Behavioral Health/Juvenile Justice (BH/JJ) Part 2

1
Behavioral Health/Juvenile Justice (BH/JJ) Part
2

• Presented by Jeff Kretschmar, Ph.D.
• Project Director Institute for the Study and
  Prevention of Violence
• Kent State University

2
Program Overview

• Component of the States ABC initiative
• 2 million awarded FY 06-07
• Funds six community-based programs in Cuyahoga,
  Fairfield, Franklin, Logan/Champaign,
  Montgomery and Union counties.
• Females Offenders Only

3
Target Population

• DSM IV diagnosis
• Ages 10-18
• Substantial mental status impairment
• Co-occurring substance abuse
• Charged and/or adjudicated delinquent

4
Program Details

• Program sites must use an evidence-based best
  practice model
• Gateway into the program is through Juvenile Court

5
Preliminary Data

• 429 enrolled
• Cuyahoga 35
• Fairfield 11
• Franklin 119
• Logan/Champaign 189
• Montgomery 57
• Union 18
• Gender
• Males - 51.5 Females 48.5
• Average Age 16 years
• Race
• Caucasians 64 African Americans 29

6
Victimization Data
7
DSM-IV Diagnoses

• Females
• Oppositional Defiant Disorder (29)
• Cannabis Abuse (19)
• ADHD (17)
• Bipolar Disorder (10)
• PTSD (9)
• Males
• ADHD (26)
• Cannabis Abuse (23)
• Conduct Disorder (23)
• Oppositional Defiant Disorder (21)
• Major Depression (10)

8
Diagnoses

• At intake, 31 of the children were already on
  medication for emotional/behavioral symptoms
• At intake, 30 of the youth have co-occuring
  mental health and substance abuse diagnoses

9
Juvenile Court Data Logan/Champaign County

• 189 youth accounted for 523 charges prior to
  Intake (16 felonies)
• Unruly (19)
• Domestic Violence (8)
• Theft (6.3)
• After Intake, 35/189 youth accounted for 50 new
  charges (5 felonies)
• Curfew violation (12)
• Theft (12)
• Underage Consumption (12)

10
Substance Abuse
11
Substance Abuse

• Average Age of initial use
• Cigarette 11.8 years
• Alcoholic drink 13.1 years
• Marijuana 13.0 years
• Cocaine 14.6 years

12
Substance Abuse Change

• In the past 6 month, how often did you drink an
  alcoholic beverage?
• Once a month or not at all
• Intake 65
• 6 months 81
• Discharge 80

13
In the past 30 days, how many days have you used
14
Ohio Scales
statistically significant differences between
Intake and last measurement
15
Ohio Scales
statistically significant differences between
Intake and last measurement
16
Ohio Scales
statistically significant differences between
Intake and last measurement
17
Ohio Scales
statistically significant differences between
Intake and last measurement
18
Discharge Information

• 106 children discharged from BHJJ
• 55 successfully completed treatment
• 17 Client withdrew/rejected services
• 15 moved
• Out of 429 youth, only 2 (.004) have been
  referred to DYS.
• These two females were taken out of DYS and
  placed in BHJJ as a step-down.

19
Next steps

• Continue data collection and analysis
• BHJJ sites continued for 2 additional years