Blog: Reclaiming Futures

Deadline Approaching: Review and comment by April 11, 2016

Have you seen the Substance Abuse and Mental Health Services Administration’s (SAMHSA) proposed changes to 42 CFR Part 2, Confidentiality of Substance Use Disorder Patient Records? If not, we recommend taking a look and commenting as an individual, agency/organizational, or community collaboration. Feel free to share praises and/or critiques about the proposed changes with SAMHSA.

Here are some key highlights:

• Rewind time to more than four decades ago - 42 CFR Part 2 was conceptualized and approved to provide individuals seeking substance use disorder treatment with protections for privacy and confidentiality. It was acknowledged that stigma and fear of potential repercussions (familial, employment; criminal) prevented people from seeking treatment.
• The last “substantive” update to 42 CFR Part 2 was in 1987 (approaching three decades ago).
• There have been substantial changes in the way substance use disorder treatment is provided including a greater number of integrated health care centers (primary and behavioral health) and greater use of electronic health records. As such, modernizing 42 CFR Part 2 is necessary.
• The proposed regulations will continue to apply to federally-assisted “programs“ which “holds itself out as providing, and provides substance use disorder diagnosis, treatment, or referral for treatment.” General medical facilities have always been included as a “program”, but the proposed change adds “general medical practices” to the definition.
• It proposes if agencies and organizations that have “general designation” on consent form(s) they must provide patients a list of where their information has been shared.
• Proposes agencies and organizations must have policies and procedures in place to sanitize paper and electronic records.

It took decades and a mountain of research evidence showing that incarcerating adolescents does little to prevent recidivism before policymakers took notice and began supporting measures to reduce incarceration and invest in community-based alternatives that prioritize treatment and support for youth and their families. Increasingly, over the past 15 years, we have seen the field come together around the common goal of creating a system for justice-involved youth that is more therapeutic, less punitive, less reliant on detention and incarceration, and more thoroughly grounded in research evidence and best practice. The catalyst for this paradigm shift has been a series of significant strategic investments by federal agencies and by major foundations like Annie E. Casey with its Juvenile Detention Alternatives Initiative, the MacArthur Foundation and its Models for Change, and the Robert Wood Johnson Foundation’s (RWJF) investment in Reclaiming Futures. These investments have all paid off in different ways to drive the field forward.

On October 27, 2015, Montgomery County Juvenile Court, Judge Nick Kuntz and Judge Anthony Capizzi hosted the 12th annual Natural Helper Recognition Banquet. As one of the ten original Reclaiming Futures sites, this year marked our twelfth year of our Natural Helper program. Our volunteers and community partners that make our initiative a success were recognized for their
achievements. This year’s event was held at the Presidential Banquet Center in Dayton, Ohio. Approximately 200 community leaders, partners, Natural Helpers and Juvenile Court staff were in attendance, including members of the Lucas County Reclaiming Futures team.

The evening started with entertainment provided by the talented Novae A Capella Group, a student cappella group at Centerville High School whose motto is, "Shine like stars, work like bees, and sing like angels." Their performance was enjoyed by all in attendance. Special guest speaker, Brian Jenkins, a local businessman, author and motivational speaker provided a wonderful story of addiction, incarceration, recovery and the impact two special mentors had on his life. One particular part of his message really resonated with the audience: “For all of you who are mentoring and wonder if all of your efforts are ever recognized by the people you are working with, I am here to tell you that they are. Please don’t give up.”

Below you'll find a selection of the latest grants, jobs, webinars and events posted to our Opportunity Board. Please share the Reclaiming Futures Opportunity Board with your colleagues in the juvenile justice, adolescent substance use and teen mental health areas. There is no cost to browse or to post!

This story was originally published in YouthToday.org. It is authored by Alexa Eggleston, a senior program officer, domestic programs at the Conrad N. Hilton Foundation. 

In the first two years of our work to advance new approaches to prevent and reduce substance use among youth and young adults, a key finding we often share surprises most people: Young people actually think health care practitioners should talk to them about alcohol and drugs.

Unfortunately, most health care providers do not screen their adolescent patients for substance use as part of routine clinical care.  And no, we aren’t talking about the “Just Say No” approach of the ‘80s and ‘90s, but a new approach based in the research literature that frames substance use as a health issue.

Just as health care practitioners counsel young people about other health matters — like the importance of eating right, exercise and safe sex — there is a new movement to apply these same strategies to discuss the negative impact that alcohol and drugs can have on their health, relationships and other things that matter to them.

Youth-involved activities like summer jobs, group outings and continued education are particularly important in the summer, when teen crime rates typically spike. Research has found that keeping teens busy may suppress summer crime and violence — one study last year reported a 43 percent reduction in violent crime among teens who participated in a part-time summer job for 13 weeks.

For Reclaiming Futures in Forsyth County, North Carolina, the summer enrichment program for juvenile drug treatment court youth goes beyond that.

We look forward to bringing the Reclaiming Futures community together next week for our annual Leadership Institute! The annual conference provides the opportunity for juvenile justice and adolescent mental health and substance use treatment colleagues to engage in a robust discussion of critical topics, as well as an opportunity for participants to help one another successfully adopt, implement and sustain Reclaiming Futures at the local level.

2015 Leadership Institute will be held on June 23-24 in La Jolla, California, and this year's theme is: “Public Health and Justice: A Partnership to Promote Equity and Well-Being for Youth and Families."

Can't make it to Leadership Institute this year? On Tuesday, June 23rd three Leadership Institute plenary sessions will be live-streaming on reclaimingfutures.org and on jjie.org:

In January we announced that five Reclaiming Futures sites were chosen to implement an innovative adaptation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) for adolescents. Each of the five pilot sites will serve at least 100 youth over the course of three years, targeting youth who show mild to moderate levels of substance use—a population that doesn’t often qualify for or seek treatment, but who are at high risk for developing worse substance abuse problems down the road.

Two of those sites are brand new sites implementing the Reclaiming Futures model for the first time, including Chittenden County, Vermont, bringing the total national cohort of Reclaiming Futures sites to 41.

As this national collaborative of juvenile justice and mental health experts is growing, we followed up with Jon Kidde, Project Director at Chittenden County, to learn about his team’s vision for helping Vermont’s young people at the front door of the juvenile justice system. Despite all 41 sites being replicated as a Reclaiming Futures model, each state and county face unique challenges to assisting teens. We aim to connect sites to share innovative ideas and creative solutions, and Jon Kidde is the latest to share how the Chittenden County site will adapt and implement the SBIRT process in Vermont.

Every week Reclaiming Futures rounds up the latest news on juvenile justice reform, adolescent substance abuse treatment, and teen mental health. 

House Proposal Would Eliminate Key JJDPA Funding (Juvenile Justice Information Exchange)
This past week the House Appropriations Committee, Subcommittee on Commerce, Justice, Sciences & Related Agencies, released their FY'16 Appropriations proposal, causing alarm in the juvenile justice community. Juvenile justice funding that goes to states, under the Juvenile Justice and Delinquency Prevention Act, would be eliminated under the new proposal. For more information you can  check out this JJIE story by Gary Gately,  and also follow National Juvenile Justice Network for updates.