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Using “What Works” to Help Youth Change: From Assessment to Service Planning and Delivery
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Transcript of Using “What Works” to Help Youth Change: From Assessment to Service Planning and Delivery
Using “What Works” to Help Youth Change: From Assessment to Service Planning
and Delivery
National TASC Conference Workshop
It’s all about change…
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.
Youth Specific Needs
What’s different?
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.
Addiction• Inability to consistently Abstain• Impairment in Behavioral control• Craving• Diminished recognition• Dysfunctional Emotional response
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.
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.
An opportunity for change
Juvenile Case Study
Alignment RNR/ASAMRisk - 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
Alignment RNR/ASAMAssess 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.
The ASAM Criteria
Relationship is the key
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.
Alignment RNR/ASAMEnhance 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.
What’s important to you?
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
Life areas that lead to program goals
EXERCISE
Alignment RNR/ASAMTarget 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.
My top three issues
So what’s your plan?
Visualize your future
My first program goal
EXERCISE
Target the interventions…
…to the goal
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
My specific action steps to reach my goal
EXERCISE
Alignment RNR/ASAMMeasure 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.
Monitor and adjust
What is important to you today?
Are you ready?
EXERCISE
It’s all about change…
Thank You!
www.changecompanies.net