Amid Widespread Inaction on Evidence-Based Care for Troubled and Delinquent Youth, a Few States Get it Right

In a pair of feature stories published yesterday, (on Georgia's reform efforts and issues and two young men in the system) JJIE described two modes of intensive at-home treatment that show great promise to improve outcomes for emotionally disturbed youth in the delinquency system, both of which cost far less than incarceration or treatment in a residential treatment center.

Traumatic Pasts, Urgent Counseling Needs, Inadequate Services: Findings from the First Ever National Survey of Juveniles in Custody

How many young people confined in the juvenile justice system need treatment for mental health and substance problems, and how well are those needs being met? The Survey of Youth in Residential Placement (SYRP) – the first-ever national survey of youth in juvenile custody – offers a detailed, if slightly dated, window into these issues using information obtained from young people themselves. See related story here. Conducted in 2003, SYRP gathered data from a nationally representative sample of youth housed in state and local juvenile facilities. Not released until 2010, the SYRP data show that many young people confined in juvenile facilities had experienced trauma, and most suffered with one or more mental health or substance abuse problems.  Yet many confined youth received no counseling in their facilities.

New Therapy Proves Effective for Juvenile Sex Offenders

How big a difference can new evidence-based treatment methods make in the cases of juvenile offenders with mental health problems? In Cook County, Illinois, juvenile court leaders decided to find out. Specifically, they agreed to participate in a randomized controlled experiment to test the impact of Multisystemic Therapy (MST) – a prominent new treatment methodology – against the court’s usual services for youth accused or adjudicated for juvenile sex offenses. The study, published in 2009, involved 127 youth accused of sex offenses and ordered by the court to attend sex offender treatment. Sixty-seven were assigned to MST, and 60 were assigned to Cook County probation department’s existing juvenile sex offender unit and required to take part in weekly sex offender treatment groups.