What’s Hot and What’s Not: Youth Culture! LADCP 2013 Susan James-Andrews, MS, CAC President...
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Transcript of What’s Hot and What’s Not: Youth Culture! LADCP 2013 Susan James-Andrews, MS, CAC President...
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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
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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
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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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????
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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)
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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
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NIATx Promising NIATx Promising PracticesPractices
What treatment providers can do to improve operations and outcomes
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????
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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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