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Department of Juvenile Justice Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art Mayer LCSW CSOTP Sex Offender / Substance Abuse Program Supervisor Behavioral Services Unit June 21 st 2011

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Page 1: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Department of Juvenile Justice Substance Abuse Treatment Programs:

An Overview for the Substance Abuse Services Counsel

Presented byArt Mayer LCSW CSOTP

Sex Offender / Substance Abuse Program Supervisor

Behavioral Services UnitJune 21st 2011

Presenter
Presentation Notes
Page 2: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

What are DJJ youth using?

Page 3: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

63.5% 63.0%

51.8%

8.8%

3.4% 2.6%1.4%

0%

10%

20%

30%

40%

50%

60%

70%

80%

Cigarettes Marijuana Alcohol Cocaine Inhalants Crack Heroin

Perc

ent o

f You

th

Type of Substance

Percentage of Youth Substance Use* FY 2009

* All substance use information on juveniles is collected using the Juvenile Profile (JP) forms completed at the Reception and Diagnostic Center.

Presenter
Presentation Notes
ALCOHOL-65% MARIJUANA-67% CIGARETTES-70% COCAINE-14% CRACK-6% HEROIN-5% Data from the Profiles of Incarcerated Adolescents in Virginia’s Juvenile Correctional Centers Fiscal Years 1999-2003
Page 4: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Cigarette Use by Sex

66.4%

61.8%63.5% 63.3%

63.6%62.6%

59.5%62.3%

57.4%62.5%

0%

10%

20%

30%

40%

50%

60%

70%

80%

2005 2006 2007 2008 2009

Perc

ent o

f You

th

Fiscal Year

MaleFemale

• In FY 2009, 64% of juveniles at admission to RDC reported cigarette use.

Page 5: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Cigarette Use by Race

73.9%76.7% 75.6% 75.8% 74.5%

63.0%

55.8%58.4%

56.6%58.7%

0%

10%

20%

30%

40%

50%

60%

70%

80%

2005 2006 2007 2008 2009

Perc

ent o

f You

th

Fiscal Year

WhiteBlack

• In FY 2009, 64% of juveniles at admission to RDC reported cigarette use.

Page 6: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Marijuana Use by Sex

64.6%

60.1%64.0% 65.4%

63.2%60.4%

55.7%

44.2% 44.3%

60.7%

0%

10%

20%

30%

40%

50%

60%

70%

80%

2005 2006 2007 2008 2009

Perc

ent o

f You

th

Fiscal Year

MaleFemale

• In FY 2009,63% of juveniles at admission to RDC reported marijuana use.

Page 7: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Marijuana Use by Race

68.3%

65.0% 62.7%

68.2%66.3%

62.2%57.1%

61.1%62.1% 62.2%

0%

10%

20%

30%

40%

50%

60%

70%

80%

2005 2006 2007 2008 2009

Perc

ent o

f You

th

Fiscal Year

WhiteBlack

• In FY 2009, 63% of juveniles at admission to RDC reported marijuana use.

Page 8: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Alcohol Use by Sex

51.3%

46.3%

51.7% 52.0%52.4%

49.5%

39.2%41.6%

39.3%

44.6%

0%

10%

20%

30%

40%

50%

60%

70%

80%

2005 2006 2007 2008 2009

Perc

ent o

f You

th

Fiscal Year

MaleFemale

• In FY 2009, 52% of juveniles at admission to RDC reported use of alcohol.

Page 9: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Alcohol Use by Race

63.1%

56.1%

63.6% 63.1%66.3%

45.4%

40.0%43.5% 44.4% 45.1%

0%

10%

20%

30%

40%

50%

60%

70%

80%

2005 2006 2007 2008 2009

Perc

ent o

f You

th

Fiscal Year

WhiteBlack

• In FY 2009, 52% of juveniles at admission to RDC reported use of alcohol.

Page 10: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Cocaine Use by Sex

10.6% 9.2% 9.5% 7.9% 7.9%

16.5%13.9% 13.0%

8.2%

19.6%

0%

10%

20%

30%

40%

50%

60%

70%

80%

2005 2006 2007 2008 2009

Perc

ent o

f Yo

uth

Fiscal Year

MaleFemale

• In FY 2009, 9% of juveniles at admission to RDC reported cocaine use.

Page 11: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Cocaine Use by Race

24.9%21.5% 23.6%

25.8% 24.0%

4.6% 4.6% 3.1% 2.9% 2.0%0%

10%

20%

30%

40%

50%

60%

70%

80%

2005 2006 2007 2008 2009

Perc

ent o

f You

th

Fiscal Year

WhiteBlack

• In FY 2009, 9% of juveniles at admission to RDC reported cocaine use.

Page 12: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Inhalants Use by Sex

3.4% 2.5% 2.5% 3.1% 3.2%5.5%

1.3%3.9% 3.3% 4.9%

0%

10%

20%

30%

40%

50%

60%

70%

80%

2005 2006 2007 2008 2009

Perc

ent o

f You

th

Fiscal Year

MaleFemale

• In FY 2009, 3% of juveniles at admission to RDC reported inhalant use.

Page 13: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Inhalants Use by Race

11.2%

6.3%8.0% 7.6%

10.7%

0.8% 1.0% 0.7% 0.8% 0.8%0%

10%

20%

30%

40%

50%

60%

70%

80%

2005 2006 2007 2008 2009

Perc

ent o

f You

th

WhBla

• In FY 2009, 3% of juveniles at admission to RDC reported inhalant use.

Page 14: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Crack Use by Sex

3.5% 3.2% 2.1% 2.3% 2.4%

8.8%

2.5%

7.8%

1.6%5.4%

0%

10%

20%

30%

40%

50%

60%

70%

80%

2005 2006 2007 2008 2009

Perc

ent o

f You

th

Fiscal Year

MaleFemale

• In FY 2009, 3% of juveniles at admission to RDC reported use of crack cocaine.

Page 15: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Crack Use by Race

10.8% 9.9%8.4%

5.6%9.2%

1.0% 0.5% 0.2% 0.4% 0.4%0%

10%

20%

30%

40%

50%

60%

70%

80%

2005 2006 2007 2008 2009

Perc

ent o

f You

th

Fiscal Year

WhiteBlack

• In FY 2009, 3% of juveniles at admission to RDC reported use of crack cocaine.

Page 16: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Heroin Use by Sex

1.0% 1.6% 1.2% 1.1% 1.3%2.2% 1.3%3.9%

1.6% 3.3%

0%

10%

20%

30%

40%

50%

60%

70%

80%

2005 2006 2007 2008 2009

Perc

ent o

f You

th

Fiscal Year

MaleFemale

• In FY 2009, 1% of juveniles at admission to RDC reported heroin use.

Page 17: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Heroin Use by Race

3.2%4.9% 5.3%

2.0%4.6%

0.3% 0.5% 0.0% 0.2% 0.4%0%

10%

20%

30%

40%

50%

60%

70%

80%

2005 2006 2007 2008 2009

Perc

ent o

f Yo

uth

Fiscal Year

WhiteBlack

• In FY 2009, 1% of juveniles at admission to RDC reported heroin use.

Page 18: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

52.5% 54.8%

45.9%

59.0%

64.2%59.7%

62.2%63.8% 63.0%

1.6% 2.2% 2.0% 2.6% 1.1% 1.6% 1.4% 1.2% 1.4%0%

10%

20%

30%

40%

50%

60%

70%

80%

2001 2002 2003 2004 2005 2006 2007 2008 2009

Perc

ent o

f You

th

Fiscal Year

Marijuana

Heroin

Marijuana & Heroin Use Trends

Page 19: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

A Quick Snap Shot in FY 2010

• Substance Abuse Treatment Needs– 88.0% had either mandatory or

recommended substance abuse treatment need

• 88.9% of males had either mandatory or recommended substance abuse treatment need

• 71.9% of females had either mandatory or recommended substance abuse treatment need

Presenter
Presentation Notes
Approximately 1200 youth are committed 70% 0f 1200 is 840 youth per year needing SA tx
Page 20: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Mandatory Substance Abuse Services if:

• One or more substances were being used at the time of the offense.

• The offense constituted a substance-related charge, i.e., possession, with an additional requirement of substance use, or substance dependence.

• The offense was a violation of probation or violation of court order related to failing a drug screen or failure to complete a substance abuse program.

• The offense involved trying to obtain drugs for personal use, i.e., B&E, robbery, when the intent was to steal drugs, or rob someone of drugs, or their property to be sold or traded for drugs.

Page 21: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Recommended Substance Abuse Services if:

• There is a prior offense related to substance abuse, but the former criteria are not met.

• The resident admits to substance abuse or dependence, but the former criteria are not met.

• If a committing charge was substance-related but did not involve personal substance use. For example, possession of drugs for purposes of dealing, or B&E, Robbery, etc., to obtain drugs for dealing only. Not personal use.

Page 22: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Need For Substance Abuse Treatment

• Substance Abuse Treatment needs are evaluated while the juvenile is at RDC and recorded on the Juvenile Profile form.

Page 23: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Historically Speaking…

• Education programs– Designed to be completed within a 16

session time frame in approximately 8 weeks.

• Therapy Programs– Based on progress toward completion of

standardized treatment objectives (personal history, defense mechanisms, feelings, relapse prevention, family issues). Duration 3-6 months.

Presenter
Presentation Notes
Psycho Ed-In general population situations, groups usually occur twice a week so that group is completed within two weeks. In specialized units, especially sex offender, groups generally meet once a week due to the high volume of groups already in that unit 1 MONTH PER OBJECTIVE=4 MONTHS TO COMPLETE THE PROGRAM Therapy group generally meets twice a week.
Page 24: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

New Treatment Direction

• November 2006 – Received Grant from Project TREAT (Training and Resources for Effective Adolescent Treatment) to implement an Evidenced Based Substance Abuse Treatment Program.

• March 2007 – Trained 30 staff in motivational Interviewing.

• April 2007 – Trained 30 staff in Cannabis Youth Treatment (CYT).

• Summer 2007 - began new programming.• 2007 and beyond - Yearly MI booster training.

Page 25: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Current Boy’s Programming• Facilities discarded exclusive substance

abuse educational programs. • Facilities are administering MET/CBT CYT 5

& 7 as its foundation. • Residents w/ co-occurring disorder receive:

– individualized treatment plan– additional ind. and/or group treatment

• SA units are paired w/Aggression Management programming (AMSA).

Page 26: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

ASSESSMENT• Substance Abuse Subtle Screening Inventory –

Adolescent Version (SASSI-A2).• Self reported history from both medical and

psychological interviews.• DSM-IV TR diagnostic criteria from psychological

interview. • Information provided by the community.*

– Prior treatment records– Family accounts – Prior arrests, charges, etc.

*when available

Presenter
Presentation Notes
SASSI Department has been using this for many, many years Self reporting instrument This is a screening tool only, not a diagnostic tool. It gives us a sense of whether or not we should send a client on for further assessment. Client’s can be found “at high risk” for dependence or abuse or “not at high risk”. All youth coming through RDC receive a SASSI which is administered by the case managers. APSI The entire Index looks at 7 areas of life functioning, but DJJ only uses the alcohol and drug questionnaire piece Gives a qualitative and quantitative measure of substance use history Has DSM IV TR criteria for substance abuse and dependence so that the clinician can make a diagnostic impression Self reporting instrument administered by BSU psychologist ASSESSMENT PROCESS Administered the SASSI Administered the APSI Medical eval Psychological eval Staffing team decision on treatment need
Page 27: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Lower Intensive Treatment Services(CYT-5)

• Targets residents who are experimental versus abusive / dependent.– General population groups.– Individual therapy.

Page 28: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Intensive Treatment Services(CYT-12 & ITP Groups)

• Targets residents with abusive / dependent / dependent traits. – Self-contained unit– General population groups– Individual therapy– Family therapy

Page 29: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Sorting Criteria for CYT 5• SASSI-A2 indicates no probability of

dependence.• Experimental experience vs. abuse. • Family History / Peer history.

Page 30: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Sorting Criteria for CYT 12• SASSI-A2 indicates probability of

dependence: OR• There is a pattern or developing pattern of

use / abuse (any drug and/or alcohol)– Weekends, after school, parties, social

gatherings, etc.– Some duration (use common sense)

• Poly Substance use.• Co-occurring disorder present.

– (ADHD, PTSD, Depression, anxiety, etc.)• Failed prior treatment attempts.

Page 31: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Beaumont• Treat Boys 16-18.• 24 bed - Self Contained Substance

Abuse Unit.• Combined w/ Aggression Management

– AMSA.• Satellite Services.

Page 32: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Hanover• Treat Middle School Age Boys & Up.• Self Contained Substance Abuse Unit.• Combined w/ Aggression Management.

– AMSA• Satellite Services.• JROTC.

Page 33: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Culpeper• Treat Boys 18 & Up. • Self Contained Substance Abuse Unit.• Creative use of school scheduling.• Satellite Services.

Page 34: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Oak Ridge• Treat Boys w/ Intellectual and/or

Developmental Disabilities.• Boy’s Outpatient “General Pop”

Groups.

Page 35: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Bon Air

• Treat Boys 15-17. • Self Contained Substance Abuse Unit.• Combined w/ Aggression Management.

– AMSA• Satellite Services

Page 36: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Bon Air for Girls• All girl’s needing substance abuse

services receive residential services.• Treatment includes individual, group &

family therapy.• Treatment addresses:

• Psycho-education• Relapse prevention• Skills building• Trauma / emotional, physical, sexual abuse• Gender specific issues

Page 37: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

What is CYT all about?– Evidenced Based Practice– Based on the Stages of Change– Based on Motivational Interviewing /

Enhancement Techniques– Skills Based

Page 38: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Stages of Change (Prochaska & DiClemente)

• Pre-Contemplative• Contemplative• Preparation / Planning• Action• Maintenance• Relapse

Page 39: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Motivation Enhancement Therapy

• MET is a therapeutic approach based on the premise that clients will best be able to achieve change when motivation comes from within themselves, rather than being imposed by the therapist (Miller & Rollnick 1991).

Page 40: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

MI / MET Spirit

• Understand ambivalence• Express empathy• Develop discrepancy• Avoid argumentation• Roll w/ resistance• Support self-efficacy

Page 41: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

CYT 5 structure • Two sessions of individual

motivational enhancement therapy &• Three sessions of group cognitive

behavioral therapy– Teach Marijuana refusal skills / Enhance social

support networks / Increase pleasant activities / Cope w/ high risk situation & relapses

Page 42: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

CYT 7 structure• Seven sessions of group cognitive

behavioral therapy• Ultimate goal is abstinence w/ two objectives:

– Teach broad spectrum of skills / coping activities to help deal with problems, interpersonal conflicts, negative mood states &

– Teach how to anticipate & challenge thoughts, cravings & urges that drive AOD use

Presenter
Presentation Notes
Decision making skills, anger management, coping and craving, dealing with depression
Page 43: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

CYT Modules• Motivation to change• Refusal skills• Building Social Supports• Planning for emergencies (relapse Prev.)• Problem solving• Anger awareness / management• Communication• Coping with cravings• Depression management• Managing thoughts about drug use

Page 44: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Who Else Uses CYT?

Page 45: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

CSAT GRANT• Arizona• Arkansas• California• Colorado• Connecticut• D.C.• Florida• Maryland• Massachusetts• Michigan

• Missouri• North Carolina• New Jersey• New Mexico• Ohio• Oregon• Pennsylvania• Rhode Island• Texas • Vermont• Washington

Page 46: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

ITP Groups & Other Services• Focuses on a variety of clinical issues.

– Co-occurring disorders– Family dynamics– Process of addiction– Psycho education / Pharmacology– Life skills– Contemporary / Current events– Criminogenic Factors– Trauma – Or other clinical issue related to AOD abuse

Presenter
Presentation Notes
ITP groups Show The Corner… DeAndre’s Blues 2nd episode. Co-occurring – ADHD, Depression, PTSD, Abuse & other Psychological / problematic behavioral issues Activities from a variety of sources Videos (the Corner) Movies (28 days, Clean and Sober, Antwan Fisher) Genogram Life history Eulogy Source material Pathways to Self Discovery, Phoenix Curriculum, other CBT oriented publications) SAHMSA & NIDA materials / pamphlets
Page 47: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Logistical Challenges• Time constraints

– Length of stay (providing services in a timely & qualitative fashion).

– Competing entities e.g., educational, vocational, recreational & other treatment programs.

• Treatment space / confidentiality• Security / safety procedures.• Staffing ratios / budget realities

Page 48: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Glossary of Terms• MI / MET

– Motivational Interviewing / Enhancement *Miller & Rollnick

• CBT– Cognitive Behavioral Therapy

• EBP– Evidenced Based Program

Page 49: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Glossary of Terms

• CYT– Cannabis Youth Treatment

• Stages of Change– Six universal stages

• ITP– Individualized Treatment Plan

Presenter
Presentation Notes
Stages of Change - (Prochaska & DiClemente) Pre-contemplative, contemplative, planning, action, maintenance, relapse
Page 50: Department of Juvenile Justice Substance Abuse Treatment ... abuse... · Substance Abuse Treatment Programs: An Overview for the Substance Abuse Services Counsel Presented by Art

Art MayerCentral Office

786-4335

[email protected]