Section Three:
Alternative Programs
Reception and
Assessment Center (RAC)
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Bernalillo County, New Mexico
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In the Media
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What Is the Reception and Assessment Center (RAC)?
The New Day is a non-profit organization which provides community services including
an alternative to detention. Law enforcement can bring youth, ages 8-17, who are
arrested for status or low-level offenses directly to the New Day. The shelter is located
at 2820 Ridgecrest, S.E. in Albuquerque.
The shelter has 16 beds (8 for girls and 8 for boys); RAC has an office at the shelter. In
addition, New Day has administrative and clinical offices at another location in
Albuquerque (1330 San Pedro, N.E.).
RAC’s mission is to deter youth from the Juvenile Justice System (JJS). It
accomplishes this via the following services:


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

Crisis intervention
Behavioral and mental health assessments and services
Referrals to needed community services and programs
Case management monitoring
Parent or legal guardian involvement
New Day Shelter
If youth are determined to be high risk/need, they are referred to the Juvenile
Probation/Parole Office (JPPO) through a fast-track system developed through
collaboration with the JPPO.
History
New Day has been providing services to the Albuquerque community since 1975. The
present location and facility was completed in 1995. New Day worked with elected
officials to facilitate the acquisition of the property through an agreement with the
Federal Government that stipulated the ten acres would be used to provide services to
homeless children and adults. Local community businesses augmented traditional
funding with money, materials, and labor to make the present facility a reality.
BCJDC initiated negotiation with New Day, Inc., to provide housing for the RAC and
presented a proposal to use the current facility. The RAC opened for business in
October of 2003 after extensive planning with various juvenile justice system agencies.
The office of Juvenile Justice Advisory Committee (JJAC) through the Juvenile Justice
Accountability Block Grant, provided the startup outlay of $60,000.00. The RAC
demonstrates an example of collaboration with existing resources to expand service
while minimizing the initial fiscal impact.
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The RAC has recently received award money to create two more assessment centers,
one on Albuquerque’s west side, and the other in Sandoval County. This will enable
law enforcement personnel to refer more youth to RAC. Data indicates that distance is
a factor for law enforcement utilization. The greater the distance to the RAC from the
scene of the crime, the less likely they are to deliver youth to the RAC.
Funding
The New Day is funded through federal, state, and county grants. Other sources
include, but are not limited to, the following:



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Mortgaged Finance Authority (part of HUD)
Medicaid (covers clinical services)
Student Nutrition Program (covers breakfast and lunch costs)
Child and Adult Nutrition Program (covers dinner costs).
JABG and JJAC Funds
Currently, RAC and New Day Shelter are treating approximately 300 children a year.
Organization
The organization chart on the next page indicates staff positions for RAC and the New
Day Shelter, as well as their basic duties.
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New Day Organization Chart
Development /
Marketing
Executive Director
Vice President /
Outreach
Education &
Training
•Personnel Policy
& Practices
Oversight
•Contract
Compliance
•State, Federal,
County Liaison
•Employee Training
•Staff & Youth
Development
•Educational
Services
•Next Step
Clinical Director
Case Management &
Counseling Services
Mental Health Screening
Mental Health Evaluations
Treatment Planning
Case Management Services
Counseling; Ind./Grp/Family
Aftercare
Shelter Director
Office Manager
•Agency Purchasing
•Office Operations
•Client Records
•MIS / DIP
•Billing
•Bookkeeper
•Reception
Accountant
Shelter Supervisor
Youth Care Workers
Reception & Assessment Center
Crisis Intervention
Intake / Admission
Client Orientation
Shelter Management
Client Supervision
Recreation
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How Does RAC Benefit Children and the Community?
New Day provides shelter for children who are unable to live at home, who are abused
and neglected, and for children who do not have a home or are runaways. These
children are placed in the New Day Shelter for their safety, the community’s safety, and
to deter their placement in the Juvenile Detention Center (BCJDC).
Children referred to RAC benefit by avoiding the emotional, mental, and physical
traumas of being incarcerated. In addition, they are provided the following services:

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


Crisis intervention
Behavioral and mental health assessments and services
Referrals to needed community services and programs
Case management monitoring
Parent or legal guardian involvement
New Day Shelter
Parents and the community benefit as follows:
 Reduces detention facility (BCJDC) population
 Provides structured, supervised programs for children
 RAC liaison develops excellent neighborhood two-way relationships and
understanding
 Community is empowered to help resolve juvenile issues
 Both children and parents are better equipped to deal with their issues and not
as likely to need Juvenile Justice Services
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Collaboration Is the Key
RAC collaborates with members of the juvenile detention and reform community. RAC
provides outreach to the community and collaborates with other institutions, as follows:
 RAC Advisory Committee meets with the Albuquerque Police Department
(APD), Sheriff’s Office (SO), JPPO and BCJDC to monitor and improve RAC
services and utilization.
 New Day vice president meets with the Southeast Heights Collaborative (a
neighborhood association) to provide services for troubled youth in that
neighborhood.
 New Day developed a positive relationship with the nearby Community Center
which allows Shelter children to use the facilities.
 RAC representative attends law enforcement briefings and encourages them
to bring status or low-level offense cases to the RAC rather than BCJDC. The
card below is left with officers.
Front of Card
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Back of Card
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RAC in Action
The manner in which children flow through the RAC/New Day system is depicted below.
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Policies and Procedures
The RAC and New Day Shelter policies and procedures are printed below. Required
forms follow the procedures.
Note: Every youth referred to the RAC will participate in an Intake Session in order to
gather the information and data needed to determine eligibility.
Key: CM= Case Manager
Specialist
Task
YCW= Youth Care Worker
Responsibility
IS = Intake
Action
Open client chart
Intake Specialist
(YCW) (CM)
Meet referred youth
Intake Specialist
(YCW) (CM)
Open a client chart for individual referred
(includes a binder and a “Client Intake and
Admission Form.” See page 15).
Accept youth who meet eligibility criteria.
Inform youth as to the purpose of the RAC.
Law
Enforcement
The referring Law Enforcement Officer
completes Section I of the “Client Intake and
Admission Form.” See page 15.
Complete section I of
“Client Intake and
Admission Form”
(see page 15)
Complete section II
Complete section III
Obtain signatures on
the Admission and
Insurance forms (see
page 15)
Contact payor source
to determine
Medicaid
Complete Juvenile
Justice Risk
Assessment (see
page 17)
Mental Health
Screening or
Assessment (see
page 20)
Intake Specialist
(YCW) (CM)
Intake Specialist
(YCW) (CM)
Intake Specialist
(YCW) (CM)
Gather individual and family information.
Intake Specialist
/ CM
Call payor source and determine Medicaid
eligibility and coverage.
Intake Specialist
(YCW) (CM)
Complete a Risk Assessment (see page 17)
on all youth referred to the RAC, except
when CM are performing a Mental Health
Screening.
When a Case Manager is available at the
RAC, they initiate a Mental Health Screening
or Case Management Assessment (see
page 15).
Case Manager
Juvenile Detention Reform
Bernalillo County, New Mexico
Gather system involvement information.
Ask the parent/guardian to complete the
Admission and Insurance form (see page
15) and sign it.
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Notify youth’s parents
Intake Specialist
(YCW) (CM)
Provide crisis/family
intervention
Intake Specialist
(YCW) (CM)
Meet with family
Therapist
Provide therapy
services
Therapist
View video about the
Juvenile Justice
system
(not available)
Refer to RAC, New
Day, and/or
community services
Intake Specialist
(YCW) (CM)
Set appointment for
outpatient services
Intake Specialist
(YCW) (CM)
Intake Specialist
(YCW) (CM)
Provide referral to the
New Day shelter
Intake Specialist
(YCW) (CM)
Complete the
“Discharge Form”
(see page 24)
Intake Specialist
(YCW) (CM)
Fax information to
JPPO
Intake Specialist
(YCW) (CM)
Close RAC client
chart
Intake Specialist
(YCW) (CM)
Juvenile Detention Reform
Bernalillo County, New Mexico
The IS will notify the youths’
parents/guardian to inform them that the
youth is at the RAC and request they come
and pick him/her up.
Provide crisis intervention to parents and
youth if needed or when necessary.
The Therapist, when possible, should meet
with the youth and family and discuss our
clinical services.
When possible, a Therapist will perform an
assessment and initiate individual or family
therapy.
Insert video and request that parent and
youth view the entire video. Initiate
discussion with youth and family.
When the intake is not performed by a CM
the IS will refer youth to New Day outpatient
services.
IS faxes client information to main office.
Refer to action on client chart for procedure.
If the intake is performed by CM at the
Shelter and a shelter Therapist is involved,
the decision for continued services is a
clinical decision.
The IS or designee contacts main office and
sets appointment for the next working day.
When needed or necessary the youth is
referred to the shelter for services, e.g.,
abuse/neglect, parent refusing to pick up.
Upon arrival of the parent and after the
parent has taken responsibility for the youth,
complete the “Discharge Form.” See page
24.
Fax the “Client Intake and Admission Form”
(see page 15) and the “Discharge Form”
(see page 24) to the JPPO.
Close the client chart and transport it to the
main office for storage.
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Open outpatient
client chart
CM
If the client and/or family has agreed to
continue services, open an outpatient chart
for the client and/or client’s family.
Transport to main
office
Shelter Director
The shelter director will transport the
outpatient chart to main office for storage.
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Processing Youth While at the RAC
1. Youth brought in by Law Enforcement, School Resource Officers for school offenses
will not be released to their parents until after school is out. It is recommended that
youth be released to parent, guardian, or responsible adult.
2. Youth without Medicaid but eligible for Medicaid services should be made eligible
through the Presumptive Eligibility -- Medicaid On Site Application (PE-MOSA)
questionnaire form.
3. Youth and parents, while at the RAC, are informed of services available and the
further contact they should expect from the JPPO.
4. A Case Management assessment or therapist appointment is initiated while the
youth and family are at the RAC.
5. When available, a therapist meets with the individual or family, or makes an
appointment for the next working day for outpatient services.
6. Parents are advised that they have a right to refuse outpatient services. When they
refuse outpatient services they are required to sign a form indicating their refusal.
Fax this form along with other information to the JPPO.
7. The shelter Supervisor or CM will contact individuals for follow-up services when
needed.
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CLIENT INTAKE AND ADMISSION FORM
Form: 1 Client Intake & Admission Form
-
Last Name
First
MI
-
Date of Birth
I. LAW ENFORCEMENT INFORMATION (Officer completes)
AGENCY:
CITATION NO [ ] YES [ ] #
REFERRAL REASON:
-
-
SS#
Date:
Time:
CAD/CASE #
Status Offense [ ]
Domestic Violence [ ]
Runaway
Abuse/Neglect
[ ]
LOCATION OF OFFENSE: N.E. [ ]
N. W. [ ]
Non Violent Misdemeanor [ ]
[ ]
Other,
S.E.
[ ]
S.W. [ ]EAST MOUNTAINS [ ]
SPECIFIC CHARGE:
SUMMARY OF CHARGES:
REFERRING OFFICER/DEPUTY:
No [ ]
EMPLOYEE #
Police Report to JPPO: Yes [ ]
___ _ ___ _ ___ _ ___ _ ___ _ ___ _ ___ _ ___ _ ___ _ ___ _ ___ _ ___ _ ___ _ ___ _ ___ _ __
II. REFERRED INDIVIDUAL AND FAMILY INFORMATION [Intake Specialist Completes]
DATE: _______________________________________ TIME:
_________________________________________
HOME ADDRESS:
SEX: Male [ ] Female [ ]
NM ZIP:
ETHNICITY:
PHONE:
COUNTY:
Anglo [ ] Hispanic [ ] Black [ ] Native American [ ] Asian /Pacific [ ]
PHYSICAL IDENTIFYING INFORMATION:
Eye Color: ________ Height: _______ Weight _______ Hair Color: _________Visible scars, tattoos, Marks:_______________
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Last Name
HOME STABILITY:
First
Living at home
Date of Birth
MI
[ ]
Street / Homeless [ ]
-
-
SS#
Living w/relatives [ ]
Living w/friends [ ]
Residential Care
Foster Care
[ ]
NAME OF PARENT/ GUARDIAN:
[ ]
PHONE:
ADDRESS:
NM ZIP:
FAMILY INCOME: (If unknown, Estimate Range)
TANF: Yes [ ] No [ ]
Type of Public Assistance:
COUNTY:
OTHER CHILDREN IN THE HOME: No [ ] Yes [ ] NUMBER
III. SYSTEM INVOLVEMENT
PROBATION OFFICER:
No [ ]
PHONE:
CYFD SOCIAL WORKER:
No [ ]
PHONE:
ON PROBATION: Yes [ ]
PSD INVOLVED: Yes [ ]
Has a previous Comprehensive Assessment or Children, Youth and Family Department Service Assessment been completed on client?
No [ ] if Yes [ ], Date Completed:
By whom (title/agency):
PRIOR PROGRAM INVOLVEMENT: (Specify)
Intake Specialist Signature
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Bernalillo County, New Mexico
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JUVENILE JUSTICE RISK ASSESSMENT
Form: 2 Juvenile Justice Risk Assessment
-
Last Name
First
MI
-
-
-
SS#
Date of Birth
INSTRUCTIONS:
Complete this assessment using the best available information obtained through observation, self reporting information from the
youth or family member. Some items apply to household members while others apply only to the youth.
Number of
a.
b.
c.
d.
Previous Referrals
None
One to three
Four to Six
Youth
Other Household Member
0
1
2
Six or more
3
1. Emotional Stability ( based on observation)
a. Displays appropriate emotional responses
b. Periodic emotional responses which limit functioning
c. Extreme emotional responses which severely limit adequate functioning
d. Hostile and uncooperative
2. Education
Attending School Name of School:
a. No school problems
b. Occasional school problems
c. Moderate school problems
d. Chronic school problems
3. Circle all that apply
 Attendance / truancy problems
 Suspended / Expelled
 Alternative School
 Home School
4. Substance Abuse
a. No use by youth, no problematic use
b. Experimentation with marijuana/alcohol
c. Substance abuse /experimentation with other drugs
d. Chronic substance abuse
0
1
2
3
0
1
2
3
0
1
2
3
0
1
2
3
Circle all that apply



Currently in treatment
Previous Treatment Failure
Denies any involvement
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-
Last Name
First
5. Medical Issues
Health Care
a. Good
b. Fair
c. Serious
d. Needs Attention
6. Social Relations
Positive
Adequate
Limited
Poor
MI
Dental Care
Good
Fair
Serious
Needs Attention
0
1
2
3
Family
0
1
2
3
-
Date of Birth
Informal
0
1
2
3
-
-
SS#
0
1
2
3
Social Network
0
1
2
3
7. Criminal /Delinquent History
Has anybody in your family ever been in jail or convicted of a crime?
No
Yes, if yes
a. Parent
b. What type of crime?
c. Are they currently in jail ?
No [ ]
Yes [ ]
8. Employment
a. Are you currently employed ? No [ ] Yes, where:
b. Is your father employed?
No [ ] Yes [ ]
a. Is your mother employed?
No [ ] Yes [ ]
b. Neither parent is employed
0
1
2
3
0
3
9. Mental Health
a. Are you feeling depressed?
No [ ]
Yes [ ]
b. Have you ever tried to hurt yourself?
No [ ] Yes [ ] * If yes, ask the following:
Do you presently feel like hurting yourself or others?
Do you have any plans to hurt yourself or others?
Do you hear voices?
0
2
3
* Individual should be referred for Mental Health Assessment.
10. RISK LEVEL ( Chances for Juvenile Justice Involvement)
a. Low
( 0 – 10 )
b. Moderate
( 10 - 20 )
c. Medium
( 21 – 25 )
d. High
( 25 +) Explain:
Juvenile Detention Reform
Bernalillo County, New Mexico
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-
Last Name
First
MI
Date of Birth
-
-
-
SS#
11. SUMMARY / SERVICE PLAN
[ ] Refer to Case Management
[ ] Refer to Shelter
[ ] Refer to Mental Health
12. NOTES:
Intake Specialist Signature
Juvenile Detention Reform
Bernalillo County, New Mexico
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-
Last Name
First
MI
-
-
Date of Birth
-
SS#
To be completed by Therapist When Risk Assessment indicates HIGH RISK.
Form: 3 Mental Health High Risk Form
Date:
MENTAL HEALTH (current assessment of mental health functioning, assessment of danger to self and
others, traumatic stress, cognitive performance, developmental history:
Substance Abuse & Socio–Legal issues
Parent:
Child:
Guardian:
Types of drugs and frequency of use:
Severity of drug abuse problem (if applicable):
High Risk Behavior:
Multiple delinquent acts and/or law enforcement encounters (describe):
School concerns/issues (truancy/ expelled/ suspended/ performance):
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Homeless/ runaway:
Mentally ill parent and/or child:
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-
Last Name
First
MI
-
Date of Birth
-
-
SS#
History of abuse and/or neglect in parents’ background:
Parents who are incarcerated:
Involved with the corrections system (parole or probation):
Applicant has experienced physical abuse, sexual abuse, emotional abuse, or neglect:
History of violent incidents:
Child/Youth experiencing cultural, sexual, and/or gender identity issues:
Family Situations (including domestic violence &/or deaths in the family):
Strengths and Needs:
Medical/ Physical:
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-
Last Name
First
MI
-
Date of Birth
-
-
SS#
Interpersonal Relations (social skills, conflict, behavior in home setting):
Other Agency Specific Information: (May be used to supplement Intake Summary)
List multi-agency involvement and/or collection of collateral information (Collateral available, Collateral NOT
available):
List all out-of-home placements and dates:
Summary and Recommendations (Is client appropriate for agency services?):
If client is not eligible where was the client referred for services?:
Therapist Signature
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DISCHARGE FORM
Form: 4 Discharge Form
-
Last Name
I.
First
MI
-
-
Date of Birth
-
SS#
DISCHARGE INFORMATION
AGE:
ETHNICITY:
SEX: [ ] Male [ ] Female
[ ] Anglo
[ ] Hispanic
[ ] Black
DISCHARGED TO: Name:
[ ] Native American
[ ] Asian /Pacific
Phone:
ADDRESS:
OTHER EMERGENCY CONTACT:
Phone:
DISCHARGE DESTINATION: [ ] Home w/Parents
[ ] Living with Friends
[ ] Streets
[ ] Detention Home
[ ] Living with Relatives [ ] Other:
PARENTS ACCEPT ADDITIONAL INTERVENTION ? [ ] YES
[ ] Other Shelter
[ ] TFC
[ ] NO
YOUTH TO BE REFERRED TO JPPO FOR FAST TRACK ? [ ] YES [ ] NO
REFERRED TO:
PRESENTING PROBLEMS:
ADDITIONAL INFORMATION:
Signature of Client:
COMPLETED BY:
Juvenile Detention Reform
Bernalillo County, New Mexico
Date
Signature of Legal Guardian
DATE:
24
Date
TIME:
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Reducing Racial and Gender Disparity
The staff age averages 44 years old, has a great deal of experience, and is comprised
of different racial and ethnic backgrounds.
New Day Shelter and RAC serve all ethnic groups and are able to adjust services to
reflect the referred population which are constantly changing. Overall, the population is
similar to the Juvenile Justice System with certain ethnic groups being over
represented.
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Training RAC and New Day Personnel
Both programs train their staffs extensively. Staff trainers include, but are not limited to,
the following personnel:




New Day Shelter Director
New Day Vice President
Two Supervisors
Educational Director
Trainees are provided an entire manual of sixteen courses. A sample of topics is
provided below.




Managing Aggressive Behavior
CPR and First Aid
Cultural Competency
Adolescent Behavior
Turnover is relatively high, so training costs are substantial. Low pay appears to be the
primary reason for the turnover rate.
Focusing on the Future
New Day is currently gathering information about a program called National Safe Place.
This program enlists businesses to display a yellow sign with the words “Safe Place” on
the outside of their establishment. If a child is in any kind of trouble, she or he can ask
for help at that business. The business will then contact New Day which, in turn,
contacts appropriate persons from an army of volunteers, and the volunteer(s) help the
child.
Funding needed for this project is approximately $50,000 for communications
equipment, a building/office, staff, and volunteer recruitment, etc.
In addition, New Day is looking into creating a Group Home for transitional living and
providing GED training as well as skills and job training for youth.
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Community Custody
Program (CCP)
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In the Media
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Bernalillo County, New Mexico
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What Is the Community Custody Program?
The CCP is a pre-adjudication alternative to detention offered by the Bernalillo County
Juvenile Detention Center; higher-risk youth can be released and the community can
simultaneously be protected. In addition, CCP provides an avenue of release for
offenders with no financial ability to post bond.
The CCP alternative has had a positive impact on juvenile reform: youth who have
participated have been predominantly successful in safely remaining in the community
until their trials or dispositions. This benefits both the youth and the community by
keeping the youth safely in the community with his/her support system, freeing up
BCJDC beds, and beginning the reforming/healing process.
CCP employs three levels of community monitoring. Each level provides up to 20 slots.
 Community-based supervision (minimum level)
 House arrest
 Electronic monitoring (intensive level)
For each of these levels, the program is flexible in providing minimal to intensive types
of supervision. Intensive supervision may include electronic bracelets, increased faceto-face contacts, random field checks at school, work, or home, and so forth.
CCP’s mission is to provide the following:






Alternatives to detention
Assessment and referral for treatment of individuals for specific needs
Counseling, recreation, group therapy, etc.
Youth community services to senior citizens
Outreach and supervision of youth in the community
Protection of the community and the youth
History
The concept of community-based supervision was initiated in 1993 under a regional
task force representing Valencia, Sandoval and Bernalillo counties. As a result, the
community monitoring program was created. Under this program, Bernalillo County
provided the day-to-day management of personnel that supervised youth, allowing them
to remain in the community with a level of supervision prior to adjudication.
The Community Monitoring Program processed approximately 130 cases by 1999.
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The program changed its name, philosophy and intent in March of 2000. The
Community Custody Program (CCP) was created. In 2000, CCP processed 254 new
cases with an 81% completion rate and closed a living unit in BCJDC in November of
that year. The program added services and personnel to meet the needs presented by
the youth, community and the courts. CCP processed approximately 450 Bernalillo
cases in 2001 and continued to provide support to Valencia and Sandoval counties
through self-directed supervision programs in those communities. A Steering
Committee composed of key players from the judicial system, probation, defense and
prosecution agencies provided direction and support for the CCP program and the
larger vision of system and detention reform.
Today, Juvenile Court Judges exercise the option of making certain offenders eligible
for CCP services. In addition, the JDC Intake staff can release youth to the CCP via
appropriate RAI scores. As a result, the population of the BCJDC has dropped from an
average of 104 in March of 2000 to an average of 48 clients in June of 2005. Reassessment of services and assignment of staff have supported new initiatives like the
Youth Reporting Center, the Children’s Community Mental Health Clinic and a variety of
pilot projects that build collaborative intake processing, case management, assessment
and recommendations to the court by detention and probation personnel.
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Organization
The CCP team is diversified and skilled in a number of areas in response to system
reform and the needs of the community. The organization chart below indicates staff
positions and the chain of command for CCP personnel. Their basic duties are defined
beginning on the next page.
CCP Organization Chart
Program Manager
YPO II
YPO I
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Program Manager (PM)
▪
▪
▪
▪
▪
▪
▪
Provides overall supervision/development of the program and team.
Coordinates efforts with the court, probation officers, public defender, district
attorney, and community agencies.
Reviews referrals.
Approves sanctions.
Oversees grant expenditures.
Writes policies and procedures.
Ensures compliance with the CCP program.
Administrative Assistant
▪
▪
▪
▪
▪
Acts as a resource to other agencies.
Maintains data collection.
Attends meetings and inputs schedules for the electronic monitors.
Collaborates with team members and maintains statistical grant data.
Performs clerical and other administrative functions as needed.
Youth Program Officer (YPO) II
▪
▪
▪
▪
▪
Leads staff and assists in maintaining professional staff performance.
Is available to the Court and represents CCP at all Disposition & Detention Hearings
on current clients
Maintains important dialogue with the district attorneys, public defenders, and
JPPOs.
Briefs PM on outcome, concerns and issues.
Performs duties of YPO I officer.
Youth Program Officer (YPO) I
▪
▪
▪
▪
▪
▪
▪
▪
▪
▪
▪
▪
▪
Participates in meetings, detention hearings.
Interviews families/clients.
Collaborates to accomplish classification assignments.
Conducts the initial meeting with youth and parents/guardians/custodians (after
release from BCJDC) to discuss program expectations.
Collaborates with other team members to be aware of client situations.
Responds to family crisis.
Monitors/implements special conditions imposed by the court.
Completes “Orders of Release.”
Maintains client files.
Provides case management.
Attends staffings.
Conducts drug screens.
Provides home, work and school visits.
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▪
▪
▪
▪
Prepares probation transfer packets.
Observes compliance and responds to requests for recommendation/feedback on
client behavior to juvenile justice agencies.
Recommends program sanctions to PM.
Conducts briefings and prepares affidavits for warrants on program non-compliance
as directed by PM.
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How Does the CCP Benefit Youth and the Community?
The CCP program provides numerous benefits to youth, including:





Diverts youth from secure detention
Provides structure and guidance within youth’s environments
Keeps youth in school (in most cases)
Delivers programs to educate and guide youth
Involves parents/guardians/custodians
In addition, parents and the community benefit, as follows:
 Resources are channeled into helping youth rather than supporting and/or
building detention centers
 Youth provide needed community services
 Parents/guardians/custodians are involved in plans to help themselves and
their children
 Youth are closely monitored to ensure community safety
 Youth have a chance to regain good standing in the community
Collaboration Is the Key
Various agencies can refer youth to the CCP (see “Referral to Community Custody
Center” on the next page). Setting up and maintaining these agency collaborations is
obviously critical to the success of this program. Accordingly, with the success of this
program, collaboration increases and juvenile reform continues to benefit youth and
community. The CCP works closely with the following agencies:
 Juvenile Court Judges regularly involve CCP personnel in Detention
Hearings, Drug Court, separate court programs for females and males, and
so forth.
 Judges, JPPO, and CCP personnel all participate in the Steering Committee,
and other meetings, to resolve problems and streamline efforts.
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Referrals to Community Custody Center (CCP)
Detention
Hearing
Child placed in
Juvenile Detention
Center
Refuse
Judge
JDC Manager of
CCP decides to
Accept or deny
Child placed in
Juvenile Detention
Center
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36
RAI Score
Accept
Enroll child
in CCP
Child is
Adjudicated.
Child
terminated
from
program
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CCP in Action
In order for the CCP to be successful, youths must obey the rules below.
 Appear for all Court hearings.
 Comply with the program expectations.
 Commit no new law violations.
When a youth is made eligible for the CCP, the CCP staff performs the following
sequence of events:
1. Accepts referrals for processing (see page 38).
2. Determines eligibility (see page 40).
3. Determines level of supervision (see page 60).
4. Sets up documentation and equipment for electronic monitoring (if applicable)
(see page 61).
5. Manages CCP violations (see page 63).
6. Reviews the case weekly (see page 64).
7. Provides documentation and distributes it (see page 65).
8. Terminates the program (see page 68).
9. Extends services (see page 72).
Each of the above actions is explained in detail on the following pages.
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1. Accept referrals for processing.
Process: 1 Accept referrals for processing
All referrals must meet the following initial conditions:
a. The youth is arrested and presented for booking by law enforcement.
b. During the booking process, RAI is scored.
c. If youth’s RAI score is between 8-11, may be released with community custody
supervision.
d. If youth’s RAI score is over 12, youth is held for a probable cause determination.
e. If the court determines probable cause exists, the youth is continued to be held
until the detention hearing.
f. The youth’s case is reviewed at the daily 11:00 a.m. staffing with JPPO, BCJDC,
and JPPO liaison staff.
g. Based on the 11:00 a.m. staffing, a recommendation is provided to the court at
the detention hearing.
h. If recommendation is for community custody supervision, the court may make the
youth eligible for consideration.
i.
The court sends CCP an “Eligibility to Program” form (see page 39).
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Bernalillo County Juvenile Detention Center
Office of Diversion Programs
______________________________________________________________________________
Form: 5 Eligibility Form
TO:
____________________________________
FROM:
Diversion Programs
DATE: _________________________
RE:
Eligibility to Program
On ____________________________ 2005 _______________________________ was made
eligible for the following Diversion Program:
__________ Community Custody
__________ Youth Reporting Center
__________ Children’s Mental Health Clinic
__________ AYUDA/DWI
The child has been interviewed and assessed for the program and will not be accepted into the program at this time due to
the following results:
1.
__________________________________________________________________________
__________________________________________________________________________
2.
__________________________________________________________________________
__________________________________________________________________________
3. __________________________________________________________________________
JR#
________________________________
JPPO
________________________________
Juvenile Detention Reform
Bernalillo County, New Mexico
PD
________________________________
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2. Determine eligibility (administrative review).
Process: 2 Determine eligibility
The CCP staff handles youthful offenders and juvenile delinquents differently to
determine eligibility. The CCP shall, within a reasonable amount of time, determine
whether a youth is appropriate for CCP services. Youth are held in detention while
CCP makes this decision.
Juvenile Delinquent Process
a. CCP interviews the parents/guardians/custodians. Staff records the
information on the “Basic Agreement” form (see page 41).
b. CCP interviews the youth, and researches if youth had any previous history
with the CCP. Staff records this information on the “Diversion Program
Application for Participation” (see page 42)
c. CCP staff obtains information about the youth’s weekly schedule on the
“General Information Sheet” (see page 45).
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Bernalillo County Juvenile Detention Center
Office of Diversion Programs
______________________________________________________________________________
The Community Custody Program (CCP) is an Alternative to Detention program that offers children the
opportunity to remain at home or in the community while awaiting court on the current criminal charges.
Form: 6 CCP Basic Agreement
I agree not to participate in any criminal activity as outlined by New Mexico Statutes.
I agree to be present for all court hearings as assigned by the Children’s Court.
I agree to allow the Community Custody Program to conduct a search of my property if reasonable suspicion of a
violation arises.
I agree to provide five (5)-six dollar and sixty seven cents ($6.67) money orders for the purposes of drug testing.
I will work with the Community Custody Program to ensure successful completion of the program. I understand
that the Community Custody Program is a 30-day program that offers a variety of service. Referrals will also be
made if your child needs assistance in educational placement, counseling or employment. The 30-day time frame
can be extended through the judicial system or through the Program Manager based on performance.
Child: __________________
DOB: ___________________ Start Date: _______________
In an effort to assist the success of the child, the following special conditions will be required:
1). ___________________________________________________________________________________
___________________________________________________________________________________
2). ___________________________________________________________________________________
___________________________________________________________________________________
3). ___________________________________________________________________________________
___________________________________________________________________________________
4). ___________________________________________________________________________________
Parent/Guardian responsible for the child ________________________________________
__________________________
Child
______________________________
Parent/Guardian
________________________________
Community Custody Officer
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Bernalillo County Juvenile Detention Center
Office of Community Custody Programs
Form: 7 CCP Diversion Program Application for Participation
DIVERSION PROGRAM APPLICATION FOR PARTICIPATION
First Name
Last Name
M.I.
Date of Birth
Address
City
State
Zip
Parent / Guardian
Place of Employment
Home Phone
Work Phone
Who are you living with? (check all that apply)
Both Parents
Foster Care
Single Parent
Guardian
Other Relative
Other, Specify
Parents Marital Status: Married
Are You Attending School? Yes
Divorced
No
Educational Program: Regular
Special Ed
Separated
Other
APS ID#
Grade Level:
School Related Problems:
Absenteeism
Fighting
Name of Current School
Probation Officer:
Age of First Arrest:
Attorney
#of Referrals to Probation
Failing Grades
Other (Explain)
Current Charge(s):
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Briefly Explain How / Why You Were Charged With The Present Charge(s):
Had You Been Drinking? Yes / No
Were You Taking Drugs? Yes / No
If So What / How Much
If So What / How Much
Any Other Incarcerations (BCJDC, YDDC, NMBS/NMGS, Camino Nuevo):
# of Sex Related Arrests:
#Arrests Involving a Weapon and Type
Have You Ever Been Convicted of a Crime Against a Child: Yes / No
Where:
When:
Health / Mental Health
Have You Ever Tried to Hurt Yourself? Yes / No How?
Do You Have Problems With: Stress
Sexual Abuse
Physical Abuse
Anger
Self Esteem
Are You Taking Any Medications? Yes / No
What?
Do You Have Any Medical Problems? Yes / No What?
Current Doctor’s Name
Are You Currently in Counseling: Yes / No Therapist Name:
Treatment Programs You Have Gone To:
Substance Abuse and Gang Involvement:
Are You or Any Member of Your Family Involved in a Gang?
What Gang?
What is Your Drug of Choice?
Alcohol
Marijuana
Other (Specify)
How Long Have You Been Using?
Last Use:
Juvenile Detention Reform
Bernalillo County, New Mexico
Yes / No
Cocaine / Crack
Meth
How Much?
How Often?
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What Help or Support Do You Think You Need To Stay Out of Detention?
[ ] Out Patient Treatment
[ ] Drug / Alcohol Treatment
[ ] Alcohol Counseling
[ ] Anger Management
[ ] School
[ ] Job
[ ] Other:
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Bernalillo County Juvenile Detention Center
Office of Community Custody Programs
GENERAL INFORMATION SHEET
Form: 8 CCP General Information Sheet
Name
Address
Home Phone #
Cell #
Work #
Directions to client’s house:
Weekly scheduled programs to be attended ( counseling, church, dr. appt, etc.)
Individuals within the client’s house:
Client’s place of employment:
Address:
Phone #:
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d. CCP explains to the youth and the parents/guardians/custodians the nature
of the program and its expectations. CCP gives them the Level One, Level
Two, and Level Three information sheets (see pages 47, 48, 49).
e. If electronic monitoring is required, CCP asks the parents/guardians/
custodians detailed questions about the home: the floor plan, how many
people in the home, where the youth sleeps, type of home construction
(brick, frame, etc.), and so on. Parents/guardians/custodians are required to
sign the “Party to Petition” form (see page 51).
f.
The parents/guardians/custodians must understand that all services must be
removed from the telephone line for electronic monitoring. This includes, but
is not limited to, the following:
Three-way calling
Call waiting
Blocked lines
1-800
1-976
1-900
Call forwarding
Call routing
Caller ID
Paging services
More than one number
ringing in on the line
Voice mail
g. CCP reviews the youth’s application, as well as information gathered from
parents/guardians/custodians. CCP then determines to accept a youth into
the program or to deny access to the program.
i.
If the youth is accepted, the CCP calls the parents/guardians/custodians
and informs them of the decision and advises them to pick-up their child.
ii. If the youth is denied access to the program, the CCP sends a “Denial
Form” with copies to Judicial Officer, PD, and JPPO, and the youth
remains in detention.
iii. If the youth is accepted, the case is then processed as an out-of-custody
case within the Juvenile Justice process.
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Bernalillo County Juvenile Detention Center
Office of Community Custody Programs
The Community Custody Program (CCP) is an alternative to detention that offers children the opportunity to remain at home or in the
community while awaiting court on their current charges.
Form: 9 CCP Level 1 Community Supervision
LEVEL ONE
COMMUNITY SUPERVISION

24 hour house arrest, unless with a parent or legal guardian.

Driving privileges are revoked unless the court gives you permission to drive.

You must sign in at the CCP office and check in with your CCP officer on Monday and Friday
between 3:00 and 6:00pm.

Call 761-6600 ext. 255 two times per day, 7 days a week at:
 4:00pm (or after school / YRC) and at 10:00pm (or at bedtime).
 Give your name, code #, and the time you called.

Attend school and/or work (if allowed to work) with NO unexcused absences.

Random home visits will be conducted by CCP officers to check on each client. These visits could
occur daily or occasionally.

All clients are subject to random drug tests at their own expense; each drug test is $6.25. You must
pay for these by money order in advance.

ABSOLUTELY NO friends and/or associates allowed at residence (girlfriends, boyfriends, baby’s
mother or father).

ALL clients will participate in community service. Males come in on Saturday and females come in
on Sunday from 8:00 a.m. to approximately 3:00 p.m. Additional community service hours are at the
discretion of the CCP.

CLIENTS ARE NOT ALLOWED TO LEAVE BERNALILLO COUNTY FOR ANY REASON.
For emergencies, contact the Community Custody Officer on duty
Pager #381-2916
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Bernalillo County Juvenile Detention Center
Office of Community Custody Programs
The Community Custody Program (CCP) is an alternative to detention that offers children the opportunity to remain at home or in the
community while awaiting court on their current charges.
LEVEL TWO (ELECTRONIC MONITORING)
Form: 10 CCP Level 2 Electronic Monitoring

Home phone lines must be clear of any features and must remain clear for the duration of the
program. DO NOT REMOVE ANY FEATURES ON YOUR PHONE UNTIL A CCP
OFFICER ADVISES YOU OF ACCEPTANCE TO THE PROGRAM.

STRICT 24 hour house arrest.

You must receive verbal permission from a CCP officer to leave your residence for any reason,
unless it is a previously scheduled appointment (e.g., YRC, doctor’s appointment, counseling, etc.).

Driving privileges are revoked unless the court gives you permission to drive.

You must sign in at the CCP office and check in with your CCP officer on Tuesday and Thursday
between 3:00 and 6:00pm.

Call 761-6600 ext. 255 two times per day, 7 days a week at:
 8:00am (or before school / YRC) and at 10:00pm (or at bedtime).
 Give your name, code #, and the time you called.

Attend school and/or work (if allowed to work) with NO unexcused absences.

Random home visits will be conducted by CCP officers to check on each client. These visits could
occur daily or occasionally.

All clients are subject to random drug tests at their own expense; each drug test is $6.25. You must
pay for these by money order in advance.

ABSOLUTELY NO friends and/or associates allowed at residence (girlfriends, boyfriends, baby’s
mother or fathers’)

ALL clients will participate in community service. Males come in on Saturday and females come in
on Sunday from 8:00 a.m. to approximately 3:00 p.m. Additional community service hours are at the
discretion of the CCP.

CLIENTS ARE NOT ALLOWED TO LEAVE BERNALILLO COUNTY FOR ANY REASON.
For emergencies, contact the Community Custody Officer on duty. Pager #381-2916
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Bernalillo County Juvenile Detention Center
Office of Community Custody Programs
The Community Custody Program (CCP) is an alternative to detention that offers children the opportunity to remain at home or in the
community while awaiting court on their current charges.
LEVEL THREE (ELECTRONIC MONITORING)
INTENSIVE COMMUNITY SUPERVISION
Form: 11 CCP Level 3 Electronic Monitoring Intensive Community Supervision

Home phone lines must be clear of any features and must remain clear for the duration of the
program. DO NOT REMOVE ANY FEATURES ON YOUR PHONE UNTIL A CCP
OFFICER ADVISES YOU OF ACCEPTANCE TO THE PROGRAM.

STRICT 24 hour house arrest.

You must receive verbal permission from a CCP officer to leave your residence for any
reason, unless it is a previously scheduled appointment (e.g., YRC, doctor’s appointment,
counseling, etc.)

Driving privileges are revoked unless the court gives you permission to drive.

You must sign in at the CCP office and check in with your CCP officer on Monday,
Wednesday and Friday between 3:00 and 6:00pm.

Call 761-6600 ext. 258 four times per day, 7 days a week at:
 8:00am (or before school / YRC) 3:00pm (after school), 7:00pm and 10:00pm
(or at bedtime).
 Give your name, code #, and the time you called.

Attend school and/or work (if allowed to work) with NO unexcused absences.

Random home visits will be conducted by CCP officers to check on each client. These visits
could occur daily or occasionally.

All clients are subject to random drug tests at their own expense; each drug test is $6.25.
You must pay for these by money order in advance.

ABSOLUTELY NO friends and/or associates allowed at residence (girlfriends, boyfriends,
baby’s mother or father).
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
ALL clients will participate in community service. Males come in on Saturday and females
come in on Sunday from 8:00 a.m. to approximately 3:00 p.m. Additional community
service hours are at the discretion of the CCP.

CLIENTS ARE NOT ALLOWED TO LEAVE BERNALILLO COUNTY FOR ANY
REASON.
For emergencies, contact the Community Custody Officer on duty
Pager #381-2916
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SECOND JUDICIAL DISTRICT COURT
CHILDREN’S COURT DIVISION
COUNTY OF BERNALILLO
STATE OF NEW MEXICO
Form: 12 CCP Order Joining Parent(s) as Party to the Petition
JR-_________________
IN THE MATTER OF
__________________________________,
A CHILD
__________________________________,
PARENT(S)
ORDER JOINING PARENT (S) AS PARTY TO THE PETITION
THIS MATTER came before the Court on Motion of The Community Custody Program.
and the Court being fully advised finds:
1. The Motion is well taken.
2. {X} The parent(s) consent to be joined as parties.
{ } The Court finds it necessary and in the best interests of the child the
parent(s) be joined as parties.
IT IS THEREFORE ORDERED:
1.
2.
That _________________________________be and is/are hereby joined as parties to the petition.
That as parties to the petition, the parent(s) must comply with the following:
{ } Submit to counseling with ________________________________________.
{ } Participate in any probation or other treatment program ordered by the Court.
{ } Participate in any institutional treatment or counseling program including
attendance at the site of the institution if the child is committed for
institutionalization.
{ } Monitor the child’s activities.
{ } Comply with the Probation Agreement and report any violations of this
agreement.
{ } Report to the Probation Officer any developing problems.
{ } Support the child committed for institutionalization by paying the reasonable
costs of support maintenance and treatment of the child.
{X}OTHER: Assume full financial responsibility for all loss, damage, and/or abuse that
may occur to the electronic monitoring device (transmitter charger and/or bracelet-transmitter).
____________________________
{ }CHILDREN’S COURT JUDGE
{ }SPECIAL MASTER
APPROVED:
_____________________________(Parent)
_____________________________(Parent)
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SECOND JUDICIAL DISTRICT COURT
CHILDREN’S COURT DIVISION
COUNTY OF BERNALILLO
STATE OF NEW MEXICO
Form: 13 CCP Notice of Acceptance into the Community Custody Program
YR-________________________
IN THE MATTER OF
_____________________________________
A CHILD
_____________________________________
PARENT (S)
NOTICE OF ACCEPTANCE INTO THE COMMUNITY CUSTODY PROGRAM
This notice is to serve as notification that __________________________has been reviewed by the Community
Custody Program and has been accepted contingent upon the posting of the court mandated bond levied by the
Judge/Special Master in this matter.
____________________________________
Community Custody Officer
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Youthful Offender Process
a. A Special Master or Judge sets the Bond for the youth and issues an “Order
Setting Conditions of Release” (see page 55).
b. At the Detention Hearing, the Assistant DA prepares the “Order Setting
Conditions of Release” and obtains required signatures from the Court.
c. The parents/guardians/custodians immediately go to the CCP office. CCP gives
them an information letter that outlines the process for posting the Bond (see
page 56), as well as information for gaining acceptance into the program.
d. Immediately after the Detention Hearing, CCP receives a “Eligibility to Program”
Form (see page 39) and begins to review the case for eligibility.
e. CCP then interviews the parents/guardians/custodians utilizing “Diversion
Program Application for Participation Form” (see page 42).
f. CCP interviews the youth and researches if youth had any previous history with
the CCP. Staff records this information on the “Diversion Program Application for
Participation.”
g. CCP explains to the youth and the parents/guardians/custodians the nature of
the program and its expectations. CCP gives them the Level Three information
sheets.
h. CCP reviews the youthful offender’s application, as well as information gathered
from parents/guardians/custodians and determines whether to accept the
offender into the program.
a. If the offender is accepted, the CCP generates a “Notice of Acceptance,”
(see page 52) and files a copy with the Children’s Court Clerk Office.
Concurrently, the DA facilitates victim notification.
b. If the offender is denied access to the program, the CCP sends a “Denial
Form” to the JPPO, the DA, PD and the judge or Special Master who set
the conditions of release and youth remains in custody.
i.
CCP creates a “Release Plan” (see page 57) within five working days from entry
of order stating conditions of release. Release plan meetings include the
following individuals: JPPO, CCP officer, PD, DA, youth’s parents/guardians/
custodians. (A sample “Release Plan” is included in the pages that follow.)
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j.
For offenders who are accepted into the CCP program, CCP then submits the
“Release Plan” (see page 57) and a “Conditional Order of Release” (see page
58) for judicial review and signature.
k. After the Court signs the above documents, CCP notifies the parents/
guardians/custodians that they can now post Bond (see page 56).
l.
The Children’s Court Clerk’s Office can accept the Bond after verifying that they
have the “Notice of Acceptance” (see page 52) from CCP.
m. After accepting the Bond, the Children’s Court Clerk’s Office issues the “Affidavit
of Release” (see page 59).
n. Before release BCJDC Intake insures all required paperwork has been signed
and entered by the Court if applicable and that Bond has been posted or waived.
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Form: 14 CCP Order Setting Conditions of Release on a Youthful Offender
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Form: 15 Process for posting bond
Bernalillo County Juvenile Detention Center
Office of Diversion Programs
_____________________________________________________________________
The Community Custody Program (CCP) is an alternative to detention, after the posting of the
bond, that offers children the opportunity to remain at home or in the community while awaiting
court on the current allegations.
YOUTHFUL OFFENDER INFORMATION SHEET
INTENSIVE COMMUNITY SUPERVISION

In order for your child to be released, you must be interviewed by a member of the
Community Custody team. At this interview we will gather all pertinent information
regarding home, employment, education, counseling, etc. You will be made Party to the
Petition at this time. This makes you responsible for reporting any incidents to CCP and also
financially liable for any loss or damage to the electronic monitoring system.

Youthful offender cases take 5 working days to develop a release plan. During this time, you
should contact your telephone service provider and request a clear phone line. All features
(inter-net, caller id, call waiting, answering machine, etc) on your home telephone must be
cleared and remain clear for the duration of the program.

Before going to the Children’s Court Clerk Office to post bond for your child, you must
contact our office. We can be reached at 342-3724 or 342-3758. We will then notify you
and the Children’s Court Clerk Office of our decision regarding acceptance into Community
Custody. Do not attempt to post the bond prior to acceptance by CCP.

Your child will remain on intensive supervision until disposition. Children can also be
removed via an order of the court.

You will be given a sheet that outlines the rules of the Community Custody Program. There
might be additional court ordered requirements for your child.

If you have any questions, you may contact the Program Manager, Mr. Van Rocco, at 3423724.
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COMMUNITY CUSTODY RELEASE PLAN
Form: 16 CCP Community Custody Release Plan
Name:
John Q. Doe
DOB:
1/1/90
YR 2005-0000
Educational Plan: John is currently a sophomore at Valley High School. John will have no
unexcused absences and will report any problems he may have at school to the CCP officer
assigned to his case. John is also ordered into the Youth Reporting Center (YRC) from 3:30pm
to 9pm.
Living Arrangements: John will reside at 1234 2nd Street. Other occupants of the home include
his father, mother, and younger brother. House is single story, 3 bedroom, 2 bath, brown stucco,
approx. 1500 square feet. There are no dogs in the yard or house. Yard has two cars that are
inoperable. Both are parked on the north side of home.
Employment: Child will not work at this time due to educational and YRC requirements.
Counseling: Upon release, John will start counseling at the Mental Health Clinic at BCJDC.
Case management will also become involved with child and family.
Other Court Mandates:
1-4 Day Holds at CCP Discretion
Random UAs
Contact Attorney one time per week by phone
No contact with victims, witnesses, or co-offenders
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Form: 17 CCP Order of Release
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SECOND JUDICIAL DISTRICT COURT
CHILDREN’S COURT DIVISION
COUNTY OF BERNALILLO
STATE OF NEW MEXICO
Form: 18 CCP Affidavit
NO._________________
STATE OF NEW MEXICO,
Plaintiff,
VS.
Defendant.
DOB:
SSN:
CHARGE(S):
AFFIDAVIT
Comes now Juanita M. Duran, Clerk of the District Court, and upon her oath deposes and states
that the undersigned is a Deputy Clerk of the District Court, Children’s Court Division, and in
said capacity makes the following statement, on this
day of
, 2005:
( )
A
bond in the amount of $
undersigned pursuant to the attached order.
has been posted with
( )
An Order Setting Conditions of Release for the above named defendant on his/her Own
Recognizance has been signed by Judge
, and filed with the
undersigned.
( )
An Order Setting Conditions of Release for the above named defendant to the custody of
has been signed by Judge
and
filed with the undersigned.
BOND/CONDITIONS OF RELEASE SET BY JUDGE
day of
, 2005. (Certified copy of Order attached.)
on
JUANITA M. DURAN
Clerk of the District Court
(SEAL)
By:
Deputy Clerk
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3. Determine level of supervision .
Process: 3 Determines level of supervision
All youth referred to the CCP, regardless of referral source, are assigned a
monitoring level by the PM or designee. Decisions regarding a youth’s monitoring
level are made once a week. Movement to a less restrictive level of supervision is
based on the youth’s performance. The following criteria are used to evaluate
whether or not the youth can proceed to the next lower level of supervision.
Note: Youth who are referred to either house arrest or electronic monitoring require
a specific, separate Court order.
 Number of face-to-face
contacts with CCP Officers
 Compliance with court
orders
 Number of phone calls
to CCP, as required
 Compliance with
program rules
Performance evaluation for youth who are placed on house arrest or electronic
monitoring uses the same criteria. A recommendation to remove a youth from
house arrest or electronic monitoring requires Court approval.
Conversely, youth who are not compliant may have their classification raised to a
higher level.
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4. Set up documentation and equipment for electronic monitoring (if
applicable).
Process: 4 Sets up documentation and equipment for electronic monitoring
a. YPO I completes the “Client Schedule Information Form” (see page 62) to enroll
youth in electronic monitoring.
b. YPO I opens the case in the BI electronic database.
c. YPO I faxes the youth’s schedule to the monitoring center at BI, Inc. Note that
this form must be faxed to BI, Inc., before the youth leaves CCP.
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CLIENT SCHEDULE INFORMATION FORM
Form: 19 CCP BI 9000 Series FMD Client Enrollment
Installation Date:
Installation Time:
Client Name:
Social Security #
Address:
City: Albuquerque
State: NM
Zip:
Phone #: (505)
Start Date:
End Date:
Officer Name: Larry Ortega
FMD #
XMTR #
Schedule Type:
{ } May Leave (May) { } Must Leave (Must) { } One Time Leave (1x) { }Lockdown
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Type
Leave
Enter
Type
Leave
Enter
Type
Leave
Enter
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5. Manage CCP violations.
Process: 5 Manages CCP violations
The chart below lists the sanctions for CCP violations.
CCP Sanctions Grid
Minor offense 1-2x
Verbal warning with documentation
Minor offense 3-5x
Written warning
Moderate offense 1x
Moderate offense 2x
Minor offense 6-7x
Assign extra hours of community service
or
Internal review -- meet with family
Raise level of supervision (if needed)
Minor offense 8x
Moderate offense 3-4x
Mandatory raised level of supervision
(if on highest level, go to Judicial Review)
Serious offense 1x
Moderate offense 4x
Minor offense 9-10x
Judicial Review and/or removal from
CCP Program
Serious offense 2x
Moderate offense 5x
Arrest Warrant issued
Minor offense examples include missing calls, not signing in, disrupting programs,
poor school attendance and/or behavior, missed appointments, etc.
Moderate offense examples include alcohol use, marijuana use, breaking house
arrest, failure to perform community service, altering CCP required forms, etc.
Serious offense examples include heroin/cocaine use, new charges, breaking house
arrest for more than 24 hours, electronic monitoring violation, violation of no contact
order, violation of special conditions, etc.
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6. Review the case weekly.
Process: 6 Reviews the case weekly
The YPO I reviews each client’s case weekly. Case review includes, but is not
limited to, reviewing the following:

All the telephone calls with the youth

All visits with the youth

Compliance with program rules

Compliance with court orders
It also includes notify the CCP PM or his/her designee of any irregularity concerning
the case.
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7. Provide documentation and distribute it.
Process: 7 Provides documentation and distributes it
Documentation is a critical component of the CCP and plays an integral role in
holding youth accountable. In addition, good documentation is necessary for the
successful operation of the CCP itself.
General Rules
a. Any action or decision that involves a youth must be documented.
b. All decisions and recommendations that affect youth must be documented.
c. Documents with signatures, school attendance records, original notes from
meetings are maintained in a hardcopy file by YPO I.
d. All documentation must be entered into the youth’s file prior to the end of the
shift.
Exception: Telephone calls from the youth after 7:00 p.m. may be entered on
the following day.
Electronic Monitoring Documentation
a. If a youth has electronic monitoring, the file must include the following
information:



Results of interview with the youth and the parents/guardians/custodians.
Electronic monitoring schedule faxed to BI, Inc.
Include the FMD and the bracelet number associated with the youth.
Required Documentation
Documentation is required for all the situations listed below.
Curfew
All curfew checks (in person and/or by
telephone) must be documented.
Drug/Alcohol
All instances of drug/alcohol use, suspected
use, and/or observable behavior traits must be
documented. Any follow-up as a result must be
documented. (i.e., referrals)
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Electronic Monitoring
All issues pertaining to Electronic Monitoring
must be documented. This includes but is not
limited to:
Contact with the vendor
All faxes sent and received (a summary)
All troubleshooting from the office and from
the field.
Placement assessments
Installation
Removal
Any issue that pertains to the youth’s
performance and the operation of the
equipment.
Field staff contacts
All contacts and attempts to contact by field
staff must be documented.
Hearings
Date of the youth’s trial must be documented.
It should also be documented that the youth or
parents/guardians/custodians were notified of
the trial date.
Internal Review Hearings
Information must include: who was present,
what are the presenting issues, decisions
made, and any follow-up that is required.
Judicial Hearings
Information must include: who was present,
what are the presenting issues, decisions
made, and any follow-up that is required.
Meetings
All meetings regarding youth on the program
must be documented. Information must include
who was present, what are the presenting
issues, decisions made and any follow-up that
is required.
Sanctions
Verbal Warnings: Must list who, what, when,
where, why, how for each situation and any
follow-up that is required.
Written Warnings: Must list who, what, when,
where, why, how for each situation and any
follow-up that is required. This also requires
documentation that the Warning Letter was
delivered, the manner in which it was delivered,
and who received it.
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School issues
School attendance must be documented in the
folder. Issues pertaining to the youth’s
performance in school must also be
documented.
Telephone calls from the youth
In most cases, all telephone calls from the
youth must be documented in the youth's file.
Any additional information that the youth
provides when he/she calls is documented.
Violation of Court Order
All violation of program rules must be
documented in the folder.
Who, what, when and where
What type of warning was issued in
response to the rule violation
What type of follow-up is needed
All contacts with co-defendant(s)
All contact with the victim(s)
Violation of Program Rules
All violation of program rules must be
documented.
Who, what, when, and where
What type of warning was issued in
response to the rule violation
What type of follow-up is needed
The following situations must also be documented:
▪ Schedule changes
▪ Appointments
▪ Any information that may potentially hinder field staff from making contact with
the youth
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8. Terminate the program.
Process: 8 Terminates the program
When a youth is placed on the program, he/she is eligible to receive services for up
to 30 calendar days. Prior to 30 days, CCP will remove the youth for the following
reasons:




Youth is adjudicated
Youth is committed to a detention facility
Youth enters a residential treatment program
A warrant is issued for youth’s arrest.
If the youth successfully completes the CCP, the YPO I completes a “Transfer to
Probation” packet (see page 69). This packet is distributed to DA, PD, and JPPO.
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Bernalillo County Juvenile Detention Center
Office of Diversion Programs
__________________________________________________________________________
Form: 20 CCP Transfer to Probation
TRANSFER TO PROBATION
Last Name
First Name
Middle Initial
Address
Parent’s or Guardian’s Name
DOB
SSN
Date Placed on the Community Custody Program:
Level:
Assigned Community Custody Officer:
Was this a JPPO Liaison front-end release?
Has a Petition been file?
Yes
No
JR#
Child’s Attorney:
Court Date:
Judge:
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Special Conditions (Orders by the Court):
Educational Program:
Grade:
APS#:
Employment:
Address:
Phone:
Counseling:
Therapist:
Medications:
Groups: (AA, NA, YDI, etc.)
Tom Cooper Literacy Library:
Yes
No
Hours Completed:
Community Service:
Yes
No
Hours Completed:
Urine Analysis Tests:
Date Given:
Results:
Date Given:
Results:
Date Given:
Results:
Date Given:
Results:
Program Referrals:
Has the child been compliant to the requirements of the program? Yes
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Comments:
Date transferred to probation:
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9. Extend services.
Process: 9 Extends services
The CCP services may be extended, as follows:
 The youth may continue on the program beyond the 30 calendar day limit if
ordered by the Juvenile Court.
 All extensions are evaluated on a case-by-case basis.
 Weekly reviews by CCP staff occur to ensure that it is appropriate for the youth
to continue to remain in the program.
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Reducing Racial and Gender Disparity
The CCP human services professionals practice the following philosophy:
Advocate for the rights of all members of society, particularly those who are members of
minorities and groups at which discriminatory practices have historically been directed.
Provide services without discrimination or preference based on age, ethnicity, culture,
race, disability, gender, religion, sexual orientation or socioeconomic status.
Become knowledgeable about the cultures and communities within which they practice.
They are aware of multiculturalism in society and its impact on the community as well as
individuals within the community. They respect individuals and groups, their cultures
and beliefs.
Aware of their own cultural backgrounds, beliefs, and values, recognizing the potential
for impact on their relationships with others.
Aware of sociopolitical issues that differentially affect clients from diverse backgrounds.
Seek the training, experience, education and supervision necessary to ensure their
effectiveness in working with culturally diverse client populations.
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Training People for CCP
Professional training for CCP professionals is extensive. A list of topics that all
personnel must learn and apply appears below.
Overview of CCP/Diversion Programs
Mission and Objectives
Collaboration
Review of Juvenile Justice Division
Probation/Parole
Public Defenders
District Attorneys
Social Workers
Liaison Team
Interaction with above agencies
Review of Children’s Court
Judges and Special Masters
Courtroom Procedures
Courtroom Etiquette
Children’s Code
Court Hearings (Detention and Disposition)
Affidavits and Warrants
CCP Staff Training Requirements
Policy and procedure overview
DDS training (urinalysis) and documentation
PRT/CPR/first aid
Electronic monitoring requirements
Parental forms
Incident reporting
Database access
Install/Activation/Removal
Case files and documentation
Order of release
Special conditions
Case notes
Criteria checklist
Client /Parent agreement
Transfer packets
Client interview process
Levels of supervision (3)
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Requirements of each level
Crisis intervention
De-escalation techniques
Family dynamics
PSD referrals and reporting
Field work and field log
Home visits
School visits
Shelter visits
Documentation requirements
Confidentiality
County vehicles
Community service
Agency interaction and referrals
Work schedules, sign-in sheets
Phone reporting and purging of phones
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What’s in the Numbers?
BCJDC is dedicated to collecting and analyzing data in order to make informed
decisions about the CCP. The graphs below provide vital data for that program.
Number of Offenses
Top 5 Alleged Offenses into CCP
120
110
100
90
80
70
60
50
40
30
20
10
0
PV
FTAW
AB
AA
B
Type of Offense
PV – Probation Violation
FTAW – Failure to Appear Warrant
AB – Assault Battery
AA – Aggravated Assault
B – Burglary
Probation offenses outnumber all other offenses two to one.
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Gender Distribution for CCP 03/04
Number of Individuals
350
300
250
200
150
100
50
0
Male
Female
Gender
Males utilize services five times more than females.
Ethnic Distribution for CCP 03/04
Number of Individuals
300
200
100
0
H
C
AA
NA
A
Ethnicity
Overrepresentation of both Hispanic and African-Americans in relation to
overall ethnic population of Bernalillo County.
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Referral Source 03/04
Number of Referrals
125
100
75
50
25
0
Judges
Truancy
Reform
Agency
Special Masters referred 312 cases, and Judges referred 85 cases.
Number of Individuals
Program Enrollment
450
400
350
300
250
200
150
100
50
0
CCP
YRC
Both
Program
For clients to be enrolled in both programs, it must be court ordered.
By having clients in both programs, supervision is significantly increased.
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CCP Dispositions 03/04
Number of Occurances
30
20
10
0
A
NC
NHC
PR
UA
Drugs
Disposition
A - Absconded
NC - Non-Compliant
NC - New Charge
PR - Parole Re-Take
UA - Drug Use
Very few clients return due to new charges.
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Focusing on the Future
CCP has the ability to adapt and change with any criminal justice trends, i.e., age, types
of crimes, types of substances abused, and race.
CCP continuously reviews its procedures to improve customer service and to avoid the
issue of net-widening for those youth not in need of structured services or programs.
Clients in CCP are youth that require support and supervision to assist them from
returning to BCJDC or any other detention facility.
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Youth Reporting Center
(YRC)
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In the Media
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What Is the Youth Reporting Center?
The YRC is designed to be a pre-adjudication alternative to secure detention offered by
the Bernalillo County Juvenile Detention Center (BCJDC). Under the direction of the
BCJDC, YRC provides classes, meals, and supervision during the day (Monday through
Saturday) for up to 30 calendar days. Youth return to their homes at night.
The capacity for both YRC and CCP is 40 participants per program. As the population
increases, program capacities can increase with reallocation of staff.
Note: Some youth are in both the CCP and YRC programs concurrently (must be court
ordered to be in both programs).
YRC’s mission is to provide the following:





Positive alternatives to detention
Wide variety of skill-based mental, physical, and social instruction
Case management
Instruction and reinforcement for proactive, acceptable social behaviors
Protection of the community and the youth
YRC attains this mission by awareness and application of its program values.
 Safety: providing a physically, emotionally and psychologically safe
environment.
 Responsibility/Accountability: the expectation that we will examine our
actions while becoming more reliable and dependable.
 Respect: to honor ourselves as individuals while showing consideration of
others in the community.
 Honoring Diversity: to create a climate where people from all cultures feel
accepted, supported, understood, and respected.
 Teamwork: working together with peers, staff and the community to
accomplish common goals.
 Creativity: providing an environment that stimulates the imagination as we
become aware of our own creativity and learn how to incorporate it in problem
solving.
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YRC Program Components
Youth in the YRC program benefit from its multiple programs. These programs help to
weave a safety line through their difficult young lives.
Orientation Assessment
All youth receive a thorough review of YRC services
and rules.
Reading Lab
All YRC clients are enrolled in this self-paced,
computer learning environment with assistance from
the lab director. Clients work on both reading and
math skills.
Meals
YRC provides breakfast, lunch, dinner, and snacks.
Homework Support
YRC staff and volunteers provide homework
support. This support is for all students regardless
of their enrollment in area schools and is appropriate
to the skill level of the individual client.
Health Education
YRC staff and various community organizations
educate clients about health issues that are relevant
to them.
Community Service
All YRC clients participate in community service
activities. These activities are separate from any
community service that is mandated by the court and
are designed to promote an awareness of the
relationship between individuals and their
community.
Drug and Alcohol Education
Drug and alcohol services are offered through the
JPPO department, the CCMHC, and various
community agencies. These are education and
prevention programs that deal with the cause and
effect of drug and alcohol use and abuse.
Gender-Specific Programming
YRC offers group programming on gender-specific
issues.
Anger Management
This group offers clients the skills to recognize how
anger affects their behavior and provides clients with
tools to help them deal with their anger in a positive
manner that is not harmful to themselves or others.
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Alcohol/Narcotics Anonymous
Twice a week the entire YRC group attends both
meetings.
Cultural Appreciation/Events
The YRC is committed to promoting cultural
awareness and appreciation by providing various
field trips to local museums, historical sites, etc.
Life Skills
This service promotes skills needed in everyday life,
from problem solving to independent living skills.
Community agencies and/or YRC staff provide this
service.
Recreation
The YRC provides a variety of recreational activities.
For example, USTA professionals teach youth tennis
12 weeks a year. In addition, YRC staff teaches the
Ropes course two to three times a year for
therapeutic recreation.
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History
In late 2000 it was determined that if BCJDC were to further reduce the in-custody
population, BCJDC would have to expand the detention alternative options it had
available for the Courts. After examining the demographics of the youth in custody, it
was determined that a Youth Reporting Center (YRC) would potentially have the
greatest impact. After approximately one year of planning, drafting policy and
procedure, and identifying staff, the YRC opened in November of 2001.
BCJDC was able to establish the YRC by working with the Juvenile Probation/Parole
Office to share resources with each organization providing staff to operate the YRC.
This collaboration allowed the YRC to open without having to obtain additional funding,
space, or staff. Further, this coordinated effort conforms with the philosophical
approach of using resources that were already allocated to serve the Juvenile Justice
System (JJS) for Bernalillo County.
Within approximately fourteen months of opening the YRC, BCJDC was able to close
another unit and reassign the staff to other duties, both inside and outside the facility.
The YRC is one more piece of BCJDC detention alternatives continuum, which has
effectively managed youth within the community setting while demonstrating no
significant risk to public safety. These youth would have historically been held in secure
confinement awaiting disposition of their case only to be returned to the community
under probation supervision.
Comparing the cost of detention ($125.00 per youth per day) versus the cost of YRC
($24.95 per youth per day), Bernalillo County is able to reallocate funds from the
detention facility to alternative programs that help reform youth and their families.
Organization
A Bernalillo County Juvenile Detention Center (BCJDC) Program Manager (PM)
provides day-to-day management of the YRC. In addition, the PM coordinates with an
assigned JPPO Manager, as needed.
Policies and procedures are reviewed by the Director of the BCJDC and the Chief JPPO
in collaboration with the Juvenile Children’s Court.
The organization chart on the next page indicates staff positions and the chain of
command for YRC personnel. Their major duties and responsibilities are defined below.
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YRC Organization Chart
Program Manager
YPO II
YPO I
Volunteers
JPPO
Community Support Officers
(CSO)
Program Manager (PM)
▪
▪
▪
▪
▪
▪
▪
▪
Provides overall supervision/development of the program and team.
Coordinates efforts with the court, probation officers, public defender, district
attorney, and community agencies.
Reviews referrals
Approves sanctions
Maintains data collection
Oversees grant expenditures
Writes policies and procedures
Ensures compliance with the YRC program
Youth Protection Officer (YPO) II
▪
▪
▪
▪
Leads staff and assists in maintaining professional staff performance
Responsible for all data collection and dissemination
Prepares monthly schedule for YRC program
Performs all YPO I duties
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Youth Program Officer (YPO) I
▪
▪
▪
▪
▪
▪
▪
▪
▪
▪
▪
▪
▪
▪
Maintains security, order and discipline to prevent disturbances and ensures the
safety of clients, staff, and the community.
Processes all new clients to include orientation to the rules and regulations of the
YRC.
Maintains clients’ files along with daily documentation of behavioral incidents and
observations of clients; monitors clients’ physical location at all times.
Counsels residents in group and individual sessions.
Conducts groups (educational, social, etc.) for the clients of the YRC program.
Provides oral and written reports regarding clients’ behavior and performance to the
PM and to the DA’s office, JPPO office, and the attorney assigned to clients’ cases.
Performs a pat-down search of the clients on daily basis and conducts searches of
the YRC assigned areas.
Transports clients to groups and service provider facilities not located on BCJDC
property.
Maintains contact with clients’ parents/guardians/custodians, JPPO, attorney, and
CCP staff (if applicable) regarding clients’ progress in the YRC program.
Refers clients to appropriate service providers.
Maintains a database of statistics regarding YRC clients
Performs weekly inspections of vehicles assigned to the YRC program.
Supervises community service for clients in the YRC program, CCP program and
the Day Detention program.
Completes all forms unique to the YRC program such as Meal Request Form,
Incident Reports, Community Service Reports, Transfer to Probation packets, etc.
Community Support Officers (CSOs)
▪
▪
▪
▪
▪
▪
▪
▪
▪
Maintains security, order and discipline to prevent disturbances and ensures the
safety of clients, staff, and the community.
Processes all new clients to include orientation to the rules and regulations of the
YRC.
Maintains a client file along with daily documentation of behavioral incidents and
observations of clients; monitors clients’ physical location at all times.
Counsels residents in group and individual sessions.
Conducts groups (educational, social, etc) for the clients of the YRC program.
Provides oral and written reports regarding client’s behavior and performance to the
YRC supervisor and to the District Attorneys Office, JPPO Office, and the attorney
assigned to the client’s case.
Performs a pat-down search of the clients on daily basis and conducts searches of
the YRC assigned areas.
CSO is the main liaison between the YRC and the JPPO office.
CSO completes Transfer/Progress Reports and forwards said reports to the
following: clients’ attorneys, District Attorney’s office, and CCP staff (if applicable).
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▪
▪
▪
▪
Refers clients to appropriate service providers.
Maintains a database of statistics regarding YRC clients
Completes all forms unique to the YRC program such as Meal Request Form,
Incident Reports, Community Service Reports, Transfer to Probation packets, etc.
Assists in the preparation of the monthly schedule for YRC program.
Volunteers
▪
▪
Provide professional or paraprofessional group activities and programming for YRC
clients.
Programs may include Narcotics Anonymous, domestic violence, tennis, drug
education, and so forth.
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How Does the YRC Benefit Youth and the Community?
The YRC program provides numerous benefits to youth, including:







Diverts youth from secure detention
Youth learn how to make better decisions and behave more appropriately
Provides structure and guidance in a safe environment
Keeps youth in school (in most cases)
Provides breakfast, lunch, dinner, and snacks
Delivers programs to educate and guide youth
Involves parents/guardians/custodians
In addition, parents and the community benefit, as follows:
 Youth are taught to become more productive citizens
 Resources are channeled into helping youth rather than supporting and/or
building detention centers
 Youth provide needed community services
 Parents/guardians/custodians are involved in plans to help themselves and
their children
 Youth are closely monitored to ensure community safety
 Youth have a chance to regain good standing in the community
Collaboration Is the Key
It is with the collaboration of BCJDC, the JPPO, the Juvenile Children’s Court, and
dozens of volunteers, that the YRC can provide the services it does. YRC continues to
evolve through a variety of meetings, reviews and compromises. The following are
representative of collaborative activities between the YRC and other agencies.
YRC Advisory Work Group
It consists of representatives from Children’s Court, JPPO, and BCJDC and meets as
required to ensure an effective, efficient operation of the YRC. This group offers a
forum for discussion, modification, and review of the YRC program. The group
addresses program development, client or staff grievances, problem solving, and any
other relevant YRC problems.
CSO Personnel
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One fulltime officer from JPPO works directly with the YRC staff and the youth, creating
weekly reports, and tracking youth’s progress/problems.
Liaison Team
Prior to their Detention Hearing, the Liaison Team convenes for the daily 11:00 a.m.
Review meeting to discuss the youth’s eligibility for the YRC program. The Liaison
Team consists of the YRC PM, the BCJDC liaison to probation, and the JPPO
supervisor. They make a recommendation to the Court at the Detention Hearing.
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Referrals to Youth Reporting Center (YRC)
Detention
Hearing
Judge
RAI Score
Drug Court
Post Adjudication
Child placed in
Juvenile Detention
Center
Refuse
JDC Manager of
YRC decides to
Accept or deny
Child placed in
Juvenile Detention
Center
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Accept
SNAP
Program
PEG
Program
Post Adjudication
Post Adjudication
Enroll child
in YRC
Child is
Adjudicated.
Child
terminated
from
program
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YRC in Action
When a youth is referred to the YRC, the YRC staff performs the following sequence of
actions:
1.
2.
3.
4.
5.
6.
7.
Accept referrals for processing.
Determine eligibility.
Provide orientation assessment.
Provide mandatory and elective programming.
Track client’s progress and participation.
Provide youth grievance procedure (if applicable).
Complete or terminate youth from YRC program.
Each of the above actions is explained in detail on the following pages. Note that all
forms are included after the text where they are described.
1. Accept referrals for processing.
All referrals must meet the following initial conditions:
a. Youth must be referred by BCJDC, JPPO, or Juvenile Children's Court (see
the “Referral Form” on page 3-94).
b. Pre- or post adjudication and/or disposition youth are eligible for referral.
c. Youth can be on probation, parole, or in the CCP and referred for sanctioning
due to technical or minor violations of their probation/release terms.
d. Youth can be on probation and attending the YRC while awaiting school
enrollment, obtaining employment, or treatment services.
e. The BCJDC can release youth at the front-end of detention while they are
awaiting determination on their referral to the system.
f. The YRC only works with youth between the ages of thirteen and seventeen
unless there are extenuating circumstances.
g. Eligible youth are accepted on a space available basis.
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Form: 21 YRC Referral Form
YOUTH REPORTING CENTER
REFERRAL FORM
TO:
YOUTH REPORTING CENTER
FROM:
DATE:
NAME:
DOB
SSN
PARENT/GUARDIAN
PHONE #
ADDRESS
WORK#
JPPO ASSIGNED
JPPO FILE#
JR#
DA
PD
PLEASE INDICATE BELOW THE # OF DAYS REQUESTED AND TIME FRAME OF
ATTENDANCE.
#OF DAYS (MAXIMUM OF 30 DAYS)
ATTENDANCE TIMES (CIRCLE ONE): SECTION I: 8:00A.M.-8:30P.M.
SECTION II: 8:00A.M.-5:00P.M.
SECTION III: 3:30P.M.-8:30P.M.
OTHER:
IF ACCEPTED INTO THE YOUTH REPORTING CENTER, THE FOLLOWING CONDITIONS
WILL BE REQUIRED:
1.
2.
3.
4.
ACCEPTED
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2. Determine eligibility.
If the youth is referred to YRC, the youth and his/her parents/guardians/custodians
must report to the YRC the following business day no later than 10:00 a.m. If the
youth, for example is referred on a Saturday, interviews with the YRC must occur no
later than 10:00 a.m. on Monday (the next business day). If the youth is referred
during normal business hours, YRC can immediately interview both youth and
parents/guardians/custodians to determine eligibility.
If accepted, the client will start the YRC on that day. This counts as Day 1 for
accounting purposes. YRC provides services for a minimum of 3 (three) calendar
days up to 30 calendar days. An exception includes a 15-Day Final Disposition
Commitment which is no less than 3 (three) calendar weeks.
YRC staff conducts the interview with youth and parents/guardians/custodians to
further determine eligibility. Parents/guardians/custodians concurrence on the
policies, procedures, and rules (below) is mandatory for YRC eligibility.
a. Provide “Attendance and Transportation Policies” (see page 96) and discuss with
youth and parents/guardians/custodians. Obtain their signatures.
b. Provide the handout, “Rules, Orientation, and Behavior” (see page 99) and
discuss.
c. Review the “Search Procedure” (see page 101) handout with youth and
parents/guardians/ custodians.
d. Answer any questions the youth and parents/guardians/custodians may have.
If eligible, place the youth in the YRC program that day.
Youth who may not be eligible for the YRC program are as follows:
a. Those who are displaying unstable mental health problems that would make
it difficult for them to participate in group activities are considered on a caseby-case basis.
b. Youth who are considered a danger to other participants in the program.
c. Youth who have been in the program in the past and were terminated due to
unacceptable behavior. These cases are reviewed on a case-by-case basis;
YRC staff has the final determination.
d. Youth who are on Family in Need of Supervision (FINS), Children in Need of
Supervision (CHINS), or JPPO assess and refer clients are not eligible for
YRC services.
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Form: 22 Judgement and Disposition
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Form: 23 YRC Attendance & Transportation Policies
Youth Reporting Center
Attendance and Transportation Policies
LATE ARRIVAL POLICY
The YRC Program starts at 8:00 A.M. or 3:30 P.M. and ends at 5:00 P.M. or 8:30 P.M.
(depends on what your schedule is). It is important that each client arrives on time.
Clients must call YRC at 761-6600 ext. 250, between 7:30 A.M.- 9:00 A.M. if they are
going to be late or absent.
ATTENDANCE POLICY
Clients must call the YRC office at 761-6600, ext. 250 if they are going to be absent.
Three (3) unexcused absences result in an administrative sanction. Any additional
absences may result in a violation of probation and possible termination from the YRC
program. YRC staff members are the only authorized individuals who can excuse you
from the program
Clients are not allowed to leave YRC early unless a valid reason has been approved by
YRC staff in advance!!
COMMUNITY SERVICE
All YRC clients are required to participate in community service. For male clients,
this is held on Saturdays from 8am to 4pm. For female clients, community service is
held on Sundays from 8am to 4pm. It is imperative that you arrive no later than
8:30am. Lunch is provided at no cost. YRC staff does not provide transportation to
and from your home.
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TRANSPORTATION
Please indicate who will pick-up or drop-off your youth.
Parent/Guardian:
Friend:
Family Member:
Public Transportation/Bus:
I
, have read and understand all of the rules stated
above. By signing this contract I agree to follow all of the rules.
SIGNATURE OF CLIENT
DATE
SIGNATURE OF PARENT
DATE
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Form: 24 YRC Rules, Orientation, & Behavior
Youth Reporting Center
Rules, Orientation, and Behavior
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
You are not allowed to bring any drugs or drug paraphernalia, tobacco, lighters, pens, pencils,
weapons, sharp instruments. If we find any unauthorized items, they will be confiscated. We are
not responsible for any confiscated or lost items. Smoking is not allowed.
For your safety and the safety of others, you will be searched while at YRC. These searches are
unannounced and can happen anytime at YRC discretion.
While participating in the YRC, it is expected that you will treat others with respect at all times.
Behaviors that are considered disrespectful include; swearing, gang-related behavior, or sidetalking, etc. If someone does not respect you, you need to report it to staff so the problem solving
process can begin immediately.
Aggressive behavior/fighting/threats will not be tolerated. Do not touch anyone. Touching
includes horseplay and boyfriend/girlfriend interaction (no hand holding, etc).
Do not brag or talk about your specific crime or referral. Also, do not exchange or discuss “War
Stories” of any kind.
Follow all instructions given to you by YRC staff. Be respectful to all staff, fellow clients and all
persons you come into contact with.
Cell phones, pagers, computer games, radios and CD’s/CD players should be left at home.
Respect property of other clients and staff.
Use respectful language at all times. No Cursing.
No snacks, unless provided by staff.
Do not put your feet on chairs or disrespect/vandalize YRC property.
Report incidents or activities that may threaten or disrupt the YRC environment.
You must participate in all program activities.
Gang enhancement of any kind will not be tolerated. No slang terms or use of nicknames
allowed.
You must ask staff for permission to get out of your seat.
Dress Code
1.
2.
3.
4.
5.
6.
7.
You may not wear clothing that is deemed distracting by YRC staff (this includes clothing with
offensive language or slogans: Drug or alcohol advertisements; racial, sexist or derogatory
messages. The YRC does not allow clothing that may identify you with a GANG or set. No
sagging or gang colors such as baby blue, red or navy blue.
All necklaces should be hidden. Male clients are not allowed to wear any jewelry. Female
clients may not wear excessive jewelry.
No excessively revealing clothing. (No belly shirts, hip huggers, tube tops, etc.)No cut off sleeves
or tank tops.
No hats, hairnets, bandanas, beanies, etc.
While participating in Community Service, clients will be expected to wear appropriate shoes and
clothing for outdoor activities.
No house shoes/slippers or pajamas will be worn while attending YRC. No open toed shoes.
No Jersey’s of any kind.
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If you fail to follow any of the above stated rules, you may be suspended, terminated or not
credited for your session. If you commit a delinquent act while at the YRC, local law
enforcement will be notified and you could face additional charges and/or consequences.
I have read and understand all of the above rules for participating in the YRC. By signing this
contract, I agree to follow all of the rules.
Date:
Signature:
Youth
Date:
Signature:
Parent
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Form: 25 Search Policy & Procedure
Search Policy and Procedure
POLICY
The YRC staff searches clients to control contraband. YRC staff members shall
conduct pat-down searches of all clients entering the YRC. Unannounced and
irregularly timed searches shall also be conducted. All clients are searched a
minimum of one time per day.
DEFINITIONS
Contraband: Any item or article that was not authorized or approved by the YRC.
Hazardous Contraband: Any item which poses a serious threat to the security or safety
of the staff and participants of the YRC. Examples include weapons of any kind,
medication of any kind, illegal substances, etc.
Nuisance Contraband: Any item that had not been authorized for possession by Order
of the Court or by the rules of the YRC. Examples include cigarettes, lighters, cell
phones, markers, etc.
PROCEDURE
At the beginning of each day (no later than 9:00 a.m.) and at unannounced times, the
YRC staff pat-down searches all clients. Staff members of the same gender pat-down
search clients of the same gender. The procedure is as follows:
1.
2.
3.
4.
5.
6.
7.
8.
9.
All clients stand up and empty the contents of their pockets (including jackets).
YRC staff members pat-down search all clients, one at a time.
All bags/packages that the clients bring to the YRC are also searched.
One staff member observes the entire group to avoid possible transfer or
concealment of contraband.
The program then continues per the routine of the day.
All hazardous contraband that is discovered through these searches is immediately
turned over the YRC Program Manager or the assigned JPPO Supervisor.
The staff member who confiscated the hazardous contraband submits a written
report to the Program Manager, who will forward this report to the BCJDC
Assistant Director of Operations/designee for review. The Director/designee
determines if criminal charges should be filed.
All clients who are caught with nuisance contraband (i.e. cigarettes, lighters,
markers, etc.) are subject to disciplinary action through the YRC sanctions grid.
Clients caught with hazardous contraband (e.g., weapons, illegal substances, etc.)
are immediately terminated from the program and their JPPO (or the Officer of
the day) is contacted.
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I have read and understand all of the above policies and procedures for participating in the
YRC.
Date:
Signature:
Youth
Date:
Signature:
Parent
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3. Provide orientation assessment.
When a youth first enters the YRC, a YPO II performs the following actions:
a. Orients youth new to the YRC program by reviewing information discussed
during the initial interview with parents/guardians/custodians.
b. Explains and discusses “Program Tools” (see page 104), answering any
questions the youth might have.
c. Reviews “Client’s Rights” (see page 105) with the youth.
d. Reviews the “Time Out/Personal Space Policy” (see page 106).
e. Reads “Consequences and Discipline” (see page 107), and answers any
questions the youth may have.
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Form: 26 Program Tools Five Basic Needs
Program Tools
Five Basic Needs
We believe that most human behaviors are driven by the desire to fulfill certain basic
needs that are present in all people, including:
1. To Respect and Be Respected ─ Showing that you care about and respect others,
and show that they care about and respect you.
2. Mastery and Control ─ Setting a meaningful direction in your life with a clear set of
goals. Disciplining yourself to achieve daily goals and to accept direction and
constructive criticism from others. Using measurable, achievable and definable
steps to ensure success in attaining your goals.
3. Self-Esteem ─ Feeling good because you set realistic standards for yourself and are
able to evaluate your attitude and behavior. Having the ability to correct yourself
when you do something wrong or hurtful to yourself or others, and appreciating
when you do something caring and helpful for yourself and others.
4. Freedom ─ Taking responsibility for your attitude and behavior so that you can
increase your choices in daily living.
5. Fun ─ Having a good time without hurting yourself or others.
We understand that the behaviors we use to fulfill these basic needs can be pro-social
or anti-social. In an effort to assist you in making good choices and to use pro-social
behavior, we have developed seven basic social expectations for you to follow during
YRC hours.
Seven Basic Social Expectations
1. Approaching Staff ─ When approaching staff, other than to say "Hello," begin the
conversation politely. For example, you can say "May I please talk to you."
2. Interrupting Conversation ─ When you need to interrupt a staff or peer conversation,
excuse yourself and ask if they could talk with you when their conservation is over.
3. Following Directions ─ It is important to follow a staff request or direction quickly and
without question. There will be time later for questions or comments.
4. Handling Frustration ─ You are expected to talk about your frustration in an
appropriate manner. Do not raise your voice in an attempt to get your way.
5. Appropriate Language ─ Use appropriate language and conversation. Do not glorify
negative behavior or use inappropriate words, terms or descriptions.
6. Appropriate Objectives ─ When interacting with others your objectives should be
positive and appropriate. Do not engage another person for the purposes of
disrespect, manipulation or any negative aim.
7. Common Courtesy ─ Treat others as you would like to be treated. Display courtesy
and kindness at all times.
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Form: 27 Client's Rights
Client's Rights
 No client is denied service or provided less service than any other individual
because of race, color, gender, national origin or sexual orientation.
 Staff allows each youth privacy, while maintaining adequate supervision.
 Youths are not subjected to cruel, severe, unusual or unnecessary
punishment. Youths are not subjected to remarks that ridicule them or their
families.
 Physical restraint is used by BCJDC staff only in necessary emergencies to
protect the youth or others from injury and property damage.
 The program does not use pictures, audio, video, or audio-video materials
from which the youths or their families can be identified without written
consent of the youth and parents/guardians/custodians.
 Youths have the right to religious freedom and practice.
 When a meal is provided the youth receives a nutritionally sound diet of
wholesome tasteful food, available at appropriate times and served in as
normal a manner as possible.
 Youths have opportunities for daily activities, recreation, and physical
exercise.
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Form: 28 Time Out Policy
Time Out Policy
There are two different types of time outs. The first is an optional time out, or Personal
Space, which you choose to enter, and the second is a mandatory time out given to you
by staff.
Optional Time Out/Personal Space
If at any time you feel that you are having difficulty handling your frustration in regards
to a situation or another person, you may elect to take a moment of Personal Space for
up to ten minutes. Even in Personal Space you must remain under the supervision of
staff. Therefore, you must notify staff of your intention to take a moment of Personal
Space, then wait for him/her to allocate a space for you. When you are done taking
your moment, you are expected to return to the YRC group in a positive manner, ready
to participate as a member of the YRC community.
Mandatory Time Out/Personal Space
In accordance with our progressive discipline policy, you may be asked to take a Time
Out by staff when it is deemed that you are being disruptive to the YRC community, or
have violated one of the program rules. When you are asked to take a Time Out, you
are directed to an area where you are given an assignment to work on. This
assignment is chosen by staff and bears directly on the behavior(s) that caused you to
be asked to take a Time Out. You are expected to complete your Time Out assignment
and to discuss it with staff. If you refuse to take a Time Out when asked, or violate the
expectations for Time Out, you may receive one or more of the following consequences:
be sent home, JPPO contacted, an additional day added to your sanction, termination
from program, or parents/guardians/custodians notification.
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Form: 29 Consequences & Discipline
Consequences and Discipline
A Progressive Policy
The YRC has procedures for dealing with those who do not follow our program rules.
Our policy addresses two categories of offenses ─ major and minor ─ with a different set
of progressive consequences for each. These consequences are exclusive to the YRC.
In addition, the JPPO may assign further consequences for behaviors that occur within
the YRC.
Minor Rules Violations *
Minor Consequences *
Attendance and punctuality
Dress & proper attire
Verbal warning
Personal space/time out with thinking
error assignment
Lack of productivity
Conference with staff, client,
parents/guardians/custodians
Gang attire, language, graffiti signing Conference with staff, client,
parents/guardians/custodians
Insubordination (not following
Conference with staff, client,
directions)
parents/guardians/custodians, CSO.
Prevention plan established.
*
If the offense is severe or frequent, immediate termination from the YRC program
may occur.
Major Rules Violations
Inappropriate comments/language,
intimidation or harassment.
Using or selling drugs or alcohol or
possessing paraphernalia during
YRC hours.
Theft or vandalism of YRC
properties.
Violent behavior (e.g. fighting,
abusive behavior)
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Bernalillo County, New Mexico
Major Consequences
Termination from program
Termination from YRC, JPPO notified,
and charges filed
Termination from YRC, JPPO notified,
and charges filed
Termination from YRC, JPPO notified,
and charges filed
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4. Provide mandatory and elective programming.
Clients may elect to participate in additional programming/groups. A sample of
these activities appears below.



Drug Education group
Relapse Prevention group
TVI GED class
The chart below lists mandatory classes.
Program Attendance
Reading Lab
Community Service
All group programming except
electives noted above
Duration
10 hours per week
8 hours per week
All times mandatory
The next two pages provide a sample of a YRC weekly schedule.
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YOUTH REPORTING CENTER WEEKLY SCHEDULE AS OF JUNE 6, 2005
MONDAY
Time
8:00am-9:00am
9:00am-11:30am
11:30am-12:30pm
12:30pm-4:00pm
4:00pm-5:00pm
3:30pm-5:00pm
5:00pm-5:30pm
5:30pm-6:30pm
6:00pm-8:30pm
Event
Newspapers in Education
Reading Lab Activities
Lunch
OPEN/YRC Groups
Girls Group
Drug Education Group
Dinner
Life Skills Group
OPEN/YRC Groups
Location:
YRC
Rm. 231
YRC
YRC
CCP
A&B
YRC
YRC
YRC
Staff Assigned:
Jeanette
Dwight/Jeanette
All
Denise
Colleen
Dr. C De Baca
All
Colleen
Angel/Celia
YRC
PW
Rm. 231
YRC
YRC
Conf. D
Denise/Jeanette
Denise/Jeanette
TUESDAY
8:00am-9:00am
9:00am-11:30am
11:30am-12:30pm
12:30pm-1:00pm
1:00pm-2:30pm
2:30pm-4:00pm
4:00pm-5:00pm
5:00pm-5:30pm
5:30-pm-6:30pm
6:30pm- 8:30pm
Newspapers in Education
(1)Community Service
(2) Reading Lab
Lunch
OPEN/YRC Groups
(1)TVI/GED Class
(2) OPEN/YRC Groups
OPEN/YRC Groups
Anger Mgmt. Group
Dinner
Education Group
OPEN/YRC Groups
YRC
YRC
YRC
YRC
YRC
All
Dwight
Denise
Dwight
Colleen
All
Colleen
Angel/Celia
WEDNESDAY
8:00am-9:00am
9:00am-11:30am
11:30am-12:30pm
12:30pm-3:30pm
3:30pm-5:00pm
5:00pm-6:00pm
6:00pm-8:30pm
Newspapers in Education
(1) Community Service
(2) Reading Lab
Lunch
OPEN/YRC Groups
Drug Education Group
Dinner
OPEN/YRC Groups
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YRC
PW
Rm. 231
YRC
YRC
A&B
YRC
YRC
Denise/Jeanette
Denise/Jeanette
All
All
Dr. C De Baca
All
All
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THURSDAY
8:00am-9:00am
9:00am-11:30am
11:30am-12:30pm
12:30pm-1:00pm
1:00pm-2:30pm
3:30pm-4:30pm
5:00pm-6:00pm
6:00pm-7:00pm
7:00pm-8:30pm
Newspapers in Education
(1)Community Service
(2) Reading Lab
Lunch
OPEN/YRC Groups
(1)TVI GED Class
(2) OPEN/YRC Groups
(1)Relapse Prevention Group
Dinner
AA
OPEN/YRC Groups
YRC
PW
Rm. 231
YRC
YRC
Conf. D
Denise/Jeanette
Denise/Jeanette
CCP
YRC
YRC
YRC
Colleen
All
All
Angel/Celia
YRC
PW
Rm. 231
YRC
YRC
A&B
YRC
YRC
YRC
Denise/Jeanette
Dan Byers
Denise Jeanette
All
All
Dr. C De Baca
All
All
Celia
All
All
Denise
FRIDAY
8:00am-9:00am
9:00am-11:30am
11:30am-12:30pm
12:30pm-3:30pm
3:30pm-5:00pm
5:00pm-6:00pm
6:00pm-7:00pm
7:00pm-8:30pm
Newspapers in Education
(1) Community Service
(2)Reading Lab
Lunch
OPEN/YRC Groups
Drug Education Group
Dinner
NA
OPEN/YRC Groups
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5. Track client’s progress and participation.
YRC staff, on a daily basis, documents attendance, participation, and progress for
each client using the “YRC Case Notes” form (see page 112).
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Form: 30 YRC Case Notes
YRC CASE NOTES
DATE______________
8 AM to 1 PM SHIFT
READING LAB____GROUPS_____COMMUNITY SERVICE____#OF TIME OUTS____SCHOOL_____
COMMENTS_____________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
DATE______________
1 PM to 9 PM SHIFT
READING LAB____GROUPS____COMMUNITY SERVICE____#OF TIME OUTS____SCHOOL______
COMMENTS_____________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
DATE_______________
8 AM TO 1 PM SHIFT
READING LAB____GROUPS____COMMUNITY SERVICE____#OF TIME OUTS____SCHOOL______
COMMENTS_____________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
DATE__________________
1 PM TO 9 PM SHIFT
READING LAB____GROUPS____COMMUNITY SERVICE____#OF TIME OUTS____SCHOOL______
COMMENTS_____________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
DATE______________
8 AM TO 1 PM SHIFT
READING LAB____GROUPS____COMMUNITY SERVICE____#OF TIME OUTS____SCHOOL______
COMMENTS_____________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
DATE___________________
1 PM TO 9 PM SHIFT
READING LAB____GROUPS____COMMUNITY SERVICE____#OF TIME OUTS____SCHOOL______
COMMENTS_____________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
ADDITIONAL
COMMENTS:____________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
_________________________ ______________________________________________________________________________________________
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6. Provide youth grievance procedure (if applicable).
Clients enrolled in the YRC have the right to grieve any disciplinary action that is
taken against them.
a. Upon the decision of the YRC staff member to administer discipline, the same
staff member must notify the affected YRC client that he /she has a right to
grieve the disciplinary action.
b. The YRC staff member gives the “Grievance” form (see page 114) to the client
and explains it to him/her.
c. Upon return of the “Grievance” form to the YRC staff, a Behavior Management
Team (BMT) meets to review the grievance. This BMT consists of the YRC
Program Manager and at least one (1) YRC staff member who is not involved in
sanctioning. They return a decision to the client within 24 hours.
d. If the YRC client does not agree with the decision of the BMT, he/she can
complete a written grievance with a proposed resolution. The BCJDC Assistant
Director of Operations investigates the grievance and responds, in writing, within
five (5) working days of submission.
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Form: 31YRC Client Grievance
YRC Client Grievance Hearing Form
Client Name__________________________ Date ____/____/____
Shift Incident Occurred__________ Date and Time of Incident____/____/____ _____
Would you like for another client or other clients to be interviewed? Yes___
No___
Grievance Procedure
Step 1-Client:
Explain your side of the conflict. Include any names of witnesses supporting your claim.
Attach additional pages if necessary.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
What do you think would resolve the conflict?________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
____________________________________________________________________________________________
Client’s signature__________________________________
7/05
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Step 2 – Behavior management team:
Review client’s grievance. Include and attach any notes and documents
relied upon. Interview client(s) and staff involved.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Recommendation:_____________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Determination:________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Team Representative’s Signature:____________________________
Date and Time decision returned to Client:____/____/____
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07/02
Step 3 – Client:
If you are not satisfied with the decision made by the Behavior Management Team, you
may request an appeal in writing. If you wish to appeal the decision, write down why
you are specifically dissatisfied with the decision.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________
Client’s signature_________________________________
Received by________________________________________
Step 4 – Assistant Director:
Ombudsman:
Review the appeal and determine a final decision.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________
Reason for the decision:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________
Assistant Director’s signature______________________________
Date____/____/____
Ombudsman’s signature ______________________________
Date____/____/____
07/05
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7. Complete or terminate youth from YRC program.
There are two ways to leave the YRC program, by successfully completing the
program or by being terminated. The following is a description of program
completion or termination.
Completion
A youth may complete the YRC program for either of the two reasons below.
 Youth has completed the program successfully.
 Case is adjudicated (disposition of case).
Termination
A youth may be terminated for any of the reasons listed below.
 Expelled for non-compliance with the program: This means that youth
refused to follow the program rules and expectations, or that he/she had a
major rule violation, and so was asked to leave the program.
 Dropped out of the program, which occurs after youth has three consecutive
unexcused absences, or has chosen not to return to the YRC for whatever
reason.
 Other reasons for termination include when the youth stops receiving services
from the YRC for any reason that does not fit in the above categories.
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Reducing Racial and Gender Disparity
YRC services are available to all youth regardless of race and gender. YRC recognizes
that some youth lack the appropriate social skills to communicate and interact with law
enforcement and authority figures. We intend to provide future programming to facilitate
such youth to acquire the skills needed to improve their interactions with law
enforcement and authority figures.
Training People for YRC
YRC provides extensive training of its personnel. Personnel cover all of the information
below during their initial training.
1. Overview of YRC/Diversion Programs
a. Mission and Objectives
b. Collaboration
2. Review of Juvenile Justice Division
a.
b.
c.
d.
e.
f.
Probation/Parole
Public Defenders
District Attorneys
Social Workers
Liaison Team
Interaction with above agencies
3. Review of Children’s Court
a.
b.
c.
d.
e.
f.
Judges and Special Masters
Courtroom Procedures
Courtroom Etiquette
Children’s Code
Court Hearings (Detention and Disposition)
Affidavits and Warrants
4. YRC Staff Training Requirements
a. Policy and Procedure Overview
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b. PRT/CPR/First Aid
c. Case Files and Documentation
1.
Referral Forms
2.
Conditional Order of Release
3.
Probation Agreements
4.
15 Day Commitments
5.
Special Conditions
6.
Case Notes
7.
Client / Parent Agreement
8.
Transportation Agreement
9.
Rules and Orientation
10.
Transfer Packets
d. Client Interview Process
e. Crisis Intervention
f. De-escalation Techniques
g. Family Dynamics
h. PSD Referrals and Reporting
i. Albuquerque Public Schools
a. Reintegration back into school
b. YRC Teacher and schedule
j. Confidentiality
k. County Vehicles
l. Community Service
m. Agency Interaction and Referrals
n. Work Schedules, Sign-In Sheets
o. JDAI
p. Cultural Responsiveness
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What’s in the Numbers?
BCJDC is dedicated to collecting and analyzing data in order to make informed
decisions about the YRC program. The graphs below provide data for that program.
Community Service Hours Through YRC
Number of Hours
12500
10000
7500
5000
2500
0
2001
2002
2003
2004
Year
Number of Individuals
YRC Clients
450
400
350
300
250
200
150
100
50
0
2001
2002
2003
2004
Year
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Focusing on the Future
YRC continuously reviews its procedures to improve customer service and to avoid the
issue of net-widening for those youth not in need of structured services or programs.
Clients in YRC are youth that require support and supervision to assist them from
returning to BCJDC or any other detention facility.
Below are several programs that YRC is exploring.
 Develop intensive outpatient services that includes two tracks: the mental
health treatment track (12 weeks), and the substance abuse treatment track
(6 weeks). The clients will meet three times each week for three hours.
Those hours would include activities such as individual/group/family therapy,
psychological education, recreation therapy, and so forth.
Topics in the mental health track may include self esteem, peer pressure,
anger management, job skills, coping skills, etc. Topics for the substance
abuse track may include drug/alcohol education, cravings, relapse prevention,
etc.
 Develop additional experimental therapeutic programming for the Ropes
course.
 Create pet therapy programming.
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Children’s Community
Mental Health Clinic
(CCMHC)
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In the Media
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What Is the Children’s Community Mental Health Clinic?
The Bernalillo County Juvenile Detention Center (BCJDC) operates the Children’s
Community Mental Health Clinic (CCMHC). The clinic is designed to meet the unique
needs of youth who are experiencing psychiatric symptoms that markedly impair their
functioning. The CCMHC provides outpatient services with the goals of promoting and
protecting the health and safety of its clients and of keeping regional clients in the
community setting.
Key components of the CCMHC include comprehensive assessment; individualized
treatment planning; psychiatrist/clinician supervision and treatment; individual and
family therapy; and case management services.
The CCMHC complies with all applicable laws and regulations, adheres to the
requirements of its accrediting bodies, and possesses all applicable licenses required
by law, regulations, and policy.
History
The Children’s Community Mental Health Clinic began its operation in 2003 with a nurse
manager at its helm. Insurance providers donated start-up monies in the amount of
$74,000.00.
Shortly thereafter, a case manager was hired, and both he and the nurse manager
designed the program structure and forms now in use at the clinic. Within two months
of start-up, the nurse manager recruited the psychiatrist through the University of New
Mexico. After eight months of operation, the billing specialist and another case
manager were hired to handle a caseload of about 280 clients.
At this time, CCMHC has over 1200 clients, 840 of whom are active. Currently,
CCMHC has a part-time psychiatrist, two case managers, a billing specialist, an
administrative officer, and four clinicians.
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Organization
The organization chart below indicates staff positions and the chain of command for
CCMHC personnel.
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All employees and clinicians of CCMHC who are providing direct services to youth and
their families have appropriate New Mexico clinical licensure and practice within the
scope of their license. In addition, all CCMHC personnel complete fingerprint cards, are
subject to a complete background check, and receive a letter of clearance from CYFD
prior to their direct, unsupervised contact with any clients.
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How Does the CCMHC Benefit Youth and the Community?
The CCMHC program provides numerous benefits to youth, including:
 Preventive services
 Free mental health services for any youth who does not have the financial
means for payment
 Thorough evaluative and diagnostic services
 Individual, group, and family therapy
 Case management to network with other beneficial services in the community
 Medication management
 Substance abuse treatment
 Anger management
 Crisis management
 Behavior management skills development
In addition, parents and the community benefit, as follows:
 Provides family therapy, changing patterns for parents/guardians/custodians
as well as for youth
 Places youth and families in programs to help them become more productive
citizens
 Enables budget offices to place funding where it is truly needed and useful
 Creates stronger, more related/networked communities
 Resources are channeled into helping youth rather than supporting and/or
building detention centers
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Collaboration Is the Key
Samples of how CCMHC collaborates with numerous community agencies are provided
below.
 Collaborates with the Children, Youth and Families Department (CYFD) to
ensure compliance with all applicable licensing standards.
 Advises the community of the clinic’s services through a series of meetings
with health care providers and community service providers.
 Collaborates with any service providers who may in the past or will in the
future have a clinical relationship with the youth currently receiving care in the
clinic. These providers may include the Primary Care Physician and the
youth’s insurance provider/carrier.
 Sometimes coordinates care with the youth’s home school.
 Collaborates with CYFD, JPPO, and CPS to coordinate care for youth who
are clients of the clinic.
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CCMHC in Action
Services are delivered according to plans approved by CCMHC staff who meet
appropriate professional qualifications. The CCMHC psychiatrist, clinicians, or case
managers see the client at least once. The psychiatrist and/or clinician’s documentation
and signature in the medical record show the active involvement in establishing a
written “Treatment Plan” for each client; case managers develop a “Service Plan.”
All youth are eligible to participate in the CCMHC.
The procedure for each of CCMHC’s services is provided in detail below. In addition,
procedures that apply to all services, such as documentation and billing, are also
included.
Please reference the flowchart on the next page to better understand the CCMHC
process.
The CCMHC processes are provided as follows:
1.
2.
3.
4.
5.
6.
7.
Process referrals and consent forms (see page 131).
Assess client (see page 144).
Test client (see page 157).
Create plan for treatment (see page 158).
Provide service and documentation (see page 164).
Close client case (see page 169).
Billing procedure (see page 171).
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Error! Not a valid link.
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1. Process referrals and consent forms.
Process: 10 Process referrals and consent forms
Referrals predominantly come from the BCJDC, Children’s Court, YRC, CCP, the
school system, community mental hospitals, public walk-ins, and community
organizations such as the University of New Mexico. Clients who are referred
through these agencies undergo assessment and may need psychological testing.
a. If a client is referred from these sources, a psychiatrist, clinician, and/or case
manager is assigned to the client, as indicated on the “Referral” request.
b. Depending on which healthcare professional treats the youth, the following forms
are required for consent:
Psychiatrist/Clinicians
Case Managers
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 Consent to Evaluation and Treatment (see page 133)
 Patient’s Rights and Responsibilities (see page 134)
 Authorization to Release or Obtain Health Information
(see page 136)
 Demographic Information Form (see page 139)
c. Case Management Consent Form (see page 141)
d. Patient’s Rights and Responsibilities (see page 134)
e. Authorization to Release or Obtain Health Information
(see page 136)
f. Demographic Information Form (see page 139)
g. Emergency Medical Authorization Form (see page 142)
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Children’s Community Mental Health Clinic
Bernalillo County Juvenile Detention Center
5100 Second Street, NW Albuquerque, NM 87107
(505) 761-6600 ext. 254  Fax (505) 342-3785
Referral to Mental Health Clinic
Form: 32 CCMHC Referral to Mental Health Clinic
Referral made by:
Date:
Organization/Agency:
Court Ordered?
Phone#:
Yes
No
Assigned Judge:
Patient:
DOB:
SSN:
Parent(s)/Legal Guardian(s):
Home Address:
Phone #: (H)
(cell):
(other):
If known, please check the appropriate box for type of health insurance coverage the patient has:
Lovelace Salud!
Presbyterian Salud!
Cimarron Salud!
Exempt
No Coverage
Private/Commercial ______________________________________
Please provide any known information
Please indicate type of service(s) requested: (Check type of service)
Evaluation/Assessment
Case Management
Medication Management
Counseling
Substance Abuse Treatment
Psychological Testing
Comments:
FOR CLINIC USE ONLY
Clinician
Appointment Date
Appointment Time
If Initial Appointment is missed, write
rescheduled appointment in following blanks
Rescheduled Appointment Date
Appointment Time
Comments:
(Write dates and times of attempts to schedule appointment and any comments on the back of this page)
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Children’s Community Mental Health Clinic
Bernalillo County Juvenile Detention Center
5100 Second Street, NW Albuquerque, NM 87107
(505) 761-6600 ext. 254  Fax (505) 342-3785
Form: 33 CCMHC Consent to Evaluation & Treatment
Consent to Evaluation and Treatment
MY CHILD’S TREATMENT:
I give the Children’s Community Mental Health Clinic permission to provide mental health/ behavioral
health treatment to me and/or to my child. The treatment may include individual therapy, family therapy,
group therapy, case management services, behavioral management services, and medication management.
Services may be delivered in the clinic setting, my child’s school, community center, or my home.
Treatment typically involves ongoing meetings and discussions with the treatment provider, myself, my
child. The treatment focuses on my child’s and family’s strengths, while identifying specific problems
and concerns and developing a treatment plan that matches my child’s and family’s needs.
INSURANCE COVERAGE:
I certify that I have reported all my insurance.
I certify that I have no insurance which will pay benefits for this care.
I certify that I have Medicaid insurance which will pay benefits.
I assign the Children’s Community Mental Health Clinic any insurance benefits payable for my child’s
mental health/behavioral health care. I understand that the Children’s Community Mental Health Clinic
will file claims with my insurance company for me(if applicable). I under-stand that I am responsible for
any charges which are not covered by my health plan.
RELEASE OF INFORMATION:
I authorize the Children’s Community Mental Health Clinic to release any information requested by
representatives of local, state, federal agencies, insurance companies or other organizations or entities as
may be required for payment of claims. I understand that the specific information to be released may
include, but is not limited to, history of care and diagnosis.
Records of service provision are confidential and stored in the Medical Records Department. With few
exceptions, your medical records will not be shared unless you provide written consent to do so.
Exceptions to confidentiality include risk of self-harm, risk of harm to others, alleged child abuse or
neglect, court subpoenas, or requests from payors.
I authorize the Children’s Community Mental Health Clinic to notify my child’s PCP,
Name
address
of my child’s behavioral health treatment.
I HAVE READ AND UNDERSTAND THE ABOVE INFORMATION
Signature of Parent/Legal
Guardian
Signature of Patient (if 14 or over)
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Relationship to Patient
Date
Witness
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Children’s Community Mental Health Clinic
Bernalillo County Juvenile Detention Center
5100 Second Street, NW Albuquerque, NM 87107
(505) 761-6600 ext. 295  Fax (505) 342-3785
Form: 34 CCMHC Patient's Rights & Responsibilities
Patient's Rights and Responsibilities
The doctors, nurses and staff of the Children's Community Mental Health Clinic are committed
to meeting your needs as our patient. We are committed to providing the best care available, to
respecting your rights and to helping you recognize you responsibilities as a patient. This
information has been prepared to help you understand both your rights and responsibilities. We
believe that patients who understand and participate in their healthcare are better able to achieve
the desired recovery.
Your Rights as a Patient:
CARE AND DECISION MAKING--You or your legally authorized representative have the
right to:
 receive care regardless of your race, creed, color, national origin, ancestry, religion, sex,
sexual orientation, marital status, age, newborn status, handicap or source of payment
 be treated with consideration, respect, and recognition of your individuality and personal
care, including the need for privacy in treatment
 have the opportunity to participate to the fullest extent possible in planning for your care and
treatment
 have your consent obtained before treatment is administered, except in emergencies
 refuse treatment to the extent permitted by law and be informed of the medical
consequences of your refusal
 a full explanation, provision for continuing care and acceptance by the receiving institution,
and doctor if you are transferred to another facility, except in emergencies
 make decisions regarding your care or select a representative to act on your behalf if you are
unable to do so
 make informed decisions regarding your care including being informed of your health status
 consult with a specialist, at your own expense
 personal privacy
 receive care in a safe setting
 be free from all forms of abuse or harassment
 be free from restraints of any form that are not medically necessary or are used as a means
of coercion, discipline, convenience or retaliation by staff
INFORMATION--You or your legally authorized representative have the right to:
 have your medical records, including all computerized medical information, kept
confidential
 access to your medical record
 know the names of your doctors and others who have overall responsibility for your care
 receive a copy of these rights and responsibilities at the time of admission
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 be fully informed and give prior consent for your participation in any form of research or
experimentation
 be informed of your responsibility to cooperate in your own treatment, provide a complete
and accurate medical history, be respectful of other patients, staff and property, and provide
required information concerning payment of charges
 ask questions until you are comfortable that you understand an issue regarding your
diagnosis or care
 an explanation of any procedure, including an operation, its risks and consequences and
available alternatives
 information about any continuing health care requirements
PROCEDURES FOR PATIENT COMPLAINTS OR GRIEVANCES—You or your legally
authorized representative have the right to:
 expect prompt, personal action in addressing a need or concern
 a resolution of a complaint within a short time frame agreed to by you and the person
responding to you
 the attention of an administrator in the resolution of a complaint regarding your care, if you
request it
 express a complaint about your care or treatment
Signature of Parent/Legal Guardian
Relationship to Patient
Signature of Patient(if 14 or over)
Witness
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Children’s Community Mental Health Clinic
Bernalillo County Juvenile Detention Center
5100 Second Street, NW Albuquerque, NM 87107
(505) 761-6600 ext. 254  Fax (505) 342-3785
Form: 35 CCMHC Authorization to Release or Obtain Health Information
Authorization to Release or Obtain Health Information
Name
Request Date
Mailing Address
City
State
Telephone number
Zip Code
Medicate or Social Security
Number
I AUTHORIZE:
Name:
Mailing Address:
City, State, Zip Code:
Relationship:
Telephone Number:
To Release Information TO:
FROM:
Name:
Mailing Address:
To Obtain information
City, State, Zip Code:
Relationship:
Telephone Number:
The purpose of the authorization is: (Place an “X” in the box(es) that apply)
_____Further Medical Care
_____Personal
______Legal Investigation or Action ______Coordinate of Care
_____Participation Research Study
_____Marketing ______Creating health information for disclosure to a third party
_____Other: (Specify)
I authorize the release of the following health information: (Place an “X” in the box(es) that apply to the information you want
released or you want to obtain. Authorization for release of psychotherapy note may not be combined with authorization for
release of other medical records – use separate for if needed).
____Entire Record
_____Medical History, Examination Reports
_____Treatment Plan
____Prescriptions
____Immunizations
_____Hospital Discharge Summary
_____Laboratory Results ____ Imaging Reports
____Psychotherapy notes
_____Records from (date
to (date)
____Records related to the following specific condition(s), test(s), or treatment(s):
____Other:
This authorization shall expire (date of event)
I understand that if I do not specify an expiration date,
this authorization will expire six months from the date on which it was signed.
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I understand that I may revoke this authorization at any time in writing.
I have read and understand the Important Information about Authorization contained on page 2 of this form.
Signature of Individual or Personal Representative Authorize by Law
Date
If signed by Personal Representative, basis of authority:
For Children’s Community Mental Health Clinic Use When Requesting Records:
I am authorized to receive this disclosure. Documentation of the above Personal Representative has been obtained.
Signature and Title of CCMHC Representative
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Important Information about Authorization
Form: 36 Important Information about Authorization

An authorization to release or obtain information is voluntary. you do not have to sign this form. You will not
be required to sign an authorization in advance as a condition of receiving treatment (except research-related
treatment) or payment for health care services, except in a few instances where your eligibility for Medicaid
depends on the Children’s Community Mental Health Clinic verifying your health information.

In order for the Children’s Community Mental Health Clinic to fully provide some of our services, we may
need your authorization to use, disclose, or obtain your health information.

If you agree to sign this authorization to release or obtain information, you will receive a signed copy of the
form.

If your authorization is required by law or policy, the Children’s Community Mental Health Clinic may only
obtain, use and disclose your health information if the required written authorization includes all the required
elements of a valid authorization. The Children’s Community Mental Health Clinic will use and disclose your
health information in the manner that you have authorized on the signed authorization form.

You may be required to sign an authorization before receiving research-related treatment.

A separate signed authorization form is required for the use and disclosure of psychotherapy notes.

Although you have a right to revoke an authorization in writing at any time, the Children’s Community Mental
Health Clinic cannot take back any uses or disclosures already made before an authorization was cancelled.

Information used or disclosed by this authorization might be re-disclosed by the recipient and will no longer be
protected by the Children’s Community Mental Health Clinic privacy policies.
Your right to file a privacy complaint and to revoke an authorization
You may contact the Medical Director at the address listed below if you want to file a complaint or to report a
problem about how the Children’s Community Mental Health Clinic has used or disclosed information about you.
Your benefits will not be affected by any complaint you make. If you file a complaint, cooperate in any
investigation, or refuse to agree to something that you believe to be unlawful, it will not be held against you.
You may also write to this address to revoke an authorization that you gave to the Children’s Community Mental
Health Clinic.
The Children’s Community Mental Health Clinic
ATTN: Medical Director
5100 2nd ST NW
Albuquerque, NM 87107
Phone: (505) 761-6600 ext. 254
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Children’s Community Mental Health Clinic
Bernalillo County Juvenile Detention Center
5100 Second Street, NW Albuquerque, NM 87107
(505) 761-6600 ext. 254  Fax (505) 342-3785
Form: 37 CCMHC Demographic Information
Demographic Information
Name: ___________________________________________________ ( M or F -circle one)
DOB: ________________________________
SSN: _________________________________
Ethnicity:
Caucasian __________
Hispanic __________
African American __________
Native American __________
Asian __________
Other __________
Parent/Legal Guardian Name: _____________________________________________________
Marital Status: ________________________________________________________
Religious Preference: __________________________________________________
Physical Address: ______________________________________________________________
Telephone: ___________________________________________________________
Mailing Address: ______________________________________________________
Adults involved in care of child (parent(s), step-parent(s), foster parent(s), grandparent(s), baby-sitter(s),
etc.):
Name
Relationship
Telephone Number
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Other members living in household:
Name
Relationship
Telephone Number
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Professionals involved with child (physician, dentist, social worker, probation officer, teacher, school
counselor, clergy, childcare provider, etc.)
Name
Relationship
Telephone Number
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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Child's School: ________________________________________________________________
Grade: __________________
Special Ed.: ______________
Regular Ed.:__________
Language Preference: ___________________________________________________________
Parent's Income Source: _________________________________________________________
Wage/Salary __________
Earned Income __________
Unemployment Compensation __________
Alimony/Child Support __________
Public Assistance: ______________________________________________________________
AFDC __________
Medicaid __________
Food Stamps __________
Rent Subsidies __________
Disability: ____________________________________________________________________
SSI/SSD __________
Military Service Disability __________
Retirement/Pension: ____________________________________________________________
Social Security Benefits __________
Pension/Retirements __________
Other: _______________________________________________________________________
Family/Spouse Contribution __________
Vocational Program __________
Other Sources (please specify) ___________________________________________________
___________________________________________________
Child's Income Source: __________________________________________________________
Does the child receive any separate form of income (e.g., SSI benefits of his/her own)? If so, please
specify: _________________________________________________________________
______________________________________________________________________________
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Children’s Community Mental Health Clinic
Bernalillo County Juvenile Detention Center
5100 Second Street, NW Albuquerque, NM 87107
(505) 761-6600 ext. 254  Fax (505) 342-3785
Form: 38 CCMHC Case Management Consent Form
Case Management Consent Form
The Children's Community Mental Health Clinic provides case management services for families in
treatment with us. We are able to provide case management services to some families who are not
eligible for Medicaid as well.
Your case manager can help you and your family find the services you and your family might need such
as:
 Special Education programs
 Housing
 Substance abuse treatment
 Income support
 Medical Assistance
 Summer programs
 After school programs
 Parent/child programs
 Legal Issues
 Vocational training
 Religious Issues
Your part in case management services is to:
 Let your case manager know how to reach you
 Tell your case manager what your needs are
 Keep any appointments you make with your case manager or other agencies
 Participate with your case manager in setting goals and making a care plan
 Do your best to follow this plan
I have read this consent form. I understand my part and wish to be involved with the Case Management
Program. I am willing to work closely with my Case Manager and to follow the plan that we will develop
together.
____________________________________
Signature of Patient
____________________________________
Date
____________________________________
Signature of Parent/Legal Guardian
(for children ages 14 and younger)
____________________________________
Date
I understand my responsibilities to this client and will work closely with him/her and the family to help
them receive the services they need or desire.
____________________________________
Signature of Case Manager
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Bernalillo County, New Mexico
____________________________________
Date
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CHILDREN’S COMMUNITY MENTAL HEALTH CLINIC
BERNALILLO COUNTY JUVENILE DETENTION CENTER
5100 Second Street, NW Albuquerque, NM 87107
(505) 761-6600 ext. 254 / Fax (505) 342-3785
Form: 39 CCMHC Emergency Medical Authorization Form
EMERGENCY MEDICAL AUTHORIZATION FORM
PURPOSE: To enable parents or guardians to AUTHORIZE emergency treatment for children who become ill or injured
while the CCMHC’s authority, when parents or guardians cannot be reached. Upon completion, parents or guardians must
return this form to the Mental Health Clinic.
Client’s Full Name__________________________________________________________________________________
Last
First
Middle
Social Security #
Client’s Address____________________________________________________________________________________
Street/Road
P.O. Box/ Apt #
City
Zip Code
Client’s Birth Date________________________________________Telephone (
) _____________________________
Mother’s Full Name_______________________________________Daytime Phone (
) _________________________
Father’s Full Name________________________________________Daytime Phone (
) _________________________
Guardian or Child Care Provider______________________________Daytime Phone (
) _________________________
Guardian or Child Care Provider’s Address________________________________________________________________
Street/Road
P.O. Box/Apt #
City
Zip
ALTERNATIVE EMERGENGY CONTACTS (Local people to contact if parents or guardians cannot be reached)
1. Name______________________Phone_______________2. Name______________________Phone________________
INSURANCE INFORMATION
Client’s Insurance _____________________Subscriber’s Name ______________________ID Number________________
(primary)
TO GRANT CONSENT
In case of an emergency involving my child and I cannot be reached, I hereby give consent to transport my child to the following medical
care providers and hospital, and authorize these provides and hospital to give any reasonable and customary medical and health care
deemed necessary:
Doctor _______________________________________________________________ Phone (
) _____________________
Dentist _______________________________________________________________Phone (
) _____________________
Nurse Practitioner/Physician Assistant ______________________________________Phone (
) _____________________
Hospital ______________________________________________________________Phone (
) _____________________
If, for any reason, the above listed medical care providers or hospital cannot be reached, I authorize appropriate transport and medical
care of my child to any appropriate medical care provider, hospital or medical facility. This authorization does not cover major surgery
unless one other doctor/dentist concur to the need.
Nothing in this section shall be construed to impose liability on any Children’s Community Mental Health Clinic employee who, in good
faith, attempts to comply with this section. It is understood that I will be financially responsible for all emergency care.
Signature of Parent/Legal Guardian ______________________________________ Date __________________________
-Complete Form on Other Side-
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FACTS CONCERNING THE CHILD’S MEDICAL HISTORY TO WHICH A PHYSICIAN SHOULD
BE ALERTED
Please indicate if client has had or is currently under treatment for any of the following conditions:
Give year or age when problem occurred.
________ASTHMA
________DIABETES
________EAR/HEARING PROBLEMS: (type) ________
________EMOTIONAL PROBLEMS: (type) __________
________SEIZURES
________HEART PROBLEMS: (type) _______________
________HEPATITIS: (type) _______________________
________OTHER:_________________________________
________MENINGITIS
________MIGRANE HEADACHES
________MUSCULAR WEAKNESS OR PARALYSIS
________BLEEDING DISORDERS: (type) _________
________HIGH BLOOD PREASURE
________INFECTIOUS DISEASES: (type) _________
________TETANUS SHOT: (date) ________________
________ALLERGIES?
________________________________________________________________________________________________________
________REACTIONS TO MEDICINES OR INJECTIONS? ___________________________________________________
________HOSPITALIZED FOR SERIOUS ILLNESS, SURGERY OR ACCIDENTS? ______________________________
________USE OF CONTACT LENSES?
YES_____
NO_____
________LONG TERM MEDICATIONS? ___________________________________________________________________
________HAVE YOU EVER BEEN INFORMED OF THE NEED TO BE ON ANTIBIOTIC THERAPY PRIOR TO
DENTAL TREATMENT?
YES________
NO________
________PLEASE ADD ANY PROBLEMS NOT LISTED______________________________________________________
Notes:
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2. Assess client.
Process: 11 Assess client
Depending on which healthcare professional treats the youth, the following forms
are required for assessment:
Psychiatrist/Clinicians
Case Managers
 Initial Assessment (see page 145)
 PCP Notification (see page 149)
 Case Management Assessment (see page 151)
a. The assigned personnel administers an assessment of the client.
b. If more than one clinician or psychiatrist treats a client, each must administer an
“Initial Assessment.”
Note that a client can be transferred to a community mental hospital at any time
during this process.
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Children’s Community Mental Health Clinic
Bernalillo County Juvenile Detention Center
5100 Second Street, NW Albuquerque, NM 87107
(505) 761-6600 ext. 254  Fax (505) 342-3785
Form: 40 CCMHC Initial Assessment
Initial Assessment
PATIENT:
DATE:
ADDRESS:
DOB:
PHONE:
INFORMANT(S):
M.R. #:
Relative, Collateral
REFERRED BY:
Name, Title, Phone
PRESENTING COMPLAINT:
Pt and parent report
HISTORY OF PRESENT ILLNESS:
PAST MEDICAL HISTORY:
Primary Care Physician:
Problem(s)
Narrative/Course (w/dates)
Precipitants
Exacerbating Factors
Successful interventions
Times/Settings when
problem(s) not evident
Strengths (Individ, Family)
Successes
Supports (social/cultural)
Pertinent +/- Sx,
SI/HI, etc.
Last Physical Exam:
1) Illness/Injury:
Active or Resolved?
2) Neuroimaging:
MRI/CT/MRS/SPECT
3) Electrophysiology:
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EEG/EKG
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CURRENT MEDICATIONS:
1) Psychiatric:
Dose/Freq
Level
Med
Dose/Freq
Level
12342) Medical:
123-
(Prescribed By:
Med
Target Sx
Dates
)
SE
Response
(Prescribed By:
Target Sx
Dates
)
Comments
ALLERGIES:
Medication, Symptoms
PAST PSYCHIATRIC HISTORY:
1) Diagnoses:
2) Inpatient Rx:
Hospital
RTC
Response to interventions
3) Outpatient Rx:
Partial/Day Program
Therapy (Grp/Fam/Ind)
Response to interventions
Therapist names, #s
4) Psychopharmacologic Hx:
Med
Dose/Freq
Level
Target Sx
123455) Suicide Attempts/Ideation:
SE
Response
Method, Dates, Intent
Circumstances
6) Substance Abuse:
Drugs, Dates
Usage pattern
7) Physical/Sexual Abuse:
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Dates
Dates, Perp, Type
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PSYCHOSOCIAL/FAMILY HISTORY:
1) Custody:
Legal/Physical
2) Living Arrangement:
3) Educational History:
School, Grade, Teacher
SpEd level/Regular Ed
Performance, Attendance
DEVELOPMENTAL HX:
1) Pregnancy:
Illness, Accident,
Substances,
Medications
2) Delivery:
Weeks, mode,
complications
3) Milestones:
Motor, Cognitive and Social
in Infancy, Preschool,
Latency and Adolescence
FAMILY MEDICAL HISTORY:
1) Psychiatric Illness:
Major Psychiatric
Illness,
Substance abuse,
Domestic violence
2) Med/Neuro Illness:
MENTAL STATUS EXAM:
Appearance
Behavior, Level of Alertness
Speech/Language
Affect/Mood
Perception
Thought Content
including SI/HI
Thought Production
Orientation, Cognition
Insight
Judgement
ASSESSMENT/RECOMMENDATIONS/TREATMENT PLAN:
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(prioritize)
Hospitalization , RTC
Partial Program
Outpt Tx (Grp/Fam/Ind/CB)
Psychopharm
Med/Neuro
Testing
Case management
Educational
For all above include
goals, estimated length of
Rx, and anticipated
disposition)
(in order of significance)
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Referrals Submitted: Case Management
Neuroimaging
; Labs
; EEG
Outside Agency (give name)
Other
; Psychological Testing
; Physical Exam
Evaluator:
Date:
Signed:
Physician:
Date:
Signed:
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;
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Children’s Community Mental Health Clinic
Bernalillo County Juvenile Detention Center
5100 Second Street, NW Albuquerque, NM 87107
(505) 761-6600 ext. 254  Fax (505) 342-3785
Form: 41 CCMHC PCP Notification
PCP Notification
Date:
To:
:
Dear Dr.
In order to facilitate coordination of care, below please find information related to the behavioral
health services I have begun providing to your patient. Please contact me if you have any
questions or wish to discuss your patient's care.
Participant Name
DOB
SSN
Date of Visit:
Diagnosis:
Treatment Plan/Services Being Provided:
Medication/Dosage Prescribed: None
Lab Results: None
Referral(s) Made: None
Provider Submitting Form:
Phone Number
-PROVIDER RETAINS COPY IN MEMBER'S RECORD-
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c. Case Management Assessment Process
The case manager conducts a case management assessment of each client as
the basis for service planning and service delivery. The initial case management
assessment is completed within 10 business days of admission to Case
Management Services (from date of signed consent form) and involves input
from the client, parents/guardians/custodians, treatment guardian (if applicable)
and significant others currently involved in the client’s life. An assessment
includes documented consideration of the client’s summary of strengths and
needs in the following areas:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Emotional/Behavioral/Cognitive
Daily Living
Safety
Educational
Health/Physical
Nutritional
Social Support/Recreational
Spiritual/Cultural
Vocational
Substance Abuse
Legal
Medical Compliance
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Children’s Community Mental Health Clinic
Form: 42 CCMHC Case Management Assessment
Case Management Assessment
Patient Name
Date of Birth
Case Manager
Date
Explain: I’d like to ask you a number of questions about what’s going on for you. Some of them are positive things,
some of them are troublesome things, and some are neither. In order for us to assist you, we’d just like to know how
each of these things fits into your life from your perspective. There are quite a few questions, so please hang in
there as we go through them. Fell free to stop me at any point if you want to talk about a particular question. Thank
you.
1. EMOTIONAL/BEHAVIORAL/COGNITIVE
NO
SOMETIMES
YES
NO
SOMETIMES
YES
1.Do you get along well with your parents or guardians?
2.Do you get along well with your brothers and sisters?
3.Do you get along well with other family members?
4.Do you get along well with your friends?
5.Do you get along well with people your age?
6.Do you express love, respect, and affection to your family and friends?
7.Do you think you act your age?
8.Do you think that you are a happy person?
9.Do you have a hard time concentrating on things or sitting still?
10. Do you sometimes act without thinking first?
11. Are people physically aggressive towards you?
12. Do you get physically aggressive with other people?
13. Do you feel respected and loved by your family?
14. Do you think you over-react when people criticize you?
15. Do you think you need a lot of reassurance & encouragement from other people?
16. Do people think you need to be watched and “supervised” all of the time?
17. Is it hard for you to sleep through the night?
18. Have you ever run away from home?
19. Do you usually obey the rules at home and at school?
20. Do you have a therapist who you see regularly?
SUMMARY OF STRENGTHS AND NEEDS:
2. DAILY LIVING
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1.Would you say you dress well and look good?
2.Do you shower or bath every day?
3.Do you do your share of work around the house?
4.Are you in need of TANF or child support?
5.Do you have adequate heat, electricity, water and appliances?
6.Do you have a telephone or cell phone?
7.Do you have adequate clothing and other personal items?
8.Are you provided with clean clothing?
9.Do you have regular transportation?
10. Do you know how to use public transportation?
11. Do you have adequate housing?
SUMMARY OF STRENGTHS AND NEEDS:
3. SAFETY
NO
SOMETIMES
YES
NO
SOMETIMES
YES
1.Are you adequately supervised when you are at home?
2.Do you understand and obey safety rules such as not playing in ditches?
3.Do you have access to weapons or are you exposed to weapons? (Guns, knives, rifles, or
ammunition)
4.Do you have a curfew?
5.Do you associate with people who are involved in criminal activity?
6.Do you feel physically or emotionally threatened by anyone at home or at school?
7.Do you engage in extreme or risky behaviors and/or activities?
SUMMARY OF STRENGTHS AND NEEDS:
4. EDUCATIONAL
1.Do you have a problem with having to go to school?
2.Are you passing all of your classes?
3.Do you have a hard time finishing your schoolwork or homework?
4.Is it hard for you to learn things at school?
5.Do your parents take an active role in your education?
6.Do you need assistance communicating with school personnel?
7.Do you receive any special services at school?
-If so, do you participate in IEP meetings?
-Do you keep copies of the IEP’s?
8.Do you have any other special needs that the school needs to be aware of?
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SUMMARY OF STRENGTHS AND NEEDS:
5. HEALTH/PHYSICAL
NO
SOMETIMES
YES
1.Do you think you are pretty healthy?
2.Have you ever been in the hospital for medical problems?
3.Have you ever been in the hospital for mental health problems?
4.Do you have adequate health insurance?
5.Do you receive regular medical, dental and vision care?
6.Have you had a physical/EPSDT within the last year?
7.Have you been identified as a child with special needs? If yes,
-Are your specialized care expenses being addressed?
-Has applying for SSI been considered for you?
-Has applying for a DD Waiver been considered for you?
8.Have you ever attended and completed a formal sexual education course?
9.Are you sexually active?
-If yes, are you practicing safe sex?
SUMMARY OF STRENGTHS AND NEEDS:
6. NUTRITIONAL
NO
1.Do you eat everyday?
SOME
-
YES
TIMES
2.Do you eat reasonably good food?
3.Do you have enough food?
4.Do you try to eat nutritionally balanced meals throughout the day??
SUMMARY OF STRENGTHS AND NEEDS:
7. SOCIAL SUPPORT/RECREATIONAL
NO
SOMETIMES
YES
1.Do you have extended family or friends who help you?
2.Do you spend time together with your family relaxing and having fun?
3.Do you have a library card?
4.Do you attend community recreation programs?
-If not, are you interested in community recreation programs?
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5.Do you have positive role models?
6.Do you have hobbies and social activities?
SUMMARY OF STRENGTHS AND NEEDS:
8. SPIRITUAL/CULTURAL
NO
SOMETIMES
YES
NO
YES
1.Do you get any support from your church or religious leaders? If so, how frequently?
2.Do you have spiritual/religious beliefs that are important to you and/or your family?
3.Are you aware of any spiritual/religious beliefs that influence the way you are being
raised?
4.Do you have cultural beliefs/practices that are important to you and your family?
5.Are you aware of any cultural beliefs/practices that influence the way you are being raised?
6.Would you accept services available from a religious organization?
SUMMARY OF STRENGTHS AND NEEDS:
9. VOCATIONAL
1.Do you know how to fill out a job application?
2.Do you know how to do a job interview?
3.Do you have a job?
4.Would you like to get a job (or a different job)?
SUMMARY OF STRENGTHS AND NEEDS:
10. SUBSTANCE ABUSE
9 or
10-12
Never Younger Years
13-15
Years
16-18
Years Over 18
1.When did you first:
-drink beer, wine, or wine coolers?
-drink liquor?
-smoke marijuana or hashish?
-use cocaine or crack?
-sniff/use inhalants (paint, correction fluid, etc.)?
-use other drugs?
Never
A Few Times
Often
2.Within the past year, how often did you:
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-drink beer, wine, or wine coolers?
-drink liquor?
-smoke marijuana or hashish?
-use cocaine or crack?
-sniff/use inhalants (paint, correction fluid, etc.)?
-use other drugs?
NO
YES
3.In the past year, have you kept on drinking or using drugs when you promised yourself you would
stop?
4.In the past year, has anyone said you had a problem or needed help because of your use of alcohol
or drugs?
5.In the past year, have you noticed you need alcohol or drugs to do everyday things?
6.In the past year, have you done things you normally wouldn’t do because of your
alcohol or drugs?
7.In the past year, have you hidden your use of alcohol or drugs from others?
use of
8.In the past year, have you skipped work or school because of your use of alcohol or drugs?
9.In the past year, have you had times when you could not remember what happened because of your
use of alcohol or drugs?
10.In the past year, have you driven when you may have used too much alcohol or drugs?
11.In the past year, have you been in trouble with the law because of your use of alcohol or drugs?
12.In the past year, have you been unable to do everyday things because of your use of alcohol or
drugs?
13.In the past year, have you had problems with your health because of your use of alcohol or drugs?
14.In the past year, have you had any accidents or injuries because of your use of alcohol or drugs?
SUMMARY OF STRENGTHS AND NEEDS:
11. LEGAL
NO
1.Have you ever damaged property on purpose?
SOME
-
YES
TIMES
2.Have you ever stolen or shoplifted stuff?
3.Have you ever physically hurt someone on purpose?
4.Have you ever carried a weapon to school or other places?
5.Have you ever been arrested?
6.Do you have any court actions pending?
7.Have you ever been on probation?
8.Does your family have a history of legal problems?
9.Are there other people who assist you or your family with legal issues?
10. Have you ever been placed out of the home?
-If so, who authorized the placement and where did you go?
SUMMARY OF STRENGTHS AND NEEDS:
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12. MEDICAL COMPLIANCE
NO
SOMETIMES
YES
1.Have you been prescribed medication? If no, skip this section.
-If yes, do you know what kind of medication?
-How often do you take the medication?
-Who prescribes the medication to you?
-Who gives the medication to you?
2.Do you take the medication when you are supposed to?
3.Are you okay with having to take medication?
4.Are you experiencing any side effects?
5.Has your doctor helped you to manage these side effects?
SUMMARY OF STRENGTHS AND NEEDS:
Two Final Questions
1. In addition to what we have discussed, what other things about you would you consider strengths?
2. What other things do you consider areas of need?
N. Case Manager Notes and Comments
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3. Test client (if applicable).
Process: 12 Test client
If testing is required for a client, complete the process below.
a.
The psychiatrist or clinicians determine to test at Level I or Level II.
b.
The Level I psychological test is an examination that provides rough
estimates of intellectual or personality assessments and is used as a brief
screening or follow-up exam.
Level I tests may be used for treatment planning.
The Level I test report includes a brief history, tests administered, test scores,
an evaluation of the test results, current functioning of the examinee,
diagnosis and prognosis.
c.
The Level II psychological test is a complete measure of intelligence,
aptitude, educational and personality functioning, including
neuropsychological function, as appropriate.
Level II tests may be used for treatment planning.
The test report includes a brief history, tests administered, test scores,
evaluation of test results, current functioning of the examinee, diagnosis and
prognosis.
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4. Create plan for treatment.
Process: 13 Create plan for treatment
Depending on which healthcare professional treats the youth, the following forms
are required for creating a plan for treatment and/or service:
Psychiatrist/Clinicians
Case Managers
 Treatment Plan (see page 159)
 Service Plan (see page 161)
Treatment Plan Process
Psychiatrist/clinicians develop their own process to complete the “Treatment
Plan.”
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Children’s Community Mental Health Clinic
Bernalillo County Juvenile Detention Center
Form: 43 CCMHC Treatment Plan
Treatment Plan
Name of Patient:
Date of Admission:
Name of Case Manager:
Date of Plan:
Problem Type
Description of Problem
Goal (Include Target
Date)
DOB:
SSN:
Date Plan Completed:
Objectives
(Measurable)
Intervention (Include
who is responsible)
Measurable
Outcomes(Include date
reviewed)
Date Goal is Met
Tgt Dt:
Tgt Dt:
Tgt Dt:
Patient Signature
Parent/Guardian Signature
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RN
Physician
Therapist/LADAC
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“Service Plan” Process
a. An individualized, goal-directed “Service Plan” (see page 161) is developed
and written within 30 calendar days of admission to Case Management
Services (from date of signed consent form) and is based on the needs
identified in the case management assessment; it specifies the Case
Management Services functions necessary to address the identified needs.
The client, parents/guardians/custodians, informal care givers, and significant
others are included in the development of the “Service Plan.” This
involvement is documented by participants’ signatures on the “Service Plan.”
b. The “Service Plan” specifies the following:
i. Strengths and needs
ii. Goals and measurable objectives for each need; interventions/services;
necessary to meet the goals and measurable objectives;
iii. Identification of persons responsible for implementing each
intervention/service;
iv. Scheduled delivery of services
v. Goal, amount, scope and expected duration of each service element and
anticipated outcomes.
c. A copy of the “Service Plan” is provided to the client and/or his or her
parents/guardians/custodians and to any or all of those who sign(s) the
“Service Plan.”
d. The “Service Plan” is reviewed and/or revised at a minimum of every six
months, or more often as indicated by events and/or circumstances.
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Children’s Community Mental Health Clinic
Bernalillo County Juvenile Detention Center
5100 Second Street, NW Albuquerque, NM 87107
(505) 761-6600 ext. 254  Fax (505) 342-3785
Form: 44 CCMHC Case Management Service Plan
Case Management Service Plan
Patient:
Date:
DOB:
SSN:
Case Manager:
Date Opened to Case Management:
Planned Frequency of Contact:
1.
2.
3.
4.
Emotional/Behavioral/Cognitive
Daily Living
Safety
Educational
5.
6.
7.
8.
POSSIBLE AREAS OF FOCUS
Health/Physical
Nutritional
Social Support/Recreational
Spiritual/Cultural
9.
10.
11.
12.
Vocational
Substance Abuse
Legal
Medical Compliance
Area of Focus:
Goal: (circle one)
Short Term
Long Term
Strength Related to Goal:
Objective:
Who:
Task:
Target Date:
Results:
Objective:
Who:
Task:
Target Date:
Results:
Objective:
Who:
Task:
Target Date:
Results:
Discharge Criteria:
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Area of Focus:
Goal: (circle one)
Short Term
Long Term
Strength Related to Goal:
Objective:
Who:
Task:
Target Date:
Results:
Objective:
Who:
Task:
Target Date:
Results:
Objective:
Who:
Task:
Target Date:
Results:
Discharge Criteria:
Area of Focus:
Goal: (circle one)
Short Term
Long Term
Strength Related to Goal:
Objective:
Task:
Results:
Who:
Target Date:
Objective:
Task:
Results:
Who:
Target Date:
Objective:
Task:
Results:
Who:
Target Date:
Discharge Criteria:
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CASE MANAGEMENT SERVICE PLAN SIGNATURE PAGE
Form: 45 CCMHC Case Management Service Plan Signature Page
I have been a part of making this service plan. I know my part in meeting the goals set and
agree to do the following:
 Do my best to follow this plan
 Keep any appointment made
Let my case manager know if my needs as outlined by my service plan change
I received a copy of this service plan
I declined to receive a copy of this service plan
Client Signature
Date
Parent/Legal Guardian Signature
Date
I understand my responsibilities to this client and will work closely with him/her and the family
to help them meet the goals listed above.
Case Manager Signature
Date
Supervisor Signature
Date
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5. Provide service and documentation.
Process: 14 Provide service and documentation
Psychiatrist/Clinicians Process
a. Psychiatrist/Clinicians provide individual therapy, group therapy, medication
management, crisis management, anger management, and alcohol/drug
abuse treatment. In addition, they may refer the client to outside services if
necessary.
b. The psychiatrist/clinicians must document their services on one of the forms
below.
Psychiatrist
Clinicians
 Physician’s Progress Notes (see
page 165)
 Progress Notes (see page 166)
c. The CCMHC develops and maintains written documentation for each medical
or remedial therapy, service, activity, or session. Each document must provide
a minimum of the following:
i.
ii.
iii.
iv.
v.
vi.
vii.
Specific services rendered
Date and actual time of rendered services
Who rendered the services
Setting for rendered services
Amount of time to deliver the services
Any services delivered outside the treatment regimen
Updates describing the patient’s progress
d. The billing specialist maintains the medical records pursuant to applicable
records retention schedules.
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Children’s Community Mental Health Clinic
Form: 46 CCMHC Physician's Progress Notes
Physician’s Progress Notes
Date and
Time
NOTES
DIAGNOSIS (INCLUDE DSM IV #)
Axis III:
Axis I:
Axis IV:
Axis II:
Axis V: Current:
Past Year:
Physician’s Signature
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Children’s Community Mental Health Clinic
Form: 47 CCMHC Progress Notes
Progress Notes
Date and Time
NOTES
NAME:
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DOB:
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Case Managers Process
a. The case manager assists, educates and advocates for the client and family in
identifying appropriate, necessary providers from both community
resources/services and natural helping resources, such as family members,
friends, church members, and support groups. The case manager assists in
coordinating services and resources as well as linking the client to those
services and resources that meet her or her needs in the least restrictive
setting/conditions possible in the most cost-effective manner.
b. Documentation of case management services provided and contacts with
client, parents/guardians/custodians, professionals and all agencies is
documented on a “Narrative Form” (see page 168). This documentation
indicate:
i.
ii.
iii.
iv.
v.
Type and place of contact (face to face, in home, school or office,
telephone, etc.);
Service furnished;
Date and length of contact/service;
Purpose, content and result of contact/service; and,
Relationship of the service furnished to the goals identified in the service
plan.
c. The “Narrative Form” also documents Community Access, Advocacy,
Coordinating, Linking and Monitoring of Services
The case manager documents the individual’s and family’s participation in
accessing, coordinating and linking of appropriate, necessary resources
and services.
ii. All efforts including advocacy, accessing, coordinating, linking and
monitoring of necessary services/resources are documented.
iii. The client’s progress toward the service goals and objectives is
documented.
i.
d. The “Service Plan” includes twelve areas of focus (see “Case Management
Assessment Process” (see page 151). The client’s area(s) of focus are
identified and documented on the “Narrative Form” under “Service Plan/Area
of Focus.”
e. The “Narrative Form” utilizes Data/Assessment/ Plan (DAP) charting.
f. All active case management files are maintained by the assigned case
manager. Inactive files are stored in accordance with the records retention
schedules.
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Children’s Community Mental Health Clinic
Form: 48 CCMHC Narrative Form
Narrative Form
Client Name
Action Performed:
DOB
Date:
Service Plan/Area of Focus:
Use DAP (Data/Assessment/Plan) Format
Narrative:
Case Manager Signature
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Total Patient Contact Time/
Number of Billable Units
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6. Close client case.
Process: 15 Close client case
The psychiatrist/clinicians never discharge a client; client status is either Active or
Inactive.
a. Case Management cases are closed when one or more of the following criteria
are met:
 There is no contact with the client for 30 calendar days and no response from
the client after attempts have been made to contact him/her or family.
 The case has been transferred to another agency for case management
services.
 The goals on the “Service Plan” were met and further needs for service were
not identified.
b. The client, parents/guardians/custodians and any significant other involved in the
case is included in the case closing process to the greatest extent possible and
clinically appropriate. Client receiving services or his/her parents/guardians/
custodians are provided with a written reason for discontinuation of case
management services within five (5) working days of the date service was
terminated. The “Discontinuation of Case Management Services” form (see
page 170) is incorporated into the Medical Record.
c. The case manager completes a case closure narrative within at least fifteen (15)
business days of case closing, or earlier as needed for client referral and/or
transition.
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Children’s Community Mental Health Clinic
Bernalillo County Juvenile Detention Center
5100 Second Street, NW Albuquerque, NM 87107
(505) 761-6600 ext. 254  Fax (505) 342-3785
Form: 49 CCMHC Discontinuation of Case Management Services
Discontinuation of Case Management Services
Date:
To:
You were receiving case management services through the Children’s Community Mental
Health Clinic because it was determined that you could benefit from some assistance in locating
and coordinating the following services:
Special Education Programs
Substance Abuse Treatment
Medical Assistance
After School Programs
Legal Issues
Spiritual Issues
Housing
Income Support
Summer Programs
Parent/Child Programs
Vocational Training
Other
Your case is being discontinued for the following reason:
I have attempted to make contact with you in regard to case management services and
have been unable to reach you. After making several phone calls and leaving messages at your
home (or message phone) I have not had a response back from you.
Your case has been transferred to another agency for case management services. The
agency which has agreed to provide you with services is
.
The goals on your service plan have been met and no other needs have been identified
for service.
If you are still interested in receiving case management services at the Children’s Community
Mental Health Clinic, please contact me within 5 working days. I can be reached at 342.3794.
Please leave me a message with your name, number and a time that I can reach you to set up an
appointment. If I do not hear from you by ________________________, I will assume that you
are no longer interested in receiving our services and will, therefore, close your case.
Sincerely,
Case Manager / CCMHC
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7. Billing procedure.
Process: 16 Billing procedure
a. All billing for CCMHC is in accordance with the standards set by the Health Care
Finance Administration and the American Medical Association. In addition,
submitted billing must meet the requirements of each provider.
b. All claims are submitted to appropriate provider within thirty (30) calendar days of
providing the service.
c. All re-submission/adjustment requests are submitted to appropriate provider
within 120 calendar days of the date of the Explanation of Benefits (EOB).
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Reducing Racial and Gender Disparity
The CCMHC human services professionals practice the following philosophy:
Advocate for the rights of all members of society, particularly those who are members of
minorities and groups at which discriminatory practices have historically been directed.
Provide services without discrimination or preference based on age, ethnicity, culture,
race, disability, gender, religion, sexual orientation or socioeconomic status.
Become knowledgeable about the cultures and communities within which they practice.
They are aware of multiculturalism in society and its impact on the community as well as
individuals within the community. They respect individuals and groups, their cultures
and beliefs.
Aware of their own cultural backgrounds, beliefs, and values, recognizing the potential
for impact on their relationships with others.
Aware of sociopolitical issues that differentially affect clients from diverse backgrounds.
Seek the training, experience, education and supervision necessary to ensure their
effectiveness in working with culturally diverse client populations.
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Licensing and Training People for the CCMHC
All professionally licensed personnel must maintain their licenses per their professional
standards and state licensing requirements.
Case managers must complete initial training. Initial training for case managers
consists of a minimum of twenty-four (24) classroom hours, and includes:
 Establishing a client/case manager relationship
 Confidentiality and abiding by organizational and professional ethics
 Eligibility standards and an understanding of service programs, purposes and
elements
 Entitlement programs, eligibility requirements, and benefits
 Organization structure, service mandates, policies and limitations
 Case advocacy skills
 Availability of community resources
 Inventory assessment, service planning, tracking, and in the case of
supervisors, supervisory tools
In addition, case managers receive ongoing training, such as shadowing veteran case
managers, attending mental health seminars, and attending additional training sessions
to capture best practices.
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What’s in the Numbers?
BCJDC is dedicated to collecting and analyzing data in order to make informed decisions about the
CCMHC program. The graphs below provide vital data for that program.
Number of Individuals
Number of Clients Across Fiscal Year
550
500
450
400
350
300
250
200
150
100
50
0
2002
2003
2004
2005
Fiscal Year
Number of new clients seen each fiscal year at the mental health Center
Mental Health Center Billables by Fiscal Year
Amount Billed
300000
200000
100000
0
2002
2003
2004
2005
Fiscal Year
As the Mental Health Center grows it is becoming more self-sufficient.
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Mean Age of Client Across Fiscal Year
17.5
Mean Age
15.0
12.5
10.0
7.5
5.0
2.5
0.0
2002
2003
2004
2005
Fiscal Year
Ethnic Makeup by Fiscal Year
Number of Individuals
300
African American
Hispanic
Caucasian
200
100
0
2002
2003
2004
2005
Fiscal Year
Number of Males and Females Served by Fiscal Year
Number of Individuals
400
Males
Females
300
200
100
0
2002
2003
2004
2005
Fiscal Year
The clients at the mental health center mirror those clients in the detention home.
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Number of Occurances
Diagnoses
2100
2000
1900
1800
1700
1600
1500
1400
1300
1200
1100
1000
900
800
700
600
500
400
300
200
100
0
Anxiety Autistic Biopolar Conduct Depres. Learning Person. Psych Schizop Substance
Disorder
Most frequent diagnoses reported.
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Number of Individuals
Offense Rate Pre and Post Treatment Across Fiscal Year
450
400
350
300
250
200
150
100
50
0
Into Tx with Charge
Did not Re-offend
Re-offended
2002
2003
2004
2005
Fiscal Year
% of Charges
Top 2 Re-Offense Charges by Fiscal Year
55
50
45
40
35
30
25
20
15
10
5
0
Probation Violation
Court Order Holds
2002
2003
2004
2005
Fiscal Year
Those children who entered the Mental Health Clinic with a charge did not reoffend with a new charge for a year after the first visit. Re-offense was limited to
a violation or hold.
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Mental Health Center Billables by Fiscal Year
Amount Billed
300000
200000
100000
0
2002
2003
2004
2005
Fiscal Year
As the Mental Health Center grows it is becoming more self-sufficient.
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Focusing on the Future
CCMHC continuously reviews its procedures to improve customer service and to avoid
the issue of net-widening for those youth not in need of structured services or programs.
Clients in CCMHC are youth that require support and supervision to assist them from
entering or returning to BCJDC or any other detention facility.
From its inception, CCMHC has provided greatly needed services to youth in the
Juvenile Justice System, as well as those outside that system. It continues to search
out avenues of greater support to both prevent and reform juvenile delinquency. The
vision for the future includes:
 Replicate and duplicate CCMHC throughout the state. Seven sites are
currently identified.
 Add more clinicians and services (e.g., intensive outpatient programming,
intensive home-based services, and transitional living services).
 Case management will become more comprehensive and unified. Every
youth will have one responsible professional who facilitates all services.
 Develop a process for telemedicine services in rural areas.
 Create a series of Public Service Announcements (PSAs) as a constant
reminder of services available to the community.
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