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JUVENILE JUSTICE SERVICESFEBRUARY 6, 2019
BHSD FAMILY & CHILDREN’S DIVISIONCOORDINATED CONTINUUM OF CARE
2
Least Intensive Most Intensive
Short-Term Residential Therapeutic
Program (STRTP)*
Outpatient• General (CBO &
County Clinics)• Ethnic Specific• KidConnections
Network (Birth-Five)
• Integrated• SOS• TAY• LGBTQ• YATT• Independent Living
Program (ILP)• TFS
Intensive Outpatient
• IOP• Juvenile
Justice:❖ Pro-grip *❖ SES *❖ Pro-CSR *❖ Aftercare *❖ Ranch *
Full Service PartnershipChild/TAY
Prevention Early Intervention
• SLS Family Engagement
• PEI Behavioral Health
• SLS Behavioral Health
• Nurse Family Partnership (NFP)
• Reach Out and Read (ROR)
• REACH
Wraparound*Katie A
Services*
TBS Therapeutic Behavioral Services (TBS)Includes Intellectual Disability
Therapeutic Foster Care
(TFC) *
*Referrals are not processed through the call center.
Differential Response*
Family Focused
Supportive Services (FFSS)
Placement Support
and Crises Stabilization Response
Team (PSCSRT) *
Crisis ServicesMobile Crisis, Community Transition Services (CTS),
Crisis Stabilization Unit (CSU)
MST*
JUVENILE HALL BEHAVIORAL HEALTH SERVICES
3
Housing Unit CoverageMorning check-ins held in 2 units; Afternoon check-ins in all housing
unit; Seeking Safety (Girls unit)
Multidisciplinary Team Meetings (MDT's)
Coordination & Facilitation of meetings for Juvenile Justice
Involved Youth
Psychological Evaluations
602 Court Ordered Psychological Evaluations
Competency Development
The delivery of Court ordered competency development services
provided to youth in the least restrictive setting that the Courts will allow. A client’s case is dismissed from the
program when the Courts and all parties agree the youth is unlikely to attain
competency or has attained competency.
Specialty Court
Court for the Individualized Treatment of Adolescents (CITA)
Behavioral Health Resource Center
Coordination of Care & Linkage of Mental Health/Substance Use services for in-
custody & out-of-custody youth; Coordination of Court ordered Forensic Psychological Evaluations; Collaboration
with Juvenile Probation Dept. & Specialty Court teams.
Clinical Treatment
Crisis Intervention; Individual & Family Therapy; Safety Risk Assessments;
Treatment Plans; CANS; MH/Substance Use Assessments; Psychiatry;
Coordination of Services; Transition Planning.
Admit Assessments
Mental Health & Substance Use clinical interview & MAYSI for all youth
admitted within 72 hours; All youth have option to sign Consent for
Treatment and be assigned to a primary clinician for ongoing services
BHSD COORDINATED CONTINUUM OF CARE SPECIFIC TO JUVENILE JUSTICE INVOLVED YOUTH
4
Least Intensive Most Intensive
Outpatient❖ Treatment
Focused Services (TFS)
Intensive Outpatient❖ Pro-grip ❖ SES ❖ Pro-CSR ❖ Aftercare ❖ Ranch
Ranch Reentry
&Wraparound
TBS Therapeutic Behavioral Services (TBS)Includes Intellectual Disability
Therapeutic Foster Care
(TFC)
• Referrals are not processed through the call center.
Crisis ServicesMobile Crisis, Community Transition Services
(CTS),Crisis Stabilization Unit (CSU)
MultisystemicTherapy
JUVENILE JUSTICE PROGRAMS
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Family & Children’s Behavioral Health Programs
Target Population Level of Care
Treatment Focused Services Youth up to the age of 19 (with full scope Medi-Cal) who have been referred to the Probation Department for low-level offenses but are not on formal probation supervision.
4.2 hours per child/month4.5 months length of service
James Ranch Behavioral Health Services
All youth residing at James Ranch in need of Behavioral Health services.
4.5 hours per child/month8 months length of service
Juvenile Justice Support and Enhancement Services (SES)
Probation involved youth with serious emotional disturbance and at risk for out-of-home placement, up to age 18 referred by JPD with Full Scope Medi-Cal. This is a community-based and family-centered program.
8 hours per child/month9 months length of service
Juvenile Justice Pro-GripGang involved youth, in need of behavioral health services, up to age 18 referred by JPD, with Full Scope Medi-Cal.
8 hours per child/month9 months length of service
Multisystemic Therapy
Youth ages 10 to 14 who have committed a serious offense; are at-risk of out of home placement due to anti-social or delinquent behaviors; and are involved with the justice system. This is a community-based and family-centered program.
17 hours per child/month (24 hours/7 days a week crisis response)5 months length of stay
Therapeutic Foster Care Youth that would benefit from stabilization in a therapeutic foster home which would provide support to transition to a permanent plan (one slot funded by Probation)
Daily support and from foster parents 6 months
GOAL OF REENTRY PROGRAMS
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Assist youth in achieving a
seamless transition into the community
Lessen system dependence
Reduce further Justice System involvement
TARGET POPULATION
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Pro-CSR
• Youth with Full Scope Medi-Cal, 13 to 21 years of age, who are exiting the Juvenile Rehabilitation Facilities (James Ranch); exiting Juvenile Hall following a commitment of more than 60 days, or exiting a Foster Care Placement (Short Term Residential Therapeutic Program or similar foster care environment), and who are considered moderate or high risk offenders.
JPD Aftercare
• High risk youth with Full Scope Medi-Cal exiting Juvenile Hall or the James Ranch, program will also accept youth with one year post JPD dismissal, and with Full Scope Medi-Cal insurance up to 21 years of age
Ranch Reentry and Wraparound
• High risk youth under the age of 18, with complex needs, existing the Ranch
•Youth who are (or are in the process of becoming) dependent wards of the Juvenile Justice Court, and who have full-scope Medi-Cal.
Transformational Care Planning:
• Strength based
• Culturally Sensitive
• Individualized
• Person- centered
• Family driven
• Trauma-Informed Care
SERVICE DELIVERY MODEL
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Multidisciplinary Team Meetings prior to youth’s
discharge
• 90 days
• 60 days
• 30 days
Regular meetings with Probation, BHSD and service provider
• Successes and challenges
• Coordination of Care
• Program Capacity
• Process Improvement
Treatment Status Reports
COLLABORATION WITH JPD
9
REENTRY JUVENILE JUSTICE PROGRAMS
10
Program Services Level of
CareFunding
Pro-CSR
❖Services provided by FLY in coordination with BHSD
• Intensive case management• Vocational and educational services• Pro-social activities• Parenting support• Begin at 60 day MDT at the Ranch• Begin at 30 day MDT at JH
❖BHSD Services:• Community, home or clinic based services • Co-Occurring capable individual, family,
and/or group treatment and case management based on individualized needs utilizing evidence-based practices EBPs including:✓ Cognitive Behavioral Therapy✓ Motivational Interviewing ✓ Seeking Safety ✓ Seven Challenges
• Begin with 30 day MDT
Average 6 hours per month
Average 6 months length of stay
Probation
Probation Match
REENTRY JUVENILE JUSTICE PROGRAMS
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Program Services Level of Care Funding
JPD Aftercare
• Community, home or clinic based services
• Co-Occurring capable individual, family, and/or group treatment and case management based on individualized needs utilizing evidence-based practices EBPs including:✓ Cognitive Behavioral Therapy✓ Motivational Interviewing ✓ Seeking Safety ✓ Seven Challenges✓ Trauma-Focused Cognitive
Behavioral Therapy ✓ Brief Strategic Family Therapy
• Use of therapist, case managers and peer/family partner
• Attend 60 day MDT and meet youth • Attend 30 day MDT and engage youth
• Average 8 hours per month
• Average 8 months length of stay
MHSA Match
REENTRY JUVENILE JUSTICE PROGRAMS
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Program Services Level of Care Funding
Ranch Reentry
• Ranch and community based services• Support youth’s successful transition back into
the community through case management and planning services
• Ensure a Wrap team and plan is already in place prior to reentry
• Family support• Focus on rapport building and engagement with
the youth and family • Once the youth is released, the same Wrap team
provides full Wrap services • Attend 60 and 30 day MDT
Average 4 hours/month
Average 60 days length of stay prior to release from the Ranch
Probation
Wrap-around
• Intensive, individualized, community-based services
• Family driven• Strong partnerships between family, community,
& professionals• Helps the family enhance natural supports
within their family & community• Team approach:
Wraparound: 20 hours per child/month; 9 months length of service
Intensive Targeted Wrap: 28 hours per child/month; 11 months length of service
County General Funds
