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Juvenile Justice

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Title: Juvenile Justice


1
Juvenile Justice Mental Health Initiative Chris
Bray, Director Juvenile Services
2

Minnesota Juvenile Justice Mental Health
Screening Data 2005(DHS)
  • In 2005, 14,785 new juvenile probation entries.
    9594 youth in
  • detention or found delinquent met screening
    criteria
  • 56 (5334/9594) completed screens
  • 71 (3772/5334) were referred for assessment
  • 11 (1107/9594) not screened for known reasons
  • 12 (1158/9594) not screened, reason unknown

3
The Initiative
  • Initiated by the Commissioner of Corrections
  • A partnership between Minnesota Department of
    Corrections and Human Services Division of
    Childrens Mental Health
  • Participation and support from the Departments of
    Education, Health, Public Safety, and Courts
    Administration
  • Local organizations juvenile justice, mental
    health, social services, family advocacy,
    providers

4
The Initiative
  • The goal To develop system changes and create
    strategies for implementation that improve
    outcomes for justice involved youth with mental
    health or co-occurring disorders
  • The vehicles An Interagency Advisory Task Force
    comprised of state and local stakeholders A
    collection of national and local data and
    previous work and statewide Focus Groups
  • The model A Blueprint for Change from the
    National Center for Mental Health and Juvenile
    Justice

5
Initiative Criteria for Recommendations
  • The recommendations will positively impact
    outcomes for justice involved youth with mental
    health or co-occurring disorders.
  • The issues that are chosen require systems
    change.
  • It is realistic to think that changes as a result
    of the recommendations can be implemented.
  • First round recommendations and implementation
    plans can be ready by January 2009.
  • The recommendations will enhance not duplicate
    the efforts of others.
  • The results of the Initiative work can be
    measured.
  • Recommendations will contribute to the reduction
    of overrepresentation and disparities in the
    system.

6
Focus Groups
  • Included 25 counties throughout the state and
    several organizations
  • Focus group members included corrections,
    mental health, social services, schools
  • Family advocates
  • Judges
  • Prosecutors and Public Defenders

7
Focus Groups
  • Four themes emerged from our review of data, work
  • previously completed and focus groups
  • across the state
  • The need for data that will better inform the
    work
  • The need for post screening consistency and
    coordination
  • The need to engage parents as partners
  • Greater access to evidenced-based,
    community-based services

8
Recommendation I Increase Data Collection
  • Clarify definitions for data collection related
    to the mental health screen and establish an
    electronic system for collecting the data in CSTS
    throughout the state - Reporting is not uniform.
  • Add existing data collection requirements that
    will provide aggregate outcome data Outcomes
    are not currently tracked.
  • Assemble a team of data experts from each of the
    relevant state agencies to examine existing data
    related to disproportionality in each of the
    systems Currently such information is not
    shared.

9
Recommendation II Model Post Screening
Coordination
  • Most counties are screening for mental health
    issues
  • Once a screen has been administered, practices
    vary across the state
  • Develop a model for Post Screening coordination
  • Provide incentives to encourage statewide use
  • Develop outcomes and measure the results

10
Model Post Screening Coordination Youth Found to
be Delinquent
Youth Enters the Juvenile Justice System through
Court Intake
Delinquency Hearing and Finding of Delinquency
Template Court Order at hearing that orders the
screen, Diagnostic Assessment if the score on the
screen meets the threshold and orders case back
for disposition if involuntary. The threshold
for being screened in is recommended by DHS.
DA needed Voluntary Self Referral only Requires
tracking (A)
DA needed and involuntary (C)
DA needed Voluntary but needs help (B)
System Navigator Explains the screen/DA
process Assists families with the DA Assists
families with payment Links families to
services Finds interpreters if needed Assists
families with navigating county and
community-based agencies Tracks progress in A, B,
C
IF DA NEEDED AND INVOLUNTARY
Diagnostic Assessment Triggers Disposition
Hearing and YLS Assessment Low risk, low MH needs
minimal intervention Low risk, high MH needs
voluntary referral with tracking High risk, high
MH needs court ordered treatment
interventions High risk, low MH needs court
ordered correctional interventions
Dispositional Hearing Assessment results are
reported to the judge (DA and YLS) Interventions
based on the assessments are recommended
11
Model Post Screening Coordination Youth Entering
Detention
System Navigator Informs Parents Purpose of
screening process Their rights Voluntary process
until a finding of delinquency
Initial Detention Hearing
If Parent Agrees to Screening
If Parent does Not Agree to Screening
Proceed to delinquency hearing pre-disposition
For serious cases ask for screen at Initial
hearing
  • Screen is administered
  • Results of screen are reviewed with parents
  • If screen meet s the threshold for DA then DA
    could be done in detention with parental
    permission
  • Results of the Mental Health Screen are shared
    with parents
  • If the results meet the threshold then a DA is
    recommended to the parents
  • Caution scores on two or more scales
  • Warning score on one or more scales
  • Suicide ideation score
  • The System Navigator helps parents set up
    services/DA while youth is in detention.
  • If parents refuse the DA, the results of the
    screen are not shared with or shown to the judge
    prior to a finding of delinquency unless the
    youth appears to be in serious distress. If that
    is the case, the judge can be asked to order the
    screen at the Initial hearing, Once there is a
    finding of delinquency, broad statements can be
    made to the judge, the mental health screen
    indicates a need for further diagnostic
    assessment.

12
Model Post Screening Coordination
  • Develop decision rules response policies
  • What scores on what scales will be used to signal
    youth is in need of staff response
  • Caution? Warning? Both?
  • What program response will occur for youth
    meeting decision rule?
  • Assessment? Immediate staff precautions?
    Emergency referral

13
Model Post Screening Coordination Combine the YLS
and Screen Score
  • Low Risk--------------------------------------
    -------------------High Risk
  • A Continuum of Mental Health Need and Risk
    Levels Among the Juvenile Justice Population

14
Model Post Screening Coordination
  • Use the court process for timely results
  • Upon a finding of delinquency, use a template
    court order to order the screen and diagnostic
    assessment for youth who are screened in.
  • For youth requiring a diagnostic assessment, use
    a disposition hearing to provide the judge with a
    case history including results of YLS, diagnostic
    assessment, and recommendations for treatment of
    mental health needs
  • Re-screen on a regular basis

15
Model Post Screening Coordination Multidisciplinar
y Teams
  • Establish a Navigator Function within a lead
    agency to guide the youth and family through the
    process (corrections, mental health, and/or
    social service)
  • Use a multidisciplinary team to develop a case
    plan and determine funding streams for services
    for those youth who are assessed and in need of
    services.
  • Establish methods for tracking to ensure that
    youth are screened, assessed and treated when
    appropriate.

16
Model Post Screening Coordination
  • Establish systematic, ongoing training to school
    resource officers, corrections, social service,
    and mental health professionals on justice
    involved youth with mental health or co-occurring
    disorders
  • Provide web-based education and training
    materials for use with youth, parents, and
    community-based and government agencies
  • Assess the potential for re-deploying existing
    resources to fund components of the Initiative.
    Some components will not require funding

17
Recommendation III Evidenced-based,
Community-based Interventions
  • Expand the use of evidenced-based,
    community-based mental health treatment
    interventions i.e., MST, using grants and pilot
    sites
  • Bureau of Justice Corrections and Mental Health
    Collaboration Project grant
  • Pilot the model for post screening coordination
    and to fund evidenced-based, community-based
    mental health services for justice involved youth
    in Becker, Mahnomen, Clearwater counties, and the
    White Earth Indian reservation.
  • The Initiative provided a grant writer to the
    White Earth Reservation so they could apply for a
    federal Substance Abuse and Mental Health
    Administration grant (SAMHSA) to assess and
    program for Fetal Alcohol Spectrum Disorders.
  • The application was successful.

18
Mental Health Intervention
  • Linda Hansen, M.A., L.P.
  • Mental Health Coordinator
  • Dakota County Community Corrections

19
Mental Illness
  • Difficulty in thinking, feeling, behaving, and
    relating that impacts your ability to function at
    home, school/work, and in the community
  • One of the drivers

20
What the research says
  • National Center for Mental Health and Juvenile
    Justice (NCMHJJ) www.ncmhjj.com/Blueprint
  • A Blueprint for Change Improving the System
    Response to Youth with Mental Health Needs
    Involved with The Juvenile Justice System
    (Kathleen Skowyra, Joseph J. Cocozza, Ph.D)
  • 65-70 of youth in Juvenile Justice meet criteria
    for a mental health diagnosis
  • 25 so severe that their ability to function is
    significantly impaired

21
Dakota County Juvenile Center
  • 100 cases were randomly selected within a year
  • 97/100 had documented diagnoses other than or in
    addition to Conduct Disorder
  • Good News/Bad News

22
(No Transcript)
23
More Dakota County Progress
  • Juvenile Detention Alternatives Initiative (JDAI)
  • Classification Risk Assessment Instrument (RAI)
  • Alternatives to Detention
  • New Mental Health Processes
  • Screening/Assessment
  • Suicide Precaution Procedure
  • Treatment Plans
  • Treatment
  • Collaboration with Social Services, Police,
    Schools, Community

24
Recommended Approaches to Addressing These Needs
Blueprint for Change by Kathleen R. Skowyra and
Joseph J. Cocozza,Ph.D
  • Underlying Principles - to be respectful of youth
    and responsive to their mental health needs
  • Cornerstones
  • Collaboration - the need for improved
    collaboration between the juvenile justice and
    mental health systems
  • Identification - the need for improved and
    systematized strategies for identifying mental
    health needs among youth in contact with the
    juvenile justice system
  • Diversion - the need for more opportunities for
    youth to be appropriately diverted into effective
    community-based mental health treatment
  • Treatment - the need for youth in contact with
    the juvenile justice system to have access to
    effective treatment to meet their needs

25
Dakota Countys Progress
26
Risk Areas
Criminal Personality
School/ Employment
Criminal Charges
Case Plan
Home Parents
Mental Health
Friends
Community Involvement
Behavior Management Skills
Drug Use
27
Risk Areas
Criminal Personality
School / Employment
Case Plan
Criminal Charges
Home Parents
Mental Health
Friends
Community Involvement
Behavior Management Skills
Drug Use
28
Project ASSIST Ramsey County
  • Ed Frickson, M.S., L.P.
  • Mental Health Supervisor
  • Ramsey County Human Services

29
Ramsey County Project ASSIST
  • Early intervention model that encompasses Child
    Protection and Juvenile Corrections
  • Screening Assessment Care Coordination model
  • Community/Home Based MH professionals

30
Males/Females with Cautions or Warnings (n
2603)
31
of screened youth by race (n2603)
32
Angry/Irritable
33
Depressed/Anxious
34
Somatic Complaints
35
Alcohol/Drugs
36
Suicide Ideation
37
Thought Disturbance (males only n1910)
38
Traumatic Event(s)
39
Ramsey County Project ASSIST
  • Next Steps
  • - On site MH Assessment Satellite
  • - Diagnostic Assessments,
  • Psychological Evaluations Care
  • Coordination
  • - Parent Engagement
  • - TF-CBT

40
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