Outcomes of a treatment foster care pilot for youth with complex multi-system needs

Size: px
Start display at page:

Download "Outcomes of a treatment foster care pilot for youth with complex multi-system needs"

Transcription

1 Outcomes of a treatment foster care pilot for youth with complex multi-system needs Melissa Johnson Kimberly McGrath Mary Armstrong Norín Dollard John Robst René Anderson Presented at the 28th Annual Research and Policy Conference on Child, Adolescent, and Young Adult Behavioral Health, March 23rd, 2015, Tampa, Florida

2 Support This work is supported in part by the Florida Agency for Health Care Administration contract #MED134

3 Why enhanced therapeutic foster care? Many interventions targeted to youth with justice involvement are not effective (Henggeler & Schoenwald, 2011). Blueprints Initiative reviewed the evidence base for over 600 prevention and intervention programs Of the few found effective, Multidimensional Treatment Foster Care was included Evidence for the presence of a group contagion effect with delinquent youth in group settings (Lee & Thompson, 2009)

4 Why enhanced therapeutic foster care? Florida studies over the past five years suggest: There are large proportions of youth entering Statewide Inpatient Psychiatric Programs (SIPP) (42%, n=195) and Therapeutic Group Care (TGC) (31%, n=86) with juvenile justice contacts in the six months prior to placement The higher the proportion of justice-involved youth in SIPPs or TGC, the more likely youth treated in these settings will have higher rates of future criminal activity after discharge. Youth treated in Specialized Therapeutic Foster Care have lower rates of delinquent activity after discharge.

5 Florida Context No standardized practice model with evidence base for Specialized Therapeutic Foster Care Closure of youth commitment settings in Miami-Dade Statewide move towards adopting EBPs ReDirections (AHCA DJJ) and DCF Georgetown Crossover Youth Practice Model Wraparound--DCF

6 Implementation of a Pilot Program Engagement of system partners at state and community level Commitment to identify evidence-based model that is cost feasible statewide within Florida s publicly funded children s system Review of evidence base for therapeutic foster care Investigation of feasibility of Multidimensional Treatment Foster Care Decision to use Together Facing the Challenge

7 What is Together Facing the Challenge? Evidence-based model that includes training and coaching for treatment foster care supervisors and parents on: Supportive and involved relationships between supervisors and treatment parents; Effective use of behavior management strategies by treatment parents; and; Supportive and involved relationships between treatment parents and youth Farmer, E. M., Burns, B. J., Wagner, H. R., Murray, M. M., & Southerland, D. G. (2010)

8 What is Together Facing the Challenge? Foster parents are active members of the treatment team and are held accountable for behavioral interventions. Allows therapists the opportunity to focus on core clinical issues with their clients while still addressing behavioral concerns. Provides a structured and consistent framework for parents within a system which reduces differences between homes in the program. Provides clear, consistent and obtainable treatment goals for clients.

9 Study Purpose To implement and evaluate a small pilot study (n=10) of Together Facing the Challenge in Miami For feasibility in real world public sector settings, With fidelity to the supervision and teaching model, Tracking outcomes and costs.

10 Research Questions 1. What are the outcomes for children and youth enrolled in an enhanced therapeutic foster care model? 2. What are the program costs?

11 Population Inclusion criteria 9-17 years old History of juvenile justice involvement Referred by Miami-Dade multidisciplinary child welfare team for appropriate placement Meets criteria for Florida s Specialized Therapeutic Foster Care according to Medicaid handbook Is in the child welfare dependency system Is enrolled in Medicaid Assent and consent obtained, as well court authorization if applicable

12 Population (continued) Exclusion criteria Sex offenders (Felony sex offenses including kidnapping involving sex offenses, sexual assaults, sexual battery, lewd & lascivious, and other felony sex offenses) Violent offenders (Violent crime includes murder, forcible sex offenses, robbery, and aggravated assault) Axis I diagnosis of substance abuse

13 Data Collection Administrative data from Citrus, adult and youth justice, state mental health, and Medicaid management information systems Primary data collected from youth and their caregivers at baseline, every three months while in treatment, discharge, and post-discharge

14 Administrative Data Elements Age, race / ethnicity, gender, and diagnoses Completion of the program, run away behaviors, delinquent behaviors, permanency goal attainment, treatment plan goal attainment, academic outcomes (e.g., grades, suspensions, expulsions, referrals for behavior), response to treatment, positive interactions with adults and peers, and Baker Act initiations

15 Outcome Data Collected from Youth & Caregivers Child Health Questionnaire (Caregiver Report) Behavioral and Emotional Rating Scale Second Edition, (Caregiver & Youth Report) Child Behavior Checklist & Youth Self- Report (Youth and Caregiver Report) Strengths and Difficulties Questionnaire (Caregiver Report)

16 Pilot Findings Youth Demographics (n = 10) 40% Male 90% Black or African American 10% Hispanic / Latino 60% were years of age at baseline (range 13-17)

17 Diagnoses Diagnoses % (N=9) Conduct Disorder 66.7% Mood Disorder 55.5% Substance Abuse 44.4% Attention Deficit 33.3% Oppositional Defiant Disorder 33.3% Bipolar Disorder 22.2% Adjustment Disorder 11.1% Major Depressive Disorder 11.1%

18 BERS Strengths Quotient Index Baseline 3 month 6 month Discharge Caregiver Youth

19 Strengths and Difficulties Questionnaire SDQ Scale Proportion of youth scoring in the normal range Baseline (N =8) 3M (N=10) 6M (N=6) Discharge (N=8) Emotional Symptoms 62.5% 70% 66.7% 75% Conduct Problems 37.5% 40% 50% 25% Hyperactivity 50% 70% 83.3% 75% Peer Problems 50% 50% 33.3% 25% Prosocial 87.5% 50% 83.3% 50% Total Difficulties 0% 10% 0% 25%

20 CBCL Caregiver Report T- scores Baseline 3 months 6 months Discharge Internalizing Externalizing Total

21 Youth Self-Report T-scores Baseline 3 months 6 months Discharge Internalizing Externalizing Total Problem

22 In the past 4 weeks, how much did you worry / concern did you have about your child s * your child's attention or learning abilities your child's emotional wellbeing your child's physical health 0% 20% 40% 60% 80% 100% Discharge (n = 8) 6 months (n =6) 3 months (n =9) Baseline (n = 6) * Quit a bit or alot

23 Adverse Events All youth had JJ histories at admission, but only 4 had subsequent encounters (5 total encounters) 3 youth had involuntary examinations (4 total) 7 youth ran away while receiving services ranging from 2-21 days AWOL 4 youth required a higher level of care and were stepped up to SIPP (inpatient treatment)

24 Program Completion 6 youth successfully completed the ETFC program and were either reunified or stepped down to a lower level of care Median length of time in ETFC was 11 months for youth who completed the program Youth requiring more intensive inpatient treatment (n = 4) were all identified as having CSECinvolvement, which may explain why this program was not effective for them

25 Costs Costs favor 9 months of ETFC ($74K) over 9 months RTC ($112K) 6 six months of RTC and 3 months of community-based services ($79K) 6 months RTC and 3 months of Therapeutic Group Care (TGC, $103K) 6 months of RTC & 3 months of TFC ($92K) 9 months of TGC & 9 months community services ($86K) 9 months of ETFC ($74K) costs the same as 9 months of Juvenile commitment & 9 months group care plus overlay BH services ($78K)

26 Conclusions Training costs for Together Facing the Challenge are modest and sustainable (use a train-the trainer approach) Foster parents are able to learn and apply the ETFC skills Caregivers have a stable view of youth strengths. Youth s perceptions of their own strengths improved over time Caregivers report higher levels of difficulties with externalizing and total problem behaviors than the youth

27 Conclusions Caregivers report progress in integrating youth into their families over time with fewer disruptions Relatively few adverse incidents (JJ encounters and Baker Acts) Costs favor ETFC over RTC, RTC plus step down and JJ program costs)

28 Recommendations School is the biggest challenge as evidenced by caregiver and youth report on their strengths, and grade point average. Identifying ways to address runaways is crucial Engagement = there appears to be a honeymoon period in the first 3 months, then spikes, and then subsequent improvements

29 Challenges to Implementation Acquiring administrative or executive support and understanding within your agency of the implementation process is essential. Transitioning staff from Business as usual to implementation of new techniques and procedures can be challenging!

30 Challenges to Implementation Successful implementation requires constant training and education for system partners (i.e judicial system, CBC providers, GAL) regarding the program requirements and the treatment process. Incentives and rewards for participation in the evaluation process help keep clients and parents engaged throughout the treatment process.

31 Strengths & Successes This program provides an opportunity for intensive treatment services in the community for a population of clients that typically would not be served at this level of care. We are now integrated into the system of care in Dade county and we have a waiting list. Foster parents and staff are receptive to expanding the program.

32 Next Steps Working with Medicaid and its contract Managed Care Organizations to modify discharge criteria for STFC pilot programs to allow children the opportunity to benefit from one year of treatment services. Engaging in intensive foster parent recruitment efforts to facilitate program expansion. Agreement from the FL Department of Juvenile Justice to share in the program costs Work with Our Kids to move towards county-wide implementation of Together Facing the Challenge curriculum for all therapeutic foster parents,

33 Questions?

1. The youth is between the ages of 12 and 17.

1. The youth is between the ages of 12 and 17. Clinical MULTISYSTEMIC THERAPY (MST) Definition Multisystemic therapy (MST) is an intensive family and community-based treatment that addresses multiple aspects of serious antisocial behavior in adolescents.

More information

One State One Solution: Policy Services & Research Data Center DIANE HAYNES FLORIDA MENTAL HEALTH INSTITUTE UNIVERSITY OF SOUTH FLORIDA

One State One Solution: Policy Services & Research Data Center DIANE HAYNES FLORIDA MENTAL HEALTH INSTITUTE UNIVERSITY OF SOUTH FLORIDA One State One Solution: Policy Services & Research Data Center DIANE HAYNES FLORIDA MENTAL HEALTH INSTITUTE UNIVERSITY OF SOUTH FLORIDA FMHI Research and Training Center at USF Long HX collaborative relationships

More information

Redirection as Effective as Residential Delinquency Programs, Achieved Substantial Cost Avoidance

Redirection as Effective as Residential Delinquency Programs, Achieved Substantial Cost Avoidance March 2006 Report No. 06-34 Redirection as Effective as Residential Delinquency Programs, Achieved Substantial Cost Avoidance at a glance Although it experienced several start-up challenges, the Redirection

More information

Child & Adolescent Quality Access and Policy Committee Residential Treatment Centers Friday June 20, 2014

Child & Adolescent Quality Access and Policy Committee Residential Treatment Centers Friday June 20, 2014 Child & Adolescent Quality Access and Policy Committee Residential Treatment Centers Friday June 20, 2014 Residential Treatment Center Capacity Bed Capacity & Total Providers In State Residential Treatment

More information

A Family-Based Substance Abuse, Delinquency and HIV Prevention Intervention for Detained Adolescents

A Family-Based Substance Abuse, Delinquency and HIV Prevention Intervention for Detained Adolescents A Family-Based Substance Abuse, Delinquency and HIV Prevention Intervention for Detained Adolescents CRAIG HENDERSON a, GAYLE DAKOF b, CINDY ROWE b CINDY MENA a, HYEMIN JEON a, SCHOLAR COLBOURN a, & HOWARD

More information

Miami-Dade Civil Citation Program

Miami-Dade Civil Citation Program Miami-Dade Civil Citation Program Presented by: Cathy Burgos, LCSW, Clinical Director Overview of Accomplishments (1998-2011) Reduced juvenile arrests by 62% (from 16,532 in 1998 to 6,370 in 2011) Reduced

More information

Residential Treatment Services for Children in the Dependency System Under Managed Care

Residential Treatment Services for Children in the Dependency System Under Managed Care Residential Treatment Services for Children in the Dependency System Under Managed Care Residential Mental Health Treatment in Florida (Ch. 39 & 394 F.S.) March 10, 2015 1 Presenter: Heather Allman, LCSW

More information

Effective Community Programs Could Reduce Commitments of Girls to Residential Programs

Effective Community Programs Could Reduce Commitments of Girls to Residential Programs February 2006 Report No. 06-13 Effective Community Programs Could Reduce Commitments of Girls to Residential Programs at a glance As juvenile crime in Florida has declined over the past 10 years, admissions

More information

- 11-72) 120.745, 65-6: STATE RESIDENTIAL TREATMENT FACILITIES - FEE COLLECTION SYSTEM

- 11-72) 120.745, 65-6: STATE RESIDENTIAL TREATMENT FACILITIES - FEE COLLECTION SYSTEM State of Florida - Governor Rick Scott The Office of Fiscal Accountability and Regulatory Reform (OFARR) Results of the Comprehensive Rule Review (Executive Order 11-72) as supplemented by the Enhanced

More information

PEER LEARNING COURT PROGRAM

PEER LEARNING COURT PROGRAM PEER LEARNING COURT PROGRAM MIAMI-DADE COUNTY DEPENDENCY DRUG COURT LEAD AGENCY Miami-Dade County Dependency Drug Court LOCATION Miami, Florida FIRST DATE OF OPERATION August 2004 CAPACITY Adults: 75 NUMBER

More information

CRITERIA CHECKLIST. Serious Mental Illness (SMI)

CRITERIA CHECKLIST. Serious Mental Illness (SMI) Serious Mental Illness (SMI) SMI determination is based on the age of the individual, functional impairment, duration of the disorder and the diagnoses. Adults must meet all of the following five criteria:

More information

Optum By United Behavioral Health. 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines

Optum By United Behavioral Health. 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines Optum By United Behavioral Health 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines Statewide Inpatient Psychiatric Program Services (SIPP) Statewide Inpatient Psychiatric

More information

Multisystemic Therapy With Juvenile Sexual Offenders: Clinical and Cost Effectiveness

Multisystemic Therapy With Juvenile Sexual Offenders: Clinical and Cost Effectiveness Multisystemic Therapy With Juvenile Sexual Offenders: Clinical and Cost Effectiveness Charles M. Borduin Missouri Delinquency Project Department of Psychological Sciences University of Missouri-Columbia

More information

Tennessee Council of Juvenile and Family Court Judges Quarterly Summary Report Based on Number of Reported Cases January - March 2016

Tennessee Council of Juvenile and Family Court Judges Quarterly Summary Report Based on Number of Reported Cases January - March 2016 General characteristics of these cases follow: Referral Reasons Before Amended Charges: Each case may include up to 5 referral reasons therefore the number of total referral reasons, referral sources,

More information

Tennessee Council of Juvenile and Family Court Judges Quarterly Summary Report Based on Number of Reported Cases January - March 2016

Tennessee Council of Juvenile and Family Court Judges Quarterly Summary Report Based on Number of Reported Cases January - March 2016 General characteristics of these cases follow: Referral Reasons Before Amended Charges: Each case may include up to 5 referral reasons therefore the number of total referral reasons, referral sources,

More information

Trends Related to the Certification of Juveniles as Adults

Trends Related to the Certification of Juveniles as Adults Trends Related to the Certification of Juveniles as Adults Prepared for the Texas House of Representatives Corrections Committee 82 nd Legislative Session Interim March 6, 2012 Overview Certification is

More information

Oversight Pre- and Post- Release Mental Health Services for Detained and Placed Youth

Oversight Pre- and Post- Release Mental Health Services for Detained and Placed Youth The New York City Council, Committee on Juvenile Justice, Committee on General Welfare, and Committee on Mental Health, Disability, Alcoholism, Drug Abuse, and Disability Services February 28, 2014 Oversight

More information

CORRELATES AND COSTS

CORRELATES AND COSTS ANOTHER LOOK AT MENTAL ILLNESS AND CRIMINAL JUSTICE INVOLVEMENT IN TEXAS: CORRELATES AND COSTS Decision Support Unit Mental Health and Substance Abuse Services Another Look at Mental Illness and Criminal

More information

January 2003 Report No. 03-03

January 2003 Report No. 03-03 January 2003 Report No. 03-03 Residential Mental Health Assessment Process Working Well with Minor Delays Purpose at a glance Prior to 2000, procedures for placing a child in residential mental health

More information

Mental Health Needs of Juvenile Offenders. Mental Health Needs of Juvenile Offenders. Juvenile Justice Guide Book for Legislators

Mental Health Needs of Juvenile Offenders. Mental Health Needs of Juvenile Offenders. Juvenile Justice Guide Book for Legislators Mental Health Needs of Juvenile Offenders Mental Health Needs of Juvenile Offenders Juvenile Justice Guide Book for Legislators Mental Health Needs of Juvenile Offenders Introduction Children with mental

More information

Client Information. Client Name: Application Date: Last First MI DOB: Age: Sex : Male Female SSN:

Client Information. Client Name: Application Date: Last First MI DOB: Age: Sex : Male Female SSN: Universal Referral Form for Intensive Mental Health Services for Children Single Point of Access/Accountability Clinton County NY Application for: Child and Family Planned Respite Program Intensive Case

More information

Statistics on Women in the Justice System. January, 2014

Statistics on Women in the Justice System. January, 2014 Statistics on Women in the Justice System January, 2014 All material is available though the web site of the Bureau of Justice Statistics (BJS): http://www.bjs.gov/ unless otherwise cited. Note that correctional

More information

CRIMINAL JUSTICE TRENDS

CRIMINAL JUSTICE TRENDS Palm Beach County Criminal Justice Commission Research and Planning Unit Annual Planning Meeting March 25, 2013 CRIMINAL JUSTICE TRENDS G:\DATA\Research & Planning\APM\APM 2013 Data assembled and maintained

More information

Checklist. for Children and Youth Exposed to Violence. Children Reflect What They See

Checklist. for Children and Youth Exposed to Violence. Children Reflect What They See A JUDICIAL CHECKLIST for Children and Youth Exposed to Violence Checklist Children Reflect What They See ARTWORK BY KATIE SCHULER FOR PINELLAS COUNTY, FLORIDA, SAFE START CHECKLIST for Children and Youth

More information

Behavioral Health Rehabilitation Services: Brief Treatment Model

Behavioral Health Rehabilitation Services: Brief Treatment Model Behavioral Health Rehabilitation Services: Brief Treatment Model Presented by Allegheny HealthChoices, Inc. 444 Liberty Avenue, Pittsburgh, PA 15222 Phone: 412/325-1100 Fax 412/325-1111 April 2006 AHCI

More information

Multidimensional Treatment Foster Care

Multidimensional Treatment Foster Care Multidimensional Treatment Foster Care Overview of Youth Enrolled & Discharged FY 2011/2012 FY 2012/2013 Change Number of sites reporting 4 5 +1 Total youth served (new and previously enrolled cases) 32

More information

Optum By United Behavioral Health. 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines

Optum By United Behavioral Health. 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines Optum By United Behavioral Health 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines Therapeutic group care services are community-based, psychiatric residential treatment

More information

Family Guide: Children s Mental Health Services. Texas Resilience and Recovery

Family Guide: Children s Mental Health Services. Texas Resilience and Recovery Family Guide: Children s Mental Health Services Texas Resilience and Recovery This Family Guide to Children s Mental Health Services was created to help you navigate the Children s Mental Health System

More information

Multisystemic Therapy (MST): An Overview of Clinical and Cost-Effectiveness

Multisystemic Therapy (MST): An Overview of Clinical and Cost-Effectiveness Multisystemic Therapy (MST): An Overview of Clinical and Cost-Effectiveness Charles M. Borduin, Ph.D. Director, Missouri Delinquency Project Professor, Department of Psychological Sciences University of

More information

Multidimensional Treatment Foster Care for Chronic Juvenile Offenders: A Blueprint for Violence Prevention

Multidimensional Treatment Foster Care for Chronic Juvenile Offenders: A Blueprint for Violence Prevention Multidimensional Treatment Foster Care for Chronic Juvenile Offenders: A Blueprint for Violence Prevention Patricia Chamberlain, Ph.D. Traditional community-based group care facilities often fail to achieve

More information

Evidence Summary for Treatment Foster Care Oregon (formerly Multidimensional Treatment Foster Care, or MTFC)

Evidence Summary for Treatment Foster Care Oregon (formerly Multidimensional Treatment Foster Care, or MTFC) Top Tier Evidence Initiative: Evidence Summary for Treatment Foster Care Oregon (formerly Multidimensional Treatment Foster Care, or MTFC) HIGHLIGHTS: Intervention: A foster care program for severely delinquent

More information

Chapter 938 of the Wisconsin statutes is entitled the Juvenile Justice Code.

Chapter 938 of the Wisconsin statutes is entitled the Juvenile Justice Code. Juvenile Justice in Wisconsin by Christina Carmichael Fiscal Analyst Wisconsin Chapter 938 of the Wisconsin statutes is entitled the Juvenile Justice Code. Statute 938.1 of the chapter states that it is

More information

Mental Health Fact Sheet

Mental Health Fact Sheet Mental Health Fact Sheet Substance Abuse and Treatment Branch (SATB), Community Supervision Services Re-Entry and Sanctions Center (RSC), Office of Community Justice Programs Adult Probationers / Parolees

More information

Publicly Available Data On Crime and Justice in the District of Columbia

Publicly Available Data On Crime and Justice in the District of Columbia Publicly Available Data On Crime and Justice in the District of Columbia Presented by Criminal Justice Coordinating Council Statistical Analysis Center Overview Today the goal is to highlight publicly

More information

Discharge Planning and Community Based Services. Vicki Beth Blattert, QI Reviewer Dr. Becky Braymen, Clinical Director

Discharge Planning and Community Based Services. Vicki Beth Blattert, QI Reviewer Dr. Becky Braymen, Clinical Director Discharge Planning and Community Based Services Vicki Beth Blattert, QI Reviewer Dr. Becky Braymen, Clinical Director Objectives Communicate required Magellan and Medicaid standards and discharge planning

More information

COMMENTARY. Scott W. Henggeler, PhD

COMMENTARY. Scott W. Henggeler, PhD COMMENTARY Advantages and Disadvantages of Multisystemic Therapy and Other Evidence-Based Practices for Treating Juvenile Offenders Scott W. Henggeler, PhD ABSTRACT. Evidence-based treatments of criminal

More information

Juvenile and Domestic Relations District Court

Juvenile and Domestic Relations District Court LOB #185: JUVENILE - ADULT INVESTIGATION AND PROBATION SERVICES Purpose The purpose of the Juvenile and Adult Investigation and Probation Services line of business is to improve public safety by reducing

More information

Multidimensional Treatment Foster Care Program (formerly "Treatment Foster Care Program")

Multidimensional Treatment Foster Care Program (formerly Treatment Foster Care Program) BEST PRACTICE Multidimensional Treatment Foster Care Program (formerly "Treatment Foster Care Program") Quick Links To Attributes Of This Practice Characteristics Population Rated Effective By Evaluating

More information

Results First Adult Criminal and Juvenile Justice Evidence-Based Program Inventory

Results First Adult Criminal and Juvenile Justice Evidence-Based Program Inventory STATE OF CONNECTICUT Results First Adult Criminal and Juvenile Justice Evidence-Based Program Inventory October 2014 INSTITUTE FOR MUNICIPAL AND REGIONAL POLICY Central Connecticut State University Connecticut

More information

RESIDENTIAL TREATMENT CENTER (RTC)

RESIDENTIAL TREATMENT CENTER (RTC) RESIDENTIAL TREATMENT CENTER (RTC) Service Description Residential Treatment Center (RTC) IOS provides 24-hour staff supervised all-inclusive clinical services in a community-based therapeutic setting

More information

HOUSE OF REPRESENTATIVES COMMITTEE ON CHILD AND FAMILY SECURITY ANALYSIS

HOUSE OF REPRESENTATIVES COMMITTEE ON CHILD AND FAMILY SECURITY ANALYSIS HOUSE OF REPRESENTATIVES COMMITTEE ON CHILD AND FAMILY SECURITY ANALYSIS BILL #: HB 95 RELATING TO: SPONSOR(S): Mental Health Hospitals Representative(s) Harrington TIED BILL(S): ORIGINATING COMMITTEE(S)/COMMITTEE(S)

More information

State and County Data Resources

State and County Data Resources State and County Data Resources The following slides will contain resources to find public data and reports from PA systems This document, called PA County Data Resources (with clickable links) can be

More information

Community-Based Program Evaluation Series: Overview of Community-Based Juvenile Probation Programs. Part 1

Community-Based Program Evaluation Series: Overview of Community-Based Juvenile Probation Programs. Part 1 Community-Based Program Evaluation Series: Overview of Community-Based Juvenile Probation Programs Part 1 June 2013 Introduction The Texas Juvenile Justice Department (TJJD) Program & Services Registry

More information

Profile of Youth. Age at Admission 0-7 8-11 12-14 15-17 18+ Completions Statewide 0 6 192 1,159 327 1,684 Percentage 0% <1% 11% 69% 19% 100%

Profile of Youth. Age at Admission 0-7 8-11 12-14 15-17 18+ Completions Statewide 0 6 192 1,159 327 1,684 Percentage 0% <1% 11% 69% 19% 100% H igh-risk residential programs are hardware-secure with perimeter fencing and youth placed in these programs are not allowed access to the community. Youth assessed and classified for this level of placement

More information

Juvenile and Domestic Relations District Court

Juvenile and Domestic Relations District Court LOB #190: LONG-TERM RESIDENTIAL CARE Purpose The Long-Term Residential Care (LTRC) Line of Business incorporates three programs: Boys Probation House (BPH) Foundations Transitional Living Program (TLP)

More information

Robert Edelman, Ed.S., Licensed Mental Health Counselor

Robert Edelman, Ed.S., Licensed Mental Health Counselor Robert Edelman, Ed.S., Licensed Mental Health Counselor Village Counseling Center 4001 Newberry Road, Suite E II Gainesville, FL 32607 Phone: (352) 373 8189 Fax: (352) 373 8190 robert.edelman@villagecounselingcenter.net

More information

Curriculum Vitae. Professional Experience

Curriculum Vitae. Professional Experience Steven B. Singer, M.Ed., MPA National Certified Counselor Certified Cognitive-Behavioral Therapist Virginia Approved Clinical Supervisor Certified Alcohol/Drug Dependence Counselor Northern Virginia Psychiatric

More information

Florida Medicaid. Mental Health Targeted Case Management Handbook. Agency for Health Care Administration

Florida Medicaid. Mental Health Targeted Case Management Handbook. Agency for Health Care Administration Florida Medicaid Mental Health Targeted Case Management Handbook Agency for Health Care Administration JEB BUSH, GOVERNOR ALAN LEVINE, SECRETARY June 7, 2006 Dear Medicaid Provider: Enclosed please find

More information

CRITICALLY APPRAISED PAPER (CAP)

CRITICALLY APPRAISED PAPER (CAP) CRITICALLY APPRAISED PAPER (CAP) FOCUSED QUESTION Does a neurocognitive habilitation therapy service improve executive functioning and emotional and social problem-solving skills in children with fetal

More information

SACRAMENTO COUNTY PROBATION DEPARTMENT OPENS MULTI-SERVICE CENTER TO BETTER SERVE PROBATION YOUTH

SACRAMENTO COUNTY PROBATION DEPARTMENT OPENS MULTI-SERVICE CENTER TO BETTER SERVE PROBATION YOUTH SACRAMENTO COUNTY PROBATION DEPARTMENT OPENS MULTI-SERVICE CENTER TO BETTER SERVE PROBATION YOUTH River Oak Youth Development and Education Center In order to streamline services for juveniles, and increase

More information

Report to the President and Congress Medicaid Home and Community-Based Alternatives to Psychiatric Residential Treatment Facilities Demonstration

Report to the President and Congress Medicaid Home and Community-Based Alternatives to Psychiatric Residential Treatment Facilities Demonstration Report to the President and Congress Medicaid Home and Community-Based Alternatives to Psychiatric Residential Treatment Facilities Demonstration As Required by the Deficit Reduction Act of 2005 (P.L.

More information

Program Plan for the Delivery of Treatment Services

Program Plan for the Delivery of Treatment Services Standardized Model for Delivery of Substance Use Services Attachment 5: Nebraska Registered Service Provider s Program Plan for the Delivery of Treatment Services Nebraska Registered Service Provider s

More information

AmeriHealth Caritas District of Columbia Psychiatric Residential Treatment Facility Referral

AmeriHealth Caritas District of Columbia Psychiatric Residential Treatment Facility Referral AmeriHealth Caritas District of Columbia Psychiatric Residential Treatment Facility Referral Date of referral: Psychiatric Residential Treatment Facility (PRTF) Referral Information Referral contact: Phone

More information

2009 Florida Prison Recidivism Study Releases From 2001 to 2008

2009 Florida Prison Recidivism Study Releases From 2001 to 2008 2009 Florida Prison Recidivism Study Releases From 2001 to 2008 May 2010 Florida Department of Corrections Walter A. McNeil, Secretary Bureau of Research and Data Analysis dcresearch@mail.dc.state.fl.us

More information

MONROE COUNTY OFFICE OF MENTAL HEALTH, DEPARTMENT OF HUMAN SERVICES RECOVERY CONNECTION PROJECT PROGRAM EVALUATION DECEMBER 2010

MONROE COUNTY OFFICE OF MENTAL HEALTH, DEPARTMENT OF HUMAN SERVICES RECOVERY CONNECTION PROJECT PROGRAM EVALUATION DECEMBER 2010 MONROE COUNTY OFFICE OF MENTAL HEALTH, DEPARTMENT OF HUMAN SERVICES RECOVERY CONNECTION PROJECT PROGRAM EVALUATION DECEMBER 2010 Prepared For: Kathleen Plum, RN, PhD Director, Monroe County Office of Mental

More information

Texas Resilience and Recovery

Texas Resilience and Recovery Texas Resilience and Recovery Utilization Management Guidelines Child & Adolescent Services Texas Resilience and Recovery Utilization Management Guidelines: Child and Adolescent Services Effective September

More information

EVALUATION OF THE CARE MANAGEMENT OVERSIGHT PROJECT. Prepared By: Geneva Strech, M. Ed., MHR Betty Harris, M.A. John Vetter, M.A.

EVALUATION OF THE CARE MANAGEMENT OVERSIGHT PROJECT. Prepared By: Geneva Strech, M. Ed., MHR Betty Harris, M.A. John Vetter, M.A. University of Oklahoma College of Continuing Education EVALUATION OF THE CARE MANAGEMENT OVERSIGHT PROJECT June 30, 2011 Prepared By: Geneva Strech, M. Ed., MHR Betty Harris, M.A. John Vetter, M.A. EVALUATION

More information

Eliminating the Use of Psychotropic Medication in the Treatment of Children with Profound Emotional and Behavioral Issues

Eliminating the Use of Psychotropic Medication in the Treatment of Children with Profound Emotional and Behavioral Issues Eliminating the Use of Psychotropic Medication in the Treatment of Children with Profound Emotional and Behavioral Issues Introduction Two decades ago, Seneca Center created its intensive residential treatment

More information

Psychiatric Residential Treatment Facility Referral

Psychiatric Residential Treatment Facility Referral Psychiatric Residential Treatment Facility Referral Date of referral: Psychiatric Residential Treatment Facility (PRTF) Referral Information Referral contact: Phone number: Referring facility/agency: Fax

More information

Re-connecting Disconnected Youth with Community and Careers

Re-connecting Disconnected Youth with Community and Careers Re-connecting Disconnected Youth with Community and Careers NGA Policy Institute 9/20/2012 Toni Irving Deputy Chief of Staff Governor Quinn, Illinois In the beginning Illinois Juvenile Court Act of 1899

More information

The Begun Center is currently serving as the evaluator for five drug courts in Ohio receiving SAMHSA grant funding. http://begun.case.

The Begun Center is currently serving as the evaluator for five drug courts in Ohio receiving SAMHSA grant funding. http://begun.case. The Begun Center for Violence and Prevention Research & Education at Case Western Reserve University has been awarded the contract to evaluate the effectiveness of Ohio s Addiction Treatment Pilot Program

More information

Juvenile Justice. CJ 3650 Professor James J. Drylie Chapter 3

Juvenile Justice. CJ 3650 Professor James J. Drylie Chapter 3 Juvenile Justice CJ 3650 Professor James J. Drylie Chapter 3 Measuring Juvenile Crime Fears related to juvenile crime reached new heights in the past two decades Fear remains high despite falling juvenile

More information

RESIDENTIAL TREATMENT PROGRAM REVIEW

RESIDENTIAL TREATMENT PROGRAM REVIEW RESIDENTIAL TREATMENT PROGRAM REVIEW This past year has been one of considerable restructuring for the Residential Treatment Program. More resources have been directed towards supporting front line staff,

More information

MST and Drug Court. Family Services Research Center Medical University of South Carolina Funded by NIDA and NIAAA

MST and Drug Court. Family Services Research Center Medical University of South Carolina Funded by NIDA and NIAAA MST and Drug Court Family Services Research Center Medical University of South Carolina Funded by NIDA and NIAAA Project Staff Scott Henggeler Jeff Randall Phillippe Cunningham Colleen Halliday-Boykins

More information

PSYCHIATRIC INFORMATION: Currently in treatment? Yes No If no, what is barrier to treatment: Clinical Treatment Agency:

PSYCHIATRIC INFORMATION: Currently in treatment? Yes No If no, what is barrier to treatment: Clinical Treatment Agency: APPLICATION FOR CHILD AND YOUTH MENTAL HEALTH SUPPLEMENTARY SERVICES PROGRAM REQUESTED: Respite Services Supportive Intensive Home and Community-Based Case Management Case Management Services Waiver Referrals

More information

Targeted Case Management Services

Targeted Case Management Services Targeted Case Management Services 2013 Acronyms and Abbreviations AHCA Agency for Health Care Administration MMA Magellan Medicaid Administration CBC Community Based Care CBH Community Behavioral Health

More information

Most states juvenile justice systems have

Most states juvenile justice systems have BRIEF I Setting the Stage: Juvenile Justice History, Statistics, and Practices in the United States and North Carolina Ann Brewster Most states juvenile justice systems have two main goals: increased public

More information

The Florida Children s Mental Health System of Care. Statewide Expansion Project Teleconference #1 WELCOME!!!

The Florida Children s Mental Health System of Care. Statewide Expansion Project Teleconference #1 WELCOME!!! Rick Scott, Governor Esther Jacobo, Interim Secretary The Florida Children s Mental Health System of Care Statewide Expansion Project Teleconference #1 WELCOME!!! Mission: Protect the Vulnerable, Promote

More information

YOUTH EMPOWERMENT SERVICES PROGRAM EVALUATION. Executive Summary

YOUTH EMPOWERMENT SERVICES PROGRAM EVALUATION. Executive Summary YOUTH EMPOWERMENT SERVICES PROGRAM EVALUATION Executive Summary Submitted to: Texas Department of State Health Services November 30, 2012 Texas Institute for Excellence in Mental Health School of Social

More information

Justification Review. Alcohol, Drug Abuse and Mental Health Program Department of Children and Families Report 99-09 September 1999

Justification Review. Alcohol, Drug Abuse and Mental Health Program Department of Children and Families Report 99-09 September 1999 Justification Review Alcohol, Drug Abuse and Mental Health Program Department of Children and Families Report 99-09 September 1999 Office of Program Policy Analysis and Government Accountability an office

More information

Mentally Ill Offenders in the Criminal Justice System

Mentally Ill Offenders in the Criminal Justice System Mentally Ill Offenders in the Criminal Justice System Webinar Panelists: Hon. Michael Finkle King County District Court Judge Seattle, WA Bradley Jacobs Deputy Director, Adult Behavioral Health Services

More information

WHEREAS, Parties mutually agree that sharing resources, where feasible, may result in improved coordination;

WHEREAS, Parties mutually agree that sharing resources, where feasible, may result in improved coordination; INTER-AGENCY AGREEMENT BETWEEN CITY OF LARAMIE, WYOMING, COUNTY ATTORNEY S OFFICE OF ALBANY, WYOMING, WYOMING DEPARTMENT OF FAMILY SERVICES AND THE ALBANY COUNTY SCHOOL DISTRICT #1 FOR EXCHANGE OF JUVENILE

More information

THE DIVISION OF ALCOHOL AND SUBSTANCE ABUSE. Chemical Dependency Treatment Options for Minors Under Age 18. A Guide for Parents

THE DIVISION OF ALCOHOL AND SUBSTANCE ABUSE. Chemical Dependency Treatment Options for Minors Under Age 18. A Guide for Parents THE DIVISION OF ALCOHOL AND SUBSTANCE ABUSE Chemical Dependency Treatment Options for Minors Under Age 18 A Guide for Parents Answers to Frequently Asked Questions September 2002 THE DIVISION OF ALCOHOL

More information

PACKET OVERVIEW TABLE OF CONTENTS

PACKET OVERVIEW TABLE OF CONTENTS PACKET OVERVIEW The OYA conducts a mental health/substance abuse survey every two years on all offenders in OYA custody. The resulting data is analyzed to detect gaps in youth services and is used to advocate

More information

Florida Medicaid: Mental Health and Substance Abuse Services

Florida Medicaid: Mental Health and Substance Abuse Services Florida Medicaid: Mental Health and Substance Abuse Services Beth Kidder Assistant Deputy Secretary for Medicaid Operations Agency for Health Care Administration House Children, Families, and Seniors Subcommittee

More information

Outcomes for People on Allegheny County Community Treatment Teams

Outcomes for People on Allegheny County Community Treatment Teams Allegheny HealthChoices, Inc. Winter 2010 Outcomes for People on Allegheny County Community Treatment Teams Community Treatment Teams (CTTs) in Allegheny County work with people who have some of the most

More information

PRIMARY TREATMENT CENTERS AND DETENTION

PRIMARY TREATMENT CENTERS AND DETENTION SECTION SIX PRIMARY TREATMENT CENTERS AND DETENTION I. PRIMARY TREATMENT CENTER A. General Characteristics 1. Children referred to Primary Treatment Centers (PTC) may be children in their initial state

More information

SENATE BILL No. 614 AMENDED IN ASSEMBLY JULY 16, 2015 AMENDED IN ASSEMBLY JULY 6, 2015 AMENDED IN SENATE APRIL 6, 2015

SENATE BILL No. 614 AMENDED IN ASSEMBLY JULY 16, 2015 AMENDED IN ASSEMBLY JULY 6, 2015 AMENDED IN SENATE APRIL 6, 2015 AMENDED IN ASSEMBLY JULY 16, 2015 AMENDED IN ASSEMBLY JULY 6, 2015 AMENDED IN SENATE APRIL 6, 2015 SENATE BILL No. 614 Introduced by Senator Leno (Coauthor: Senator Anderson) February 27, 2015 An act to

More information

Agency of Human Services

Agency of Human Services Agency of Human Services Practice Guidelines for the Identification and Treatment of Co-occurring Mental Health and Substance Abuse Issues In Children, Youth and Families The Vermont Practice Guidelines

More information

Hillsborough County Juvenile Detention Alternatives Initiative (JDAI)

Hillsborough County Juvenile Detention Alternatives Initiative (JDAI) JDAI Mission Statement: To provide ongoing systems improvement so that similarly situated youth of Hillsborough County are treated fairly while having an equitable chance at justice. 1 P a g e Work Plan

More information

Services to At-Risk Youth (STAR) Program Evaluation

Services to At-Risk Youth (STAR) Program Evaluation Services to At-Risk Youth (STAR) Program Evaluation Criminal Justice Policy Council March 2003 Tony Fabelo, Ph.D. Executive Director Services to At-Risk Youth (STAR) Program Evaluation To view or download

More information

Logic Model for Day Treatment Program

Logic Model for Day Treatment Program Logic Model for Day Treatment Program The day treatment programs provide an academic/treatment program for designated youth focusing on academic preparation and treatment interventions to overcome their

More information

ATTACHMENT D BLENDED CASE MANAGEMENT GUIDELINES

ATTACHMENT D BLENDED CASE MANAGEMENT GUIDELINES ATTACHMENT D BLENDED CASE MANAGEMENT GUIDELINES These guidelines establish the standards for the provision of mental health Blended Case Management (BCM) under provisions of the approved Medicaid State

More information

GEORGIA DEPARTMENT OF JUVENILE JUSTICE I. POLICY:

GEORGIA DEPARTMENT OF JUVENILE JUSTICE I. POLICY: Applicability: { } All DJJ Staff { } Administration {x} Community Services { } Secure Facilities GEORGIA DEPARTMENT OF JUVENILE JUSTICE Transmittal # 12-09 Related Standards & References: O.C.G.A. 15-11-63

More information

Residential Treatment Facility Proposed Regulations. OMHSAS Children s Advisory Committee January 6, 2011

Residential Treatment Facility Proposed Regulations. OMHSAS Children s Advisory Committee January 6, 2011 Residential Treatment Facility Proposed Regulations OMHSAS Children s Advisory Committee January 6, 2011 Agenda Review of RTF regulation development process Overview of residential treatment facilities

More information

JUVENILE JUSTICE IN OHIO. Erin Davies, Executive Director Juvenile Justice Coalition edavies@jjohio.org

JUVENILE JUSTICE IN OHIO. Erin Davies, Executive Director Juvenile Justice Coalition edavies@jjohio.org JUVENILE JUSTICE IN OHIO Erin Davies, Executive Director Juvenile Justice Coalition edavies@jjohio.org Juvenile Court 101: Purpose of The Juvenile Court To provide rehabilitation and treatment to youth

More information

RHODE ISLAND SEX-OFFENDER REGISTRATION AND NOTIFICATION

RHODE ISLAND SEX-OFFENDER REGISTRATION AND NOTIFICATION RHODE ISLAND SEX-OFFENDER REGISTRATION AND NOTIFICATION CONTACT INFORMATION Rhode Island State Police Bureau of Criminal Investigation 150 South Main Street Providence, RI 02903-2907 Telephone: 401-421-5268

More information

Children, youth and families with co-occurring mental health and substance abuse issues are welcomed in every contact, and in every setting.

Children, youth and families with co-occurring mental health and substance abuse issues are welcomed in every contact, and in every setting. Practice Guidelines for the Identification and Treatment of Co-occurring Mental Health and Substance Abuse Issues In Children, Youth and Families June, 2008 This document is adapted from The Vermont Practice

More information

Jail Diversion & Behavioral Health

Jail Diversion & Behavioral Health Jail Diversion & Behavioral Health Correctional Health Reentry Meeting Mandy Gilman, Director of Public Policy & Research Association for Behavioral Healthcare Association for Behavioral Healthcare Statewide

More information

Low-risk residential; Moderate-risk residential; High-risk residential, and; Maximum-risk residential.

Low-risk residential; Moderate-risk residential; High-risk residential, and; Maximum-risk residential. J uvenile offenders in Florida can be ordered by courts to serve time in a residential treatment or correctional facility. Circuit judges determine the level of confinement appropriate for each youth;

More information

Coordinating Access to Residential Behavioral Health Services for Children

Coordinating Access to Residential Behavioral Health Services for Children Coordinating Access to Residential Behavioral Health Services for Children Shevaun Harris Chief, Bureau Medicaid Policy Agency for Health Care Administration May 22, 2015 Objectives Provide an overview

More information

GOING BEYOND FOSTER CARE

GOING BEYOND FOSTER CARE GOING BEYOND FOSTER CARE Sharon W. Cooper, MD Developmental & Forensic Pediatrics, P.A. University of North Carolina Chapel Hill School of Medicine Sharon_Cooper@med.unc.edu OBJECTIVES Adverse childhood

More information

Overview of DCFS Children s Mental Health Services. Kelly Wooldridge Susan Mears

Overview of DCFS Children s Mental Health Services. Kelly Wooldridge Susan Mears Overview of DCFS Children s Mental Health Services Kelly Wooldridge Susan Mears Mental Health Services DCFS Children s Mental Health uses a system of care approach that are: Individual and family driven/guided

More information

Multidimensional Treatment Foster Care (MTFC) Family of Programs. Philip Fisher, Ph.D. Oregon Social Learning Center Eugene, Oregon USA

Multidimensional Treatment Foster Care (MTFC) Family of Programs. Philip Fisher, Ph.D. Oregon Social Learning Center Eugene, Oregon USA Multidimensional Treatment Foster Care (MTFC) Family of Programs Philip Fisher, Ph.D. Oregon Social Learning Center Eugene, Oregon USA Children in care are a very high risk population Surveys find that

More information

Background: Previous Research

Background: Previous Research OUTCOME TRAJECTORIES FOR YOUTH SERVED IN RESIDENTIAL TREATMENT FACILITY SETTINGS OR THE COMMUNITY THROUGH THE HOME AND COMMUNITY BASED SERVICES MEDICAID WAIVER Office of Performance Measurement & Evaluation

More information

THINKING ABOUT CRIMINAL JUSTICE REFORM By Daniel T. Satterberg

THINKING ABOUT CRIMINAL JUSTICE REFORM By Daniel T. Satterberg K I N G C O U N T Y P R O S E C U T I N G A T T O R N E Y S O F F I C E JUSTICE DANIEL T. SATTERBERG PROSECUTING ATTORNEY COMPASSION PROFESSIONALISM INTEGRITY THINKING ABOUT CRIMINAL JUSTICE REFORM By

More information

Inpatient Behavioral Health and Inpatient Substance Abuse Treatment: Aligning Care Efficiencies with Effective Treatment

Inpatient Behavioral Health and Inpatient Substance Abuse Treatment: Aligning Care Efficiencies with Effective Treatment Inpatient Behavioral Health and Inpatient Substance Abuse Treatment: Aligning Care Efficiencies with Effective Treatment BHM Healthcare Solutions 2013 1 Presentation Objectives Attendees will have a thorough

More information

Women FIRST Program. March 2013. Focus on you Information you need Referral for service Support for family Time for you

Women FIRST Program. March 2013. Focus on you Information you need Referral for service Support for family Time for you March 2013 Women FIRST Program Focus on you Information you need Referral for service Support for family Time for you Circuit Court of Lake County, Illinois Division of Psychological Services SMAART Performance

More information

Final Report. South Carolina Child and Family Services Review

Final Report. South Carolina Child and Family Services Review U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Administration on Children, Youth and Families Children s Bureau Final Report South Carolina Child and Family Services

More information

An Overview Of The Texas Youth Commission s Specialized Treatment Programs

An Overview Of The Texas Youth Commission s Specialized Treatment Programs An Overview Of The Texas Youth Commission s Specialized Treatment Programs Criminal Justice Policy Council Prepared for the 76 th Texas Legislature Tony Fabelo, Ph.D. Executive Director An Overview Of

More information