1. Youth Services Institute Continuum of Care
Program
Joanne Terrell

2. 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

3. 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.”

4. 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

5. 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.

6. 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

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

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

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

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

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

12. 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

13. 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

14. 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

15. 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

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

17. 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

18. 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)

19. 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

20. 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

21. 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