Blog: Adolescent Substance Abuse Treatment

Join Today's Recovery Month Twitter Chat

Recovery Month is hosting a Twitter chat from 1 pm ET to 2 pm ET today, to spread the word that prevention works, treatment is effective and people can and do recover. Hosts Paolo Del Vecchio (Acting Director, Center for Mental Healh Services) and Catherine Nugent, LCPC (Senior Public Health Analyst, Center for Mental Health Services) will answer questions and share expertise about recovery-oriented services and support for people in or seeking recovery from substance abuse. 
From Recovery Month:

Join the Twitter chat by asking questions and contributing to the dialogue by using the designated hashtag #RecoveryChat to track and signify your participation in the conversation. We encourage you to share any insights or experiences you have that relate to recovery support.
If you are not available for the chat, tweet your questions to @RecoveryMonth in advance, using the hashtag #RecoveryChat. Also, if you aren’t on Twitter, but would like to participate, post your questions or thoughts on the Recovery Month Facebook Page or send questions in an email to recoverymonthfan@samhsa.hhs.gov.
If you are new to Twitter chats, you can use the following steps to sign up and participate:

Handcuffing of 8-Year-Old Prompts Change and More; Reclaiming Futures News Roundup

Juvenile Justice Reform

  • States have second thoughts about juveniles in adult court (Bellingham Herald) Nearly 20 years after the "iron fist" ruled in Colorado, the tide is turning in preference of checks and balances so that youth are not caught in the middle of the system.
  • At-risk youths achieve in Texas (Go San Angelo) A $154,000 grant was awarded to the Tom Green County Juvenile Justice Department earlier this year to address the needs of children ages 6 through 13. The goal is to identify problems in school or the household before students end up on juvenile probation.
  • Handcuffing of 8-year-old prompts change in school policy (Las Vegas Review Journal) When the Superintendent Dwight Jones learned of the arrest of Tyrus Williams, he ordered a policy change to reflect that juveniles of elementary age shall not be arrested and transported to any juvenile facility unless authorized by the chief of police.
  • Psychiatrists stand against harmful juvenile justice system policies (National Juvenile Justice Network) In a recent policy statement, the American Academy of Child and Adolescent Psychiatry (AACAP) strongly opposes the use of solitary confinement for youth in trouble with the law. The statement discusses the fact that youth are especially sensitive to the known adverse effects of solitary confinement, like anxiety and psychosis.
  • New report: Louisiana ‘strayed’ from commitment to juvenile justice reform (Youth Today) Nearly a decade after Louisiana committed to sweeping changes to the state’s struggling juvenile justice system, some advocates contend the governor and leaders in the state’s Office of Juvenile Justice are “backsliding” on their commitments to reform.

Adolescent Substance Abuse Treatment News
From The Partnership at Drugfree.org

Jobs, Grants, Events and Webinars
Please share the Reclaiming Futures Opportunity Board with your colleagues in the juvenile justice, adolescent substance abuse and teen mental health areas. It's free to browse and post!

Study Finds Parents of a Teen’s Friends Influence Substance Use

Teens are notorious for rebelling against parents. However, when it comes to making decisions about substance use and abuse, a recently published study indicates that adolescents may still be significantly influenced by not only their own parents, but also the parents of their friends.
In the article “Do Peers' Parents Matter? A New Link Between Positive Parenting and Adolescent Substance Use” published in the The Journal of Studies on Alcohol and Drugs, authors Michael J. Cleveland, Mark E. Feinberg, D. Wayne Osgood and James Moody drew on conceptions of shared parenting and the tenets of coercion theory to investigate the extent to which three domains of parenting behaviors (parental knowledge, inductive reasoning, and consistent discipline) influenced the alcohol, cigarette, and marijuana use of not only their own adolescent children but also of members of their adolescents' friendship groups. In addition, the article discusses implications of the joint contribution of parents and peers for prevention and intervention.
Among the study’s findings:

DSM 5 could mean 40% of college students are alcoholics and more: news roundup

Juvenile Justice Reform

  • How revision of the state budget could affect San Joaquin County (Record Net) Governor Jerry Brown's revision of the California state budget could mean the Division of Juvenile Justice would continue to operate, but its budget would be cut by $24.8 million. The governor is proposing to charge counties $24,000 per year for each person committed to a state juvenile justice center.
  • New Pennsylvania Bar Association chief focuses on youth (Pittsburgh Post-Gazette) Thomas G. Wilkinson Jr., the new chief of the Pennsylvania Bar Association will push three priorities, 1) training requirements for prosecutors and public defenders involved in juvenile cases; 2) civics education, so kids understand how government works and the availability of courts to resolve disputes instead of taking disputes into one's own hands; and 3) youth courts to help address the number of kids who get into the juvenile justice system.
  • Tackling gang violence (The Crime Report) Toledo, Ohio builds an approach similar to Boston during the late 1990s to tackle violence. The model was developed by David Kennedy, now the director of the Center on Crime Prevention and Control at John Jay College in New York.
  • Youth recovery court starts in Winnebago County (WREX) Chief Justice Janet Holmgre describes a holistic approach to providing a comprehensive network of mental health services to help the youth that are involved get out of the juvenile justice system and hopefully stay out of the adult criminal justice system.
  • Portland church spearheads effort to keep youth out of justice system (The Portland Daily Sun) Restorative Justice Center in Portland, Maine has won endorsements from the law enforcement community including the Portland Police Department and the Cumberland County District Attorney's Office. "This gives us an additional tool as police officers that we didn't have," said Portland Police Chief Michael Sauschuck.
  • Calling in juvenile justice cavalry (Austin American Statesman)  Gov. Rick Perry moved Jay Kimbrough from his new position as assistant director for homeland security at the Department of Public Safety to the Texas Juvenile Justice Department to bring some urgently needed safety and security to the agency's youth lockups.

Adolescent Substance Abuse Treatment

  • DSM 5 could mean 40% of college students are alcoholics (TIME) Most college binge drinkers and drug users don’t develop lifelong problems. But new mental-health guidelines will label too many of them addicts and alcoholics. The DSM 5 will have just one diagnosis for addiction problems, though it will be characterized as mild, moderate or severe.
  • Breaking the inter-generational cycle of substance abuse (Join Together) Children raised in a household with one or more parents struggling with a substance use disorder often use compliance as a coping mechanism—a skill that often no longer serves them well in adulthood. Compliance is one key reason so many people with substance use disorders do well while in the criminal justice system, but relapse, often only days after they are released.

Jobs, Grants, Events and Webinars

  • Please share the Reclaiming Futures Opportunity Board with your colleagues in the juvenile justice, adolescent substance abuse and teen mental health areas. It's free to browse and post!

National Prevention Week is May 20-26!

The Substance Abuse and Mental Health Services Administration (SAMHSA) has created a new annual health initiative called National Prevention Week. This year’s event will span May 20-26, with the theme: “We are the ones. How are you taking action?”
SAMHSA’s mission is to reduce the impact of substance abuse and mental illness on America's communities. This national observance celebrates the work that community organizations and individuals do year-round to prevent substance abuse and promote mental, emotional, and behavioral wellbeing, while serving as an opportunity for community members to learn more about behavioral health issues and get involved in prevention efforts throughout the year.
The event’s dates were strategically selected to coincide with the beginning of summer, a season filled with celebrations and recreational activities that can potentially be linked to substance use and abuse (such as graduation parties, proms, weddings, boating and camping excursions); it is also timed to allow schools to take part in a prevention-themed event before the school year ends, raising awareness in students of all ages.

Using PhotoVoice to Understand Youth Perspectives on Substance Abuse Recovery

Just finishing up an IRB this morning to submit to PSU to get permission to proceed with a new research project I’ve been committed to doing for several years now. Most excited to jump into it this summer. Here is the brief required narrative from my proposal:
Substance abuse remains a formidable problem in the U.S. Until recently, adolescent substance abuse treatment frameworks and related research about them was under-developed. However in the last ten years, there has been significant development in both treatment models and research in the area (Carter Narendorf & McMillan, 2010). Simultaneously, there has been a movement in motion regarding the “recovery” process which is associated with, but tends to follow, formal treatment (Sheedy & Whitter, 2009). What happens when people leave treatment and begin a new life in “recovery?” This research will fill a gap in the addiction recovery literature by centering youth perspectives on their unique developmental view of the process of recovery from addiction as they experience it. Research questions include:

  • What does recovery mean to young people following cessation of alcohol and drug abuse?
  • What are examples of recovery in the lives of young people who are experiencing it?
  • What do young people wish people knew about the recovery process from their own points of view?
  • What risks and what reinforcements to recovery do young people experience in their lives?

Breaking the Cycle of Drugs, Alcohol and Crime

We know how to break the cycle of drugs, alcohol and crime, writes National Executive Director Susan Richardson at Join Together. And now is an important time to do so.
She explains:

Almost two million American youth need treatment for alcohol and other drug use or abuse. But only 1 in 20 will receive treatment.
Research shows that teens with substance abuse problems are more likely to break the law, behave violently or drop out of school. In fact, 4 out of 5 young people in the juvenile justice system commit crimes while under the influence of alcohol or drugs.
Young people need to be held accountable when they break the law. Unless they receive treatment for a substance abuse problem that helped them get in trouble in the first place, they will often find themselves back in juvenile court again and again.

Read the full piece here.

Juvenile Justice Reform and Adolescent Substance Abuse Treatment News Roundup

Juvenile Justice Reform
Ex-Police Chief: Reform Juvenile Justice
Omaha World-Herald
Former Omaha Police Chief Thomas Warren on Wednesday called for comprehensive reform of the state juvenile justice system, in response to a new study showing widespread racial disparities in how cases are handled.

Adolescent Substance Abuse Treatment
Teen Use of Ecstasy and Speed Linked with Developing Depression
Join Together
A new study links teenagers’ use of Ecstasy and speed (methamphetamine and/or amphetamine) with a higher risk of developing depression.
Reclaiming Futures Opportunity Board.
The job listings and webinars below are from the Reclaiming Futures Opportunity Board. Please share these postings and events with your colleagues working in the juvenile justice, adolescent substance abuse and teen mental health areas. It's free to browse and post!
Jobs
Lecturer in Criminal Justice at Colorado Mesa University
Grand Junction
CO
Closes 5/4/2012
Program Officer at Open Society Institute
Baltimore
Maryland
Closes 5/4/2012
Juvenile Justice Consultant Title IV-E at Unificare, Ltd.
Dallas
TX
Closes 5/13/2012
Executive Director at Oklahoma Board of Juvenile Affairs
Oklahoma City
Oklahoma
Closes 5/25/2012
Community Justice Educational Program Coordinator at AmeriCorps
Providence
Rhode Island
Closes 6/24/2012
Juvenile Probation Officer III at Travis County
Austin
TX
Closes 8/15/2012

2012 National Drug Control Strategy Emphasizes Prevention, Treatment, Diversion (and Applauds Reclaiming Futures)

Speaking at this year's annual JMATE conference, the Office of National Drug Control Policy's David Mineta stressed the Administration's priority on drug prevention, treatment and diversion programs. "Addiction can be overcome and recovery is absolutely possible," he said. "And we need to make sure our young people have the brightest future possible. It's personal for us."
With the recent release of the 2012 National Drug Control Strategy [pdf], it's clear that the Administration plans to follow up Mineta's remarks with a strong policy strategy for reducing drug use and its consequences. In particular, the Strategy recommends diverting non-violent drug offenders into treatment, supporting reentry programs to help offenders rejoin their communities and bolstering innovative enforcement programs.
Writing in the White House Blog, Health and Human Services Secretary Sebelius, U.S. Attorney General Holder and ONDCP Director Kerlikowske explain their multi-agency approach to reducing drug use and supporting recovery efforts:

Our emphasis on addressing the drug problem through a public health approach is grounded in decades of research and scientific study. There is overwhelming evidence that drug prevention and treatment programs achieve meaningful results with significant long-term cost savings. In fact, recent research has shown that each dollar invested in an evidence-based prevention program can reduce costs related to substance use disorders by an average of $18.
But reducing the burden of our Nation’s drug problem stretches beyond prevention and treatment. We need an all of the above approach. To address this problem in a comprehensive way, the President’s new Strategy also applies the principles of public health to reforming the criminal justice system, which continues to play a vital role in drug policy. It outlines ways to break the cycle of drug use, crime, incarceration, and arrest by diverting non-violent drug offenders into treatment, bolstering support for reentry programs that help offenders rejoin their communities, and advancing support for innovative enforcement programs proven to improve public health while protecting public safety.

In recognizing the potential of the criminal justice system in deterring/reducing/treating drug and alcohol addiction, the Strategy praises Reclaiming Futures for its work in addressing substance abuse and mental health problems among youth in the juvenile system:

Sneak Peek: Road to Recovery Partners with Young People

I've just seen a sneak peak of Recovery Month's "Road to Recovery: Partnering with Youth and Young Adults in Behavioral Health to Live Happy, Healthy and Productive Lives" and wanted to share it with you! In the clip, host Ivette Torres (Associate Director for Consumer Affairs, Center for Substance Abuse Treatment) speaks with experts and young people about teens in recovery.

 

Drug court claims enviable success rate and more: news roundup

Juvenile Justice Reform

Opinion: Trust judges with juvenile placements
Denver Post
Right on Crime's research indicates that judges are the best public officials to make the determination of which system should handle a juvenile offender, as opposed to the current system where a prosecutor can directly transfer a juvenile to the adult system under the direct-file system.
Youth volunteers needed to continue Prince George’s County’s teen court program
Gazette.net
The Prince George’s County state attorney’s office’s Teen Court program is looking for additional teen volunteers to maintain the program. Teen Court is a diversion program for first-time juvenile offenders and provides them with a second chance to avoid the juvenile justice system. Juvenile offenders have the opportunity to admit their guilt and perform various tasks as punishment for their crimes.
Problems spiked in 2011 at troubled juvenile detention facilities
Baltimore Sun
Youth violence and staff uses of force spiked in 2011 at Maryland's most troubled juvenile detention centers, according to an annual report by the state's Juvenile Justice Monitoring Unit, part of the attorney general's office. The number of incident reports filed rose 25 percent from 2010 to 2011 across the state's juvenile justice system to nearly 8,000, while some of the more violent categories of incidents increased even more.
Across the nation, state legislatures focus on children in 2012
Juvenile Justice Information Exchange
State legislatures across the United States have been busy this year with youth and juvenile justice-related legislation.
Youth court aims to get misbehaving teens back on the right track
KSL
In Sandy, Utah, Youth Court is praised as one of the most successful juvenile programs in the state.
Guest Column: Sentencing children to die in prison is cruel and unusual punishment
Jurist
This past month, the US Supreme Court heard oral arguments in Miller v. Alabama and Jackson v. Hobbs, two cases challenging the constitutionality of sentences of life without parole for children convicted of homicide. Many questions centered on the appropriate age limit for a constitutional prohibition on these sentences. The Court has to look no further than its recent precedent to find the answer: 18
Adolescent Substance Abuse Treatment
Teens in Treatment for Substance Abuse can Benefit from 12-Step Programs
Join Together
Teenagers in treatment for substance abuse can benefit from 12-step programs, a new study suggests.
Synthetic Marijuana On the Rise: Looks Like Pot, but ‘Far Worse’
Christian Science Monitor
Antidrug activists are concerned by the rising use of man-made drugs known as synthetic marijuana, which purport to be a legal way to a herbal high but are actually dangerous chemical concoctions that are banned in many states.
New Florida State Law to Help get Synthetic Marijuana Off Store Shelves in Indian River County
TC Palm
Last year, Florida banned five of the chemicals used in Spice. This year, the state’s passed new legislation to eliminate the loopholes and provide a more effective ban on synthetic marijuana.
Six Tips to Protect Your Child from Online Drug Threats
Join Together
The Treatment Research Institute has developed a training program for parents that provides practical recommendations to help them defend their children from these online drug threats.
Sharp increase in prescription drug poisonings among teens reported
Join Together
Poisoning deaths among teenagers rose 91 percent between 2000 and 2009, primarily due to prescription drug abuse, according to anew report by the Centers for Disease Control and Prevention
CDC.
Economies of Scale in the Cocaine Industry
NYT’s Freakonomics Blog
As drug traffickers have become more organized (in processing, transport, and retail networks), the price of cocaine has plunged.
A Night Out with a Small Town Heroin Dealer
The Crime Report
Prescription pills are increasingly becoming a gateway drug that leads to heroin use. And small and suburban towns are not immune to the spread of this dangerous drug.
Drug Court can Claim Enviable Success Rate
Ledger-Enquirer
A Georgia county Juvenile Drug Court has reduced the recidivism rate to 15% while saving taxpayer dollars and getting teens into treatment programs.

Homeboy Industries: Changing Lives and Creating Opportunity in East Los Angeles

I really wanted to attend the Homeboy Industries and teen substance abuse interventions panel at JMATE, but didn't make it to the session. So I missed learning about Homeboy Industries' Project STAR program that works with recently released juveniles with a history of the substance abuse. They offer in-house, trauma-informed treatment that is sensitive to the unique needs of formerly gang-involved youth. Mental health services are a central part of the program, as are job trainings and academic and life skills classes.
Started as an alternative to gang violence in Los Angeles, Homeboy Industries trains and hires at-risk, recently released and former gang involved young people with the goals of transforming troubled youth into productive members of their communities. They provide free counseling, education, tattoo removal, substance abuse and addiction assistance, job training and job placement services.
Fast Company has a terrific piece on Homeboy Industries, its founder (Father Gregory Boyle) and the key people in charge of running the nonprofit.
Father Gregory Boyle moved to East Los Angeles 26 years ago, and began walking and biking the neighborhood. He became friendly with the community and even visited gang members in the hospital. And one day, he realized that he could help residents escape the pervasive cycle of violence.

News Roundup: Jobs, Funding, Events and Webinars in Juvenile Justice Reform and Adolescent Substance Abuse Treatment

The Reclaiming Futures news roundup today focuses on jobs, funding opportunities and events for those working in the juvenile justice, adolescent substance abuse and teen mental health areas.
The listings below are from the new Reclaiming Futures Opportunity Board. Please share it with your colleagues. It's free to browse and post! 
Jobs (with closing dates when applicable)
Mentor
HOPI Substance Abuse Prevention Center
Kykotsmovi
AZ
4/13/2012 

Books Not Bars, Oganizing Intern - Summer 2012
Ella Baker Center for Human Rights
Oakland 
CA
4/15/2012
 
Lecturer in Criminal Justice
Colorado Mesa University
Grand Junction
CO
5/4/2012
 
Juvenile Justice Consultant Title IV-E
Unificare, Ltd.
Dallas
TX
5/13/2012
President and CEO
 
Youth and Family Services Network
Bonita Springs
FL
8/15/2012

JMATE 2012: How Can Research Inform Development of More Collaborative and Integrated Care Models for Youth and Families?

Half of all psychiatric disorders occur before the age of fifteen. Most childhood onset psychiatric disorders increase the risk of developing early onset substance use disorder. And substance use increases the risk of developing psychiatric disorders.
So, what can treatment providers do to improve the care of kids who are using substances and may have (or be developing) psychiatric disorders?
According to Dr. Paula Riggs (director, Division of Substance Dependence, University of Colorado's School of Medicine), treatment providers need to compile a detailed history of substance use disorders for the child and his/her family. The history should include:

  • school risk factors (such as poor academic performance and substance use among the child’s friends);
  • attention to any substance used more than five times;
  • onset of substance use;
  • the progression to current substance use; and
  • frequency of use.

Dr. Riggs explained that this history is vital to understanding the cause of cause and risk of substance use and dependence. By gathering and analyzing this information, treatment providers will be able to provide a good diagnosis, which should drive treatment. “We shouldn’t be treating things unless we know what we are treating,” she said.

JMATE 2012: Bad Kids or Hurt Kids? The Compelling Need for a Trauma Informed Juvenile Justice System

Starting in 2010, there's been a policy shift around drugs, addiction and treatment, and it could not have come at a better time, explained David Mineta (deputy director of demand reduction at ONDCP) at yesterday's JMATE plenary. More Americans are dying from drug use than from any other kind of accidental death, including car crashes and gun wounds. "This is a public health problem," stressed Mineta, before explaining that the ONDCP is prioritizing prevention, treatment and diversion programs in its forthcoming 2012 national drug control strategy. [editor's note: we'll share this as soon as it's out]
"Addiction can be overcome and recovery is absolutely possible," said Mineta. "And we need to make sure our young people have the brightest future possible. It's personal for us."  
Following Mineta's moving keynote on addiction and prevention measures, Kris Buffington addressed the issue of trauma and its impact on adolescents.
Buffington explained that traumatic experinces can substantially impact biological, psychological and social development in youth. And unfortunately, symptoms associated with exposure to traumatic events are often misinterpreted as indicating a young person has a behavioral disorder. 

JMATE 2012: Recovery Schools

Across the country, substance abusing teens are dropping out of high school at alarming rates. But a recovery high school in downtown Boston is targeting youth in recovery with great success. At a JMATE 2012 panel on recovery schools, a staff member from Ostiguy Recovery School spoke about the differences between a recovery school and a regular school. At Ostiguy Recovery School:

  • Students receive recovery support and counseling in addition to math and science
  • Students lead their own sobriety groups which empowers them to take control of their lives
  • Students WANT to be there (this is not a mandated rehab program)
  • Students outreach at area schools to let troubled students know there is another option 

Reclaiming Futures rolls out updated logo


In May, Reclaiming Futures celebrates 10 years of breaking the cycle of drugs, alcohol and crime. We look forward to marking this milestone by freshening up the national identity and highlighting the success of 29 sites changing the way communities treat kids with substance abuse problems in the justice system across the United States.
The Reclaiming Futures icon has been redesigned to reflect a more modern, simplified and professional symbol while maintaining the movement and overall shape of the original logo. The new logo was born from the star in the original logo, representing the hopes and wishes for young people and their communities.
This new look draws on the experience of the past decade.
The Reclaiming Futures model unites juvenile courts, probation, adolescent substance abuse treatment, and the community to reclaim youth. Together, they work to improve drug and alcohol treatment and connect teens to positive activities and caring adults.
Because we believe in youth potential and the power of the community to make change, we are working to spread the model to all juvenile courts.
We need your help. Please help us spread the word. By bringing Reclaiming Futures to your community, you can:

  • Change the way your community treats kids in the justice system with substance abuse problems.
  • Help young people stay out of trouble with the law.
  • Improve public safety and save money.
  • Give young people the support they need—more treatment, better treatment and beyond treatment—to turn their lives around.

Please email info@reclaimingfutures.org to learn more about investing in Reclaiming Futures.

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