Youth Services Institute Continuum of Care Program Joanne Terrell.

Youth Services Institute

Continuum of Care• Program

• Joanne Terrell

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

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.”

Three Programs of COC

• Sexually Reactive– 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

Three Programs of COC

• Aftercare– 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.

A. 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

Goals of COC

Goals

B. To establish and maintain positive interagency collaboration

- To develop and maintain the “Therapeutic Triangle”

Therapeutic TriangleJuvenile Probation OfficerDHR Social WorkerMental Health counselor

COC Therapist COC Case Manager

C. To Provide an Evidenced Base Therapy and Psychoeducation Program

1. Aftercare Program/Alternative Sentencing

• Self-regulation model of relapse prevention

Goal Categories

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

Three Styles of Dysfunctional Self-Regulation1) Disinhibition2) Misregulation3) Effective but pathological self-

regulation

Relapse ProcessPhase 1- Life EventPhase 2- Desire for Deviant Sex or ActivityPhase 3- Offense-Related GoalsPhase 4- Strategy Selected a) Avoidant Goals avoidant- passive pathway avoidant- active (misregulation) b) Approach Goals approach- automatic approach- explicit

Phase 5- High-Risk Situation EnteredPhase 6- LapsePhase 7- Sexual Offending Self-focus Victim focus Mutual focusPhase 8- Post Offense EvaluationPhase 9- Attitude Toward Future Offending

Relapse Process

Relapse Prevention- Assessment and Treatment ImplicationsPhase 1- Assessment

Developmental Issues Social Competency Issues

Psychosocial Assessment Clinical Interview

Collateral ContactsPhase2 & 3 Goal Assessment Offense- Specific Factor Assessment

Phase 4, 5, & 6 Offense cycle assessment Offense skill assessment

Phase 7 Details of actual offense

Phase 8 & 9 Offender evaluation

assessment

Relapse Prevention- Assessment and Treatment Implications

Interventions

1) Avoidant- Passive Phase 1 Phase 2 Phase 3

2) Avoidant- Active3) Approach- Automatic4) Approach- Explict

1. 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

2. 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)

D. To Provide a Community Education and Safety Program

1. 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

Community Safety Program

2. Community Safety– 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

Community Safety Program

2. Community Safety– 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