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Using “What Works” to Help Youth Change: From Assessment to Service Planning and Delivery

National TASC Conference Workshop. Using “What Works” to Help Youth Change: From Assessment to Service Planning and Delivery. It’s all about change…. Workshop Objectives. Describe “what works” with a juvenile population;

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Using “What Works” to Help Youth Change: From Assessment to Service Planning and Delivery

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  1. National TASC Conference Workshop Using “What Works” to Help Youth Change: From Assessment to Service Planning and Delivery

  2. It’s all about change…

  3. Workshop Objectives • Describe “what works” with a juvenile population; • Identify changes to The ASAM Criteria and DSM 5 that impact work with juvenile clients; • List components of effective multidimensional assessment and service planning; • Practice effective intervention strategies to engage and assist youth.

  4. Youth Specific Needs • What’s different?

  5. Youth Specific Needs • Emotional, cognitive, physical, social, moral development; • Extremely potent influences of family and peers; • Immaturity in living skills; • Testing limits is normative; • Little capacity to think of future; impaired abstract thinking.

  6. Addiction • Inability to consistently Abstain • Impairment in Behavioral control • Craving • Diminished recognition • Dysfunctional Emotional response

  7. Youth Specific Needs • Most do not develop classic physical dependence; • Less physiological deterioration; • Casual to high severity use disorders can be more rapid; • High degree of co-occurring psychopathology; • Impairment of emotional/intellectual growth; • Need more external support/assistance.

  8. The ASAM Criteria • Updated diagnostic admission criteria for levels of care (DSM-5); • Combining adult and adolescent treatment information (separate diagnostic & dimensional criteria); • Gambling & tobacco use disorders; • Addiction services for persons in Criminal Justice settings.

  9. An opportunity for change

  10. Juvenile Case Study

  11. Alignment RNR/ASAM Risk - Need – Responsivity • Assess Actuarial Risk/Needs • Enhance Intrinsic Motivation • Target Interventions - RNR • Measure Relevant Process/Practice • Provide Measurement Feedback ASAM Guiding Principles • Multidimensional Assessment • Participant-directed • Individualized & Clinically driven • Outcome Informed

  12. Alignment RNR/ASAM Assess Actuarial Risk/Needs Develop & maintain a complete system of ongoing risk screening/triage and needs assessment. Multidimensional Assessment Treatment that is holistic and able to address multiple needs using the criteria’s six assessment dimensions.

  13. The ASAM Criteria

  14. Relationship is the key

  15. Alliance as highest priority in early phases of intervention • Assess the quality of the working relationship; especially in initial contacts. • It is the youth’s perception of the relationship that is most influential, not yours. • No hope, no confidence, no change.

  16. Alignment RNR/ASAM Enhance Intrinsic Motivation Staff should relate to offenders in interpersonally sensitive and constructive ways to enhance intrinsic motivation. Participant - directed The individual should be an active participant in treatment planning. Collaboration is helpful in establishing a therapeutic alliance.

  17. What’s important to you?

  18. People are generally better persuaded by the reason which they have themselves discovered than by those which have come into the minds of others.Blaise Pascal

  19. Life areas that lead to program goals EXERCISE

  20. Alignment RNR/ASAM Target Interventions Prioritize supervision and treatment resources, target criminogenic needs, be responsive to individual characteristics. Individualized & Clinically Driven The ASAM Criteria supports individualized, person-centered treatment that is responsive to the patient’s specific needs and progress in treatment.

  21. My top three issues

  22. So what’s your plan?

  23. Visualize your future

  24. My first program goal EXERCISE

  25. Target the interventions… …to the goal

  26. Characteristics of addiction • Inability to consistently Abstain • Impairment in Behavioral control • Craving; or increased “hunger” for drugs or rewarding experiences; • Diminished recognition of significant problems; • A dysfunctional Emotional response. Definition

  27. My specific action steps to reach my goal EXERCISE

  28. Alignment RNR/ASAM Measure Relevant Processes/Practices & Provide Measurement Feedback Case plans are dynamic and reflect current situation. Measurement information must be used to monitor process and change. Outcome Informed Treatment is responsive to the participant’s specific needs and progress in treatment.

  29. Monitor and adjust

  30. What is important to you today?

  31. Are you ready? EXERCISE

  32. It’s all about change…

  33. Thank You! www.changecompanies.net

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