1. Systems of Care Work for Juvenile Justice

2. Overview This customizable PowerPoint presentation was designed for use by States, communities, territories, and Tribal nations to introduce themselves and the concept of Systems of Care to child-, youth-, and family-serving partners. This presentation is copyright-free; users can alter this presentation in any way, including, but not limited to: information and data, design, slide order, and sample script. Information about how to use the PowerPoint program can be found at www.office.microsoft.com.

3. About This Presentation This customizable PowerPoint presentation was developed for Federally funded States, communities, territories, and Tribal nations by the Caring for Every Child’s Mental Health Campaign of the Center for Mental Health Services within the Substance Abuse and Mental Health Services Administration of the U.S. Department of Health and Human Services. Content was developed in partnership with local Systems of Care, Systems of Care partners, the Technical Assistance Partnership, and the National Evaluation Team. These individuals contributed information, substantive review, and feedback. Questions about this PowerPoint presentation should be directed to your communications technical assistance provider.

4. Using Data The data in this presentation are from a variety of sources. Citations have been provided in the notes section. To include the citation in the slide, cut and paste it from the notes section. Users are encouraged to update or modify the data as appropriate and necessary. The Campaign highly recommends using data from credible sources and having citations available to members of the audience.

5. Inserting Local Information This presentation can be enhanced substantially by including local data and a case study from your community. Conduct your presentations with and about the youth and families in your communities whenever possible. Their stories are the best way to illustrate the benefits of your System of Care to decision-makers, opinion leaders, and potential partners. Template slides have been included to help you add local data, personal stories and other information. If local information is not available, these slides can be deleted.

6. Using the Sample Script A sample script has been included in the notes section to help users understand how the slides work together and to provide a basis for a presentation. The sample script is only a suggestion; users are encouraged to modify it to meet their needs or to develop their own script.

7. Modifying the Design The slides have been designed so they are consistent with the Campaign’s look and feel. Here are some of the ways you can customize the design: –Symbols can be added to the upper right-hand corner of some slides. –Citations can be included at the bottom of most slides. –The name of the presentation can be changed on each slide.

8. Logo Guidelines SAMHSA has rules regarding the use of its Wordmark, logos, and other identifying marks. Generally speaking, users are encouraged to use their own logos and identifying marks, as they are not officially representing the Campaign, the Center for Mental Health Services, or SAMHSA. For more information on whether or not a SAMHSA, CMHS, or Campaign logo can be used in your presentation, please contact your Campaign technical assistance provider.

9. PRESENTED BY: [Your Name and Title] [Your System of Care Community’s Name] [Your Contact Information] [Your LOGO] Systems of Care Work for Juvenile Justice

10. Systems of Care and Juvenile Justice Professionals Share a Common Goal To improve the ability of at-risk youth and juvenile offenders to live productively and responsibly in their communities

11. Meeting the mental health needs of children, youth, and families is critical to achieving this goal. Systems of Care Work for Health Care [Your LOGO]

12. Facts About Children’s Mental Health 5 to 9 percent of U.S. children have serious mental health needs, reducing their ability to function in the community, at school, and at home. Source: President’s New Freedom Commission on Mental Health. (2003). Final Report. Retrieved from http://govinfo.library.unt.edu/mentalhealthcommission/reports/FinalReport/downloads/FinalReport.pdf

13. Facts About Children’s Mental Health 70 percent of youth in juvenile justice systems have at least one mental health disorder. 27 percent have significant functional impairment from a mental illness. Source: Tepin, L., et al. (in press). PTSD, Trauma and Co-Morbid Psychiatric Disorders in Detained Youth and the Northwestern Juvenile Project Overview..

14. Facts About Children’s Mental Health 9.1 percent of youth in juvenile detention have suicidal thoughts. 11.8 percent attempt suicide in their lifetimes. 2.7 percent have attempted suicide in the past month. Source: Wasserman, G., Ko, S., & McReynolds, L. (2004). Assessing the Mental Health Status of Youth in Juvenile Justice Settings. Juvenile Justice Bulletin. Office of Juvenile Justice and Delinquency Prevention, Office of Justice Programs, U.S. Department of Justice. Retrieved from www.ojp.usdoj.gov/ojjdp.

15. Is Juvenile Justice a Mental Health Services Provider of Last Resort? Each night, nearly 2,000 youth wait in detention for community mental health services, representing 7 percent of all youth held in juvenile detention. Two-thirds of juvenile detention facilities hold youth who are waiting for community mental health treatment. Source: U.S. House of Representatives, Committee on Government Reform—Minority Staff, Special Investigations Division. (2004). Incarceration of Youth Who Are Waiting for Community Mental Health Services in the United States, Prepared for Rep. Henry A. Waxman and Sen. Susan Collins. Retrieved May 10, 2006, from www.democrats.reform.house.gov/Documents/20040817121901- 25170.pdf

16. What Are Some of the Consequences? Two-thirds of juvenile detention facilities that hold youth waiting for community mental health services report that some of these youth have attempted suicide or attacked others. Juvenile detention facilities spend an estimated $100 million each year to house youth who are waiting for community mental health services. Source: U.S. House of Representatives, Committee on Government Reform—Minority Staff, Special Investigations Division. (2004). Incarceration of Youth Who Are Waiting for Community Mental Health Services in the United States, Prepared for Rep. Henry A. Waxman and Sen. Susan Collins. Retrieved May 10, 2006, from www.democrats.reform.house.gov/Documents/20040817121901- 25170.pdf

17. What Works for Children and Youth? When children and youth with serious mental health needs receive a spectrum of comprehensive and coordinated services from child- and family-serving agencies and organizations, their functioning substantially improves at school, at home, and in their community.

18. Systems of Care Helping children and youth with serious mental health needs and their families Systems of Care Work for Juvenile Justice [Your LOGO]

19. Juvenile justice Child welfare Education Mental health and substance abuse professionals Families Primary health care Faith-based organizations Other community organizations A System of Care Is… A Community and Statewide Partnership among families, youth, schools, and public and private organizations to provide coordinated mental health services. Partners may include:

20. A System of Care Is… Guided by Core Values Family-driven and youth-guided: –Strengths and needs of the child and family determine the types and mix of services and supports provided. Culturally and linguistically competent: –Agencies, programs, and services reflect the cultural, racial, ethnic, and linguistic differences of the populations they serve to facilitate access to and utilization of appropriate services and supports and to eliminate disparities in care. Community-based: –Locus of services as well as system management rest within a supportive, adaptive infrastructure of structures, processes, and relationships at the community level.

21. A System of Care Is… Part of a National Initiative Established by Congress in 1992 More than 170 System of Care communities Funded through cooperative agreements with States, communities, territories, and Tribal nations Administered by the Center for Mental Health Services, SAMHSA, U.S. Department of Health and Human Services

22. A System of Care Is… Federally Evaluated Measures progress of children, youth, and families in Systems of Care Informs decision makers and the decision- making process Ensures accountability at the Federal and community levels

23. A System of Care Is… Comprehensive Because it is a coordinated network of community-based services and support that are organized to meet the challenges of children and youth with serious mental health needs and their families.

24. Systems of Care Work for Juvenile Justice [Your LOGO] How Do Juvenile Justice Agencies Benefit from Systems of Care?

25. Children and youth are diverted from the juvenile justice system whenever possible. Interactions with law enforcement are reduced among youth involved in Systems of Care. Source: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration. (2012). Promoting Recovery and Resilience for Children and Youth Involved in Juvenile Justice and Child Welfare Systems. Washington, DC. (HHS Publication No. SMA-12-4697). Retrieved from http://www.samhsa.gov/children/SAMHSA_ShortReport_2012.pdf

26. How Do Juvenile Justice Agencies Benefit from Systems of Care? Children and youth who have been referred to Systems of Care through the juvenile justice system demonstrate positive outcomes. Children and youth who have experienced traumatic events show improved outcomes.

27. Benefit: Children and Youth are Diverted from the Juvenile Justice System Whenever Possible Juvenile justice no longer serves as a provider of last resort. Children and youth with mental health needs are able to receive services and support in the least restrictive setting. Children and youth are able to receive services and support from within their communities whenever possible.

28. Sources: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services. (in press). The Comprehensive Community Mental Health Services for Children and Their Families Program: Evaluation Findings—Report to Congress, 2006–2008. Washington, DC. U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services. (in press). The Comprehensive Community Mental Health Services for Children and Their Families Program: Evaluation Findings—Report to Congress, 2009. Washington, DC. The percentage of youth questioned by police, arrested, or on probation decreased steadily between entry into Systems of Care and 12 months later, and continued to decrease through 24 months after entry. Youth arrests decreased 44 percent from intake to 6 months after program entry. Benefit: Reduced Interactions with Law Enforcement

29. Sources: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services. (in press). The Comprehensive Community Mental Health Services for Children and Their Families Program: Evaluation Findings—Report to Congress, 2009. Washington, DC. Benefit: Reduced Interactions with Law Enforcement Fewer youth involved in Systems of Care reported engaging in delinquent and illegal behaviors. –After 12 months, there was a 25% reduction in reported behaviors. –After 24 months, the reduction was 44%.

30. Source: U.S. Department of Health and Human Services (under review). Evaluation Brief, Systems of Care: Do Supportive Adults and Peers Influence Youth? October, 2008. Benefit: Positive Youth Outcomes Youth who felt the presence of supportive adults were better off than those without. –Significantly lower levels of depression. –Supportive adults lead to better emotional and behavioral health among youth. –A greater sense of competence in school.

31. Source: U.S. Department of Health and Human Services (2011). Helping Children and Youth Who Have Experienced Traumatic Events. Washington, DC. Benefit: Recovery from Trauma Children and youth who have experienced potentially traumatic events show improved outcomes. –By 6 months: Many already show significant improvement in behavioral and emotional symptoms. Thoughts of suicide have been reduced by 32% among these individuals.

32. Who We Are

33. Who We Serve

34. Our Partners

35. Our Outcomes

36. Systems of Care Work for Juvenile Justice [Your LOGO] [Insert Name of Child Or Youth]’s Story A Local Case Study in Success

37. Systems of Care and Juvenile Justice: A Case Study in Success Milwaukee, WI

38. Milwaukee, WI Program Description Offers cost-effective, comprehensive, and individualized care to children with serious mental health needs and their families Services children and youth under court order in the juvenile justice and child welfare systems Located in Milwaukee and Madison, WI; Indianapolis, IN; and New Jersey

39. Milwaukee, WI Program Features Provides coordinated care through a single public agency Coordinates a crisis team, provider network, family advocacy, and access to approximately 80 different services

40. Outcomes of the System of Care Partnership in Milwaukee, WI Reduced costs Reduced juvenile delinquency Higher school attendance Better clinical outcomes Lower use of hospitalization

41. Outcome: Reduced Costs The program costs $4,350 instead of $7,000 per month per child for residential treatment or juvenile detention.

42. What Our Partnership Could Accomplish Fewer children and youth sent to juvenile justice Better coordination among all child- and family- serving agencies Improved behavioral and mental health outcomes for children and youth who are at risk for juvenile justice involvement Improved ability of juvenile justice system to meet the needs of its children and youth

43. For more information, contact: [Your Name and Title] [Your System of Care Community’s Name] [Your Contact Information] How Can We Work Together To Support Children’s Mental Health Needs?