JUVENILE JUSTICE TREATMENT
CONTINUUM
Joining with Youth and Families in
Equality, Respect, and
Belief in the Potential to Change
JJTC Counties
 26 counties in North Carolina
 6 NC Judicial Districts
 Over 1,000 court involved children & families were served in
FY 09-10
JJTC is…
A comprehensive intervention strategy for
court referred youth specifically designed to
treat co-occurring mental health and
substance abuse disorders
Joining with youth and families in equality,
respect, and belief in the potential to change
JJTC is a Series of Processes
That Ensure:
• Access for court involved youth to a comprehensive,
integrated continuum of care within existing resources and
funding streams
• Accurate consistent reports of progress through services
• Outcome-driven, data-driven services that end when the
goals of the treatment contract are met
• Interagency collaboration and partnership resulting in
increased supervision and accountability
Collaborative Approach
Behavioral
Health
Department
of Juvenile
Justice
Restorative
Justice /
Community
Service
Staff from all three agencies train together in JJTC processes and utilize
evidence based practices such as Motivational Interviewing
JJTC Teams
Work in partnership to:
• Design and support community service projects that
provide opportunities to give back to the community,
create relationships, and build self esteem
• Create relationships with families
• Attend and participate together in child and family
teams
• Creatively address out of school suspension periods
so that youth are not unsupervised and can continue
to meet educational and treatment goals
• Respond to crisis situations in home, school, and
community settings
Structure
Weekly Clinical Staffing
Monthly Supervisory Meetings
Quarterly Meetings
Steering Committee Meetings
Steering Committee
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Courts - District Judge, District Attorney
DJJDP - Chief Court Counselor
Schools - Superintendent(s)
Child Welfare - DSS Director(s)
Mental Health, State/County - LME Director(s)
Behavioral Health Services Providers – CEO/Director
Restorative Justice Providers – CEO/Director
JCPC Consultants
Family Advocates
JJTC Consultants
Funding
All services are funded through existing
resources:
• Medicaid
• Health Choice
• Private Insurance
• State funding for uninsured consumers
(through contract arrangement with
participating MH/DD/SA Local Management
Entities)
Agency Services
Department of Juvenile Justice
Court Counselors are involved in the treatment process
Restorative Justice
Creates opportunity for youth to give back to their
communities
Behavioral Health
Offers a clinical continuum of services in which youth
move through services based on acuity. Therapists are
dually credentialed in mental health and substance
abuse.
JJTC Platform Structure
• JJ Referral to JJTC Based on Risk and Needs
Assessment
• JJTC Clinical Assessment
• Treatment Contract Between Family Members with
3 Agencies Present
• Monthly Child and Family Team Meetings
• Weekly Clinical Staffings
• Monthly Supervisory Meetings
• Quarterly All Agency Meetings
• Quarterly Steering Committee Meetings
Continuum of
Behavioral Health Services
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Assessment
Structured Family Therapy
Multi-Family Group (8 Sessions)
Parent Education
*Case Management
*Intensive In-Home
*Therapeutic Foster Care
*Enhanced Services include monthly child and family team meetings
School Participation in JJTC
• Child and Family Team Meetings frequently held on school
grounds
• JJTC team organizes a “virtual supervision” plan for
suspended students
• JJTC teams are regularly contacted to deal with crisis
situations at school
• Students on long-term expulsion are involved with
community resources
• Students who drop out are assisted with GED, employment,
and community college
Data Driven Treatment
• Data comes from the JJTC Integrated Shared
Information System (ISIS)
• Data is shared in every meeting
– Performance Indicators
• Reports created from ISIS:
– Youth and Family Report (Staffings)
– Team Performance Report (Staffings)
– District Performance Report (Supervisors, Joint Agency,
and Steering Meetings)
– Quarterly Monitoring Report (LME, Judges)
ISIS
• Shared database used by all three agencies to track
consumer progress through services and treatment
• Allows treatment to be directed based on measurable
outcomes
• Allows court counselors, mental health professionals, and
restorative justice staff to be constantly aware of youths
progress through JJTC
• Allows the ability to report out on data needed to fully
evaluate service delivery and effectiveness in each JJTC
judicial district
Q1 FY 2010/2011
Active Caseload
40
35 36
35
34
30
29
30
25
25
23
18
20
NCJOIN caseload
18
16
ISIS caseload
15
10
5
0
Madison
Mitchell
Yancey
Avery
Watauga
Population
Watauga
50
45
40
45
39
34
35
Court Counselor Caseload
(NCJOIN)
30
30
25
37
JJTC CC Caseload (Isis)
22
20
19
New River (Isis)
15
12
10
5
0
Q4 FY 09-10
Q1 FY 10-11
Project Challenge (Isis)
Wait Time Between
Referral & Assessment
Watauga
14
13
12
10
# of Youth Referred
8
1-7 Days
7
8-14 Days
6
4
15+ Days
4
3
No Assessment
3
2
2
0
Q4 FY 09-10
Q1 FY 10-11
2
24th District
Payer Source
Q1 FY 10-11
8.33%
13.89%
8.33%
State Funded
Medicaid
NCHC
Private Insurance
69.44%
24th District
Service Type
Q1 FY 10-11
36.36%
Basic
Enhanced
63.64%
DJJ Contacts
Watauga
90
80
80
71
# of Contacts
70
CC Contact (not specified)
56 56
60
Home Visit
50
Parent Contact
39
40
37
34
26
30
20
10
9
School Visit
23
19
12
12
Telephone Contact
10
0
Q4 FY 09-10
Placement Visit
Q1 FY 10-11
Total Consumers
Outcomes
• Completion Rate
• As of 9/30/2010, 1,687 youth received services
through a JJTC team
• 760 completed services
• 648 completed successfully
This is an overall success rate of 85.26%
Recidivism
• Youth who completed JJTC services before
1/1/2010; minimum of six months to recidivate
• Youth w/ delinquency as referring charges
• All delinquent complaints were counted as
recidivating offenses regardless of status or outcome
of the offense
• Recidivating offenses were counted regardless of
time elapsed since completion of services
Recidivism
Below are the recidivism rates for NC Judicial Districts 23, 24, and 30
compared to the NC Sentencing Commission Study
Recidivism Percentage
These districts had JJTC in their area at least two years, creating a larger
population of youth to include
40.00%
35.00%
30.00%
25.00%
20.00%
15.00%
10.00%
5.00%
0.00%
Judicial District
# of Youth
39.63%
9.38%
9.30%
5.04%
North Carolina
11,255
23
24
30
192
119
140