Douglas County Crossover Youth Practice Model 6 month copies

Report
DOUGLAS COUNTY
CROSSOVER YOUTH
PRACTICE MODEL
Addressing the
Needs of Multi System Youth:
Strengthening
the connections
between Child
Welfare and
Juvenile Justice .
1
THIS PROJECT HAS BEEN SUPPORTED BY;
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Chief Judge William Sylvester & Magistrate Beth Elliott -Dumler
House Bill 1451 Collaborative Management Program
18 th Judicial District Probation Department
Douglas County Department of Human Services
Juvenile Assessment Center
Senate Bill 94 (Pre-Trial Release)
Douglas County Guardians Ad Litem
Douglas County School District
Arapahoe/Douglas Mental Health Network
Douglas County Sheriff’s Office
18 th Judicial District Attorney’s Office
Special Thanks to Shelly Sack, Doug Gray, Sherry Hansen,
Marissa Long, Kelly Abbott, Rhonda Riley, Kari Yutzy, Laurie
Elliott, and Kira Suurvarik .
2
HISTORY OF CROSSOVER YOUTH PRACTICE
MODEL IN DOUGLAS COUNT Y
 Douglas County is part of the first cohort along with
Broomfield, Larimer, and Morgan Counties, which
began in August 2011.
 The second cohort includes Jefferson, Rio Grande,
Alamosa and Conejos counties.
 A new cohort for 2013 is being planned for
additional Colorado Counties to participate.
 Technical Support with Georgetown University has
ended for our cohort.
 Douglas completed 6 site visits and 24 cluster calls for
support during the implementation process.
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GOALS OF THE PRACTICE MODEL
 Reduce the number of youth placed in out-ofhome care,
 Reduce the use of congregate care,
 Reduce the disproportionate representation
of children of color, and
 Reduce the number of youth
being dually adjudicated.
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ADDITIONAL GOALS
 Increased communication amongst agencies.
 Increased cooperation, coordination and
integration of services provided by Douglas
County Department of Human Services,
Juvenile Justice and any other youth serving
agencies.
 Increased youth and family engagement.
 Increased collaboration in joint assessment,
case planning and case supervision.
5
ACTION STEPS TO ACHIEVE GOALS
• Consistent Court Oversight:
 One magistrate handling both Delinquency and
Dependency and Neglect cases.
 Avoiding inconsistent orders and multiple hearings.
• Increased Collaboration:
 Coordinated joint case planning with families and
agencies.
 Family engagement through joint case planning.
• Improved Service Delivery:
 Expedited service delivery.
 Identifying the right service at the right time.
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GUEST SPEAKER
Dr. Drew Sylvester, MD
Dr. Sylvester is the Medical Director at
Arapahoe/Douglas Mental Health Network.
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WHO DID WE SERVE?
 Since October 201 2, we have held 90 Family and Child
Engagement Suppor t (FACES) meetings over the past 9 months.
At point of referral to FACES
Placement, 8%
Community,
49%
Detention,
43%
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WHERE ARE REFERRALS COMING FROM?
Dept. of Human
Services, 17%
Referring Agency
SB 94
49%
Probation,
34%
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JUVENILE RISK SCORES
CJRA Risk
Unknown, 4%
High Risk, 21%
Low Risk, 44%
Moderate Risk,
29%
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WHAT BROUGHT THEM?
60%
Presenting Problems
50%
40%
30%
20%
10%
0%
Substance Abuse
Family Conflict
School Struggles
Mental Health Needs
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WHAT TREATMENTS WERE
RECOMMENDED?
60%
Treatment Recommendations
50%
40%
30%
20%
10%
0%
School Interventions
Individual Therapy
Family Therapy
Substance Abuse Treatment
Pro-Social Activities
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WHAT ARE THE OUTCOMES?
Family and Child Engagement (FACES)
Re-Staffings
 15% of youth came back for an additional FACES
meeting to re-plan for services.
 Successful Terminations/case closures
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1 youth was successfully terminated from Probation
2 youth were offered Diversion
1 youth had their delinquency cases closed/dropped
3 youth had their Human Services involvement
dismissed
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QUALIT Y IMPROVEMENT TOOL (QIT)
The purpose of using a QIT is to ensure that
services are implemented and gaps are
identified.
QIT Tool/case management/satisfactionhelps to identify plans that are not followed
through with.
The QIT has been implemented since February
2013 and is administered to all families who
have come to FACES.
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QUALIT Y IMPROVEMENT TOOL (QIT)
1. We understood the purpose of the FACES meeting.
DYC – We Understood the purposes of the meeting.
2. My family, natural supports, and youth were included in the FACES
planning meeting.
DYC – My family, natural supports, and youth were included in the
meeting.
3. Our ideas and opinions were respected in the process and we were
able to participate.
4. The discussion during the meeting accurately identified the issues, our
needs and built on family strengths.
DYC - The discussion during the meeting accurately identified the
issues.
5. We had a clear understanding of the plan at the end of the meeting.
6. Our family’s values, beliefs, and traditions were understood and
respected during the process.
7. We felt the meeting was efficient and productive.
8. Can we contact you again for future follow-up?
Agree
Neutral
Disagree
3
2
1
I Don’t Know
0
0
3
2
1
3
2
1
0
0
3
2
1
3
2
1
3
2
1
3
3
2
2
1
1
• Family Satisfaction
• We have had a 78% response rate
• Of those who responded the average satisfaction was 92%
0
0
0
0
LESSONS LEARNED
 Identifying a Case Lead
 Modifications to the FACES process
 Time management
 Valuing family input first
 Availability of assessments
 Joint case plans are completed at FACES meetings.
 Scheduling additional FACES meetings, as needed.
 QIT Tool/case management/satisfaction- is helpful
and needed for quality implementation.
 Assessing and addressing Trauma -Informed
treatment and care for Crossover Youth.
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GUEST SPEAKER
Magistrate Beth A. Elliott-Dumler
 18 th Judicial District Juvenile Magistrate
Sarah Ericson
 18 th JD Juvenile District Attorney’s Office
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THINGS TO COME
Evaluation with CSU/Marc Winokur
July 1 st, 2013
Long term outcomes
Stakeholders Presentation summer
of 2014
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BREAKOUT GROUPS
 Please assign a recorder and presenter for your group.
Answer these questions
What do you see going well?
What do you see as the challenges?
What do you see as the solutions?
 You have 15 minutes to complete this exercise.
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GUEST SPEAKER
Laurie Elliott, LCSW
Child & Family Clinical Director at
Arapahoe/Douglas Mental Health Network
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QUESTIONS?
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WORKS CITED
 http://cjjr.georgetown.edu/resources.html
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