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Youth Services Institute Continuum of Care. Program Joanne Terrell. I. History. Juvenile Sex Offender Law Department of Youth Services (DYS) Response Accountability Based Sex Offender Program (ABSOP Residential) Aftercare Program

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i history
I. History
  • Juvenile Sex Offender Law
    • Department of Youth Services (DYS) Response
      • Accountability Based Sex Offender Program (ABSOP Residential)
      • Aftercare Program
        • Funding from OJJ through ADECA 5 year grant with 2 extensions 2000 – 2008
      • Annie B. Casey Foundation
        • Juvenile Detention Alternatives Initiatives (JDAI)
      • DYS/ADECA Funds ABSOP: COC Program
ii coc mission statement
II. COC Mission Statement
  • “To establish a continuum of care aimed at fostering accountability relapse prevention, community safety, and positive growth for youth in need of diversion and alternative sentencing options, transitional services and aftercare treatment.”
three programs of coc
Three Programs of COC
  • Sexually Reactive
    • Referrals from DHR, Schools, Mental Health Centers, Families
  • Alternative Sentencing
    • Referrals from Juvenile Court
    • Referrals from D. A.’s office (Youthful Offender status)
    • Referrals from defense attorneys
three programs of coc1
Three Programs of COC
  • Aftercare
    • ABSOP Residential in Conjunction with Juvenile Courts
    • Referrals from private facilities ( Hillcrest Hospital, Three Springs, Alabama Clinical Schools)
  • Assessment Only

Referrals from Juvenile Courts, DHR ,Mental

Health Centers, Schools, Families etc.

goals of coc
Goals of COC
  • To provide quality program staff
    • 5 Therapists (3 MSW’s & 2 M.S. –Counseling)
    • 5 Case Managers
    • MSW Interns
    • Program Specialists
    • * Program Specialists
    • * Program Training Staff
  • To establish and maintain positive interagency collaboration

- To develop and maintain the “Therapeutic Triangle”

therapeutic triangle
Therapeutic Triangle

Juvenile Probation Officer

DHR Social Worker

Mental Health counselor

COC Therapist

COC Case Manager


To Provide an Evidenced Base Therapy and Psychoeducation Program

    • Aftercare Program/Alternative Sentencing
      • Self-regulation model of relapse prevention
goal categories
Goal Categories

I. Acquisitional Goals (Approach)

II. Inhibitory Goals (Avoidance)

III. Self- Regulation Theory

Goal-Dependent Action Plans

A) Offense Scripts

B) Mental Simulation

three styles of dysfunctional self regulation
Three Styles of Dysfunctional Self-Regulation

1) Disinhibition

2) Misregulation

3) Effective but pathological self-regulation

relapse process
Relapse Process

Phase 1- Life Event

Phase 2- Desire for Deviant Sex or Activity

Phase 3- Offense-Related Goals

Phase 4- Strategy Selected

a) Avoidant Goals

avoidant- passive pathway

avoidant- active (misregulation)

b) Approach Goals

approach- automatic

approach- explicit


Relapse Process

Phase 5- High-Risk Situation EnteredPhase 6- LapsePhase 7- Sexual Offending Self-focus Victim focus Mutual focusPhase 8- Post Offense EvaluationPhase 9- Attitude Toward Future Offending

relapse prevention assessment and treatment implications
Relapse Prevention- Assessment and Treatment Implications

Phase 1- Assessment

Developmental Issues

Social Competency Issues

Psychosocial Assessment

Clinical Interview

Collateral Contacts

Phase2 & 3

Goal Assessment

Offense- Specific Factor Assessment


Relapse Prevention- Assessment and Treatment Implications

Phase 4, 5, & 6

Offense cycle assessment

Offense skill assessment

Phase 7

Details of actual offense

Phase 8 & 9

Offender evaluation assessment


1) Avoidant- Passive

Phase 1

Phase 2

Phase 3

2) Avoidant- Active

3) Approach- Automatic

4) Approach- Explict


Aftercare Program / Alternative Sentencing

    • Provide a seamless transition from residential care back into the community
      • Case Management Program
        • Case Manager will broker resources for client and their families (mental health treatment, medication, vocational rehabilitation, educational services housing needs, leisure activities)
        • Case Manager will service as a mentor for client

Sexually Reactive Program

    • Psychosocial Assessment
    • Weekly Individual Therapy Sessions (number of sessions vary)
    • Psychoeducational Group Sessions (10-12 session, 10 are mandatory)
    • Family Psychoeducational Group Sessions (5-8 sessions)

To Provide a Community Education and Safety Program

    • Community Education Program
      • Conduct presentations for county courts, juvenile probation officers and other community stakeholders
      • Conduct educational forums conference presentations and develop partnerships with community stakeholders
community safety program
Community Safety Program
  • Community Safety
    • Conduct a comprehensive risk assessment at either the beginning of treatment or at the completion of treatment
    • Termination Summary includes the client’s progress during treatment, risk level and expectations after release to ensure community safety
community safety program1
Community Safety Program
  • Community Safety
    • Weekly Treatment Team Meetings to discuss case co-ordination, assess case progress and receive supervisory support and feedback
    • Therapist / Case manager will conduct face to face meetings to discuss case co-ordination