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

COSIG Co-Occurring Disorders Conference, Hershey PA, May 15-17, 2006
PART IV: TREATMENT – ADDRESSING
THE NEEDS OF JUVENILES WITH CO-
OCCURRING DISORDERS WHO
EXPERIENCED TRAUMA
• FIT OUTCOMES:
1. Background:
a. Outcome study conducted by nationally recognized
Washington State Institute for Public Policy (WSIPP),
based on 18-month follow-up period at time of initial
study.
b. Cost per youth of 6-month program: $8,968.00.
c. Program funded, bundled rate allows for integration of
services and decrease in fragmentation.
PART IV: TREATMENT – ADDRESSING
THE NEEDS OF JUVENILES WITH CO-
OCCURRING DISORDERS WHO
EXPERIENCED TRAUMA
• FIT OUTCOMES (cont.):
2. Recidivism outcomes: Felony recidivism reduced by 34%.
3. Cost savings outcomes (compared with “treatment as usual”
outpatient group), following youth’s release from juvenile
facility:
a. Overall cost savings determined by WSIPP to be
$29,000.00 per youth.
b. This takes into account the nearly $9,000.00 cost of the
program per youth – savings of $29,000.00, after cost of
program.
c. Calculation based on savings from prevention of reincarceration,
plus savings based on prevention of
victimization of others (reduced felony rate).
PART V: CONCLUSIONS
PART V: CONCLUSIONS
1. Highly challenging combination: SUD and PTSD (complete or
partial), and other psychiatric symptoms/disorders.
2. Even more challenging when youth with SUD and PTSD are
also involved with juvenile justice.
3. Need for helping adults to help, not exacerbate problem by
stigmatizing, shaming, coercing, engaging in counteraggression.
4. Key treatment elements include engagement and promotion of
trust, use of comprehensive information and strengths of youth,
commitment to prevention.
5. Response to trauma and substance use requires trauma
informed care and integrated approach to co-occurring
disorders. Many evidence-based components can be
incorporated.
6. Programs and services need to be supervision-rich, maintain
therapist accountability, and use of outcomes to improve
quality.
7. Recovery involves promotion of youth’s self-awareness, sense
of empowerment, and capacity to make healthy choices and
develop a positive identity.
8. Desired outcome: being safe, living productively in community,
enjoying meaningful relationships. Charlie Curie:
“A life in the community for everyone – a job, a
home, a date on the weekend.”
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