What

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Whats Hot and Whats Not Youth Culture!LADCP
2013

• Susan James-Andrews, MS, CAC
• President James-Andrews Associates CHALLENGES
• SJAMAND_at_COMCAST.NET
• www.susanjamesandrews.com
• 804-721-7214

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Learning Objectives

• Explore the use of non-traditional youth service
  delivery systems to partner with in Drug Courts
• Define youth culture
• Learn what not to say when working with youth
• Revisit the 16 strategies

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Whats Hot and Whats Not?

• Whats Hot Whats Not

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Evidence Based Practices

• Evidence Based Practices (EBP) are treatment,
  interventions and practices with consistent,
  scientific evidence showing that there is
  improvement in client outcomes

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What early studies taught us

• Adult models and/or mixed with adults does not
  work
• Need to modify
• Need to address
• Need to modify ?

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What works for juvenile justice interventions

• Target high risk offenders
• Longer duration of treatment gt 90 days
• Treatment is evidence -based
• Treatment involves the family
• Use of rewards to shape behavior
• Compliance is addressed with immediate responses

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??
Lil Wayne
Taylor Swift
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??
Rick Ross Nicki Minaj
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WHAT ARE SOME of THE Not So NEW DRUGS other
Stuff

• Creativity

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Cinnamon Challenge
??

• Twitter mentions peaking at 70,000 per day

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Bath Salts

• Ivory Wave," "Purple Wave," Vanilla Sky," and
  "Bliss" . 
• Not like Epsom salt marketed as bath salt
  not for human consumption

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Prom?

• A new way of dating?

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Prom Celebrity cutouts as dates
??

• Justin Bieber Tim Tebow

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More about Treatment

• Who comes up with this stuff?

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How do we decide what EBPs would work best for
our youth?
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LESSONS LEARNED

• EBP
• Good outcomes
• Can be replicated
• Staff are trained in the use of the model
• Supervision leads to certification
• Monitoring
• Outcomes measurement

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Whats Hot and

• Whats NOT?

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HOT OR NOT?

• ACRA
• ASPRA
• BTT
• Five steps to success for youth
• CBT
• MAT
• PYT
• MET
• BST

• Seeking safety
• 7C
• MST
• FSTD
• MRT
• MAT
• MI
• MSFT
• FFT

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What Works

• There are a variety of models that work
• Quality matters

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12 Key Elements of Effective Treatment

• ??

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Key Elements

• Screening
• Comprehensive Assessment ex. GAIN- Global
• Gender responsive
• Culturally competent
• Comprehensive integrated treatment approach
• Continuing care
• Individualized
• What else?

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Screen and Assess

• Promptness
• Developmentally appropriate tools
• Engagement and inclusivity
• Periodic

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Integrating Approaches for Adolescents

• Three Broad Categories
• I. MET/MI
• II. Family Based Interventions
• III. Behavioral or Psychosocial Interventions

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Other Common Findings

• Low structure and ad hoc treatment as usual
  does not do as well as evidenced based practice
• Relapse is still common

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Impact of quality assurance
Effects associated with Coaching, Certification
and Monitoring (OR7.6)
Source CSAT 2008 SA Dataset subset to 6 Month
Follow up (n1,961)
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Overview of study results

• All programs reduced mental health / trauma
  problems
• Programs with more training, quality assurance,
• Seven Challenges,
• While it is not the most effective

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Retention enhanced

• safe
• Has rapport
• Empowered

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NIATx Promising Practices
??

• What treatment providers can do to improve
  operations and outcomes

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www.NIATx.com

• Reduce
• Reduce
• Reduce
• Increase continuation (retention)
• Increase admissions

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The Environment Matters

• Build rapport through
• Information sharing
• Trust
• Incentives
• Affirmation and recognition
• Focus on the person
• Place the responsibility back on the youth

??
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16 Strategies

• Review of the Strategies

??
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Journey Continues

• Areas to Consider
• Cost
• Capabilities
• Training
• Fidelity

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Susan James-Andrews, MS,CACJames-Andrews
Associates CHALLENGESsjamand_at_comcast.netwww.sus
anjamesandrews.com804-721-7214

• Questions?