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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.

Juvenile Justice Reform: Join the Movement

juvenile-justice-reform_Join-the-Movement-sign-Motivate-Advocate-ActivateOur nation has long been a leader in economic and military might, but we have forgotten about our children, too many of whom continue to languish in adult prisons. We are behind in our efforts to decrease our incarcerated population, especially our incarcerated youth. The U.S. has the highest reported incarceration rate of any nation in the world. On any given day, more than 7,500 youth are locked up in adult jails and prisons even though the vast majority of youth prosecuted in adult court are charged with non-violent offenses.
In the 1990’s most states passed laws that made it easier to try, sentence, and incarcerate youth in the adult criminal system in response to growing fears of a new generation of so-called adolescent “superpredators.” Even though youth crime rates are the lowest they have been in two decades, an estimated 200,000 youth continue to be prosecuted in the adult criminal justice system every year. Research shows that youth incarcerated in adult jails and prisons face an increased risk of being physically, mentally, and sexually abused. Prosecuting kids as adults also increases the likelihood that they will reoffend, and youth who are transferred to the adult criminal system are approximately 34% more likely than youth retained in the juvenile court system to be re-arrested.

"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.

CJJ Conference on Disproportionate Minority Contact - Register Now!

juvenile-justice-reform-youth-in-prison-by-Ara-0shagan
You know that Disproportionate Minority Contact (DMC) is one of the most troubling and persistent problems with the juvenile justice system today. Now's your chance to pool your knowledge and learn from others working on the problem.
On October 23-25, 2010, the Coalition for Juvenile Justice is hosting its National DMC Conference, “Fundamental Fairness: Eliminating Racial and Ethnic Disparities in Juvenile Justice,” in Jersey City, New Jersey. The conference will be preceded by a one-day training on October 22, with the Office of Juvenile Justice and Delinquency Prevention (OJJDP), State Relations and Assistance Division (SRAD).

Making the Case for Your Program: Social Return on Investment

juvenile-court_calculations-on-graph-paperIs your program for youth in juvenile court worth it? 
Does it really make sense to spend all that money on treating a kid for his drug habit, or to provide 20 teens with job readiness skills? 
Chances are, it does. Your program probably saves the community a lot of money in avoided costs -- but can you prove it?  That's the tricky part.

Roundup: UK Publishes Guide to Punishing Detained Youth -- and More

juvenile-justice-reform_old-TVJuvenile Justice News

Moms Want Justice: Meaningful Family Partnerships in Juvenile Justice Reform

juvenile-justice-reform_family-partnership-guide-coverWant to partner with families on juvenile justice reform?
Been there, done that, but still struggling?
Do yourself a favor and check out "An Advocate's Guide to Meaningful Family Partnerships: Tips from the Field," from the National Juvenile Justice Network. 
Based on interviews with 26 advocacy organizations and in-depth interviews with eight juvenile justice advocacy groups (both family-led and non-family-led), the guide is a great primer / refresher on what works when partnering with families.
You'll find reminders about leveling the playing field so that professional advocates and family advocates can both contribute; the need to be frank about and work to address underrepresentation of people of color on the staff of advocacy organizations; and ways to help advocates celebrate their wins even when the legislative process falls short of their ultimate goals.
What's one of the biggest barriers to recruiting family members as advocates for juvenile justice reform? Often, they begin their journey as advocates because they care intensely about their own child, sibling, or relation; they're less interested in fighting for changes to the system on behalf of other people's children.
Here, the NJJN guide once again provides useful tips. None of the solutions are likely to surprise you, but they're often overlooked in my experience, especially when it comes to juvenile justice agencies seeking to give families voice.  
In addition, you'll also find capsule examples of organizations that have achieved success with recruiting family members, building their expertise, and benefiting from the ability of family advocates to push reform from outside the system: 

2010 Recovery Month Toolkit is Now Available!

adolescent-substance-abuse-treatment-recovery_SAMHSA-Recovery-Month-2010-coverWant to plan an event for teens celebrating and promoting recovery from substance abuse? Want ideas from others?
SAMHSA recently released a toolkit to help individuals and organizations plan recovery events in conjunction with Recovery Month 2010, and to provide you with tools and educational materials to distribute in your community.
As we discussed in a previous post, 2010 marks Recovery Month’s 21st year, and we are celebrating with the theme “Join the Voices of Recovery: Now More Than Ever!” The theme emphasizes how high levels of stress may contribute to or exacerbate alcohol or drug use, which can lead to a substance use disorder or relapse. The toolkit also raises awareness about the increasing level of stress in society and the impact it has on addiction.
 
The toolkit, available online and in hard copy, is divided into three sections: media outreach, targeted outreach, and resources. The media outreach section includes tips and template documents to help plan and promote your events. The targeted outreach section provides details about substance use disorders that are tailored for specific audiences. The resource section shares information to help you prepare for events and suggests organizations in which you could consider partnering.

Juvenile Indigent Defense System Failing Kids It's Meant to Protect - Weekly Roundup

adolescent-substance-abuse-treatment_old-TVAdolescent Substance Abuse Treatment - News and Research Updates

  • How the confidentiality of patients who obtain substance abuse treatment will be handled under health reform (and electronic health records in particular) continues to be the focus of controversy, according to Join Together. The Substance Abuse and Mental Health Services Administration (SAMHSA) has issued a document covering "frequently-asked questions," and will hold a stakeholders' meeting on August 4th to provide more clarification. Last February, I posted that some health reform advocates want to do away with federal confidentiality regulations under 42 CFR in favor of relevant HIPAA regulations. They say they're concerned that the burden of complying will discourage mainstream doctors from screening patients and providing brief intervention for alcohol and drug issues. 

Supporting Teens in Treatment and Beyond: Our Community Summit and Lessons Learned

community-involvement_people-working-at-tablesI’m sure you already know the Reclaiming Futures mantra for teens in the justice system who have alcohol and drug issues: “More treatment, better treatment, and beyond treatment!”
The hardest part of the mantra to bring to fruition is the third part of it – how can we help support youth in recovery once they’re done with treatment (or even the juvenile court)? Changing behavior for the long-term isn’t easy, and youth need positive activities and supportive adults to help them stay sober and crime-free.
 
To begin to tackle our own “beyond treatment” plan, Bristol County Reclaiming Futures recently hosted a “sustainability summit.” Our goal was to initiate conversation about how to better meet the needs of at-risk and justice-involved youth with substance abuse issues, and I’m happy to report that the project generated a lot of positive energy and even made the news! We generated a number of strategies to move forward, and a task force comprised of summit attendees and other interested parties soon begin working on implementing them. (Special thanks to Dan Merrigan of Boston University, our Reclaiming Futures coach, for facilitating the work group project.)
 
Some highlights:

Improving Adolescent Treatment - Tools & Resources from NIATx

adolescent-substance-treatment_NIATx-logoMaking your agency more effective at serving teens who need substance abuse treatment or mental health treatment (or both) is hard work. And even though in the past I’ve posted some of the resources here  that we have to help you, such as our free e-learning course on process improvement or our archived webinar on how to increase collections from insurance companies, you might not realize how many other things are available on the recently-redesigned NIATx web site.

  • Have a question about implementing the NIATx model to improve access and retention in treatment? Head over to the NIATx Support Forum and browse the instant help FAQ for ideas and resources to address some common problems. Or, post a question to the forum and get help from over 4,000 provider participants, 100 coaches, and university staff.

Roundup: Your Feedback Wanted on Federal Juvenile Justice Policy

juvenile-justice-reform_old-TVJuvenile Justice Reform and Related News

  • The Coordinating Council on Juvenile Justice and Delinquency Prevention wants your input by August 9, 2010 on federal policies and practices in these areas:
    • education and at-risk youth
    • juvenile reentry and transitions into adulthood
    • racial/ethnic disparities in juvenile justice and related systems
    • tribal youth and juvenile justice.

The Council has published a detailed request and guidelines in the Federal Register.
Here's the tricky part: to submit your comments, type "Juvenile Council" into the search box here labelled "Enter Keyword or ID." You'll likely get more than one search result, but look for the one that says, "Request for Public Comments - Coordinating Council on Juvenile Justice and Delinquency Prevention." Don't click on it if you're ready to comment; instead, look over to the right, where you'll see a "Submit Comment" link. Click on that, and you'll be able to type in your comments. You can also scan other comments already submitted to the site. (If you can't submit your comments electronically, there are instructions in the guidelines for how to mail them in.)

Juvenile Justice Reform: Improving Outcomes for Status Offenders

juvenile-justice-reform_status-offenders-article-photoOne of the four core principles of the Juvenile Justice and Delinquency Prevention Act (JJDPA) is that juvenile status offenders not be placed in secure detention. ("Status offenders" are minors who do things that would not generally be a offense if they were adults. For example, truants, runaways, and curfew violators are status offenders.)
However, an exception to the law was made in 1980 to allow courts to detain young people who had committed status offenses if they had also violated a "valid court order" -- the so-called "VCO exception."
As Nancy Gannon Hornberger writes in, "Improving Outcomes for Status Offenders in the JJDPA Reauthorization," which appeared in the summer 2010 issue of Juvenile and Family Justice Today from the National Council of Family and Juvenile and Family Court Judges (NCJFCJ), "The nation is split. Twenty-five U.S. states and territories do not allow or do not use the VCO exception; in 30 states [including the territories, and Washington, D.C.], the VCO exception is allowable."
Approximately 12,000 non-delinquent status offenders are locked-up with delinquent youth each year. Serious concerns have been raised about whether such detentions do more harm than good. Juvenile justice practitioners, advocates and members of Congress have responded to these concerns with an amendment to the JJPDA to eliminate the VCO exception.

Juvenile Justice Reform: Finding Opportunities When Budgets are Slashed

juvenile-justice-reform_NJJN-real-costs-benefits-report-coverIt's easy to focus on juvenile justice reform during good times; the real test comes with budget cuts.
But even wrenching cuts to staff and services can provide a chance to achieve lasting improvements to juvenile justice policies and programs.
Don't believe me? The National Juvenile Justice Network (NJJN) has just provided us all with a road map that's concrete, helpful, and surprisingly inspiring. Titled, "The Real Costs and Benefits of Change: Finding Opportunities for Reform During Difficult Fiscal Times," it's a model of cool-headed resourcefulness.

Mentors for Teens in the Justice System - Reclaiming Futures in Dayton Issues Call to Community

juvenile-court-mentors_top-story-WDTN In June, Reclaiming Futures Montgomery County in Dayton, OH, held a successful event asking members of the community to mentor teens in the justice system struggling with alcohol and drug issues. (Dayton already has a great track record in this area, having already recruited and trained over 190 "natural helpers" for these youth.) 
The event garnered a news story in the Dayton Daily News, “Kids in Juvenile Court in Need of Mentors,” and it was the "top story" (see right) on the evening news, in a story called, "Helping Teens with Mentors
Great work, team!

Related Post: Reclaiming Futures sites in Bristol County, MA, and Forsyth County, NC, also recently reached out to the community for assistance in working with teens involved in drugs, alcohol, and crime.
Bonus Related Post: Having trouble organizing successful outreach? You may be missing a key element from the community: families with children involved in the juvenile justice system. Check out this post for tips on how to engage these families and others.

Juvenile Justice: Why Investing in Trauma-Informed Care for Children Makes Sense

juvenile-justice-reform_old-TVJuvenile Justice Reform and Related News

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