answer to that one, but it raised a new question from someone else:

What about children who are removed by either family or the state from parents who are addicted to drugs and have previously exposed the child to unsafe situations as well as neglect? 
Is it beneficial or harmful to the child for the absent parent who is addicted to substances to allow visitation, knowing that the parent will be intoxicated at the time of visitation?  And does age make a difference?  Is it different for a 5 year old vs a 12 year old? 
Any info would be appreciated.

What do you think? Anyone know what the research says about this?  Please share, and I'll post what I learn -- leave a comment, drop me an email, or start a discussion in our LinkedIn group, "Juvenile Justice Reform and Adolescent Substance Abuse Treatment." 

Interview: Implementing Multidimensional Family Therapy for Teens in the Justice System

adolescent-substance-abuse-treatment_MDFT-coverMultidimensional Family Therapy (MDFT) is an evidence-based practice for working with adolescents struggling with substance abuse – the manual can be downloaded from SAMHSA for free. (SAMHSA is the Substance Abuse and Mental Health Services Administration.) One of five treatment protocols developed and tested in the past decade by SAMHSA, it has been shown to be clinically and cost-effective.
As it happens, the creator of MDFT, Dr. Howard A. Liddle, Ed.D., will be doing a webinar for us on family engagement on April 30, 2011, at 11 am PST / 12 pm CST / 2 pm EST. You can learn more and register for it on our webinars page.
Dr. Liddle told me recently that there was an MDFT program operating in Portland, Oregon, where I live, so I set up an interview with Deena Corso, who is a clinical supervisor in the Juvenile Treatment Services unit at the Department of Community Justice (DCJ) in Multnomah County, Oregon. (Deena and I were co-workers when I was employed there between 2000 and 2007.)
 

Benjamin: What are the top reasons to implement MDFT?
Deena: We picked MDFT as our treatment model because it's an evidence-based practice, effective at reducing substance abuse and delinquent behavior for populations that looked like ours. We’d had a Multi-Systemic Therapy [MST] program for many years with good outcomes, but budget cuts forced us to look for an alternative, and once we looked at the research, we decided on MDFT. 

Hip Hop for Prevention and Therapy: Are There More Examples from the Juvenile Justice System?

juvenile-justice-system_H.Y.P.E.-coverjuvenile-justice-system_hip-hop2prevent-coverMaybe it's just me, but I don't hear very often about hip hop in services aimed at youth in the juvenile justice system or in prevention programming. If it is rare, that's strange, since hip hop matters to a lot of youth, not least because it's a key avenue for self-expression.
So here's a couple examples I'm aware of, where hip hop is a key part of the intervention.
First, you may have heard about H.Y.P.E. hip hop therapy (Helping Young People Thru Empowerment), a curriculum in which a mental health therapist in Stone Mountain, Georgia, incorporates hip hop into counseling sessions with African-American teen males. Her approach -- which has been turned into a book you can buy for $20 (click on the image on the far left)-- has been featured in JET magazine, on NPR, and on television. I'm not certain if it's been evaluated. (Hat tip to the Juvenile Justice Information Exchange.)
Second, when I was at the Joint Meeting on Adolescent Treatment Effectiveness (JMATE) in Baltimore in December 2010, I I saw a presentation on a substance abuse and HIV prevention curriculum that was built around hip hop. Aimed at middle-school youth, the Hip-Hop to Prevent Substance Abuse and HIV (H2P) curriculum has been listed in the National Registry of Evidence-based Programs and Practices (NREPP), run by Substance Abuse and Mental Health Services Administration (SAMHSA).  
Anyone aware of any other interventions for teens -- particularly for youth in trouble with the law -- that build on hip hop in a significant way?  Drop Drop me an email, leave a comment below, leave a comment in our discussion group on LinkedIn called "Juvenile Justice Reform and Adolescent Substance Abuse", and I'll post what I learn.
[Update March 3, 2011: Check out the comments below for at least two resources. Also, it looks like we'll be able to post a lot more information here soon. Stay tuned.]
 

JMATE 2010: Advancing Evidence-Based Programs in Juvenile Justice with Mark Lipsey

 
When I was at the Joint Meeting on Adolescent Treatment Effectiveness (JMATE) in 2010, I interviewed Dr. Mark Lipsey about a new tool he and several other colleagues developed to improve the implementation of evidence-based juvenile justice programs. Dubbed the Standardized Program Evaluation Protocol (SPEP), the tool uses a massive meta-analysis of nearly 700 evaluations to help local jurisdictions identify what they're already doing that's working, and to improve on what they've got. 
I asked Dr. Lipsey the following questions:

  1. Why did you do the meta analysis and develop this tool to improve effective programming in juvenile justice? (:20)
  2. How is the new tool different from simply implementing evidence-based programming? (2:35)
  3. How do I get my hands on it? Can I just download it? (6:36)
  4. How do I access the assistance I need to implement the SPEP? (8:57)

Coalition for Juvenile Justice Conference: Call for Presentations

juvenile-justice-reform_microphoneThe Coalition for Juvenile Justice (CJJ) is seeking presentation proposals for its May 20-24, 2011 national conference, “Fair & Equal Justice: Alternative Sentences and Sanctions for Youth.” 

Each spring, CJJ hosts a national conference focused on improving juvenile justice and delinquency prevention systems, services, practices and policies. This conference is expected to draw more than 250 juvenile justice practitioners and advocates from across the United States and its territories.

CJJ will select a maximum of six (6) proposals for presentations lasting up to 90 minutes.  Workshops must address one or more of the following subject areas:

The Bond Market and Public Safety

[The following column on using social impact bonds to promote effective programs in juvenile justice (and adult criminal justice) has been republished with permission from The Urban Institute website. --Ed.]

 
juvenile-justice-reform_invest

Abstract
At least 40 states face swelling budget deficits. Likely targets for reductions include the discretionary social programs that protect public safety. Rather than jeopardize the public's safety and well-being with imprudent cuts, a different and better way out of the financing crunch is explained by two criminologists: the social impact bond.

State and local governments are in trouble. At least 40 states face swelling budget deficits. While few details of next year’s budgets are available, likely targets include the discretionary social programs that protect public safety.

Often, programs that serve criminal offenders, at-risk youth, people with mental illness and drug addictions, and prisoners returning home are the first to get hacked when budgets are cut. In a preview of what is likely to come, governors in Virginia, Texas, and New York have proposed cutting funding for at-risk youths, increasing the chances of future crime increases.

Rather than jeopardize public safety and well-being with imprudent cuts, here’s a different and better way out of the financing crunch: the social impact bond (or SIB).

What Does Obama's Budget Mean for Your Juvenile Justice System? and More: Roundup

juvenile-justice-system_old-TVTop Juvenile Justice System News

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How Prevalent are Substance Abuse and Mental Health Issues in Juvenile Justice? The Answer May Surprise You

adolescent-substance-abuse-treatment_criminal-justice-and-behavior-journal-coverGail Wasserman and her colleagues from the Center for the Promotion of Mental Health in Juvenile Justice at Columbia University published an important new study that was released just this week in Criminal Justice and Behavior: "Psychiatric Disorder, Comorbidity, and Suicidal Behavior in Juvenile Justice Youth." It may be the best source of information yet on the prevalence of substance abuse and mental health disorders among youth in the juvenile justice system.
We need accurate information. I've heard many practitioners around the country make the same mistake, claiming that "70 percent" of the youth in "the system" have diagnosable disorders. As I described in a 2008 post on this blog ("Size of Drug Problem in Juvenile Justice Depends on Where You Look"), this common mistake usually starts with a misreading of the 2002 study by Linda Teplin at Northwestern University.
Teplin and her colleagues found high rates of substance abuse and mental disorders among a population of juvenile offenders, but many readers failed to note that the study was about just one large detention center—not exactly a good proxy for the entire juvenile system. The Teplin study did not include data about youth at other stages of the juvenile justice process, such as probation and intake.
Gail Wasserman and her colleagues, on the other hand, used a high-quality and consistent methodology (the DISC) to measure the presence of disorders among nearly 10,000 juveniles in more than 50 jurisdictions and at varying points of juvenile justice contact, including juvenile intake.

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