What’s Hot and What’s Not: Youth Culture! LADCP 2013 Susan James-Andrews, MS, CAC President...

What’s Hot and What’s Not: What’s Hot and What’s Not:

Youth Culture!Youth Culture!LADCP 2013LADCP 2013

Susan James-Andrews, MS, CACPresident James-Andrews & Associates: CHALLENGES

SJAMAND@COMCAST.NETwww.susanjamesandrews.com

804-721-7214

Learning ObjectivesLearning Objectives

Explore the use of non-traditional youth service delivery systems to partner with in Drug Courts

Define youth cultureLearn what not to say when working with

youthRevisit the 16 strategies

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What’s Hot and What’s Not?What’s Hot and What’s Not?

What’s Hot What’s Not

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James-Andrews & Associates: CHALLENGES 2012 4

Evidence Based PracticesEvidence Based Practices

Evidence Based Practices (EBP) are treatment, interventions and practices with consistent, scientific evidence showing that there is improvement in client outcomes

What early studies taught usWhat early studies taught us

Adult models and/or mixed with adults does not work

Need to modify

Need to address

Need to modify ?

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What works for juvenile What works for juvenile justice interventionsjustice interventions

Target high risk offenders

Longer duration of treatment > 90 days

Treatment is evidence -based

Treatment involves the family

Use of rewards to shape behavior

Compliance is addressed with immediate

responses

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Taylor Swift

Lil Wayne

????

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Rick RossNicki Minaj

????

WHAT ARE SOME of THE WHAT ARE SOME of THE Not So NEW DRUGS & Not So NEW DRUGS &

other Stuffother StuffCreativity

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Cinnamon ChallengeTwitter mentions peaking at 70,000 per day

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????

Bath SaltsBath Salts

Ivory Wave," "Purple Wave," Vanilla Sky," and "Bliss" – .  Not like Epsom salt marketed as “bath salt” – not for human consumption

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Prom?A new way of dating?

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Prom – Celebrity cutouts as datesJustin Bieber Tim Tebow

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More about TreatmentWho comes up with this stuff?

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How do we decide what EBP’s would work best for our youth?

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LESSONS LEARNEDLESSONS LEARNED

EBP◦Good outcomes◦Can be replicated◦Staff are trained in the use of the model◦Supervision leads to certification◦Monitoring◦Outcomes measurement

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WhatWhat’’s Hot ands Hot and

What’s NOT?

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HOT OR NOT?HOT OR NOT?

ACRAASPRABTTFive steps to

success for youthCBTMATPYTMETBST

Seeking safety7CMSTFSTDMRTMATMIMSFTFFT

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What WorksWhat Works

There are a variety of models that workQuality matters

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12 Key Elements of Effective 12 Key Elements of Effective TreatmentTreatment

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Key ElementsKey Elements

1 Screening 2 Comprehensive Assessment – ex. GAIN- Global3 Gender responsive4 Culturally competent5 Comprehensive integrated treatment approach6 Continuing care7 Individualized8 What else?

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Screen and Assess Screen and Assess

Promptness

Developmentally appropriate tools

Engagement and inclusivity

Periodic

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Integrating Approaches for Integrating Approaches for Adolescents Adolescents

Three Broad Categories I. MET/MI II. Family Based Interventions III. Behavioral or Psychosocial Interventions

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Other Common FindingsOther Common Findings

Low structure and ad hoc “treatment as usual” does not do as well as evidenced based practice

Relapse is still common

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Impact of quality assuranceImpact of quality assurance

Source: CSAT 2008 SA Dataset subset to 6 Month Follow up (n=1,961)

Effects associated with Coaching, Certification

and Monitoring (OR=7.6)

Overview of study results Overview of study results All programs reduced mental health / trauma

problems

Programs with more training, quality assurance, Seven Challenges,

While it is not the most effective

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Retention enhanced Retention enhanced

“safe”Has rapportEmpowered

NIATx Promising NIATx Promising PracticesPractices

What treatment providers can do to improve operations and outcomes

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????

www.NIATx.comwww.NIATx.com

ReduceReduce Reduce Increase continuation (retention)Increase admissions

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The Environment MattersThe Environment Matters

Build rapport through◦Information sharing◦Trust◦Incentives◦Affirmation and recognition◦Focus on the person◦Place the responsibility back on the youth

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16 Strategies16 Strategies

Review of the Strategies

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????

Journey Journey Continues Continues

Areas to ConsiderCost

CapabilitiesTrainingFidelity

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Susan James-Andrews, MS,CACSusan James-Andrews, MS,CACJames-Andrews & Associates: James-Andrews & Associates: CHALLENGESCHALLENGESsjamand@comcast.netsjamand@comcast.netwww.susanjamesandrews.comwww.susanjamesandrews.com804-721-7214804-721-7214

Questions?

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