JUVENILE JUSTICE TREATMENT CONTINUUM JJTC

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JUVENILE JUSTICE TREATMENT CONTINUUM (JJTC)

• An Integrated Continuum of Care for Court
  Involved Youth

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• Despite the large numbers of youth with mental
  health needs in the juvenile justice system, the
  current landscape of service delivery for these
  youth is often fragmented, inconsistent and
  operating without the benefit of a clear set of
  guidelines specifying responsibility for the
  population.
• Skowyra Cocozza, 2006

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JJTC COUNTIES
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• A comprehensive intervention strategy for court
  referred youth with co-occurring mental health
  and substance abuse disorders.

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Restorative Justice

• Community Service to address healing the
  relationship with the community
• Restitution to address the wrong done to others
• Mentoring and other services that address the
  needs of the offender
• Provides the opportunity for mediation and/or
  reconciliation with victim

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JJTC Process

• Referral by Court Counselor
• Restorative Justice referral
• Assessment
• Court Report
• Treatment Contract
• Begin Services

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Continuum of Behavioral Health Services

• Assessment
• Structured Family Therapy
• Multi family group (8 sessions)
• Parent education
• Community Support
• Intensive in-home
• Therapeutic foster care
• Enhanced Services include monthly child and
  family team meetings

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JJTC Organizational Structure

• Weekly JJTC Staffings
• Monthly JJTC Supervisory Meetings
• Quarterly JJTC Partner Training
• (all staffs)

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Shared Supervision and Increased Accountability

• Supervisors meet monthly to review data, monitor
  outcomes and problem solve.
• Agency staff meet weekly to review behavioral
  data, discuss admissions and discharges, deal
  with high-risk cases and provide direction for
  interventions.
• Supervisors from all agencies rotate through
  clinical staffings to ensure adherence to
  agreements and guidelines.

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Data Driven Treatment

• Progress reports completed weekly
• Data for reports comes from the JJTC Integrated
  Shared Information System (ISIS)
• Data is reviewed at weekly joint staffings
• enables monitoring of behaviors and adjustments
  in treatment according to data
• Reports are provided to court counselors and
  judges on progress of youth and family

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JJTC Evaluation

• Process evaluation
• Gather information on program components
• Outcome evaluation
• Recidivism
• Detention
• Data sources
• ISIS
• Strengths interwoven evaluation system
• Administrative data

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RECIDIVISM

• of youth who re-offend following program
  completion
• Varying definitions and timeframes
• Additional goal compare to North Carolina data
• North Carolina Sentencing Commission 2007 report
• 2 year recidivism
• Youth with delinquent offenses only
• Status offenders not included
• 31.9

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RECIDIVISM

• Our focus today
• Delinquent youth who completed JJTC by 10/1/08
• Allow us to look minimally at 6 month recidivism
  through 4/1/09
• For subset of overall group also have data on
  12 month recidivism
• Break out separately
• Same window of opportunity to re-offend

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RECIDIVISM

• 131 youth completed services prior to 10/1/2008
  (6 mos. from services)
• 104 delinquent youth completed in that time
  frame.
• 11 of delinquent youth recidivated.
• Recidivism rate of 10.6
• NC State recidivism rate 31.9
• (NC Sentencing and Policy Advisory Commission
  2007)

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JJTC Provider Impact Project

• All 135 JJTC direct-service providers (court
  counselors, behavioral health and restorative
  justice providers) in 4 judicial districts
  surveyed
• Anonymous, electronic survey
• Effectiveness of JJTC services
• Impact of JJTC on the providers work
• Overall value
• To what extent would you agree/disagree with the
  following statement

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Replication

• Invitation from Chief Court Counselor
• Creation of steering committee
• Selection of private provider
• Initial meetings with staffs
• First training introduction to JJTC components,
  creation of county teams
• Second training Motivational Interviewing
  training
• Third training JJTC components in detail, joint
  staffings, application of MI

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District/Community Specific

• Steering Committee
• Causes essential collaboration across community
  agencies, informal support systems, and families.
  
• Provides oversight to support program
  implementation
• Represents the entire district to better address
  the needs of its communities
• Meets only as needed

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• JJTC offers me the assurance that each
  recommendation is offered as a product of
  collaboration between the court counselor, the
  parents and all other agencies involved with
  serving the family.
• Chief District Court Judge Danny Davis
• 30th District

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Quotes
This is a wonderful group because we get to
express ourselves and not feel bad about it
because we all got problems to deal with. We
help each other get through it together. P.S.
This is Cool
JJTC has helped a lot. I always feel welcome
when I come here. I would also like to remain
active in the program after I graduate.
I did a good thing that day by handing candy to
kids and to toddlers.
I helped the humane society Raise money and I
felt good throwing out candy to the kids.
Family sessions are positive experiences,
helping teens and family relate to each other and
to the fact that they are all in similar
situations. It gives us a chance to express
thoughts, feelings, without being judged in a
negative fashion, plus the trust of
confidentiality. When you leave, you will have a
feeling of relationship, hope and
acceptance. Juveniles Parent