Characteristics and outcomes of an innovative ohio juvenile offender reentry program orp j
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Characteristics and Outcomes of an Innovative Ohio Juvenile Offender Reentry Program (ORP-J). David Hussey & Rodney Thomas , Mandel School of Applied Social Sciences, Case Western Reserve University Karl Cetina , Director of Cuyahoga County Juvenile TASC,  Catholic Charities Services

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Characteristics and Outcomes of an Innovative Ohio Juvenile Offender Reentry Program (ORP-J)

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Characteristics and outcomes of an innovative ohio juvenile offender reentry program orp j

Characteristics and Outcomes of an Innovative Ohio Juvenile Offender Reentry Program (ORP-J)

David Hussey & Rodney Thomas, Mandel School of Applied Social Sciences, Case Western Reserve University

Karl Cetina, Director of Cuyahoga County Juvenile TASC, Catholic Charities Services

Gina Mazzone, Catholic Charities Services

Magistrate TereaseNeff,Cuyahoga County Juvenile Court

Ian Fraser, Regional Administrator, Ohio Department of Youth Services


Abstract

Abstract

The purpose of this workshop is to describe and discuss the components of an innovative juvenile offender reentry program, and explore the relationship between client characteristics, program factors, and individual outcomes related to criminal offending, mental health, and substance abuse.


Reclaim

RECLAIM

  • Funds over 610 direct service programs throughout the State

  • Prevention, diversion, community based treatment, and residential treatment

  • Touch nearly 110,000 youth who never reach our doors

    ACCOMPLISHMENTS

  • Created a network of community-based alternatives to incarceration 

  • Youth arrest and crime rates continue to fall 

  • Reduced the county’s and state’s over-reliance on confinement


Characteristics and outcomes of an innovative ohio juvenile offender reentry program orp j

National Trends – Number of persons under age 21 detained, incarcerated, or placed in residential facilities(1997-2010)


Dys admissions 2004 2011 odys deputy director dies jdai inter site conference 4 26 12

DYS Admissions 2004-2011(ODYS Deputy Director Dies, JDAI Inter-Site Conference, 4/26/12)


Characteristics and outcomes of an innovative ohio juvenile offender reentry program orp j

National Trends – Rate of persons under age 21 detained, incarcerated, or placed in residential facilities(1997-2010)


2012 cuyahoga documented weapon use

2012 Cuyahoga - Documented Weapon Use


2012 cuyahoga need for substance abuse services jasae

2012 Cuyahoga - Need for Substance Abuse Services (JASAE)


Cuyahoga county dys youth profile

Cuyahoga County DYS Youth Profile

  • Male: 95%

  • Immediate Family Member Incarcerated: 51%

    • 25% unknown

  • Youth Confirmed as Parents: 12%

  • Special Education Status: 39%

  • Prior Mental Health Treatment: 76%

  • DYS Mental Health Caseload: 57%

    • Males: 55%

    • Females: 100%

    • Currently on Psychotropics: 54%


Current challenges columbus dispatch the ohio model 1 10 13

Current Challenges (Columbus Dispatch, The Ohio Model, 1/10/13)

“Ohio now spends $38 million less than it did three years ago. One-year recidivism rates (kids who reoffended) dropped to under 23 percent. That’s the lowest in nine years. More-compassionate punishment isn’t signaling to kids that they can get away with delinquent behavior; instead, it’s redeeming them: Ohio led the nation with the largest drop — a 74 percent plunge — in violent juvenile crime between 1995 and 2010. The state has closed more than half of its youth prisons since 2007. The number of incarcerated youths has dropped from 2,000 to about 500. But this has left the state institutions with a core of truly incorrigible kids…Gangs are prevalent, teaching conditions are poor, and youth aren’t getting enough help for mental illnesses. Currently, 52 percent of all youths are on the mental-health caseload; 91% of the girls are. More than half require special-education services.”


Orp tasc challenges and opportunities

ORP & TASC: Challenges and Opportunities

  • Treatment Accountability for Safer Communities (TASC)

  • Offender Reentry Project (ORP-J): Substance Abuse Mental Health Services Administration (SAMHSA)

    • Pre-Release: Engagement, Evidence-Based Assessment, Planning & Services

    • Post Release: TxDosage; Retention; MET/CBT5; Comprehensive Case Management; Relapse Prevention; Dual Disorder Awareness and Intervention

    • Reentry Court

    • Establish effective partnerships and coalitions


Tasc clinical case management model

TASC Clinical Case Management Model

  • Referral

  • Screening or Clinical Assessment

  • Recommendations & Service Planning

  • Service Referrals, Linkage, & Placement

  • Monitoring, Reporting (Service Plan Adjustments)

  • Termination


Tasc advantages

TASC Advantages

  • Timely assessments

  • Greater treatment retention

  • Improves client readiness

  • Provides additional services


Pre release evidence based assessments

Pre-Release: Evidence-Based Assessments

  • Ohio Youth Assessment System (OYAS)

  • Global Appraisal of Individual Needs (GAIN)


Pre release ohio youth risk assessment system oyas

Pre-Release: Ohio Youth Risk Assessment System - OYAS

  • Based on risk, need, responsivity principles

  • Low, moderate, high risk categories

  • Multiple versions & domains


Orp j population description

ORP-J Population Description


Global appraisal of individual needs gain

Global Appraisal of Individual Needs (GAIN)

  • GAIN Background

  • Assessment

  • Client Profiles

    • Demographic

    • Criminal

    • Substance Abuse

    • Mental Health

    • Victimization


Characteristics and outcomes of an innovative ohio juvenile offender reentry program orp j

  • N=139 (total number of client records)

    • 100% male

    • 78% African American, 10% multiracial, 6% Caucasian, 2% any Hispanic, 1% other

    • Average age= 17 years (range=13-20)

  • 139 administered GAIN at intake

    • 101 with 3-month GAIN

    • 77 with 6-month GAIN

    • 33 with 12-month GAIN


Orp j client race n 139

ORP-J Client Race (N=139)


Orp j client age n 139

ORP-J Client Age (N=139)


Orp lifetime substance severity n 139

ORP Lifetime Substance Severity (N=139)


Past year internalizing problems n 139

Past Year Internalizing Problems (N=139)


Past year externalizing problems n 139

Past Year Externalizing Problems (N=139)


Past year co occurring internalizing and externalizing problems n 139

Past Year Co-Occurring Internalizing and Externalizing Problems (N=139)


Lifetime victimization n 139

Lifetime Victimization (N=139)


Violence and illegal activity n 139

Violence and Illegal Activity (N=139)


Recapp structure

ReCAPP Structure

  • Phase I: Begins Pre-Release – TASC worker meetings; Forward Thinking Curriculum; Magistrate specifies 1-2 Phase 2 tasks.

  • Phase 2: Focus on Basic Reentry Goals; Magistrate specifies 1-2 tasks & issues rewards or sanctions; promote to level 3 (or team if not successful in 60 days).

  • Phase 3: Begins when basic reentry goals attained; maintain Phase 2 progress; Magistrate specifies 1-2 tasks & issues rewards or sanctions.

    • 6 month parole period = early discharge at 4 months

    • 9 month parole period = early discharge at 6-7 months


Forward thinking

Forward Thinking


Pre release orp flow

Pre-Release: ORP Flow

Youth receives OYAS Risk Assessment at CCJC prior to commitment. Youth identified at Reception as ORP-J candidate and given further screen/assessment. Youth agrees to be involved in ORP-J and transferred to CHJCF or IRJCF

  • ODYS site Social Worker (SW) primary liaison with Juvenile TASC ORP-J Case Manager, Reentry Coordinator, PO from Cleveland Region. Formal Staffing meeting with youth/family may lead to referral to TASC and Reentry Court (REC); 16-week Cognitive-Behavioral Forward Thinking Curriculum

  • Final Staffing (30 days prior to release) for reentry plan (Unified Case Plan – UCP) and Reentry Court (REC) start date; GAIN-I Assessment & OYAS completed


Post release orp flow

Post Release: ORP Flow

  • Within 24 hours of the youth’s release to the community, the youth reports to the Juvenile Parole Officer (JPO). At this face-to-face meeting, all community stakeholders participate. TASC continues with weekly case management services back in the community for six months post-release.

Phase one of Re-Entry Court (REC) begins on the 2nd or 4th Monday of the month. ORP-J Youth, Parent(s), JPO, TASC Case Manager, and other relevant stakeholders collaborate in order to administer appropriate incentives and necessary sanctions. Weekly drug screens begin.

The Juvenile Parole Officer maintains weekly contact with ORP-J Youth and monitors collateral services with TASC case manager and family. The GAIN Assessment, completed in the pre-release phase, helps to determine appropriate level of care.

  • TASC Case Manager assists youth with engaging and following through with a minimum of 5 weekly MET/CBT-5 individual treatment sessions in non-intensive outpatient at Catholic Charities Services, and providing family sessions as needed.


Post release components

Post ReleaseComponents

  • Parole supervision & monitoring

  • Drug screening

  • Reentry Court

  • Case management

  • Level of care services

  • MET/CBT-5


Case study 1

Case Study #1


Characteristics and outcomes of an innovative ohio juvenile offender reentry program orp j

Results


Conclusions 1 12 month outcomes for the subset of 33 individuals with 12 month gain data

Conclusions, 112-month Outcomes(For the subset of 33 individuals with 12-month GAIN data)

  • Significant decreases in alcohol and marijuana use.

  • Significant deceases in criminal activity, including property, interpersonal, and drug crime.

  • Significant decreases in conduct disorders.

  • Significant decreases in behavior complexity.

  • Significant decreases in traumatic stress levels.


Implications limitations

Implications & Limitations

  • Effective reentry program designs (e.g., best practices/EBPs; behavioral criminogenic focus; etc.) must integrate an implementation science focus

  • Particularly salient program features:

    • Early Engagement: Motivation; therapeutic relationship; retention & dosage

    • Continuity, Coordination, & Comprehensiveness of Care: Structure; evidence-based programming; consistency of staff, monitoring, communication (messaging); and coordination

  • Limitations: Attrition; lack of control/comparison group


Thank you

Thank you…

David Hussey, PhD.

Rodney Thomas, M.A.

The Begun Center for Violence Prevention Research & Education

Mandel School of Applied Social Sciences

Case Western Reserve University

11402 Bellflower Road

Cleveland, Ohio 44106

Ph: 216-368-3162

[email protected]

[email protected]

Karl M. Cetina MPA, LICDC-CS

President of the Ohio TASC Association

Director of Juvenile TASC for Cuyahoga County

Catholic Charities, Diocese of Cleveland

3135 Euclid Avenue- Cleveland, Ohio 44115

Phone: 216-391-2064 ext. 13

[email protected]

Gina Mazzone LSW, MSW, LCDC III

Catholic Charities

3135 Euclid Ave

Cleveland, OH 44115

[email protected]


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