Blog: Juvenile Treatment Drug Court

Webinar Reminder - Youth Have Stories

Last fall, youth in the Juvenile Recovery Court in Clark County, WA, got a chance to tell their stories on film. Six participants received training in "digital storytelling" and, with the help of court staff and a prevention specialist, they turned their 250-word personal stories into powerful video presentations. Check out the video above for an example.
You'll notice that the youth, "Mitchell," didn't choose to talk about recovery, but chose to explore instead a religious split in his family, and what it means to him. To learn more about how youth chose topics or the strategy the staff used in helping youth with their stories, check out my interview with them.
And don't forget, we have a webinar next week on this topic:

Juvenile Justice Youth in "3D" (Interview and Webinar)

juvenile-drug-courts_Bradley-Finegoodjuvenile-drug-courts_Anna-Lookingbill-and-Angela-ZahasLast fall, youth in the Juvenile Recovery Court in Clark County, WA, got a chance to tell their stories on film. Six participants received training in "digital storytelling" and, with the help of court staff, and a prevention specialist, they turned their 250-word personal stories into powerful video presentations. Their efforts were given great coverage in the Dec. 27, 2010 issue of The Columbian. 
Below is a joint interview with the three people who made this amazing project happen for these youth: Bradley Finegood, LMHC (at left, above), who coordinates Clark County's Superior Court therapeutic specialty courts; Angela Zahas, a county prevention specialist (far right, above); and Anna Lookingbill, the Juvenile Recovery Court's resource coordinator (see middle, above). 
Q: What is digital storytelling? How is it different from making a video?
Anna:  There's two layers to digital storytelling. The first is the technical component, such as learning the software. (We used low-cost or free software, such as a free audio program called Audacity, and Microsoft's photo editing program.)
But there's also a pretty significant component around, "What's the story you want to tell?" How do you tell it in a way that has emotional impact on people? 
So when you teach it, it’s a layered thing – there's a technical piece, plus storytelling.
Brad: It was a small initial investment that will continue to pay dividends. Once Angela was trained on digital storytelling, it could be replicated. We could train others at a low cost – outside of human capital – for what could be an extremely powerful project. There's no fees we have to pay, no manuals we have to buy – so it just made a lot of sense. It's a long-term buy-in to people’s recovery.
On a side note, the kids who went through this started out extremely closed, but they opened up, smiled, they shared – so that’s something priceless when you talk about youth from the juvenile justice side of it. 

Juvenile Drug Courts - There ARE Practice Guidelines

juvenile-drug-courts_16-strategies-monograph-coverSome of you may have heard this disturbing account of a drug court in Glynn County, Georiga, aired recently on "This American Life."
Usually, a drug court may take a year, possible two years, to complete.  For 24-year-old Lindsey Dills, who was 18 when she entered the Glynn County juvenile drug court, she won't be done with it until 10-1/2 years later, counting time behind bars and probation. 
Now, the show makes it clear that this particular Georgia drug court is commonly thought to be run counter to generally-accepted principles of drug court.
But I thought it would be a good time to mention the so-called :"16 strategies" for juvenile drug courts.  (Follow the link for a monograph from the Department of Justice, explaining the details.)
Here they are:

Juvenile Justice System - Resources for Graduated Sanctions and Incentives

juvenile-drug-courts_graduated-response-gridResearch has shown that punishment alone is not the most effective way to to help a young person change his or her behavior -- the primary goal of juvenile drug courts, and, indeed, juvenile probation generally. Instead, a combination of punishment, or sanctions, with incentives, is most effective.
But if you want to act on this information, you're likely to have a number of questions. Here's just a few of the questions that commonly arise:

  1. Is there a ready-made list of sanctions and incentives we could use?
  2. Should we start out giving a strong sanction to get the offender’s attention, or should we build up to that?
  3. Are we coddling offenders by giving them incentives?
  4. Does it matter how long you wait after the behavior is detected to give a sanction or incentive?

And that's just the beginning.  To help you make sense of the options -- and to give you several lists of ideas for your own graduated sanctions and incentives grid -- I'm posting a number of resources here.
From NCJFCJ (and shared with permission):

If your team is working on implementing incentives and sanctions together, you'll probably want these as well, also from the NCJFCJ:

What Works in Juvenile Drug Courts: Emerging Research

When I was at the Joint Meeting on Adolescent Treatment Effectiveness (JMATE) in Washington D.C. in December, I caught up with John Roman, Ph.D., Senior Fellow at The Urban Institute, just before he gave a fantastic presentation on emerging research on juvenile drug courts.  Click on the video above to hear what John has to say. Since the video sound is not ideal, I've also provided a transcript, below:

Got a Juvenile Drug Court? Let CSAT Know!

juvenie-drug-courts_census-signHow many juvenile drug courts are there in the United States?  The Center for Substance Abuse Treatment (CSAT) at the Substance Abuse and Mental Health Services Admininstration (SAMHSA) wants to know by March 17, 2011.
Here's the announcement -- please note that you do not need to be a CSAT grantee to qualify or participate:

We are writing to request your help with an important data inquiry. In order to enhance SAMHSA/CSAT’s programmatic and advocacy efforts concerning adolescent substance abuse treatment and recovery, we are seeking to update our knowledge concerning the number of juvenile drug courts in the United States.
To help us close this knowledge gap, we are asking all of our current JTDC grantees to reply to this email with a listing of any juvenile drug courts that you and your organization are aware of. Please complete and return the attached template with your reply.
The term “juvenile drug court” means a specially designed court calendar or docket within a juvenile court to which youth having problems with alcohol and/or other drugs are referred; a separate or special jurisdiction court is neither necessary nor encouraged. The juvenile drug court judge maintains close oversight of each case, and both leads and works as a member of a team that comprises representatives from treatment, juvenile justice, social services, school and vocational training programs, law enforcement, probation, the prosecution and the defense.
Please complete the attached document and send your replies to ( no later than March 17, 2011. Thank you in advance for any assistance with this important inquiry that you and your agency can provide!

(Hat tip to Christa Myers.)

Events: Responding to Tragic Incidents Involving a Person with Serious Mental Illness, and More

  • adolescent-substance-abuse-treatment_light-coming-in-windowWebinar 3/10: Responding To A High-Profile Tragic Incident Involving A Person With A Serious Mental Illness
    From the Council of State Governments' Justice Center's Criminal Justice/Mental Health Consensus Project press release:

    When a person with a history or current diagnosis of serious mental illness is involved in a high-profile tragic incident, community leaders face public, media, legal and legislative scrutiny. Incomplete and/or inaccurate information may spread quickly—not only about the incident, but also about the likelihood of violence among individuals with mental illnesses. This is often fueled by community members’ mistaken assumptions that mental health treatment is ineffective and that most people with mental illnesses are violent. Though most individuals with serious mental illnesses will never be violent and can live successfully in the community with adequate treatment, supports, and housing, when a high-profile, tragic incident does occur that involves a member of this population, it can engender fear and lead to heated public debate.

    To help policymakers better anticipate and respond to these events, the National Association of State Mental Health Program Directors and the Council of State Governments Justice Center have released a toolkit for responding to tragic incidents involving a person with serious mental illnesses. In this webinar presenters will discuss the toolkit’s origins and applications. Presenters include:

    Dr. Lorrie Rickman-Jones, Director of Mental Health for the Illinois Department of Human Services
    Dr. Fred Osher, Director of Health Systems and Services Policy for the Council of State Governments Justice Center
    Mr. David Miller, Project Director for the National Association of State Mental Health Program Directors.

    Date: Thursday, March 10, 2011
    Time: 2:00-3:15 pm E.T.

    To register for this event, please click the link above.

New Research on Juvenile Drug Courts: Yes, They Work

juvenile-drug-courts_clipboard-artAs of the mid-2000s, the research on the effectiveness of juvenile drug courts was unclear. Now, that's starting to change. In coming weeks, I'll post about new research from John Roman at the Urban Institute about what works and how juvenile drug courts should adjust their practices to be more effective.
Juvenile Drug Courts - How Do They Compare to Outpatient Treatment?

Today, I want to share with you a new quasi-experimental study I saw mentioned at JMATE 2010 that compares 1,120 youth in juvenile drug courts in multiple jurisdictions with 1,120 youth not in juvenile drug court, but who particiated in adolescent outpatient treatment. The goal was to see how the two groups differed in terms of services and in their treatment outcomes.
Bottom line? Juvenile drug courts appeared to do a better job (compared to treatment alone) of helping youth reduce symptoms of their emotional problems and cut their substance use, as measured six months post-intake. (This doesn't mean, of course, that every teen who needs drug or alcohol treatment should be in juvenile drug court--!) In general, youth in juvenile drug courts received -- unsurprisingly -- more family services, more wrap-around support, more urine tests, and more supervision.

20 Resources for Juvenile Justice and Adolescent Treatment: a 2010 Roundup

juvenile-justice-reform_man-with-crates-on-dollyIn 2010, we posted tons of useful links for professionals, policymakers, and advocates connected with the juvenile justice system and adolescent substance abuse treatment.
Rather than warehouse them all on the blog, we're wheeling some of them out on display again. Maybe you overlooked some of them last year, or never got a chance to download that nifty tool kit -- now's your chance. Here's 20 of them, listed below in random order:

  1. The Partnership at's Treatment E-Book for parents. (Follow link, go to first bullet.)
  2. How to Get Teens to Engage in Treatment - a proven toolkit from NIATx that increases retention by on orienting teens to treatment. (Follow link, scroll to third bullet down.)
  3. What works in juvenile justice? Check out this international literature review, compiled for an Australian Member of Parliament. (Follow link and scroll to third bullet.)

Top 3 Juvenile Justice/Teen Treatment Stories from 2010 - What Gets Your Vote?

juvenile-justice-reform_voteWhat were our top three stories for 2010? You can pick from stories on juvenile justice reform ... juvenile drug courts ... adolescent substance abuse treatment ... positive youth development ... family engagement ... or the juvenile justice system in general? 
What was most useful to you? What was the most intriguing?  What did you pass on to your colleagues? 
You can pick from any story we published here on the blog in 2010.  But just to make it easy, I've listed 20 stories below that I'd expect to  be on everyone's top-stories list.  If you don't find your favorite below -- and I had to leave out a heck of a lot of good stuff -- feel free to vote for it anyway. 
(By the way, they stories below are not listed in any particular order.)

JMATE 2010 Presentations from Reclaiming Futures

adolescent-substance-abuse-treatment_agenda-graffitiExcited about the Joint Meeting on Adolescent Treatment Effectiveness (JMATE) conference 2010, coming up next week, December 14-16, 2010? I definitely am. It looks like a closer-to-complete agenda has now been posted, and I can tell you, just scanning it gives me goosebumps.
Just to pick an example at random: Laurence Steinberg [follow link and scroll to the second bullet down] will be doing a plenary session on "Why Adolescents Make Risky Decisions." Since it's primarily Steinberg's research that the Supreme Court has used in its recent decisions doing away with the death penalty for juveniles and life without parole, I don't think anyone will want to miss it.
To pick another example: John Roman of The Urban Institute will be talking about "effective juvenile drug courts." Another topic of wide interest.
But what I want to highlight today are the presentations that individuals in our Reclaiming Futures family will be making.  Here's a complete list:

Recovery-Oriented Care for Youth in the Juvenile Justice System

adolescent-substance-abuse-treatment_recovery-oriented-care-report-coverConsider this for a moment: 

What should recovery-oriented care for adolescents with substance abuse issues or co-occurring mental health issues look like? 

Have that picture firmly in your mind? Okay, good. Does it change if the youth in question are in the juvenile justice system? If so, how? 
I'd love to hear your thoughts on this.
To aid you in your thinking, I'm attaching a copy of the report from a 2008 meeting sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA). The report is titled, "Designing a Recovery-Oriented Care Model for Adolescents and Transition Age Youth with Substance Use or Co-Occurring Mental Health Disorders." Check out pp. 36-39 for themes from the meeting, along with specific recommendations. 
Just in case it's useful, you may also want to review this "Working Definition of Recovery." The actual definition's quite brief, but this two-page handout also includes guiding principles and elements of systems of care. Also, check out this report from the Coalition for Juvenile Justice called "Positive Youth Justice: Framing Justice Interventions Using the Concepts of Positive Youth Development." It offers insights about the benefits of using positive youth development to help youth contribute to community life.
Feel free to leave me a comment below.

Bonus Roundup: What to Do about K2 - and More

juvenile-justice-system-adolescent-substance-abuse-treatme_sign-that-says-newsEvents - Juvenile Justice and Adolescent Substance Abuse

  • September is National Youth Court Month, and the National Criminal Justice Reference Service (NCJRS) has posted resources about them to celebrate. Also called "teen courts" and "peer courts," youth courts are an alternative disposition for youth who've committed low-level, first-time offenses in which teens hold each other accountable. (Hat tip to OJJDP.) UPDATED: Global Youth Justice is hosting a conference titled, "Establish or Enhance a local Teen Court/Youth Court Diversion Program," December 7-9, 2010, in Las Vegas. (H/t to John Kelly at Youth Today.)
  • Don't miss out on the National Take Back Initiative, sponsored by the Drug Enforcement Administration (DEA). Held on September 25, 2010, 10am-2pm (local time, I believe), law enforcement agencies are collaborating with the DEA to collect unused prescription drugs.  Find a collection site near you. (H/t to @SPHEREproject.)

Roundup: America Behind Bars, and More

Last year, we posted about a hugely important study by the Center for Court Innovation. In it, young people reported that they did not receive a clear explanation of the juvenile justice system when they entered. Nor did they -- or their parents and guardians -- learn how their actions affected what happens in juvenile court
Our Reclaiming Futures site in Orange/Chatham Counties, North Carolina is trying to change this and created the video above for parents/guardians of youth entering juvenile court. Congratulations!  (They're also working on a handbook for youth; I'll share it when it's available.)
Has your jurisdiction done something similar? Leave a comment or drop me an email and we'll be glad to post it!

Juvenile Drug Courts & Reclaiming Futures -- Evaluation Grant Opportunity

juvenile-drug-courts_abstract-shapesAre you a researcher with a background or interest in juvenile drug courts? Know someone who fits the bill?
Then check out a new grant solicitation from the Office of Juvenile Justice and Delinquency Prevention (OJJDP) to evaluate juvenile drug courts implemented with the Reclaiming Futures model. These sites have also been funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Robert Wood Johnson Foundation.
This goal of this three-year grant is "to conduct an independent evaluation of the combined effects of the two interventions to determine what system-level changes may result in increased efficiencies and cost effectiveness."
Objectives(as listed in the solicitation):

  1. Assess the operations of juvenile drug courts/Reclaiming Futures model using established indices for performance, efficiencies, and cost effectiveness.
  2. Improve the empirical knowledge base about juvenile drug courts and the Reclaiming Futures model.
  3. Analyze the efficacy of combined efforts of juvenile drug courts and the Reclaiming Futures model.
  4. Conduct case studies using administrative, collaboration, and quality indices and the sixteen (16) key elements of juvenile drug courts.
  5. Evaluate the potential for replication of these models

Application deadline is August 20, 2010.

Juvenile Drug Courts and Reclaiming Futures Highlighted in Attorney General's Speech

The Department of Justice's ongoing work to integrate juvenile drug courts and the Reclaiming Futures model was highlighted by U.S. Attorney General Eric Holder when he addressed the opening session of a conference held by the National Association of Drug Court Professionals (NADCP) on June 3, 2010. If you click on the video above, you'll see he speaks briefly about the administration's overall efforts to draw on innovative approaches to adolescent substance abuse around 14:40.
In the same segment, he indicates that three more juvenile drug court awards will be made this fall jointly with the Center for Substance Abuse Treatment (CSAT) at the Substance Abuse and Mental Health Services Administration (SAMHSA) -- and he also mentions that a summit on adolescent recovery is planned for this fall. Looking forward to that! 

Juvenile Drug Courts: Why You Should Avoid Using UA Levels in Drug Court Proceedings

If you are involved in running a juvenile drug court, do you ask any of the following questions when you get UA results back for your clients? And do these affect how you or the court sanctions the young person? 

  • "How positive is s/he?"
  • "Are his/her levels increasing or decreasing?"
  • "Does the result mean s/he just used?" 

juvenile-drug-court_NDCI-fact-sheetThose are the wrong questions to ask -- and are especially concerning if teens are being sanctioned based on the answers to these questions -- according to "Urine Drug Concentrations: The Scientific Rationale For Eliminating The Use Of Drug Test Levels In Drug Court Proceedings," by Paul L. Cary, director of the Toxicology and Drug Monitoring Laboratory at University of Missouri Health Care in Columbia Missouri. Though this fact sheet was published by the National Drug Court Institute in January 2004, it's still relevant today.
Here's my gloss of the article:

Juvenile Justice Reform: What Happens When You Lose a Team Member?

juvenile-justice-reform_moody-picture-of-treesOn Monday, April 19th 2010, Nassau County’s Family Court Deputy County Attorney’s Office was advised that the county was restructuring the department. Our Juvenile Treatment Court prosecutors, Gregg Roth and Arianne Reyer, were advised their services were no longer needed as of Friday, April 30th. Arianne was later given a temporary reprieve, but Gregg is gone.
This move was devastating to the treatment court and to the Reclaiming Futures initiative here, which had built a cohesive working group over the last three years. Just as when I was younger and my brother left home for the military, it had never occurred to me that anyone would ever leave our team. I am left feeling abandoned and alone with Gregg’s departure, just like I did when my brother went off to the Army. Our Nassau County Juvenile Treatment Court/Reclaiming Futures Change Team is family, and one of us is no longer here.

Roundup: Proven Practices for Improving Education and Employment for Disadvantaged Young Men - and More

juvenile-drug-courts-news-roundup_old-TVJuvenile Justice Reform News

Even More OJJDP 2010 Funding Opportunities

Funding for Training Juvenile Drug Court Teams

juvenile-drug-courts-training-grants_classroom-1940Got experience helping juvenile drug courts implement the 16 strategies needed to run an effective drug court? The Office of Juvenile Justice and Delinquency Prevention (OJJDP) is looking for a provider to "build the capacity of service delivery" for juvenile drug courts nationally "through providing online, Web-based, and face-to-face individual and group training sessions."
Interested in applying? "The provider should have substantial experience conducting assessments of technical assistance needs, developing and conducting training on the [s]trategies, effectively communicating and collaborating with drug courts, and conducting post-training evaluations." Deadline is June 15, 2010.