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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
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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
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3 Target Population DSM IV diagnosis Ages 10-18 Substantial mental status impairment Co-occurring substance abuse Charged and/or adjudicated delinquent
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4 Program Details Program sites must use an evidence-based best practice model Gateway into the program is through Juvenile Court
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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%
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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%
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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%)
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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
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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%)
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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%
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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
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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%
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13 In the past 30 days, how many days have you used:
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14 Ohio Scales * statistically significant differences between Intake and last measurement
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15 Ohio Scales *statistically significant differences between Intake and last measurement
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16 Ohio Scales *statistically significant differences between Intake and last measurement
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17 Ohio Scales *statistically significant differences between Intake and last measurement
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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.
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19 Next steps Continue data collection and analysis BHJJ sites continued for 2 additional years
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