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Mental health

“Children who come to the attention of the juvenile justice system are a challenging and underserved population. The National Child Traumatic Stress Network has developed resources to help juvenile justice professionals understand and provide trauma-focused services to these youth.” Resources are organized according to whether they are intended for either mental health and juvenile justice professionals or judges and advocates.

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Juvenile Mental Health Courts (JMHCs) provide case management and support to youth in the juvenile justice system with behavioral health needs. These courts focus on treatment and rehabilitation, and help to divert youth from juvenile detention facilities to community-based services in their local systems of care. This website provides a map showing where JMHCs are located within the United States.

Dementia, including Alzheimer's disease, is difficult to detect in a population often afflicted with other mental illnesses and maladaptive social behaviors. During this interactive webinar we will explore how symptoms and behaviors can be misconstrued and identify environmental risk factors that can contribute to costly accidents and injury for inmates with dementia.

We will also take an in-depth look at the Gold Coat program based at the California Men's Colony State Prison in San Luis Obispo. This model consists of healthy inmates specially trained to care for those with dementia and other cognitive impairments, who are designated by the gold smocks they wear.

The experiences of former Gold Coats will reveal a working rehabilitative program, a true model of reform that can provide skills for meaningful employment while caring for those who cannot help themselves. Every facility is different with unique needs. During the webinar, we will provide a foundation for developing a self-contained model to meet the needs of cognitively impaired inmates while healthy inmates gain valuable, marketable skills.

Utilizing images, narratives and interactive exercises, panelists will explore the challenges of aging in prison with a focus on dementia care.

Focus areas include: What Happens to the Brain When Dementia / Alzheimer's Strikes; 10 Warning Signs; Effective Communication Strategies; Activities of Daily Living (ADLs); Alternative Environmental Programming; and Building a Successful Dementia Program.

At the conclusion of the webinar, participants will be able to: Paraphrase their own working knowledge of dementia, in particular Alzheimer's Disease; Describe how symptoms and behaviors can be misconstrued as maladaptive behavior; Identify environmental risk factors that can contribute to costly accidents and injury for inmates with dementia; and Give examples of tools to develop a method to reduce risk factors, promote effective programming and provide cost effective care.

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Many juvenile justice systems across the country are overwhelmed by the number of young people suffering from behavioral health problems—meaning mental health disorders, substance use problems, or both. When these systems are not adequately equipped to deal with these youth, their problems—and their behavior—can get worse. At the same time, it must be kept in mind that using the juvenile justice system to solve mental health and substance abuse problems harms youth unnecessarily, impeding their ability to progress in school and in the workforce. [Here], you’ll find an overview of salient issues and links to information on each one, as well as the most recent research, cutting edge reforms, model policies, best practices, links to experts, and toolkits to take action.

Children and youth with mental health issues and learning difficulties are common in the juvenile justice system and finding ways to effectively rehabilitate, treat, and educate them is complicated, yet imperative. In this article, we examine the prevalence rates of mental health disorders in youth involved in the juvenile justice system, discuss the myriad challenges involved youth face, present differences related to gender and race/ethnicity as well as provide information associated with how best to assist these youths. Additionally, significant influences such as cultural, behavioral, and educational issues related to detained youth will be presented. Developing a better understanding of the challenges faced by detainees as well as recognizing barriers to treatment and rehabilitation are key. Further, identifying effective support systems for rehabilitation and transition are addressed (p. 1).

This literature review will focus on the scope of mental health problems of at-risk and justice-involved youths; the impact of mental health on justice involvement as well as the impact of justice involvement on mental health; disparities in mental health treatment in the juvenile justice system; and evidence-based programs that have been shown to improve outcomes for youths with mental health issues (p. 1)

“This report was designed as a resource for the justice and health fields to: Identify the full range of beneficial information exchanges between the criminal justice and healthcare systems; Provide detail on specific information exchanges within the context of routine criminal justice and health operations; Serve as a guide to policymakers and practitioners seeking to implement information exchange, by offering detail on workflow and implementation issues; and, Offer a “blueprint” to certain specific information exchanges through the development of technical use cases” (p. 13). Sections comprising this document are: executive summary—issue overview, key findings according to beneficial uses by the criminal justice system and by healthcare providers, types of information to be exchanged, and implementation of information exchange, and next steps; background; implementation issues and potential challenges—privacy and consent, technical considerations, cost, and organizational factors like trust and leadership; catalog of beneficial criminal justice and health information exchange—criminal justice and health connections Matrix, and 34 information exchange synopses; implementation scenarios for reentry into the community after incarceration, and community-based treatment with effective criminal justice supervision; and next step recommendations. Appendixes provide: a list of acronyms and abbreviations; contributors; Phase II recommendations; additional implementation challenges information (HIPAA, HITECH Act, and 42 CFR Part 2); related information, standards, and guidelines; and success stories for SMART and WITS, BHIPS/CMBHS, and the Hampton County Sheriff’s Department.

Opportunities for Information Sharing to Enhance Health and Public Safety Outcomes: A Report by the Criminal Justice and Health Collaboration Project, Version 1 Cover

This study examines the effects of mental health screening and service delivery on perceived future criminal justice interactions— arrest and incarceration—among adjudicated youth … housed in correctional facilities … Significant relationships between traumatic events and mental health problems were found, along with relationships between mental health problems and mental health screening and service delivery. Most interestingly, results pointed to the strong inverse relationship between mental health service delivery and youth’s perceived likelihood for recidivism (p. 250).

Contents of these proceedings include: meeting highlights; gangs in the 21st century; defining Network issues -- a discussion; identifying and managing inmate gangs; open forum discussion -- gang management; preventing gang influence and violence in the jail; mental health services in jails -- identifying problems; mental health issues in jails; addressing mental health incidents; Prison Rape Elimination Act of 2003; consular notification and access process; topics for next meeting; meeting agenda; and participant list.

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"In the late 1990s, jail diversion programs, many especially geared toward those with mental health challenges, began to emerge around the country. New and modified diversion strategies have also been implemented in the last 15 years. These are highlighted and reviewed in the pages that follow. The Douglas County Correctional Facility shares the fate of many detention centers around the country … the literature review that follows is designed only to inform strategies that might result in more effective diversion of persons with mental illnesses and co-occurring disorders from the jail system" (p. 2). Recommendations are also given regarding the creation of a Mental Health Court and Crisis Center in Douglas County. Intercept points are community crisis centers, law enforcement, post-booking intercepts in jails and at initial hearings, and mental health courts. Reentry programs are not reviewed.

Review of the Literature on Jail Diversion Programs and Summary Recommendations for the Establishment of a Mental Health Court and Crisis Center within Douglas County, Kansas Cover

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