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COSIG CONFERENCE BROCHURE.pdf - Drexel University College ...

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<strong>COSIG</strong> Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006<br />

PART IV: TREATMENT – ADDRESSING<br />

THE NEEDS OF JUVENILES WITH CO-<br />

OCCURRING DISORDERS WHO<br />

EXPERIENCED TRAUMA<br />

• IDEAL COMPONENTS OF A PROGRAM<br />

ADDRESSING THE NEEDS OF TRAUMATIZED<br />

YOUTH WITH CO-OCCURRING DISORDERS (cont.):<br />

7. Treatment interventions that involve both youth and family.<br />

8. Interventions to help youth remain in family home and<br />

community.<br />

9. Use of natural supports to complement professional services.<br />

10. Motivational strategies to engage youth and family and build on<br />

strengths.<br />

11. Provision of core components of trauma informed care.<br />

12. Interventions to address specific trauma-related symptoms.<br />

PART IV: TREATMENT – ADDRESSING<br />

THE NEEDS OF JUVENILES WITH CO-<br />

OCCURRING DISORDERS WHO<br />

EXPERIENCED TRAUMA<br />

• IDEAL COMPONENTS OF A PROGRAM<br />

ADDRESSING THE NEEDS OF TRAUMATIZED<br />

YOUTH WITH CO-OCCURRING DISORDERS (cont.):<br />

13.Strategies to promote youth resilience and recovery.<br />

14.Adjunctive use of psychotropic medication, as<br />

clinically indicated.<br />

15.Provision of culturally competent care.<br />

16.Attention to educational/vocational needs of youth.<br />

17.For youth in juvenile justice system, coordination of<br />

care with JPO and promotion of prosocial<br />

functioning and peer affiliations.<br />

PART IV: TREATMENT – ADDRESSING<br />

THE NEEDS OF JUVENILES WITH CO-<br />

OCCURRING DISORDERS WHO<br />

EXPERIENCED TRAUMA<br />

• THE WASHINGTON STATE FAMILY<br />

INTEGRATED TRANSITIONS (FIT) PROGRAM –<br />

GENERAL CHARACTERISTICS:<br />

1. Target population: Youth with co-occurring<br />

disorder within juvenile justice system, on verge<br />

of release from a secure juvenile facility with<br />

planned return back to the community.<br />

2. Specific eligibility requirements:<br />

a. Less than 17 ½ years old.<br />

b. Presence of a D&A problem.<br />

PART IV: TREATMENT – ADDRESSING<br />

THE NEEDS OF JUVENILES WITH CO-<br />

OCCURRING DISORDERS WHO<br />

EXPERIENCED TRAUMA<br />

• THE WASHINGTON STATE FAMILY INTEGRATED<br />

TRANSITIONS (FIT) PROGRAM – GENERAL<br />

CHARACTERISTICS (cont.):<br />

c) Presence of MH problem, as manifested by at<br />

least one of the following:<br />

1) Axis 1 diagnosis other than CD.<br />

2) Suicidal behavior within past 3 months.<br />

3) Use of psychotropic medication.<br />

d) Youth in secure facility and due for release with at<br />

least 4 months of probation expected.<br />

PART IV: TREATMENT – ADDRESSING<br />

THE NEEDS OF JUVENILES WITH CO-<br />

OCCURRING DISORDERS WHO<br />

EXPERIENCED TRAUMA<br />

• THE WASHINGTON STATE FAMILY INTEGRATED<br />

TRANSITIONS (FIT) PROGRAM – GENERAL<br />

CHARACTERISTICS (cont.):<br />

3. Overview of program design:<br />

a. Program is systemic, with MST as core program component.<br />

b. FIT therapist responsible for both MH and SUD treatment.<br />

c. FIT therapist part of MST team, with intensive training and<br />

supervision.<br />

d. Treatment involves both youth and family.<br />

e. Involvement of psychiatrist, as needed.<br />

f. Many other program components, most evidence-based.<br />

g. Program typically 6 months in duration and intensive.<br />

h. FIT interventions begin while youth still in juvenile facility.<br />

PART IV: TREATMENT – ADDRESSING<br />

THE NEEDS OF JUVENILES WITH CO-<br />

OCCURRING DISORDERS WHO<br />

EXPERIENCED TRAUMA<br />

• THE WASHINGTON STATE FAMILY<br />

INTEGRATED TRANSITIONS (FIT) PROGRAM –<br />

GENERAL CHARACTERISTICS (cont.):<br />

4. Clinical program components involve:<br />

a. Engagement of youth and family.<br />

b. Youth-specific interventions.<br />

c. Family interventions.<br />

d. Systems interventions.<br />

e. Peer interventions.<br />

f. Psychiatric interventions.<br />

g. Substance abuse interventions.<br />

h. School interventions.<br />

8

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