JUVENILE JUSTICE TREATMENT CONTINUUM

Joining with Youth and Families in Equality, Respect, and

Belief in the Potential to Change

JJTC Counties

26 counties in North Carolina

6 NC Judicial Districts

Over 1,000 court involved children & families were served in FY 09-10

JJTC is…

A comprehensive intervention strategy for court referred youth specifically designed to

treat co-occurring mental health and substance abuse disorders

Joining with youth and families in equality, respect, and belief in the potential to change

• Access for court involved youth to a comprehensive, integrated continuum of care within existing resources and funding streams

• Accurate consistent reports of progress through services

• Outcome-driven, data-driven services that end when the goals of the treatment contract are met

• Interagency collaboration and partnership resulting in increased supervision and accountability

JJTC is a Series of Processes That Ensure:

Collaborative Approach

Behavioral Health

Restorative Justice /

Community Service

Department of Juvenile

Justice

Staff from all three agencies train together in JJTC processes and utilize evidence based practices such as Motivational Interviewing

JJTC TeamsWork in partnership to:• Design and support community service projects that

provide opportunities to give back to the community, create relationships, and build self esteem

• Create relationships with families• Attend and participate together in child and family

teams• Creatively address out of school suspension periods

so that youth are not unsupervised and can continue to meet educational and treatment goals

• Respond to crisis situations in home, school, and community settings

Structure

Weekly Clinical Staffing

Quarterly Meetings

Steering Committee Meetings

Steering Committee• Courts - District Judge, District Attorney• DJJDP - Chief Court Counselor• Schools - Superintendent(s)• Child Welfare - DSS Director(s)• Mental Health, State/County - LME Director(s)• Behavioral Health Services Providers – CEO/Director• Restorative Justice Providers – CEO/Director • JCPC Consultants• Family Advocates• JJTC Consultants

FundingAll services are funded through existing resources:

• Medicaid• Health Choice • Private Insurance• State funding for uninsured consumers

(through contract arrangement with participating MH/DD/SA Local Management Entities)

Agency Services Department of Juvenile Justice

Court Counselors are involved in the treatment process

Restorative JusticeCreates opportunity for youth to give back to their communities

Behavioral HealthOffers a clinical continuum of services in which youth move through services based on acuity. Therapists are dually credentialed in mental health and substance abuse.

JJTC Platform Structure• JJ Referral to JJTC Based on Risk and Needs

Assessment

• JJTC Clinical Assessment

• Treatment Contract Between Family Members with 3 Agencies Present

• Monthly Child and Family Team Meetings

• Weekly Clinical Staffings

• Monthly Supervisory Meetings

• Quarterly All Agency Meetings

• Quarterly Steering Committee Meetings

• Assessment• Structured Family Therapy• Multi-Family Group (8 Sessions)• Parent Education• *Case Management• *Intensive In-Home• *Therapeutic Foster Care

Continuum of Behavioral Health Services

*Enhanced Services include monthly child and family team meetings

School Participation in JJTC

• Child and Family Team Meetings frequently held on school grounds

• JJTC team organizes a “virtual supervision” plan for suspended students

• JJTC teams are regularly contacted to deal with crisis situations at school

• Students on long-term expulsion are involved with community resources

• Students who drop out are assisted with GED, employment, and community college

Data Driven Treatment• Data comes from the JJTC Integrated Shared

Information System (ISIS)

• Data is shared in every meeting– Performance Indicators

• Reports created from ISIS:– Youth and Family Report (Staffings)– Team Performance Report (Staffings)– District Performance Report (Supervisors, Joint Agency,

and Steering Meetings)– Quarterly Monitoring Report (LME, Judges)

ISIS

• Shared database used by all three agencies to track consumer progress through services and treatment

• Allows treatment to be directed based on measurable outcomes

• Allows court counselors, mental health professionals, and restorative justice staff to be constantly aware of youths progress through JJTC

• Allows the ability to report out on data needed to fully evaluate service delivery and effectiveness in each JJTC judicial district

Q1 FY 2010/2011 Active Caseload

Madison Mitchell Yancey Avery Watauga0

5

10

15

20

25

30

35

40

16

35

29

18

34

18

36

2325

30

NCJOIN caseloadISIS caseload

Population

Q4 FY 09-10 Q1 FY 10-110

5

10

15

20

25

30

35

40

45

5045

34

3937

22

30

19

12

Watauga

Court Counselor Caseload (NCJOIN) JJTC CC Caseload (Isis)New River (Isis) Project Challenge (Isis)

Wait Time Between Referral & Assessment

Q4 FY 09-10 Q1 FY 10-110

2

4

6

8

10

12

14 13

43

23

7

2

Watauga

# of Youth Referred1-7 Days8-14 Days15+ DaysNo Assessment

24th DistrictPayer Source

13.89%

69.44%

8.33%

8.33%

Q1 FY 10-11

State Funded

Medicaid

NCHC

Private Insurance

24th District Service Type

36.36%

63.64%

Q1 FY 10-11

Basic

Enhanced

DJJ Contacts

Q4 FY 09-10 Q1 FY 10-110

10

20

30

40

50

60

70

80

90

71

56

80

56

9 1219

2634

23

12 10

39 37

Watauga

CC Contact (not specified)Home VisitParent ContactPlacement VisitSchool VisitTelephone ContactTotal Consumers#

of C

onta

cts

Outcomes

• Completion Rate

• As of 9/30/2010, 1,687 youth received services through a JJTC team

• 760 completed services

• 648 completed successfully

This is an overall success rate of 85.26%

• Youth who completed JJTC services before 1/1/2010; minimum of six months to recidivate

• Youth w/ delinquency as referring charges

• All delinquent complaints were counted as recidivating offenses regardless of status or outcome of the offense

• Recidivating offenses were counted regardless of time elapsed since completion of services

Recidivism

Recidivism

North Carolina

23 24 30 0.00%5.00%

10.00%15.00%20.00%25.00%30.00%35.00%40.00% 39.63%

9.38%5.04%

9.30%

Reci

divi

sm P

erce

ntag

e

# of Youth 11,255 192 119 140

Judicial Dis-trict

Below are the recidivism rates for NC Judicial Districts 23, 24, and 30 compared to the NC Sentencing Commission Study

These districts had JJTC in their area at least two years, creating a larger population of youth to include