What’s Hot and What’s Not:
Youth Culture!
LADCP 2013
Susan James-Andrews, MS, CAC
President James-Andrews & Associates: CHALLENGES
SJAMAND@COMCAST.NET
www.susanjamesandrews.com
804-721-7214
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

Learning Objectives
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
What’s Hot What’s Not
What’s Hot and What’s 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
James-Andrews & Associates: CHALLENGES 2012
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What early studies taught us

Adult models and/or mixed with adults does
not work
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Need to modify
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Need to address

Need to modify ?
What works for juvenile
justice interventions

Target high risk offenders

Longer duration of treatment > 90 days

Treatment is evidence -based
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Treatment involves the family
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Use of rewards to shape behavior
Compliance is addressed with immediate
responses
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??
Lil
Wayne
Taylor Swift
7
??
Rick Ross
Nicki Minaj
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WHAT ARE SOME of THE
Not So NEW DRUGS &
other Stuff
Creativity
9
??
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?
12
??
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 EBP’s would
work best for our youth?
…
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
EBP
◦ Good outcomes
◦ Can be replicated
◦ Staff are trained in the use of the model
◦ Supervision leads to certification
◦ Monitoring
◦ Outcomes measurement
LESSONS LEARNED
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What’s Hot and
What’s NOT?
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ACRA
ASPRA
BTT
Five steps to
success for youth
CBT
MAT
PYT
MET
BST
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Seeking safety
7C
MST
FSTD
MRT
MAT
MI
MSFT
FFT
HOT OR NOT?
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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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1
2
3
4
5
6
7
8
Screening
Comprehensive Assessment – ex. GAIN- Global
Gender responsive
Culturally competent
Comprehensive integrated treatment approach
Continuing care
Individualized
What else?
Key Elements
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
Promptness

Developmentally appropriate tools

Engagement and inclusivity

Periodic
Screen and Assess
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Three Broad Categories
I. MET/MI
II. Family Based Interventions
III. Behavioral or Psychosocial Interventions
Integrating Approaches for
Adolescents
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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
Impact of quality assurance
Effects associated with
Coaching, Certification
and Monitoring
(OR=7.6)
Source: CSAT 2008 SA Dataset subset to 6 Month Follow up (n=1,961)
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Overview of study results

All programs reduced mental health / trauma
problems

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Programs with more training, quality assurance,
Seven Challenges,

While it is not the most effective
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Retention enhanced

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“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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Reduce
Reduce
Reduce
Increase continuation (retention)
Increase admissions
www.NIATx.com
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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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
Review of the Strategies
??
16 Strategies
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Journey
Continues
Areas to Consider
Cost
Capabilities
Training
Fidelity
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
Questions?
Susan James-Andrews, MS,CAC
James-Andrews & Associates:
CHALLENGES
sjamand@comcast.net
www.susanjamesandrews.com
804-721-7214
33