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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
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
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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: [email protected]@comcast.netwww.susanjamesandrews.comwww.susanjamesandrews.com804-721-7214804-721-7214
Questions?
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