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USING DATA TO DRIVE EVIDENCE-BASED PRACTICES Michele M. Bell Assistant Director Midland County Juvenile Care Center.

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Presentation on theme: "USING DATA TO DRIVE EVIDENCE-BASED PRACTICES Michele M. Bell Assistant Director Midland County Juvenile Care Center."— Presentation transcript:

1 USING DATA TO DRIVE EVIDENCE-BASED PRACTICES Michele M. Bell Assistant Director Midland County Juvenile Care Center

2 ELEMENTS TO SUCCESSFUL IMPLEMENTATION Identify Champions and Stakeholders Educate & collaborate with community leaders & agencies Use data to drive program selection and decisions targeted to the criminogenic needs and risk factors of the youth in the Court Monitor implementation for fidelity to the model Collect data to support the use of the evidence-based practice Have Patience: Change is difficult and be ready for resistance

3 Timeline Juvenile Offense Rates & Recidivism Rates are lowest since 1998

4 Principles of Evidence-Based Practices Assess Risk Level: YASI Youth Assessment Screening Instrument MAYSI Massachusetts Assessment Screening Instrument Youth Skill Assessment

5 Criminogenic NeedResponse Accommodations/Anti-Social History Build non- criminal alternatives to risky situations, structure 40-60% of day Anti-social cognitions Reduce anti-social cognition, recognize risky thinking and feelings, adopt an alternative identity Anti-social companions Reduce association with criminals, enhance contact with pro-social peers Anti-social personality or temperamentBuild problem solving, self management, anger management, and coping skills Assess Needs & Target Interventions The Top Four Needs

6 Criminogenic NeedResponse Family and/or marital status Reduce conflict, build + relationships and communication, enhance monitoring/supervision Substance abuse Reduce usage, reduce the supports for abusive behavior, enhance alternatives to abuse Employment/School Provide employment seeking and keeping skills and Enhance performance rewards and incentives Leisure and/or recreationEnhance involvement and satisfaction in pro-social activities The Lesser Four Needs Assess Needs & Target Interventions

7 Criminogenic NeedProgram/Intervention Examples Anti-social history Electronic Monitoring, Curfew, Community Service Work, Restitution, Victim Impact (VIG) Anti-social ThinkingMRT, VIG, ART, PX2, Thinking for a Change (CBT) Anti-social Peers MRT, Pro-social Activities, Thinking for a Change (CBT ) Anti-social Personality or TemperamentMRT, VIG, CBT, Thinking for a Change (CBT), Family Stressors Common Sense Parenting, Wraparound, MST, MST-PSB, Intensive Counseling, In Home Services, BSFT, ART interactive Sessions for Parents, Family Meetings Substance AbuseJ & A Counseling, MST, Partners in Change Employment Staff driven: Job shadowing, resume development, applications, job searches EducationSchool on site, E2020 Credit Recovery, Tutors LeisureMidland Community Center, Gymnastics, Karate, Horse Farm, Need/Intervention Guidelines

8 Dosage Medium Risk youth receive 100 hours of cognitive-based interventions High Risk youth receive 200 hours of treatment All intervention hours are tracked All interventions challenge thinking errors, cognitive distortions Family Involvement: Weekly family contact, family activity, family counseling, parenting classes, intervention meetings as needed Treatment plans reviewed informally on a weekly basis, formally on a monthly basis with the treatment team, and reviewed with the Court every three months

9 BOY BELL DAYS IN PROGRAMSummer DATEProgram8/298/308/319/19/29/6 PHASE TRACKING Made Day=1 Not Made= Character Coupons Sanctions L1-1 Contracts CURRENT DAY Skill Assessment GROUP TRACKING Skill streaming Anger Control7 1 1 Moral Reasoning5 Safe Dating SITCAP VIG21 Substance Abuse28.5 TOTAL HOURS DRUG TESTING Time Testing Personnel 12 PANEL TEST THC (ONLY) ALC PBT Sample Day Treatment Tracking Form

10 Daily Schedule MONDAYTUESDAYWEDNESDAYTHURSDAYFRIDAY 8:00 - 8:15 AMBreakfast/ RRS 8:15 – 8:30 AMChores 8:30 – 8:45 AMHmwk Check In/ Activity 8:45 – 10:15 PMClass 10:15 – 10:30 AM Review Skill of the Week/ Break 10:30 – 12:00 PM Class 12: :20 PMLunch 12: :30 PMChores 12: :40 PMFree Time 12:40 - 2:05 PMClass 2:05 - 2:10 PMBreak 2:10 - 3:15 PMClass Class (Aftercare Boost)Class 3:15 - 3:30 PMSnack/Break 3:30 – 5:00 PMGroup-Weekend ReviewGroup-Substance AbuseGroup -Safe DatingGroup-Victim Impact Group-LAP/Incentive Time 5:00 – 5:20 PMDinner 5:20 – 5:30 PMChores 5:30 PM – 6:30 PM Group Skillstreaming 1 Group Skillstreaming 1 Continued Group Anger Control (MRT Target 11/23) Group Anger Control Continued Group Skills for Weekend 6:30 – 6:45 PMReview “Made My Day” 6:45 – 7:15 PM “Made My Day” Free Time or Skill Group 7:15 PMHome

11 Cognitive Based Interventions A.R.T.: AGGRESSION REPLACEMENT TRAINING Cornerstone Program for Day Treatment Three Components: Skillstreaming Anger Control Moral Reasoning Used for all behavior interventions (role plays) BOOSTER SESSIONS for Transitioning Youth VICTIM IMPACT SAFE DATES MST-PSB SUBSTANCE ABUSE GROUP

12 Family Focused Common Sense Parenting (Trained Staff) MST-PSB (CMH) Multi-Systemic Therapy BSFT (CMH) Brief Strategic Family Therapy Home-Based and Wraparound (CMH) Intensive family outpatient (J & A Counseling) Interactive Skillstreaming Nights Team Meetings

13 Trained Staff A.R.T. – Aggression Replacement Therapy Common Sense Parenting Collaborative Problem Solving Victim Impact Next Steps for Training: Thinking for a Change Motivational Interviewing

14 Interventions: CBT, Educational, and Strength Based Skill Streaming Anger Control Moral Reasoning Victim Impact Group Substance Abuse Group Dialectical Behavior Therapy Multi Systemic Therapy & Problem Sexual Behavior Counseling Trauma & Loss Group PX2 MITI Safe Dates Parenting Support / CSP Midland Mentors Healthy Teens Life Skills Midland Community Center Leadership Adventure Program Horse Sport Camp E2020 Credit Recovery Bay Arenac Skill Center MiTech Construction Camp

15 Increase Positive Reinforcement RESPECT, RESPONSIBILITY & SAFETY emphasized in every activity used in student evaluations for “Making Their Day” Verbal Praise 4:1 Daily, weekly, monthly incentives for “Made My Day” and Character Coupons Staff Drawing Phase Incentives Earn increasing time in structured activity outside the program Going to high school ½ day classes School Friday Fun Day Encourages homework completion, good behaviors, parent support,etc. Working with parents on positive responses to youth’s increased positive behaviors or accomplishments (weekly reports to the parents)

16 Consequences Sanctions Grid Contracts for patterned negative behavior Parents join youth in evening for homework time

17 Level 1 Violations Behaviors: Following staff requests Appropriate language Respect own property Hygiene/ daily routine Transitioning Non-physical horseplay Dress Code Wearing seatbelt incorrectly (3 rd time violation = move to Level 2 sanction) Level 2Violations Behaviors: Respect to others Participation in programming Physical boundaries Compliance with Program Responsibilities (RRS) Approved items policy Not wearing seatbelt Repeated Level 1Behaviors (3 rd time violation = move to Level 3 sanction) Level 3Violations Behaviors: Gang related activities(non-violent) Verbal aggression Respect for personal safety Respect for other’s property Safe expectation Gambling Repeated Level 2Behaviors (3 rd time violation = move to Level 4 sanction) Level 4Violations Behaviors: Violation of safety and security expectations Major destruction of property (>$300) Contraband policy Escape (attempted) Assault and battery/ fighting Sexually acting out Repeated Level 3Behaviors Failed Drug/ Alcohol Test Violations

18 Sanctions Sanction issued at time of infraction Redirection Staff reminder of expectation Determine SS and RRS applicable. Review with staff and role play. 15 minute privilege restriction at time of infraction And one of the following MAY be added:  Collect cigarette butts in park (if related to smoking)  No free time until homework done  Shower at Center  Do an extra chore  Apology to group leader  Make reparation  Behavior Specific Consequence Dress Code:  Call parent to bring in clothing  Change into Detention blues Behaviors on Van:  Sit in front seat of the van  Return to Center for parent pick up  Picked up first on van the next day Sanctions Sanction issued at time of infraction Lose privileges for the day Requires Thinking Report Determine SS and RRS applicable. Review with staff and role play. And one of the following MAY be added:  Written explanation of which RRS are violated  Make up time lost in group or activity (if applicable)  Do extra chore for person who violated  Suspend time period to earn bonus points  Clean grounds of Park, JCC, Animal Control  Separated from the group for 24 hours  Do all dinner chores for the day  Call parent for a meeting  Youth present skill to group/ role play/ presentation  Youth decides sanction using Collaborative Problem Solving and presents to staff for approval  Choose job from job jar  Behavior Specific Consequence  Contraband confiscated for 5 passing days  Parent to come in and stay late with youth to work on homework if homework not completed Behaviors Related to Transportation:  Stay late one day if missed ride/ late for van and clean vans and parent pick up Sanctions Sanction issued at time of infraction after team meeting (same day) Loss of privileges for 1-3 days Loss of social skill credit for that day (for in group infraction) Requires Thinking Report Requires “Freeze” for one day or until day is “Made” Determine SS and RRS applicable. Review with staff and role play. And one of the following MAY be added:  Report to PO  Stay late and do chores  Call parent for meeting and stay late until takes place  Written Contract  Choose job from job jar  Youth present skill to group/ role play/ presentation  Youth decides sanction using Collaborative Problem Solving and presents to staff for approval  Behavior Specific Consequence Behaviors Related to Transportation:  Parent has to transport to and from the Center the next day Sanctions Sanction issued at time of infraction after team meeting (same day) Loss of privileges for 1-3 days Requires Thinking Report Requires “Freeze” until determined by team Determine SS and RRS applicable. Review with staff and role play. And one of the following MAY be added:  Potential Detainment  Contraband confiscated  Letter of apology to person(s) violated  Restitution for damaged property Sanctions

19 Measure Progress, Practices & Feedback Daily youth evaluation for demonstration, interaction, participation (RRS) for “Made My Day” or not Youth skill assessment and demonstration of skills for phase advancement YASI (completed every three months by PO) Participation in outside activities: Evaluate ability to generalize learned skills Family and professional staff team meetings to evaluate goals Weekly contact with parents Exit interviews Transition meetings with schools Recidivism measurement

20 Analysis of recidivism rates proves that the local rehabilitative programs that have been put into place over the last three years are working. Recidivism has dropped significantly in the Day Treatment Program from 59% ( ) to 17% ( ) Recidivism Rates

21 Day Treatment Habitat for Humanity Midland Community Center Midland Public Schools Bay Arenac Skill Center MITECH J and A Counseling Janis Duke Humane Society Delta College Shelterhouse Michigan Works Family and Children’s Services Community Mental Health Partners in Change Boy Scouts Midland Mentors The Rock Horse Sports Center Donors: The Herbert H and Grace A Dow Foundation, The Midland Community Foundation, Rebecca Cox, Richard and Donna Gross, Various individual donations The Legacy Center Community Support

22 Education MPS Classes E2020 Bay Arenac Skill Center Tutors Credit Recovery Service Projects Humane Society MCC Leadership Adventure Collaborate with Kiwanis Dog Run Shelterhouse Habitat for Humanity Horse Farm Parents Weekly Phone Updates Team Meetings Parent Intervention Meetings Interactive Skillstreaming Nights Education Classes Newsletter Youth Treatment Victim Impact Trauma and Loss Group ART Programs Individual and Family Counseling Substance Abuse DBT MST-PSB Education Groups Safe Dates Cooking Classes Botvin Life Skills Job Shadowing/Job Search PX2 and MITI Ongoing Skills for Life Training Art Projects Substance Abuse See Family and Youth Treatment Yoga and Mindfulness Training Family Treatment “Common Sense Parenting” In-Home Counseling Wraparound MST and MST-PSB BSFT Intensive Outpatient Substance Abuse Family Treatment Pro-Social Skills Midland Mentors MCC Leadership Adventure Program MCC Classes Work Groups MCC Summer Camp Boy Scouts Venture Crew Muy Thai Kickboxing Karate Volunteering Gymnastics Sports The Rock Day Treatment Youth Day Treatment Targeted Programs for High Risk Areas for Youth


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