Blog: Family Involvement

A new study published this week in Science, suggests that addicts have inherited abnormalities in some parts of the brain, which interfere with impulse control.
Researchers from the University of Cambridge examined 50 pairs of biological siblings (in which one sibling was addicted to cocaine or amphetamines and the other was not) against a control group of 50 healthy, drug free and non-related volunteers. First they tested the self-control levels and then performed brain scans. What they found could have big implications for the prevention and treatment of substance abuse and addiction. 
From Science:

Much to the researchers' surprise, the siblings who didn't use drugs performed as poorly on the test as the ones who did. All of the sibling pairs did worse than the healthy controls, the team reports in the 3 February issue of Science.
Brain scans also showed that both members of the sibling pairs had abnormal interconnections between parts of the brain that exert control and those involved with drive and reward. Some individual brain structures were abnormal as well; the putamen, which plays a key role in habit formation, was larger in the siblings than in control subjects, as was the medial temporal lobe, which is involved in learning and memory. Because these anomalies appeared in the siblings but not in the unrelated controls, Ersche believes the finding provides a measurable, biological basis for vulnerability to addiction.

The Partnership at Drugfree.org recently teamed up with Energy BBDO to release a new set of PSAs warning about the harmful effects of drug and alcohol abuse by adolescents. Unlike previous campaigns, these videos focus specifically on parents' behavior and call on parents to intervene instead of enabling their child's destructive behaviors.
"Denial"

Tarrant County, Texas (where Fort Worth is located) has developed a new program for juvenile offenders that is aimed at youth charged with family violence involving non-intimate relatives. The program, the Youth Offender Diversion Alternative, or YODA, targets youth 17-25 who are charged with such crimes, and it provides intensive counseling to show participants how to make better choices in stressful situations or arguments. If the juvenile completes the program, the charges are dismissed and erased from his or her record.
The program is currently funded through a private grant from the Amon G. Carter Foundation. Public-private partnerships like this are often well-positioned to experiment with creative policy approaches while also limiting costs to taxpayers.
At this point, the 20 graduates of YODA have not committed another offense, and a preliminary study shows decreased aggression and substance abuse problems among participants. The participants also exhibit improvements in mental health and stability. So far, the program provides a reason to be optimistic.

Juvenile Justice Reform

• South Carolina County Sheriff investigator makes a difference in kids’ lives
  Richland County sheriff investigator Cassie Radford is working hard to get troubled kids the services they need and to keep them out of jail. The grant that funds Radford's position is in its third year and ends Sept. 30. Richland County prosecutors and judges hope Sheriff Leon Lott finds a way to keep Radford in her position.
• Missouri juvenile office to use electronic monitoring
  The expense of sending Linn County’s juvenile offenders elsewhere, coupled with the strict criteria that must be met to detain a juvenile, has prompted the Linn County Juvenile Office to obtain electronic monitoring equipment. Without a juvenile detention center of its own, the Linn County Juvenile Office has been forced to pay the expense of transporting offenders as well as the cost for a bed in Kirksville’s Bruce Normile Juvenile Justice Center.
• New goal for Illinois juvenile center: Clear it out
  Cook County’s Board President is advocating a new approach for the county’s juvenile justice system: empty the juvenile detention facility by putting children in group homes, monitored home confinement and other community-based programs where advocates say young people have better opportunities for counseling, job training and other life-skill instruction.
• Kentucky launches pilot program to decrease juvenile detentions
  Henderson schools, law enforcement and court officials joined forces with the state to examine why so many teens were being incarcerated. They came up with a pilot program to combat the issue. It includes asking schools to deal with small offenses, instituting a mentor program and encouraging teachers and school officials to meet to review statistics on disciplinary action.
• Washington, DC’s juvenile justice system sees real change
  As part of sweeping reforms, DC’s Oak Hill was closed in 2009 and replaced by a smaller and dramatically different facility named New Beginnings Youth Development Center. Youth Radio interviewed DC Lawyers for Youth executive director Daniel Okonkwo about Oak Hill’s impact on DC’s juvenile justice system.
• Wisconsin critics: Stop treating 17-year-olds as adults
  Wisconsin is one of 13 states that automatically place 17-year-olds in the adult criminal justice system. In the past few years, almost one-third of states have passed laws to keep more young offenders in the juvenile justice system. Now officials and families are calling on the state to place 17-year-olds in juvenile facilities, mainly for their own safety.
• Benton County’s juvenile center nearly finished
  Arkansas’ Benton County's Juvenile Justice Center is nearly complete, with part of the $6 million complex scheduled to open in January. The new facility is twice as large as the current one and will include classrooms and a courtroom in addition to holding cells.

Adolescent Substance Abuse Treatment

• Two key questions are focus of new teen alcohol screener for pediatricians
  A new alcohol screening tool that focuses on two key questions is designed to help pediatricians spot children and adolescents at risk for alcohol-related problems. The doctor asks about the patient’s own drinking, as well as his or her friends’ alcohol use.

I know a woman in Tennessee whose son was just sent to a youth detention center. He has had some problems with petty crime and drugs, and was sent to a treatment program for kids awhile back. He did not adapt very well to the program, and now he has been sent to this YDC for an indefinite period. He is 17 and the state can hold him until he is 21 if authorities decide he is not ready to be released.
She is trying to figure out how she can go see him for Thanksgiving. He is housed several hours away, and she doesn’t have a reliable vehicle to get her there. She is hoping the boy’s father, who lives in another town, will be willing to take her. Maybe he will.
This is her Thanksgiving.
There is something about the holiday season that makes these situations especially poignant for me. When I was on the inside, holidays weren’t so bad. Often the prisoners would come together and make meals, and guys would normally be a little nicer. We were all missing our families, and somehow that drew us together a little more than during the rest of the year. Somehow we were able to humanize one another a little more.
It’s only been since my release in December of 2009 that I have seen the other side of this story. For the families on the outside it is not a better time of year. When they gather around the table to eat a big meal and celebrate life there is a conspicuous absence. There is a gaping hole where their loved one should be.

Sharon Smith’s daughter Angela died in 1998 of a heroin overdose. She was 18 years old. For four years before her death, Angie (see photo, left) was in and out of 11 treatment centers, stood before a half dozen judges, and lived at one juvenile detention center. 
Sharon (shown at right) formed MOMSTELL in 2000 to advocate for more effective, accessible drug treatment and greater family involvement across the continuum of care and in the policy-making process. “Because no family should have to face the disease of addiction alone,” MOMSTELL is committed to identifying and removing barriers to treatment, many of which Sharon encountered when trying to find help for her daughter. 
Sharon was one of the organizers of the "national dialogue" sponsored in 2009 by SAMHSA for Families of Youth with Substance Use Disorders. Here, she illustrates some of those barriers specific to juvenile justice.

I doubt that there is an influence on the development of antisocial behavior among young people that is stronger than that of the family. (Steinberg, 2000)[i]
 
The most successful programs are those that emphasize family interactions, probably because they focus on providing skills to the adults who are in the best position to supervise and train the child. (Greenwood, 2009)[ii]
 
Thanks to many independent reviews, consensus documents, and meta-analyses of the evidence base on how to work effectively with juvenile offenders, there are numerous signs that the specialty has achieved a certain level of maturity.[iii]
 
A significant part of this new generation of work in the field pertains to the accumulated and rigorously derived findings about the role of families, family relationships, and parenting practices as key aspects of the creation and maintenance,[iv] as well as the reversal of antisocial and other problem behaviors.[v]
 
For some time, we’ve “known” that it can be beneficial to involve families more substantively and consistently in working with juvenile offenders, as evidenced in this quote: “In this era of an increased focus on public sector accountability, one of the important questions posed to policymakers and elected officials may be ‘Why are you waiting so long to support families?’ ” (Duchnowski, Hall, Kutash, & Friedman, 1998[vi]).

Beginning in 1998, with my son's first arrest at the age of 12, I embarked on a journey that I was ill-equipped to handle. When I gave birth to my children, I had high hopes and dreams for them -- this arrest and the succeeding problems that lay ahead for him were never a part of those hopes and dreams.
I, like most family members who find themselves involved in the juvenile and criminal justice systems, was incredibly naive and made decisions based on what system professionals told me, never considering that it wasn't their job to help my son. Those decisions set a predictable course for my son, for those with knowledge and understanding, that would leave him emotionally and physically scarred for the rest of his life. I made those decisions without an understanding of what they meant for him or a conception of what it meant to have a "system-involved" child.  For the next three years, I walked this path alone in confusion and isolation. 

I sat through meetings where professionals talked about my son and I said nothing, because they presented themselves as the experts and seldom asked me anything. I sat in court rooms in front of a judge without an attorney or advocate, because I was told an attorney would only slow down my son getting the help he needed, and I believed this lie to be the truth. I sat outside the court house on the day my son was adjudicated as a delinquent and sent to a far-off facility because my legs would not carry me away from my baby, and still believed that I had done what was right. I sat by the phone for days, awaiting a call from the facility to inform me of where my son would be placed and when I would be able to visit.

Are you a parent of a teen in the juvenile justice system (or even the adult justice system)? Or do you work with parents who would be interested in connecting with other parents around the country on reforming the juvenile justice system? 
Then check out the National Parent Caucus. Run by the Campaign for Youth Justice, the caucus meets by phone on the first Thursday of every month 1 pm PST / 4 pm CST / 5 pm EST.  For call-in information, follow the link to get on the email list.