Youth Services Institute Continuum of Care Program Joanne Terrell

I. History Juvenile Sex Offender Law Department of Youth Services (DYS) Response Accountability Based Sex Offender Program (ABSOP Residential) Aftercare Program Funding from OJJ through ADECA 5 year grant with 2 extensions 2000 – 2008 Annie B. Casey Foundation Juvenile Detention Alternatives Initiatives (JDAI) DYS/ADECA Funds ABSOP: COC Program

II. COC Mission Statement “To establish a continuum of care aimed at fostering accountability relapse prevention, community safety, and positive growth for youth in need of diversion and alternative sentencing options, transitional services and aftercare treatment.”

Three Programs of COC Sexually Reactive Alternative Sentencing Referrals from DHR, Schools, Mental Health Centers, Families Alternative Sentencing Referrals from Juvenile Court Referrals from D. A.’s office (Youthful Offender status) Referrals from defense attorneys

Three Programs of COC Aftercare Assessment Only ABSOP Residential in Conjunction with Juvenile Courts Referrals from private facilities ( Hillcrest Hospital, Three Springs, Alabama Clinical Schools) Assessment Only Referrals from Juvenile Courts, DHR ,Mental Health Centers, Schools, Families etc.

Goals of COC To provide quality program staff 5 Therapists (3 MSW’s & 2 M.S. –Counseling) 5 Case Managers MSW Interns Program Specialists * Program Specialists * Program Training Staff

Goals To establish and maintain positive interagency collaboration - To develop and maintain the “Therapeutic Triangle”

Therapeutic Triangle Juvenile Probation Officer DHR Social Worker Mental Health counselor COC Therapist COC Case Manager

To Provide an Evidenced Base Therapy and Psychoeducation Program Aftercare Program/Alternative Sentencing Self-regulation model of relapse prevention

Goal Categories I. Acquisitional Goals (Approach) II. Inhibitory Goals (Avoidance) III. Self- Regulation Theory Goal-Dependent Action Plans A) Offense Scripts B) Mental Simulation

Three Styles of Dysfunctional Self-Regulation 1) Disinhibition 2) Misregulation 3) Effective but pathological self-regulation

Relapse Process Phase 1- Life Event Phase 2- Desire for Deviant Sex or Activity Phase 3- Offense-Related Goals Phase 4- Strategy Selected a) Avoidant Goals avoidant- passive pathway avoidant- active (misregulation) b) Approach Goals approach- automatic approach- explicit

Relapse Process Phase 5- High-Risk Situation Entered Phase 6- Lapse Phase 7- Sexual Offending Self-focus Victim focus Mutual focus Phase 8- Post Offense Evaluation Phase 9- Attitude Toward Future Offending

Relapse Prevention- Assessment and Treatment Implications Phase 1- Assessment Developmental Issues Social Competency Issues Psychosocial Assessment Clinical Interview Collateral Contacts Phase2 & 3 Goal Assessment Offense- Specific Factor Assessment

Relapse Prevention- Assessment and Treatment Implications Phase 4, 5, & 6 Offense cycle assessment Offense skill assessment Phase 7 Details of actual offense Phase 8 & 9 Offender evaluation assessment

Interventions 1) Avoidant- Passive Phase 1 Phase 2 Phase 3 2) Avoidant- Active 3) Approach- Automatic 4) Approach- Explict

Aftercare Program / Alternative Sentencing Provide a seamless transition from residential care back into the community Case Management Program Case Manager will broker resources for client and their families (mental health treatment, medication, vocational rehabilitation, educational services housing needs, leisure activities) Case Manager will service as a mentor for client

Sexually Reactive Program Psychosocial Assessment Weekly Individual Therapy Sessions (number of sessions vary) Psychoeducational Group Sessions (10-12 session, 10 are mandatory) Family Psychoeducational Group Sessions (5-8 sessions)

To Provide a Community Education and Safety Program Community Education Program Conduct presentations for county courts, juvenile probation officers and other community stakeholders Conduct educational forums conference presentations and develop partnerships with community stakeholders

Community Safety Program Conduct a comprehensive risk assessment at either the beginning of treatment or at the completion of treatment Termination Summary includes the client’s progress during treatment, risk level and expectations after release to ensure community safety

Community Safety Program Weekly Treatment Team Meetings to discuss case co-ordination, assess case progress and receive supervisory support and feedback Therapist / Case manager will conduct face to face meetings to discuss case co-ordination