Strengthening Outcomes for Cross-over Youthover …...Strengthening Outcomes for Cross-over Youth...

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Strengthening Outcomes for Cross-over Youth Transitioning into Adulthood: Lessons Learned from Child Welfare and J enile J stice Child Welfare and Juvenile Justice Strengthening Outcomes for Cross over Youth Cross-over Youth Transitioning into Adulthood: Lessons Learned from Child Welfare and Juvenile Justice © 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY Child Welfare and Juvenile Justice

Transcript of Strengthening Outcomes for Cross-over Youthover …...Strengthening Outcomes for Cross-over Youth...

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Strengthening Outcomes for Cross-over Youth Transitioning into Adulthood:Lessons Learned from Child Welfare and J enile J sticeChild Welfare and Juvenile Justice

Strengthening Outcomes for Cross over YouthCross-over Youth

Transitioning into Adulthood:gLessons Learned from

Child Welfare and Juvenile Justice

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

Child Welfare and Juvenile Justice

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Webinar Description

Based on the recommendations as identified i hit S ti

Sponsored by the Center for Juvenile Justice Reform at Georgetown University;in a white paper: Supporting

Youth in Transition to Adulthood: Lessons Learned

from Child Welfare and

Georgetown University; primary author is Dr David

Altschuler of Johns Hopkins Institute of Policy Studies and

h Ji C Y hfrom Child Welfare and Juvenile Justice the Jim Casey Youth

Opportunities Initiative.

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Webinar Objectives

• Definition of population• Child Welfare

Participants

• Child Welfare• Juvenile Justice• Transition Age Youth

• Issues related to this populationParticipants will learn:

• Issues related to this population• Strategies and Policy Implications for

Child Welfare and Juvenile Justice

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Polling Question #1

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Webinar Structure

Submit questions via the chat function

Questions will be posed to participants at the end of the presentationthe presentation

Phones will be open at the end of the presentation toPhones will be open at the end of the presentation to participants for peer learning

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Overview of Child Welfare

Prevention Relative Placement Foster Care Reunification Adoption Independent

Living

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Child Welfare Statistics

H lf illi hild i th US li i f tHalf a million children in the US live in foster care

One in five will become homeless after age 18

60% will finish high school (compared to 87%)

By age 25, less than 3% will earn a college degree (compared to 28%)

Higher risks of incarceration, early pregnancy and unemployment • (Courtney et al, 2001)

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Effect of Abuse and Neglectg

• may cause adverse alterations to brain development which can have long termE l b development which can have long term cognitive, emotional and behavioral consequences (Wily & Karr-Morse, 1999)

Early abuse and neglect

• Low academic achievementEarly abuse is • Substance abuse• Unsuccessful social adaptation

• (Kendall-Tackett & Eckenrode, 1996; Widom, DuMont, & Czaja, 2007)

Early abuse is strongly

correlated with:

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

, , j , )

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Maltreated youth Cross-over into Juvenile Justice

Child abuse & neglect ↑ risk Persistent maltreatment from an Child abuse & neglect ↑ risk of juvenile arrests by 55 % and

violent crime by 96 %(Widom, 1989)

early age and during adolescence are correlated with ↑ risk of

juvenile delinquency & criminality (Thornberry, 2008)

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Overview of Juvenile Justice

Secure Care

Probation ServicesServices

Under the care and custody of delinquency courtof delinquency court

Involvement in delinquent act

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

q

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Juvenile Justice Statistics

Disproportionately male, poor and youth of color

30 to 70% educational disabilities

Up to 70% have mental health disorders

20% severe ability to function

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Juvenile Justice Statistics

Approximately 9 out of 10 youth 23% adjudicated

delinquent youth in residential placement

51% of youth in placement are 16 or 17 years of age

confined have experienced at least

one traumatic incident

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Child Welfare and Juvenile JusticeCommon factors

TraumaLeads to adverse

brainResults in physical &

ti lTrauma brain development emotional

immaturity

L d t l k f R lt iOut of home placement

Leads to lack of social and family

networks and supports

Results in disconnections to society and pro-social activities

Involvement in more than

Leads to lack of coordinated

services

Results in gaps in services and/or inappropriate

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

one system services treatment plans

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Transition Age YouthBetween 14 – 25 years of age

Journey from dependency to independenceJourney from dependency to independence

Personal goals

Employment Education Living situation Personal dj Community life

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Employment Education Living situation adjustment Community life

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Definition of Cross-over Youth

Penetrate b h hboth the

CW and JJ systems

3 Pathways:y

While under the Previous CW While under

thethe care/custody of CW commits a delinquent act

d t JJ

involvement then commits a delinquent act and enters JJ

the care/custody of JJ is referred to

CW for b / l t

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and enters JJ and enters JJ abuse/neglect

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Outlook for cross-over youth of transition ageg

Transition • UNEMPLOYMENT• HOMELESSNESS• SUBSTANCE ABUSE

Transition aged,

C SUBSTANCE ABUSE• MENTAL HEALTH ISSUES• CRIMINAL BEHAVIOR

Cross-over youth,

hi h i k • EARLY PREGNANCY• LACK OF EDUCATION

higher risk for:

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Connected by 25

Current yardstick applied to young adults who will “make it” to independence by age 25independence by age 25

Populations in danger of being DISCONNECTED:

Youth aging Youth involvedHigh school drop outs Teen parents

Youth aging out of foster

care

Youth involved in the juvenile justice system

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Connected by 25Needs of Cross-over Youth

Strong, permanent

relationships

Occupational

Stable Housing

Occupational and employment

skills

Contribute to th ll b i

Effective M t l H lth

School Success

the well-being of others

Health Care

Mental Health Services

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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CollaborationCollaboration

“The success of youth who are neglected, delinquent or at risk relies on effective systems.”

(L Q i d O h 2002)(Leone, Quinn, and Osher, 2002)

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Stages of Collaboration:CoexistenceCoexistence

Communication

Cooperation

Coordination

CoalitionCoalition

True collaboration

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Importance of Collaboration 

Collaboration is a prerequisite toCollaboration is a prerequisite to the sustainability of interagency 

programs(Perkins, 2002)

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Benefits of CollaborationBenefits of Collaboration

Families and youth benefit when systems collaborate• improved access to services • less disruption and fragmentation• increased information sharing

P t i bilit i t th dProgram sustainability is strengthened

System relationships improvey p p

Increased community ownership for its children

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Barriers to CollaborationBarriers to Collaboration

Phil hi lS ff i Philosophical barriers

Staff resistance barriers

Structural barriers

Language and communication

barriers

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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What we know…..

….better outcomes will be achieved when youth live and develop in functional families are empowered toand develop in functional families, are empowered to make decisions about their futures, and are provided with meaningful incentives and

i i dopportunities to succeed.

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Recommendations

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Recommendations: Supporting Transition Age cross-over Youthg

• Use Federal f nding to create programs for older• Use Federal funding to create programs for older youth and track their outcomes

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Using Federal Funding and Track Their Outcomes

Expand servicesB id i d f di l i hiBridge age-oriented funding relationshipsAlter state plans to include transition aged youthyouthSeek foundation dollarsMaximize mandates and existing fundingMaximize mandates and existing fundingOther funding

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Using Federal Funding and Track Their Outcomes

Policy Implications

• Create inter-agency parent and youth councils• Mandate family and cross-over youthMandate family and cross over youth

representation• Provide fiscal incentives to serve cross-over

hyouth• Alter Medicaid , IV-E Title V, JJDPA and

NCLB

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

NC

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Polling Question #2

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Recommendations: Supporting Transition Age Cross-Over Youthg• Strengthen collaboration between the JJ and CW

systems to efficiently target service provision andsystems to efficiently target service provision and improve outcomes for crossover youth

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Strengthening Collaboration Between the JJ and CW and Improve Outcomes for Crossover YouthCrossover Youth

Create information sharing mechanisms to identify crossover youthidentify crossover youth Allow CW to retain jurisdiction for dually adjudicated youth Cross train staff (JJ/CW) and meet regularlyAlign JJ and CW mandates of public safety and child safetyand child safety Dedicate resources to collaboration and strategic planning between JJ and CW

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Strengthening Collaboration Between the JJ and CW and Improve Outcomes for Crossover YouthCrossover Youth

Policy Implications

• Require integrated reporting

Policy Implications

• Direct cross-agency action to target local delivery of services

• Co-locate staff and programsCo-locate staff and programs• Identify existing structures to identify

crossover youth

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Polling Question #3

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Recommendations: Supporting Transition Age cross-over Youthg

• Engaging o th to ork ith their case managers in• Engaging youth to work with their case managers in formulating a plan that includes the goals they wish to achieve by age 25.y g

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Engaging Youth in their Case Plan

Actively involve youth in case plan designdesignCreate strategies to address challengesE d t ff ti iExpand or create effective servicesLink youth with role models/mentorsCreate/support youth organizationsProvide access to needed services after h

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they age out

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Engaging Youth in their Case Plan

• Require all programs, policies and practice

Policy Implications

models become youth and family centered• Create frequent and regular opportunities for

youth and families to provide feedback aboutyouth and families to provide feedback about cross-over needs

• Assure that cross-over youth have one case l h i di d llplan that is coordinated across all systems

• Provide training to agency staff on youth engagement

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

e gage e t

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Polling Question #4

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Recommendations: Supporting Transition Age cross-over Youthg

• Engaging ith the comm nit to create broader• Engaging with the community to create broader support systems for transitioning youth

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Engaging with the community to create broader support systemspp y

Develop community resourcesCreate connections with older youth, families and community stakeholdersWork with existing natural gsupports and work toward addressing the unique needs of

h it© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

each community

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Engaging with the community to create broader support systemspp y

Policy Implications

• Regularly share data with community agencies• Establish interagency structures to support cross

Policy Implications

• Establish interagency structures to support cross-agency/cross-program collaboration

• Contract with community agencies to support cross o er o thcross-over youth

• Co-locate agency staff at community based service organizations who serve cross-over youth

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Polling Question #5

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Recommendations: Supporting Transition Age cross-over Youthg

• Promoting policies and practices that address famil• Promoting policies and practices that address family relationships and permanency

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Policies and Practice for Family Relationships and Permanencyp y

Targeted assessment to evaluate the strengths and stability of family relationshipsand stability of family relationshipsIndividualized service provision for youth and their familiesConnecting families to community-based support systemsServices and supports built around theServices and supports built around the protective factors that exist in the family and with the crossover transitioning young adult

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Policies and Practice for Family Relationships and Permanencyp y

Policy Implications• Issue proclamations promoting family and youth

involvement in policy and practice issues• Require meaningful parent and youth impact assessments

y p

• Require meaningful parent and youth impact assessments and statements for legislative and regulatory proposals

• Establish/strengthen parent and youth advisory to child-serving agencies and the Governor/Mayorse v g age c es a d t e Gove o / ayo

• Create ombudsman focus on cross-over youth• Provide training for family members on court/education

proceedings, case planning and placement decisions

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Polling Question #6

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Recommendations: Supporting Transition Age cross-over Youthg• Developing policies and practices that support

prevention and developing specific skills andprevention and developing specific skills and competencies necessary for adulthood success

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Policies and Practices for Prevention, Skills and Competencies Development

Reduce school interruption and dropoutEnsure CW and JJ youth’s special educationEnsure CW and JJ youth s special education needs are metImplement provisions of the Fostering Connections and Chafee ActConnections and Chafee ActEstablish partnership with community collegesSolidify connection with local employersy p yPlan for extended service and support provisionAllow youth in group care settings to seek and

i t i l t

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maintain employment

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Policies and Practices for Prevention, Skills and Competencies Development

d d h i d

Policy Implications

• Fund data sharing mandates• Develop shared or integrated information

technology systems with partner agenciesgy y p g• Require the collection, reporting and

monitoring of crossover statistics • Modify “bench books” which provideModify bench books which provide

guidance to judges

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Polling Question #7

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Recommendations: Supporting Transition Age cross-over Youthg

• Ens ring that the ser ices a ailable to o th are• Ensuring that the services available to youth are developmentally appropriate

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Services available to youth are developmentally appropriatep y pp p

Initial assessments must gauge the youth’s physical, emotional, educational, cultural and p y , , ,vocational statusCreate assessment tools that measure the youth’s development across factors that predictyouth s development across factors that predict adulthood successTarget services to address developmental h llchallenges

Limit the use of criminal transfer for juvenile justice youth, they demonstrate worse

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j y , youtcomes in the adult criminal system

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Services available to youth are developmentally appropriatep y pp p

Policy Implications• Strengthen review mechanisms for transfer decisions• Increase coordination with adult corrections when youth are

placed in those institutionsR i d l t ll d lt ll i t i• Require developmentally and culturally appropriate services

• Change legislative and regulatory mandates• Extend foster care to age 21 (Fostering Connections)• Extend Medicaid coverage through age 21Extend Medicaid coverage through age 21• Create early asset building opportunities for older youth to build

financial literacy• Raise the maximum age for which a youth may establish

j il i li ibilit

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juvenile service eligibility

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Polling Question #8

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Questions and AnswersPhone lines will now be open

Questions posed in chat function will be posed to participants for peer learning purposespurposes

Additional Questions to facilitate peer learning:

• Discuss one initiative in your agency/community where you have employed any of these strategies and/or policies to achieve better outcomes for cross-over youth.

• How has your agency/community addressed one or more collaboration barriers in order to achieve better outcomes for cross-over youth?

h i d b h bl d h h d h hi b• What community partners need to be at the table and how have you engaged them to achieve better outcomes for cross-over youth?

Data Matters……

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

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Cross-over Youth:7 Recommendations

Use Federal funding to create programs for

Cross-over Youth:7 Recommendations

older youth and track their outcomes

Strengthen collaboration between the JJ and CW systems to efficiently target service

provision and improve outcomes for crossover youthcrossover youth

Engage young adult to work with their case managers in formulating a plan that includes

the goals they wish to achieve by age 25

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

Supporting Youth in Transition to Adulthood: Lessons Learned from Child Welfare and Juvenile Justice

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Cross-over Youth:7 RecommendationsEngage with the community to create broad support

systems for transitioning youth

Promote policies and practices that address family relationships and permanency

Develop policies and practices that support prevention and development of the specific skills

and competencies necessary for adulthood

Ensure that the services available to youth are developmentally appropriate

© 2010 NATIONAL TECHNICAL ASSISTANCE CENTER FOR CHILDREN’S MENTAL HEALTH, GEORGETOWN UNIVERSITY

Supporting Youth in Transition to Adulthood: Lessons Learned from Child Welfare and Juvenile Justice