Mental Health in the Juvenile Justice System

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Mental Health in the Juvenile Justice System

• Patrick Kelly
• National Evaluation and TA Center for the
  Education of Children Who Are Neglected,
  Delinquent or At-Risk
• http//www.neglected-delinquent.org

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The Situation

• Youth in JJ 2-3x more likely to suffer from a
  mental health disorder
• Up to 75 of youth suffer from mental health
  disorder
• Face challenges in learning

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Growing Sense of Crisis

• of youth in JJ system increasing
• Majority enter with minor, non-violent offenses
• System of last resort for access to medical
  treatment

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Signs of Improvement

• Widely available Mental Health Assessments
  MAYSI-2 and V-DISC
• Psychosocial interventions MST, cognitive
  behavioral treatment
• Integrated approaches systems of care (e.g.,
  WrapAround Milwaukee)

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Blueprint for Change
Resources

• A Comprehensive Model
• Collaboration
• Identification
• Diversion
• Treatment

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Resources
Blueprint for Change (cont.)

• Six Critical Intervention Points
• Initial Contact with Law Enforcement
• Intake (Probation or Juvenile Court)
• Detention
• Judicial Processing
• Dispositional Alternatives (Juvenile Correctional
  Placement of Probation)
• Re-Entry

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Resources
Blueprint for Change (cont.)
Source Blueprint For Change, http//www.ncmhjj.co
m/Blueprint/default.shtml
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Resources
Multisystemic Therapy

• Very successful intervention
• Community approach
• Strong relationship, Therapist Youth
• Active parental roll
• Interconnected systems
• 60 hours, 4-month period
• 4000 per youth costly but effective

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MST - Ecological Model
Resources
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Other Resources

• Technical Assistance Partnership
• GAINS The National GAINS Center for People with
  Co-Occurring Disorders in the Justice System
• Guidelines for Child and Adolescent Mental Health
  Referral
• The National Center for Mental Health and
  Juvenile Justice (NCMHJJ)