JJDTP FSP Mental health service program for youth and their - PDF document

Juvenile Justice Diversion and Treatment Program (JJDTP) This program is funded by the Division of Behavioral Health Service through the voter approved Proposition 63, Mental 1 Health Services Act (MHSA). JJDTP FSP  Mental health service program for youth and their families who would benefit from an intensive in-home program designed to address the total needs of the child, including his/her family, who is experiencing significant, emotional, psychological and behavioral problems that are interfering with the child’s well being. 2 1

JJDTP FSP  Consists of a team of mental health professionals and other service providers. Services may include: Individual and family counseling – Peer support from people experiencing similar issues – Transportation – Access to physical health care – Help finding suitable housing and paying rental subsidies when – necessary Help getting the financial and health benefits to which they are – entitled Assisting family members as needed – Assisting with education and/or employment – Probation supervision and support – 3 Recent Statistics  128 youth at any given time  Current enrollment is 118 youth (7 youth in authorization process) 14 Diversion, 104 Probation – 43 Female, 68 Male – 44 Black/African American, 23 Caucasian, 8 Multi-Ethnic, 2 – American Indian, 2 Filipino, 1 Hmong, 31 Other/Unknown/Not reported 103 English speaking, 7 Spanish speaking – 605 youth have been admitted to JJDTP since program inception  494 youth have been discharged from the program  4 2

Five (5) Goals of JJDTP  To reduce psychiatric hospitalizations  To reduce juvenile detention and/or young adult incarceration  To increase school attendance and achievement  To increase vocational training and employment  To stabilize placements and reduce homelessness 5 Collaborating Partners Department of Behavioral Health Services  DBHS Contract Monitor Senior Mental Health Counselor  Sacramento County Probation Supervising Probation Officer   Deputy Probation Officers River Oak Center for Children  Chief Program Officer, Clinical Director, and Clinical Managers Clinicians/Facilitators   Psychiatrists Youth and Family Advocates   Housing and Benefits Specialist 6 3

JJDTP Admission Criteria for Services  Must meet target population and medical necessity Be between the ages 13 through 17 when referred  with some exceptions for ages 18-19 –  Youth who are involved with the juvenile justice system OR Diversion Youth:  Youth who have had no law enforcement contact although are experiencing – behavioral health symptoms which might lead to law enforcement involvement. This includes youth who have received a citation from law enforcement and have met – with probation but are not going through the Court process and youth who are currently going through the court process Youth are voluntary participants, agreeing to participate in JJDTP whether  entering the program through Diversion or from ongoing probation services Youth may continue to receive services, even after probation supervision has  been terminated, until their 26 th birthday as long as services are clinically necessary 7 JJDTP Referral Process – Referrals can be generated from:  The Courts (Public Defender, District Attorney and Court Officers)  Field Probation Officers  Placement Officers  Youth Detention Facility - Mental Health and Intake Officers  Schools/Sacramento County Office of Education  Community Based Programs/Providers  BHS Program Coordinator – Referrals are sent to Ken Silva, Supervising Probation Officer, and Pam Hassen, Senior Mental Health Counselor 8 4

Senior Mental Health Counselor’s (SMHC) Role  Functions as a liaison between youth/family, Probation Department and River Oak. Co-located with Probation  Reviews various records to assist in determining eligibility  Performs a clinical interview to assess youth’s eligibility for JJDTP   If youth and family are eligible and agree to services, SMHC completes a Service Request to Sacramento County Access Team Provides bridging mental health services and support to family prior  commencement of services at River Oak as needed Follows up with youth/family 3-4 weeks after referral to confirm  services have been successfully initiated  Attends and participates in weekly multidisciplinary team meeting Consults as needed with youth’s Probation Officer about youth’s  mental health and treatment needs 9 Probation’s Role  Probation Supervision and Support • Supervision is conducted within the home, school, and community • Respite Services coordinated when needed • Officers work directly with the parent/guardian to Support Positive Change • Offender Competency is achieved through JJDTP’s evidence based counseling interventions, family support and officers relationships and communication with JJDTP Partners • Participates in joint visits with provider, when needed 10 5

Probation’s Role • Probation Officers • Attends and participates in Weekly Multidisciplinary Team Meeting • Attends Child/Family Team (CFT) Meetings or Futures Planning Meetings • Attends Individual Education Plan (IEP) Meetings • Attends Emergency Staffings, as requested • Officers have various waiver in lieu options which provide a level of accountability and allow services to continue within the community 11 River Oak JJDTP Services  Every youth and their family have a plan that is tailored to their individualized service needs which is developed using the “Transition to Independence Process” (TIP) and a “Whatever it Takes” approach Services include:  Intensive Case Management – Medication Evaluation and Psychiatric Follow up (as needed) – Skill Building for independent living, daily living skills, budgeting, etc. – Alcohol and Drug Services (partnership with Another Choice, Another Chance) – Counseling for all family members, as indicated – Every youth/family assessed for the following Evidence Based Practices:  Functional Family Therapy (FFT) – Multisystemic Therapy (MST) – Multisystemic Therapy Contingency Management (MST-CM) – Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) – Dialectical Behavior Therapy (DBT) - Group and Individual – Anger Replacement Therapy (ART) - Groups – 12 6

River Oak JJDTP Services  Flexible MHSA funding to meet youth/family needs – Utilities, housing and other financial supports – Educational, occupational and recreational needs  Housing & Benefits Support  Youth and Family Advisory Dinner Meeting (1 x Quarter)  Job Readiness Training Program – Partnership with Goodwill Industries 13 Role of the Family and Youth Advocate  Advocacy for Family and Youth  Offered and assigned to each youth and family referred  Youth Advocate  Maximize youth’s voice and choice  Family Advocate  Maximize family voice and choice 14 7

What is TIP?  The Transition to Independence Process is a system that helps engage youth in their own futures planning process, provides them with services/supports and involves them (and others) in a process that prepares and facilitates greater self-sufficiency and successful achievement of goals related to each Transition Domain. 15 TIP Transition Domains 16 8

Youth Outcome Questionnaire 17 Data from River Oak Annual Report 12/2010-12/2016 Youth Outcome Questionnaire-Self Report 18 Data from River Oak Annual Report 12/2010-12/2016 9

Data on Program Satisfaction 19 Data from River Oak Annual Report 12/2010-12/2016 Who we work with…  Age:16 Charges: Burglary, assault, substance related issues   School issues: truancy, credit deficient, suspensions Mental Health concerns: disruptive behavior, oppositional defiant behavior,  substance use Court orders: AOD assessment/treatment, aggression/relationship,  attitudes/behaviors, family, community service, juvenile work project Caregiver(s) issues: described as – having poor follow through, making  excuses and/or enabling problematic behaviors, low functioning, criminal history, overwhelmed Other family issues: financial difficulties, housing issues, limited conflict  resolution skills. 20 10