Blog: SBIRT

Girls and Opioids: Vulnerabilities & Opportunities

In two separate blog posts in 2016, we discussed opioid use rates and substance use issues among adolescent girls involved with juvenile justice. In July 2017, the United States Department of Health and Human Services, Office on Women’s Health (OWH) released a report on opioid use, misuse, and overdose in women. The report provides information on the gender-specific issues and gaps in knowledge regarding females with substance use concerns/disorders. The report discusses the differences among females and males regarding the progression of substance use, the biological, social, and cultural issues (e.g., pain; relationships; family/parenting; trauma, determinants of health), effective treatments and barriers to implementation, and areas for further research. As it relates to adolescent girls (ages 12-17 years old), the report indicates they are more likely to use and become dependent on non-medical uses of prescription drugs as compared to adolescent boys. Access to prescription drugs can come from a home medicine cabinet and may help relieve mental health or physical pain symptoms and/or be part of their peer culture.

Reclaiming Futures SBIRT Implementation: Progress & Plans

Before sharing our accomplishments and expansion efforts, let’s take a moment to acknowledge numerous people and organizations that we have had the privilege of working with over the past few years to implement Reclaiming Futures’ version of Screening, Brief Intervention, and Referral to Treatment (RF-SBIRT).

Year 2 Update! Reclaiming Futures' Version of Screening, Brief Intervention, and Referral to Treatment (SBIRT)

As many of you know, Reclaiming Futures was awarded a Conrad N. Hilton Foundation grant in September 2014. The purpose of this grant is to develop, pilot test, evaluate, and disseminate a new version of SBIRT for youth at risk for deeper involvement with the juvenile justice system. As a first step, Reclaiming Futures issued a request for proposals and awarded five sites to help us in the endeavor. The sites selected, through a competitive process, were:

  • Chittenden County, Vermont
  • King County, Washington
  • Mecklenburg County, North Carolina
  • Nassau County, New York
  • Washington County, Oregon

Talking About Addiction

On June 1, 2016, our Reclaiming Futures national executive director Evan Elkin spoke at Red Emma's in Baltimore for Open Society Institute-Baltimore's second event in their "Talking About Addiction" series. Elkin was accompanied on the panel by Dr. Hoover Adger from Johns Hopkins Children's Center and by Carin Callan Miller, who founded Save Our Children Peer Family Support. The conversation was moderated by Scott Nolen, director of OSI-Baltimore's Drug Addiction Treatment Program. A full room of community members joined them for the evening, including families affected by adolescent addiction.

Youth, Addiction and the Juvenile Justice System

Whereas the first "Talking About Addiction" event explored alternative law enforcement approaches to addiction, this event focused on youth, addiction, and the juvenile justice system. Despite public acknowledgment of the failures of the "War on Drugs," and an increased understanding of addiction as a public health issue rather than a criminal justice issue, OSI-Baltimore recognizes that research and policy around adolescent addiction are slow to reach the mainstream. Indeed, during the discussion, some attendees expressed frustration with how long addiction treatment reform is taking; OSI moderator Nolen suggested reassurance that the addiction paradigm is finally shifting.

New Report, Reducing Teen Substance Misuse: What Really Works

medicine-385947_1920A new report, "Reducing Teen Substance Misuse: What Really Works," calls attention to the rising rate of teen overdose fatalities in the United States, the role of prescription painkillers, as well as research-based solutions for prevention and treatment. The report, supported by a grant from the Conrad N. Hilton Foundation, was authored and produced by Trust for America's Health (TFAH), a Washington D.C.-based nonprofit, non-partisan organization with a focus on public health policy and community prevention and treatment strategies. 

Significant Increase in Teen Overdose Fatalities

TFAH finds that youth drug overdose fatalities, among 12 to 25 year-olds, more than doubled in 35 states over the past ten years, particularly among young men and boys. Fatality rates for youth overdose more than doubled in 18 states, more than tripled in 12 states, and more than quadrupled in five states (Kansas, Montana, Ohio, Wisconsin and Wyoming). Analyses reveals that, while no state had a youth overdose death rate over 6.1 per 100,000 before 2001, 33 states were above 6.1 per 100,000 deaths by the year 2013.

Opportunity Board Roundup: Juvenile Justice Grants, Jobs, Webinars and Events

opportunityBelow 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. We encourage you to browse and to post!

Opportunity Board Roundup: Juvenile Justice Grants, Jobs, Webinars and Events

opportunityBelow 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. We encourage you to browse and to post!

Casey: Time to Close ‘Youth Prisons’; News Roundup

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

Casey: Time to Close ‘Youth Prisons’ (Juvenile Justice Information Exchange)
The Annie E. Casey Foundation has called for an end to state juvenile correctional centers, which the foundation refers to as "youth prisons." This call to action is fueled by their recent report which finds that despite increased attention to the conditions of juvenile corrections institutions, incarcerated youth continue to be subjected to abusive, systematic maltreatment.

Possible Implications for Public Schools: Addressing Complex Trauma

The Washington Post,  LA Times and Aces Too High posted stories regarding the lawsuit filed against the Compton School district for allegedly not responding to students’ learning and mental health needs specifically related to complex trauma. The statutory framework for this lawsuit is Section 504 of the Rehabilitation Act and American Disabilities Act. The Washington Post article provides the actual lawsuit and all three articles offer synopses of the trauma experienced by youth named in the lawsuit.  The lawsuit describes and alleges that these young people experienced numerous traumas both on and off school propfile0001681273132erty such as homelessness, physical and sexual abuse, violence, witnessing shootings, unsafe school conditions, and familial behavioral health issues.  Three Compton School district teachers are named for the prosecution alleging that their requests to provide youth with the appropriate behavioral health services were ignored by the district.  For those of us that work in the juvenile justice or behavioral health fields these stories seem all too common. Decades of research and practice have shown that trauma has profound negative effects on an individual’s overall health (e.g., neurological, biological, psychological, social).  One of the more well-known studies, which is being used to support this lawsuit, is the Adverse Childhood Experiences ( ACEs) study. The major findings from the ACEs study show trauma can impair an individual’s social, emotional, and cognitive abilities and functioning.

But, what is complex trauma?