Olmsted County SEY Protocol, Screening and Intervention Alan O’Malley-Laursen, MSW, LICSW Program Manager, Olmsted County Child and Family Services Presentation to 2016 OJP Annual Conference on Crime and Victimization Wednesday, May 25, 2016

Joan Jett

SEY Pathways to Social Services Routine Handling of All Intakes Existing Case With Signs/Indicators Direct Referral of Confirmed or Suspected SEY Involvement SERVICES

SEY Pathways to Social Services Routine Handling of All Intakes SERVICES

SEY Pathways to Social Services Routine Handling of All Intakes Existing Case With Signs/Indicators SERVICES

SEY Pathways to Social Services Routine Handling of All Intakes Existing Case With Signs/Indicators Direct Referral of Confirmed or Suspected SEY Involvement SERVICES

SEY Pathways to Social Services Routine Handling of All Intakes SERVICES

Youth Behavioral Health Intake Routine Intake Questions [“Global Questions”]

Youth Behavioral Health Intake Routine Intake Questions [“Global Questions”] To Parent/Caretaker: Are you concerned that your child has ever been exploited or taken advantage of in a sexual manner?

Youth Behavioral Health Intake Routine Intake Questions [“Global Questions”] To Youth: Have you ever been taken advantage of in a sexual manner? Have you ever been involved in exchanging a sexual act or participating in pornography for money or services, such as drugs, alcohol, food, shelter, transportation, protection, etc.?

Youth Behavioral Health Intake Routine Intake Questions [“Global Questions”] To Youth: Have you ever been taken advantage of in a sexual manner? Have you ever been involved in exchanging a sexual act or participating in pornography for money or services, such as drugs, alcohol, food, shelter, transportation, protection, etc.?

SEY Pathways to Social Services Existing Case With Signs/Indicators SERVICES

Also have Parent/Caretaker Version

SEY Pathways to Social Services Direct Referral of Confirmed or Suspected SEY Involvement SERVICES

CP Intake

Parental/caretaker involvement ?

CP Intake Parental/caretaker involvement ? Yes CP Response

CP Intake Parental/caretaker involvement ? No Child Welfare Response

CP Intake Parental/caretaker involvement ? No Child Welfare Response Youth Behavioral Health Intake SEY Specific Screening/Assessment/ Case Management/Offer of Services

CP Intake Parental/caretaker involvement ? Yes CP Response Youth Behavioral Health Intake SEY Specific Screening/Assessment/ Case Management/Offer of Services

CP Intake Parental/caretaker involvement ? Yes No CP Response Child Welfare Response Youth Behavioral Health Intake SEY Specific Screening/Assessment/ Case Management/Offer of Services

Effective May 29, 2017: The Justice for Victims of Trafficking Act of 2015 amends the Child Abuse Prevention and Treatment Act state grant program  Add new requirements for identification, assessment and service provision for known or suspected child sex trafficking victims  Modifies the definition of child abuse and neglect to consider any child who is identified as a victim of sex trafficking or severe forms of trafficking as a victim of “child abuse and neglect” and “sexual abuse” – implies child abuse/neglect “investigation” process Recent DHS led workgroup to address this change and to propose legislative and practice changes to make the “investigative” process more trauma and SEY sensitive

Risk Assessment/ Decision Map

Risk Assessment/ Decision Map

Risk Assessment/ Decision Map Risk Level Pathway Determination Case Consultation

Ongoing Assessment of Needs

Recent Legislation

Recent Legislation

“Determine what a child experienced while absent from care, including screening for possible sex trafficking” Recent Legislation

OCCS: “Global Questions” Risk Assessment/ Decision Map Recent Legislation

Good practice for all youth who have come back from extended period of runaway - regardless of foster care status Recent Legislation

Internal Work Group/Case Consultation Group Dual Focus:  Case-specific consultation  Identify and refine system responses o Protocols o Tools o Best practices Purpose and Principles Statement

15-year-old Sudanese female, involved in the juvenile justice system for petty misdemeanor offenses. Her social worker shared possible concerns regarding sexual exploitation. PO shared that youth was denying any SEY involvement, but there appeared to be many “red flags” and requested I meet with this youth and see about including her in a Girls Group that I provide (which we hoped might be able to get at her possible exploitation). I met with this young lady who was very guarded as to what she would share but open to attending my Girls Group. She missed the first day of group and later I learned she had run away and a Missing Persons report had been filed. I then spoke with our Regional Navigator and shared concerns noted by the PO, social worker and myself. This youth was involved in our probation system for the following offenses: theft/shoplifting, curfew, disorderly conduct, trespass all petty misdemeanors. She had been placed on our low level (administrative) supervision. Yet her running behaviors were of significant concern.

This young lady frequently missed scheduled court hearings for truancy/legal issues; subsequently, the Judge would issue a Bench Warrant (BW) and requesting she be held at our local juvenile detention center (JDC). She was admitted to our JDC as follows: May 2014, June 2015, July 2015 and August She was held in secure detention on the BW’s issued, but did not meet other eligibility criteria to be held in a secure detention setting. During the youth’s last placement at the JDC she acknowledged marijuana and alcohol use. While there she completed a mental health screen but denied any SEY. Her mental health scores indicated concern in the areas of anxiety/irritability and depressed/anxious. At that time she also talked to staff of stomach pain and being anxious, she told staff she didn’t know if she would hurt herself, but later said, “if I can be alone in my room I will be okay.” Once alone in her room she calmed down. This gal remains on administrative probation supervision but probations contact with her is limited as we look to her social worker and the Regional Navigator to guide us regarding her needs & safety. Youth recently the victim of an assault in which she was stabbed repeatedly.

Alan O'Malley-Laursen, M.S.W., L.I.C.S.W. Program Manager Youth Behavioral Health Unit Olmsted County Community Services Increasing the Probability of Positive Outcomes Decreasing the Probability of Negative Outcomes --Ann Ahlquist