Juvenile Detention at the Youth Services Center
Funded By Contract with the Department of Adult and Juvenile Corrections of King County
Consulting Faculty: Lee, Terry; Trupin, Eric
The King County Department of Adult and Juvenile Detention-Juvenile Division is responsible for the care and custody of youth who are detained in the Youth Services Center. Youth are detained at Juvenile Detention for a short duration (usually released within 72 hours, occasionally detained for months) for reasons including alleged new offenses, outstanding warrants, or to serve a sentence.
PBHJP provides mental health and psychiatric services and consultation to youth detained at Juvenile Detention.
A structured mental health screen is administered to all youth who enter the facility,to identify youth needing more in-depth assessment and mental health services. Referrals may also be made by the youth, their family, or facility staff. PBHJP mental health staff members then work with youth to facilitate their adjustment to being detained, provide support as youth go through the court process and coach skills that promote positive functioning.
PBHJP mental health staff members also coordinate services with community providers and liaison with court and public safety personnel. Team members meet regularly with custody staff to discuss individual youth, behavioral management and safety plans and larger systems issues as they relate to mental health.
Echo Glen Children’s Center
Funded by Contract with Juvenile Rehabilitation Administration of Washington State’s Department of Social and Health Services
Consulting Faculty: Lee, Terry
Echo Glen Children’s Center is one of the four Washington State Juvenile Rehabilitation Administration (JRA) residential treatment facilities, providing rehabilitation services to youth who are adjudicated to long-term secure detention, serving younger males and the majority of females adjudicated to JRA. Approximately 65% of youth have mental health needs, 70% are chemically dependent, 40% are cognitively impaired, 20% have sexual misconduct issues and 60% require treatment for 2 or more of the aforementioned issues.
Treatment in JRA is based on the Integrated Treatment Model (ITM), which is founded on Behavioral Analysis (BA), Dialectical Behavior Therapy (DBT) and Aggression Replacement Training (ART). Targeted behavior change is achieved through youth and families developing new skills through behavioral change techniques of shaping, reinforcement, extinction and contingency management. In addition to problem solving, DBT specific skills of mindfulness, interpersonal effectiveness, emotional regulation and distress tolerance are emphasized.
Echo Glen Children’s Center is a training site for the University of Washington (UW) General Psychiatry and Child and Adolescent Psychiatry Residency Programs. Didactics and supervision are provided on site to the trainees by a PBHJP faculty member. Further, PBHJP provides psychiatric consultation and direct psychiatric services at Echo Glen.
Echo Glen also contains a public school that is part of the Issaquah School District. For more information on Echo Glen Children's Center, see the Juvenile Rehabilitation Administration.
Foster Care Assessment Program
Foster Care Assessment Program (FCAP) is operated under a contract with the Department of Social and Health Services (DSHS), Children’s Administration to serve children and youth. FCAP is a statewide program available to children in all six DSHS regions, administered by Harborview Center for Sexual Assault and Traumatic Stress (HCSATS), in collaboration with community and hospital partners statewide. The purpose of FCAP is to provide a comprehensive assessment of a child's level of functioning in the home, school and community, and to assist with service planning and implementation. Goals include improving the child's health and well being and helping DCFS accomplish permanency. A number of PBHJP faculty members provide mental health consultation to the FCAP program.
The Foster Care Center for Health at Harborview Medical Center provides comprehensive multidisciplinary medical and psychosocial evaluation and brief treatment to children who are involved in foster care. Services include comprehensive medical evaluation and continuing care, when appropriate. In addition, psychologists provide psychological consultation, assessment and short term intervention, when appropriate. Efforts are made to provide specific feedback to foster parents, case workers, and treatment providers to improve the health of each child.
Multisystemic Therapy (MST)
MST is the most extensively researched intensive family and community based treatment. This evidence based intervention addresses the multiple determinants of serious antisocial and other disorders in children and adolescents. PBHJP is a Network Partner of MST Services by state allocation, offering assistance with the full development of an MST program by providing organizational development and support services, clinical training, and quality assurance support.
Family Integrated Treatment (FIT)
Family Integrated Transitions (FIT) provides individual and family services to juvenile offenders with mental health and chemical dependency disorders during the period of transition of the youth from incarceration back to the community. PBHJP offers FIT services by state allocation, in its Prime Time Program (see below) and ongoing trainings to clinicians in successful implementation and treatment of FIT.
The Prime Time Project
The Prime Time Project is a clinical service provided by PBHJP. It is an intensive, time-limited and community-based treatment for youth of color who are court-involved and have co-occurring mental health and substance use challenges. The Prime Time Project was developed to reduce the overrepresentation of minority youth, also known as disproportionate minority contact (DMC), in the juvenile justice system. Prime Time seeks to lower the risk of re-offending, achieve abstinence from drugs/alcohol, improve mental health functioning and stability, increase prosocial behavior, improve educational levels and vocational opportunities, and strengthen families’ ability to support youth.
The Prime Time Project achieves these goals by strategically combining and utilizing existing empirically-supported services - Multisystemic Therapy (MST), Dialectical Behavior Therapy (DBT), Relapse Prevention (RP), and Motivational Interviewing (MI). MultiSystemic Therapy (MST) addresses the complex needs of youth involved in the juvenile justice system and multiple determinants of serious antisocial behavior in juvenile offenders within a social-ecological framework.
Dialectical Behavior Therapy (DBT), provide the framework for further youth and caregiver skill development. Change strategies include shaping, reinforcement, extinction and contingency management; and DBT-specific mindfulness, interpersonal effectiveness, emotional regulation, and distress tolerance skills.
Relapse Prevention (RP) is used to maintain therapeutic gains, and achieve abstinence. Motivational Interviewing (MI) provides the basis for engaging youth and families around treatment in a supportive manner. The goal is to elicit youth and/or caregiver change behavior by exploring and resolving ambivalence.
Throughout the 4-6 month Prime Time Project intervention, particular focus is given to youth- and family-generated goals and generalization and psychiatric consultation are provided by Prime Time.
Data from a SAMHSA-funded clinical trial is currently being analyzed.
Prime Time Evaluations
PBHJP is currently conducting two evaluations of the Prime Time Program.
Clinical Trial. The purpose of this study is to evaluate, through a randomized control design, the effectiveness of the Prime Time Project in improving psychosocial outcomes for at risk youth. The Prime Time Project was developed to provide treatment to justice-involved youth with substance abuse and mental health disorders. The intervention enhances Multisystemic Therapy, an already established evidence-based practice, with other empirically-supported interventions (Motivational Interviewing & Dialectical Behavior Therapy). We are currently reviewing the data from this study.
Retrospective Study. This research will examine juvenile justice outcomes for 212 youth who were enrolled in the Prime Time Project. Prime Time is an outpatient mental health program that serves youth who are released from juvenile detention. All youth who are referred to King County Superior Court are tracked by the Juvenile Justice Wide Area Network (JJWAN), a county database that includes arrest, court referral, detention, and probation records for each youth. The research will compare the 212 youth from Prime Time with 212 youth matched comparison youth on juvenile justice outcomes.
Pathway to Reunification
Purpose: PBHJP will work with Brigid Collins to evaluate the Pathways to Reunification pilot project. Data will be collected from parent participants and the Pathways to Reunification case manager and will be linked with administrative data from the Department of Social and Health Services (DSHS; Famlink data) related to permanency outcomes and child placement.
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