1. JUVENILE JUSTICE TREATMENT CONTINUUM Joining with Youth and Families in Equality, Respect, and Belief in the Potential to Change

2. JJTC Counties 26 counties in North Carolina 6 NC Judicial Districts
Over 1,000 court involved children & families were served in FY 09-10

3. substance abuse disorders
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

4. JJTC is a Series of Processes That Ensure:
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

5. Collaborative Approach
Behavioral Health
Restorative Justice / Community Service
Department of Juvenile Justice
Here put about treatment contract, etc?
Staff from all three agencies train together in JJTC processes and utilize evidence based practices such as Motivational Interviewing

6. JJTC Teams Work 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

7. Structure Weekly Clinical Staffing Monthly Supervisory Meetings
Quarterly Meetings
Steering Committee Meetings

8. 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

9. Funding All 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)

10. Agency Services Department of Juvenile Justice Restorative Justice
Court Counselors are involved in the treatment process
Restorative Justice
Creates opportunity for youth to give back to their communities
Behavioral Health
Offers a clinical continuum of services in which youth move through services based on acuity. Therapists are dually credentialed in mental health and substance abuse.
MFG, TFC

11. 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

12. Continuum of Behavioral Health Services
Assessment
Structured Family Therapy
Multi-Family Group (8 Sessions)
Parent Education
*Case Management
*Intensive In-Home
*Therapeutic Foster Care
*Enhanced Services include monthly child and family team meetings

13. 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

14. 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)

15. 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
Show reports: staffing, LME

16. Q1 FY 2010/2011 Active Caseload

17. Population

18. Wait Time Between Referral & Assessment

19. 24th District Payer Source

20. 24th District Service Type

21. DJJ Contacts

22. This is an overall success rate of 85.26%
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%

23. Recidivism
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

24. Recidivism
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