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Matt Claybaugh, Ph.D. & A. Scott Allred, LMFT Marimed Foundation

The 4 th Annual Research and Evaluation of Adventure Programs Symposium Programs, Process, & Progress: The March Towards Evidence-Based Designation. Matt Claybaugh, Ph.D. & A. Scott Allred, LMFT Marimed Foundation. Program. Who we are and what we do. Process. Data in – Data Out

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Matt Claybaugh, Ph.D. & A. Scott Allred, LMFT Marimed Foundation

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  1. The 4th Annual Research and Evaluation of Adventure Programs SymposiumPrograms, Process, & Progress: The March Towards Evidence-Based Designation Matt Claybaugh, Ph.D. & A. Scott Allred, LMFT Marimed Foundation

  2. Program • Who we are and what we do.

  3. Process • Data in – Data Out • Moving towards EBP designation

  4. Progress • Where are we now • Barriers to success

  5. Programs • How many of you believe/know you are using an evidence-based model in your program(s)? • How many of you are replicating a “best practice,” “evidence-based” or “model program?”

  6. Marimed’s Residential Programs • Kailana(Calm Seas) (est.1993 on O`ahu) and • Wahiolanona`opio(A Healing Place for Youth) (est. 2004 on Hawai`i Island) Residential treatment programs for adolescents needing comprehensive treatment and education, including mental health and substance abuse services.

  7. Kailana Main Campus

  8. Kailana Voyaging Houses Hale Ho`ohua “House to Bear Fruit” Hale Kauoha Kākou “House of Our Will”

  9. Wahiolanona`opio Voyaging Houses Wahiolanona`opio `O Kea`au: Girls House Wahiolanona`opio `O Kapehu: Boys House

  10. Integrated Services Experiential Marimed’s Model Educational Clinical

  11. Culturally Aligned with Youth Population

  12. Mauka to Makai

  13. Lo`i – Kalo, Animal Husbandry &Farming

  14. Culinary Arts

  15. Ocean-Based Programming

  16. Small Boat Sailing

  17. Outrigger Canoe Paddling

  18. Kiakahi Sailing Canoe

  19. Ho`ailona: Sailing Canoe

  20. S.S.V. Makani Olu(gracious wind)

  21. Five 5s • Organizational Values • Experiential Model • Interwoven Phase and Level System • CPI (Non Violent Crisis Intervention) • Behavioral Supports

  22. #1: Organizational Values • Community • Honesty • Aloha • Respect • Teamwork

  23. #2: Experiential Model • Welcome Aboard / Preparing for Sea • Departure / Commitment to the Voyage • Challenge / Windward Leg • Mastery / Wayfinding • Reflection / Storytelling

  24. #3: Phase and Level System • Phases of Treatment: I. Rapport Building: Roles and Rules II. Accepting Responsibility and Expressing Needs and Issues III. Coping Skills IV. Dealing with Past Issues that Continue to Impede Progress V. Transferring Learning to New Life Settings

  25. #4. Crisis Prevention Institute • Non-Violent Crisis Intervention

  26. #5. Behavioral Supports • Making it Right • Restorative Justice • Cadet Council • Positive Incident Reports

  27. I Mua Mau `Ohana: IMO • SAMHSA TCE: Targeted Capacity Expansion • Joint Program Enhancement Award: 2002 Marimed Foundation and Maui Youth and Family Services • Voyaging (For MYFS) • 12 month Continuing Care (All Islands)

  28. Instrument • Utilized the Global Appraisal of Individual Needs (GAIN) Core Version • GAIN also contains SAMHSA Government Performance and Results Act (GPRA) Instrument

  29. Baseline Findings

  30. Demographics • Gender: 71% male, 29% female, 1% TG • Average age = 16 years old • Ethnicity: 62% Native Hawaiian, 41% Caucasian, 37% Asian, 24% other Pacific Islander, and 24% Hispanic (many multi-ethnic) • Past 12 months living with: 71% parent(s) • Treatment prior to intake: • 58% received treatment before; average=1.2 admissions • 51% felt they needed treatment

  31. Criminal Justice Involvement • 87% had lifetime arrests

  32. Education & Employment • 89% of youth were enrolled in school or training • Only 5% reported engaging in some type of “non-full-time work”

  33. Substance Use at Intake

  34. Mental Health at Intake

  35. General Crime at Intake

  36. Outcome Findings

  37. Arrests – Past 90 Days

  38. Days in Juvenile Detention – Past 90 Days

  39. Education

  40. Employment

  41. Substance Use

  42. Substance Problem Scales

  43. Emotional Problem Scale

  44. Summary • Youth mostly Native Hawaiian and other Pacific Islander • Youth at intake showed high levels of criminal justice involvement, substance use, and both internal and external behavior problems. • Significant reduction in arrests and days in juvenile detention • Significant reductions in substance use and related substance problems • Significant reduction in emotional problems

  45. Wahiolanona`opio • Received SAMHSA TCE Earmark for Methamphetamine Treatment 2004

  46. Instruments • Wahiolanona`opio Survey • GAIN-Q • Family Management, Family Bonding, Self-Efficacy, Cultural Pride, & School Bonding • Government Performance and Results Act (GPRA) Instrument

  47. Data Collection • From July 1, 2004 to September 30, 2006 • 58 total admissions • Baseline assessments • 52 GPRA • 46 Wahiolanona’opio surveys • Three-month assessments • 39 GPRA • 34 Wahiolanona’opio surveys • Six-month assessments • 32 GPRA • 27 Wahiolanona’opio surveys • 12-month assessments • 16 GPRA • 11 Wahiolanona’opio surveys

  48. Demographics • Gender: 69% male; 31% female • Age: range=13-18, avg.=15.7 years old • Education: range=6th-11th grade, avg.=9.2 years

  49. Ethnicity

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