1. 1 Behavioral Health/Juvenile Justice (BH/JJ) Part 2 Presented by Jeff Kretschmar, Ph.D. Project Director: Institute for the Study and Prevention of Violence Kent State University

2. 2 Program Overview  Component of the State’s ABC initiative  $2 million awarded FY 06-07  Funds six community-based programs in Cuyahoga*, Fairfield*, Franklin, Logan/Champaign, Montgomery* and Union counties. * Females Offenders Only

3. 3 Target Population  DSM IV diagnosis  Ages 10-18  Substantial mental status impairment  Co-occurring substance abuse  Charged and/or adjudicated delinquent

4. 4 Program Details  Program sites must use an evidence-based best practice model  Gateway into the program is through Juvenile Court

5. 5 Preliminary Data  429 enrolled Cuyahoga – 35 Fairfield – 11 Franklin – 119 Logan/Champaign – 189 Montgomery – 57 Union – 18  Gender Males - 51.5% Females – 48.5%  Average Age = 16 years  Race Caucasians – 64% African Americans – 29%

6. 6 Victimization Data QuestionFemalesMales Has the child ever been physically abused? 25%17% Has the child ever been sexually abused?36%6% Has the child ever had a problem with substance abuse? 45%40% Has the child ever talked about committing suicide? 52%38% Has the child ever attempted suicide?24%9% Has the child ever witnessed domestic violence? 50%42%

7. 7 DSM-IV Diagnoses  Females: Oppositional Defiant Disorder (29%) Cannabis Abuse (19%) ADHD (17%) Bipolar Disorder (10%) PTSD (9%)  Males: ADHD (26%) Cannabis Abuse (23%) Conduct Disorder (23%) Oppositional Defiant Disorder (21%) Major Depression (10%)

8. 8 Diagnoses  At intake, 31% of the children were already on medication for emotional/behavioral symptoms  At intake, 30% of the youth have co-occuring mental health and substance abuse diagnoses

9. 9 Juvenile Court Data – Logan/Champaign County  189 youth accounted for 523 charges prior to Intake (16% felonies) Unruly (19%) Domestic Violence (8%) Theft (6.3%)  After Intake, 35/189 youth accounted for 50 new charges (5% felonies) Curfew violation (12%) Theft (12%) Underage Consumption (12%)

10. 10 Substance Abuse Have you ever had an alcoholic beverage?Yes: 66% Have you ever been drunk?Yes: 69% Have you ever smoked a cigarette?Yes: 69% Have you ever smoked marijuana?Yes: 70% Have you ever used cocaine?Yes: 14%

11. 11 Substance Abuse  Average Age of initial use: Cigarette: 11.8 years Alcoholic drink: 13.1 years Marijuana: 13.0 years Cocaine: 14.6 years

12. 12 Substance Abuse Change  In the past 6 month, how often did you drink an alcoholic beverage? Once a month or not at all  Intake: 65%  6 months: 81%  Discharge: 80%

13. 13 In the past 30 days, how many days have you used:

14. 14 Ohio Scales * statistically significant differences between Intake and last measurement

15. 15 Ohio Scales *statistically significant differences between Intake and last measurement

16. 16 Ohio Scales *statistically significant differences between Intake and last measurement

17. 17 Ohio Scales *statistically significant differences between Intake and last measurement

18. 18 Discharge Information  106 children discharged from BHJJ 55% successfully completed treatment 17% Client withdrew/rejected services 15% moved  Out of 429 youth, only 2 (.004%) have been referred to DYS. These two females were taken out of DYS and placed in BHJJ as a step- down.

19. 19 Next steps  Continue data collection and analysis  BHJJ sites continued for 2 additional years