COMPENDIUM OF SERVICES

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1 COMPENDIUM OF SERVICES For the North Carolina Juvenile Justice Substance Abuse Mental Health Partnerships (JJSAMHP) 2016 North Carolina Division of Mental Health, Developmental Disabilities and Substance Abuse Services North Carolina Department of Juvenile Justice and Delinquency Prevention Compiled by University of North Carolina at Greensboro Center for Youth, Family & Community Partnerships

2 Alliance Behavioral-Durham Team 2015 Main Office Location: Affiliated Counties: Alliance Behavioral Healthcare CORPORATE SITE: 4600 Emperor Blvd, Ste. 200, Durham, NC Phone: FAX: LOCAL SITE: 414 E. Main Street Durham, NC Phone: Fax: Durham 1 st LME/MCO Liaison Contact Information: Kimberly Hayes-Johnson Provider Network Development Specialist Phone: khayes@alliancebhc.org 2 nd LME/MCO Liaison Contact Information: Zakilya Taylor Thompson Court Liaison Phone: / ztaylor@alliancebhc.org Data Reporter Contact Information: Chief Court Counselor: Partnering Provider Agencies: Damali Alston Quality Review Coordinator dalston@alliancebhc.org Tasha Butts Chief District 14 B&D Behavioral Health Services Anthony Reid Carolina Outreach Cherry Hitt Easter Seals MST Rosanna De La Rosa Easter Seals UCP MAJORS Assessor Rose Hylton YDC Assessor Marisha Mathis Turning Point Family Care Brian Hoff Visions Counseling Studio, PLLC Rhonda French Youth Extensions Jamarr Garris 2

3 Alliance Behavioral-Durham Team 2015 Youth Villages MST Bobbie Hopf Other JJ Initiatives Partnership Meeting Frequency: Youth Referred Into Partnership: Services Provided within Partnership: Evidence Based Practices/ Treatments Provided: None Monthly Adjudicated Delinquent Adjudicated Undisciplined Diversion Contract Diagnostic Assessments Intensive-In-Home Multisystemic Therapy Outpatient Substance Abuse Services Substance Abuse Intensive Outpatient Individual Therapy Family Therapy Group Therapy Mobile Crisis Management Trauma Focused CBT Seven Challenges MET/CBT Multi-systemic Therapy Screening Process: Assessment Process: Treatment Process: DJJ office uses the GAIN Short Screener for Adjudicated Delinquent, Adjudicated Undisciplined, and Diversion contract youth. This information is passed on to a full time assessor. An assessor, being funded by JJSAMHP, conducts all the assessments at DJJ office. The assessor is employed by an adult provider, which helps eliminate pressure to refer to services within the agency. The family selects from Best Practice services based on recommendation of JJSAMHP Assessor and Child and Family team. CFT meetings should be held once per month and drive service decision for the youth and the family. 3

4 Alliance Behavioral-Wake Team 2015 Main Office Location: Affiliated Counties: Alliance Behavioral-Wake Team 5000 Falls of Neuse Rd.,Suite 304 Raleigh, NC Phone: Fax: Wake 1 st LME/MCO Liaison Contact Information: Eric Johnson Community Relations Supervisor Phone: Fax: ejohnson@alliancebhc.org 2st LME/MCO Liaison Contact Information: Stephanie Pollard Court Liaison Phone: Fax: spollard@alliancebhc.org Data Reporter Contact Information: Chief Court Counselor: Partnering Provider Agencies: Damali Alston Quality Review Coordinator dalston@alliancebhc.org Donald Pinchback Chief-District 10 Carolina Outreach Philip Searcy Easterseals UCP, Inc. Adel Winner Fellowship Health Resources Mala Ross Haven House, Inc. Patricia Cardoso Hope Services, LLC Trish Wisse Triangle Family Services (Sex Offender Treatment) Katharine Bridgers Turning Point Wendy Wenzel Youth Villages, Inc. Allison Smith 4

5 Alliance Behavioral-Wake Team 2015 Other JJ Initiatives Partnership Meeting Frequency: Youth Referred Into Partnership: None Monthly Any Court Involved Youth Services Provided within Partnership: Evidence Based Practices/ Treatments Provided: Screening Process: Assessment Process: 5 GAIN-I & Comprehensive Clinical Assessments Behavioral Health Outpatient (MH/SA) Individual Therapy Family Therapy Group Therapy Intensive In-Home Multi-systemic Therapy Substance Abuse Intensive Outpatient Day Treatment Mobile Crisis Management (Residential Services are available, but are not part of the Core JJ Network) Multi-systemic Therapy MET/CBT Functional Family Therapy Seven Challenges Screenings are conducted on any court involved youth (diversion contracts and more involved) who are not already receiving treatment services. The youth and families are referred for evaluations by juvenile court counselors based on identified screening indicators that reflect a need for assessment and possible treatment services (GAIN Short Screen). If a youth comes to the attention of DJJ already in services with a treatment provider, the DJJ Court Counselor reviews the PCP with provider and family to determine if the current level of care is appropriate. If the youth is not connected to treatment services, a referral is made to the Juvenile Assessment Team (JAT) for a comprehensive MH/SA evaluation (GAIN-I). JAT is made up of 1 FTE licensed clinicians who completes a single, comprehensive, individualized clinical evaluation process to assess mental health and substance abuse issues, determine eligibility for available funding sources, make recommendations, and link the juvenile court involved youth and their families to appropriate mental health and substance

6 Alliance Behavioral-Wake Team 2015 abuse services and supports. Challenges) with youth in Wake Detention. Treatment Process: The comprehensive and individualized evaluation process yields better outcomes for youth and families through objective matching of youth to appropriate services and supports based on professional assessment recommendations and consumer choice. Once the youth and families engage with a treatment provider, a Child and Family Team is initiated to develop and monitor a person centered plan (PCP). The Child and Family Teams meet monthly, as well as any time there is an urgent need to review/revise the PCP. 6

7 Alliance Behavioral-Cumberland Team 2015 Main Office Location: Affiliated Counties: Alliance Behavioral-Cumberland Team 711 Executive Place Fayetteville, NC Phone: Fax: Cumberland 1 st LME/MCO Liaison Contact Information: Sharon Glover System of Care Coordinator Phone: Fax: sglover@alliancebhc.org 2 nd LME/MCO Liaison Contact Information: Joe Comer Provider Network Development Specialist Phone: Fax: jcomer@alliancebhc.org Data Reporter Contact Information: Chief Court Counselor: Partnering Provider Agencies: Other JJ Initiatives Partnership Meeting Frequency: Damali Alston Quality Review Coordinator dalston@alliancebhc.org Miguel Pitts Chief - District 12 Cumberland CommuniCare Yvonne Smith Reclaiming Futures Juanita Pilgrim Twice Monthly/As indicated by the judicial fellow and/or project director Youth Referred Into Partnership: Adjudicated Undisciplined Adjudicated Delinquent Diverted Diversion with Plan Diversion with Contract Pending Adjudication Screening Everyone JCPC Programs 7

8 Alliance Behavioral-Cumberland Team 2015 Services Provided within Partnership: Evidence Based Practices/ Treatments Provided: Screening Process: Assessment Process: Treatment Process: Diagnostic Assessments Intensive In-Home Multi-systemic Therapy Outpatient Substance Abuse Services Substance Abuse Intensive Outpatient Level II Residential Therapeutic Foster Care Level III Residential Level IV Residential PRTF Individual Therapy Family Therapy Group Therapy Day Treatment Mobile Crisis Management Global Appraisal of Individual Needs Trauma Focused CBT Seven Challenges MET/CBT Aggression Replacement Training Strengthening Families Effective Black Parenting Any court involved youth are screened by the court counseling staff with the GAIN SS and are referred if there is possible indication of substance abuse. Youth are then referred to Cumberland CommuniCare. Each youth will receive an assessment using the GAIN Initial and also will receive a urine test. If youth has a DSM-IV diagnosis for substance abuse or substance dependence, they are then admitted into JJSAMHP services. Treatment is holistic, with family and community based supports to wrap services around juveniles in ways to reduce/eliminate substance use and avoid future legal consequences. Services are generally provided through Cumberland CommuniCare unless the youth needs something outside of their service array. 8

9 Cardinal Innovations Healthcare Solutions 2015 Main Office Location: Affiliated Counties: LME/MCO Liaison Contact Information: Data Reporter Contact Information: Chief Court Counselors: Five County Office Location: 134 South Garnett Street Henderson, NC Phone: Fax: Franklin, Granville, Halifax, Vance, Warren Clarette Hill System of Care Coordinator Clarette Hill System of Care Coordinator Clarence High District 6 David Carter District 9 Partnering Provider Agencies: DAYMARK, Recovery Services, Inc. Dana Greenway RHA Lindsy Glover Vision Behavioral Health Services Sharon Garrett Youth Villages Bobbie Jo Hopf bobbie.hopf@youthvillages.org Other JJ Initiatives Partnership Meeting Frequency: Youth Referred Into Partnership: Services Provided within Partnership: 9 Juvenile Justice Treatment Continuum (Reclaiming Futures) - 6A-Halifax Bi-Monthly for District 9; JJTC Steering Committee meets quarterly; JJTC supervisors meet monthly; JJTC staffing occurs weekly which includes the court services, restorative justice, and behavioral health. Undisciplined and Delinquent juveniles who are being served on protective supervision, court supervision, diversion plans/contract or juveniles placed in detention, pending adjudication for District 6A and all intakes for District 9. Diagnostic Assessments Intensive-In-Home

10 Cardinal Innovations Healthcare Solutions 2015 Multi-systemic Therapy-not in Halifax County Outpatient Substance Abuse Services Therapeutic Foster Care Individual Therapy Family Therapy Group Therapy Day Treatment Mobile Crisis Management Community Support Individual Psychiatric Evaluation Psychiatric Medication Restorative Justice Provided by JCPC funded program Evidence Based Practices/ Treatments Provided: Screening Process: Assessment Process: Treatment Process: Global Appraisal of Individual Needs-4 Counties Trauma Focused CBT Seven Challenges-4 Counties Contingency Management Motivational Interviewing Adolescent Community Reinforcement Approach (A-CRA)-Halifax Love and Logic-Halifax The Risk and Needs Assessment is completed in Halifax and GAIN Short Screener is used in the four other counties. Juvenile Family Data Sheet and screening information is provided to all providers except Integrated Family Services, by facsimile. District 6A uses a Comprehensive Clinical Assessment modeled after the JJTC Assessment and Global Appraisal of Individual Needs is used in the four other counties. Families are provided services through Integrated Family Services and Family Preservation Services unless there is a service not within these provider s arrays. If a child is receiving an enhanced benefit, child and family team meetings are to occur every 30 days in Halifax County. High priority cases are staffed weekly and non-high priority cases are staffed at least once per month. In four counties, Child and Family Teams are held as needed. 10

11 Cardinal Innovations Healthcare Solutions

12 Cardinal Innovations Healthcare Solutions 2015 Main Office Location: Affiliated Counties: Alamance Caswell Office Location: 2451 S. Church Street Burlington, NC Phone: (336) Alamance, Caswell 1 st LME/MCO Liaison Contact Information: Fran Harvey System of Care Coordinator Phone: fran.harvey@cardinalinnovations.org 2 nd LME/MCO Liaison Contact Information: Beth Pfister Regional System of Care Manager Phone: beth.pfister@cardinalinnovations.org Data Reporter Contact Information: Fran Harvey System of Care Coordinator Phone: fran.harvey@cardinalinnovations.org Chief Court Counselors: David Carter District 9 - Caswell Peggy Hamlett/Steven Sadler Chief District 15 - Alamance Partnering Provider Agency: Other JJ Initiatives Partnership Meeting Frequency: Youth Referred Into Partnership: Services Provided within Partnership: NC Mentor Easter Seals UCP Faith In Families Solutions CSA RHA Amethyst Counseling and Treatment Solutions CSA Serenity Counseling and Resource Center Have joined Orange and Chatham in reporting for Reclaiming Futures Monthly Diversion Contract Adjudicated Undisciplined Adjudicated Delinquent GAIN Assessments Comprehensive Clinical Assessments Psychological Evaluations Intensive In-Home Services Multisystemic Therapy 12

13 Cardinal Innovations Healthcare Solutions 2015 Outpatient Substance Abuse Services Individual Therapy Family Therapy Group Therapy Mobile Crisis Management Evidence Based Practices/ Treatments Provided: Screening Process: Global Appraisal of Individual Needs (GAIN) Seven Challenges Trauma Focused CBT MET/CBT Multi-systemic Therapy Court involved youth will receive a GAIN SS. Each DJJDP will identify which youth will receive this screening based on their current structure and individual district/county needs. Based on the outcome of the GAIN SS the Court Counselor will offer child/family provider choice and make referral to one of the Partnership providers for GAIN-I assessment. Assessment Process: The JJSAMHP Partnership clinician will complete a full GAIN assessment and make clinically appropriate recommendations. The assessing clinician will offer the consumer/family provider choice and make referrals to identified service and chosen partnership provider. Treatment Process: Each youth will have a Child and Family Team that will help design and guide treatment options. The Child and Family Team meets at least monthly for each youth and other child serving agencies as well as family advocates are actively recruited to be part of the treatment process for each youth. 13

14 Cardinal Innovations Healthcare Solutions 2015 Main Office Location: Affiliated Counties: Orange Person Chatham Office Location: 100 Europa Drive, Suite 490 Chapel Hill, NC Phone: Fax: Chatham, Orange, Person 1 st LME/MCO Liaison Contact Information: Fran Harvey System of Care Coordinator Phone: fran.harvey@cardinalinnovations.org 2 nd LME/MCO Liaison Contact Information: Beth Pfister Regional System of Care Manager Phone: Data Reporter Contact Information: Chief Court Counselor: Fran Harvey System of Care Coordinator Phone: fran.harvey@cardinalinnovations.org Peggy Hamlett District 15 (Orange and Chatham) David Carter District 9 (Person) Partnering Provider Agencies: Easterseals UPC, Inc. Beth Barwick Freedom House Russel Knop Person County Craig Caspari Orange County Youth Villages Bobbie Hopf Carolina Outreach Renee White Securing Resources for Consumers Daun Pearson Center for Behavioral Healthcare Mary Martin Institute for Family Centered Services Joanna Finer 14

15 Cardinal Innovations Healthcare Solutions 2015 RHA Sarah Osborne Other JJ Initiatives Partnership Meeting Frequency: Reclaiming Futures (Orange and Chatham) Monthly Reclaiming Futures-Orange and Chatham meets Monthly as does Person County. Youth Referred Into Partnership: Services Provided within Partnership: Evidence Based Practices/ Treatments Provided All Court Involved Youth are screened Diagnostic Assessments Intensive In-Home Multi-systemic Therapy Outpatient Substance Abuse Services Day Treatment Therapeutic Foster Care Residential Individual Therapy Family Therapy Group Therapy Seven Challenges MET CBT5 Multi-systemic Therapy Trauma Focused CBT SPARCS Screening Process: Assessment Process: Treatment Process: All youth who come to the court counseling office for intakes receive the GAIN SS. If the youth has a red flag on the GAIN SS or on the Risk and Needs Assessment, he/she is referred to the OPC/DJJ Liaison. DJJ Providers use the JASAE and the UCLA PTSD RI assessment tools for all youth referred by DJJ. Providers can use the GAIN I if they have staff certified in its use. Services will be offered based on the assessments. Youth receiving enhanced services will have monthly Child and Family Teams which will coordinate their plans using a strength-based approach. 15

16 Cardinal Innovations Healthcare Solutions 2015 Main Office Location: Affiliated Counties: Piedmont Area Office Location: 245 LePhillip Court Concord, NC Phone: Fax: Cabarrus, Davidson, Rowan, Stanly, Union 1 st LME/MCO Liaison Contact Information: Noel Thomas-Lester Systems of Care Coordinator Phone: Fax: noel.thomaslester@cardinalinnovations.org 2 nd LME/MCO Liaison Contact Information: Beth Pfister System of Care Regional Manager Fax: beth.phister@cardinalinnovations.org Chief Court Counselor: Krista Hiatt District 22 Calvin Vaughan District 20 Emily Coltrane District 19 Partnering Provider Agencies: Children s Hope Alliance Shannon Shore Daymark Recovery Services Jean Tillman Family Services of Davidson Tim Tilley Monarch Chris Abbey RHA Chuck Hill Sims Consulting & Clinical Services Dr. Arlana Sims Turning Point Family Services Jesse Stroud 16 Youth Villages Andrew Stehberger

17 Cardinal Innovations Healthcare Solutions 2015 Other JJ Initiatives Partnership Meeting Frequency: Youth Referred Into Partnership: Services Provided within Partnership: Evidence Based Practices/ Treatments Provided: Screening Process: Assessment Process: Treatment Process: Reclaiming Futures-Rowan County Monthly-RF meets at least monthly According to individualized District guidelines GAIN I Assessment Intensive In-Home Multi-systemic Therapy Outpatient (Individual, Family, Group) Services Psychological Testing Mobile Crisis Management Comprehensive Evaluation of Sexual Harm School Based Counseling Day Treatment Parent Education Workshops Family Empowerment Program DBT Global Appraisal of Individual Needs Seven Challenges MET/CBT MST IIHS TFCBT Counselor will offer child/family provider choice and make a referral to a community based service, which could include one of the Partnership Providers for an assessment versus GAIN-I assessment. The Partnership clinician will complete an assessment and make clinically appropriate recommendations. The assessing clinician will offer the member/family provider choice and make referrals to identified service and chosen partnership provider. The treating provider will serve as the Clinical Home for the referred youth. The Clinical Home is responsible for coordination and facilitation of Child and Family Team meetings. Children receiving enhanced services have monthly CFT meetings. 17

18 CenterPoint Human Services 2015 Main Office Location: Affiliated Counties: CenterPoint Human Services 4045 University Parkway Winston-Salem, NC Phone: Access Services: Fax: Davie, Forsyth, Rockingham, Stokes 1 st LME/MCO Liaison Contact Information: Kathi Perkins Network Development Specialist Phone: kperkins@cphs.org Data Reporter Contact Information: Multiple Data Reporters Mary Beth Robinson (The Children s Home) Samuel Gray (Insight Human Services) sgray@insightnc.org Chief Court Counselors: Rusty Slate Chief-District 17 Rockingham, Stokes Stan Clarkson Chief-District 21 - Forsyth Krista Hiatt Chief-District 22 - Davie Partnering Provider Agencies: Insight Human Serivces Sam Gray The Children s Home Mary Beth Robinson Other JJ Initiatives Partnership Meeting Frequency: Youth Referred Into Partnership: Reclaiming Futures Monthly All Court Involved youth receive GAIN SS; any scoring above 5 Total Score are referred for a psychological evaluation; those scoring a 3 or 4 on the GAIN-SS are referred for a Comprehensive Clinical Assessment, those referred on to the RF Juvenile Drug Treatment Court are given a GAIN-I assessment with ongoing intervention and follow-up through the Drug Court program. 18

19 CenterPoint Human Services 2015 Services Provided within Partnership: Diagnostic Assessments Intensive-In-Home **Multi-systemic Family Therapy Outpatient Substance Abuse Services Substance Abuse Intensive Outpatient **Mobile Crisis Management Day Treatment Therapeutic Foster Care Level 3 Residential Individual Therapy Family Therapy Group Therapy **these services are not provided by partnership providers but kids in partnership program have access to these services via MOA between LME and providers who do these services Evidence Based Practices/ Treatments Provided: Screening Process: Global Appraisal of Individual Needs Trauma Focused CBT MET/CBT Seven Challenges All youth who come into the court office are screened using the GAIN-SS. If a youth scores 5 or higher on the GAIN-SS (or indicates high risk such as endorsing suicidal thoughts), they will be sent to the JJSAMHP funded counselor housed in DJJDP for an assessment. Assessment Process: Treatment Process: The JJSAMHP funded counselor meets with the juvenile and their family and conducts a GAIN- Quick or schedules a GAIN I, as needed and asks additional questions. Based on their responses, the youth may immediately be referred for services. The JJSAMHP funded counselor works to have an appointment in the family s hands when they leave the courthouse. Services are provided by three main Providers unless there is a need that the provider cannot address and the youth and their family are then referred to an outside provider. 19

20 Trillium Health Resources Central Region 2015 Main Office Location: Affiliated Counties: Trillium Health Resources - Central Region 1708 E. Arlington Blvd Greenville, NC Phone: (336) Access to Care: (877) Fax: (252) Beaufort, Craven, Dare, Hyde, Tyrrell, Pamlico, Pitt, Washington 1 st LME/MCO Liaison Contact Information: Tracey Webster System of Care Coordinator 2 nd LME/MCO Liaison Contact Information: Chinita Vaughan System of Care Coordinator 3rd LME/MCO Liaison Contact Information: Chief Court Counselors: Amy Bryant System of Care Coordinator Bill Batchelor District 2 Mary Mallard/Brian Stewart District 3 Tracy Williams Arrington/Russell Turner District 4 Partnering Provider Agencies: Other JJ Initiatives Partnership Meeting Frequency: PORT Human Services Jennifer Hardee Debbie Sudekum Reclaiming Futures Monthly Youth Referred Into Partnership: District 3 Diversion, Adjudication District 4 Diversion, Adjudication Services Provided within Partnership: 20 Diagnostic Assessments Intensive In-Home Outpatient Substance Abuse Services Substance Abuse Intensive Outpatient Substance Abuse Residential Mobile Crisis Management Day Treatment

21 Trillium Health Resources Central Region 2015 Therapeutic Foster Care Level III Residential Individual Therapy Family Therapy Group Therapy Evidence Based Practices/ Treatments Provided: Screening Process: Assessment Process: Treatment Process: Global Appraisal of Individual Needs Multi-systemic Therapy Trauma Focused CBT Seven Challenges Districts 2, and 3 use the GAIN-SS and the Risks and Needs Assessment to determine which youth need to be referred to JJSAMHP. District 4 uses the Risk and Needs Assessment. All Districts utilize the GAIN on youth referred to the JJSAMHP team. For Districts 2, 3, and 4, treatment is based on the decision in the CFT meeting. Youth are then referred either to the Assessment Provider or a partner providing agency. Child and Family teams will be held monthly or more frequently for youth. 21

22 Trillium Health Resources Northern Region 2015 Main Office Location: Affiliated Counties: Trillium Health Resources Northern Region 1708 East Arlington Blvd. Greenville, NC Phone: (866) Fax: (252) Camden, Chowan, Currituck, Dare, Hyde, Martin, Pasquotank, Perquimans, Tyrrell, Washington, Gates, Hertford, Bertie 1 st LME/MCO Liaison Contact Information: Tracey Webster System of Care Coordinator tracey.webster@trilliumnc.org 2 nd LME/MCO Liaison Contact Information: Hope Eley System of Care Coordinator hope.elev@trilliumnc.org Chief Court Counselors: Sherri Ellington District 1 Bill Batchelor District 2 Partnering Provider Agencies: Other JJ Initiatives Partnership Meeting Frequency: Youth Referred Into Partnership: Uplift Foundation/Power of U Garrett Taylor None Monthly District 1-Diversion Contract and Adjudication District 2-Diversion, Pre-Adjudication, Adjudication, PRS 22

23 Trillium Health Resources Northern Region 2015 Services Provided within Partnership: Comprehensive Clinical Assessments Functional Family Therapy Level III Residential Group Home Medication Management Substance Abuse Family Enrichment (SAFE) Psychiatric Evaluations Psychological Evaluations School Based Mental Health Diagnostic Assessments Intensive In-Home Multi-systemic Therapy Outpatient Substance Abuse Services Individual Therapy Family Therapy Group Therapy Day Treatment Mobile Crisis Trauma Focused CBT Level 3 Therapeutic Foster Care Evidence Based Practices/ Treatments Provided: Screening Process: Assessment Process: Treatment Process: Functional Family Therapy Global Appraisal of Individual Needs Multi-systemic Therapy Too Good for Drugs Project towards No Drugs Triple P Positive Parenting Program Juvenile Court Counselors use the GAIN-SS District 1-Diversion Contract and Adjudication and for District 2-Diversion, Pre-Adjudication, Adjudication, and PRS. Court Counselors complete a referral sheet on any youth who scores in the Moderate or High range. Family members must sign a consent form in order to participate. Then, a referral is faxed to the Assessment Providers at Uplift Foundation. The GAIN-I is being used by the Uplift Foundation who are certified in administration of the GAIN. After the assessment is completed, a Child and Family Team is held. The Assessment providers will refer families to services based on the CFT meeting to either their agency or to another agency in the community 23

24 Eastpointe-Goldsboro Site 2015 Main Office Location: Affiliated Counties: Eastpointe 100 S. James Street Goldsboro, NC Phone: Fax: Duplin, Greene, Lenoir, Sampson, Wayne 1 st LME/MCO Liaison Contact Information: Andrea Boney System of Care Specialist Phone: Fax: aboney@eastpointe.net 2st LME/MCO Liaison Contact Information: Stacy Justiss Family Partner Coordinator NCFU/Eastpointe Phone: Fax: sjustiss@eastpointe.net 3 rd LME/MCO Liaison Contact Information: Angela Wilson Lead SOC/Care Coordinator Phone: (919) Fax: (910) awilson@eastpointe.net Data Reporter Contact Information: Andrea Boney System of Care Specialist Phone: Fax: aboney@eastpointe.net Chief Court Counselor: Tracy Arrington Chief - District 4 Jennifer Short/Jerry Burns Chief - District 8 Partnering Provider Agencies: Easter Seals UCP Martie Rye Family First Support Center Angela Brittingham New Dimensions Group Shelly Moorefield NC Mentor Evaluz Negron 24

25 Eastpointe-Goldsboro Site 2015 Pride in NC Amy Watson Waynesboro Family Clinic Don Neal Other JJ Initiatives Partnership Meeting Frequency: Youth Referred Into Partnership: Services Provided within Partnership: Evidence Based Practices/ Treatments Provided: Screening Process: Assessment Process: 25 Reclaiming Futures Quarterly Adjudicated Delinquent Adjudicated Undisciplined Diversion with Contract Diversion without Contract Pre-Adjudicated Commitment Status Post Release Supervision Closed Diagnostic Assessments Intensive In-Home Multi-systemic Therapy Outpatient Substance Abuse Services Substance Abuse Intensive Outpatient Mobile Crisis Management Day Treatment Therapeutic Foster Care Level II Residential Level III Residential PRTF Individual Therapy Family Therapy Group Therapy Psychiatric Services Global Appraisal of Individual Needs Multi-systemic Therapy Seven Challenges MET/CBT Trauma Focused CBT Staff utilize the GAIN Short Screener and youth with a Moderate or High Score are referred to one of three assessment Providers: Waynesboro Family Clinic, PORT Human Services, and Family First Support Center. A GAIN Initial or Core assessment is completed on each youth that is referred by JJSAMHP. Information from the assessment is shared with JJSAMHP staff and used for Child and Family

26 Eastpointe-Goldsboro Site 2015 team process. The youth and family are encouraged to participate in recommended services where they have been assessed by a partner provider. Should other services be needed or youth and family prefer another provider, client choice is allowed. Treatment Process: A Child and Family Team is held for each youth after their assessment is completed. Child and Family teams are then held once per month or more often if needed and decisions about treatment are made in collaboration with the family. 26

27 Eastpointe-Lumberton Team 2015 Main Office Location: Affiliated Counties: Eastpointe Lumberton Site 450 Country Club Road Lumberton, N. C Phone: Fax: Bladen, Columbus, Robeson, Scotland 1 st LME/MCO Liaison Contact Information: Renada Emanuel System of Care Specialist Phone: (910) Fax: (910) remanuel@eastpointe.net 2 nd LME/MCO Liaison Contact Information: Stacy Justiss Family Partner Coordinator NCFU/Eastpointe Phone: (919) Fax: (910) sjustiss@eastpointe.net 3 rd LME/MCO Liaison Contact Information Angela Wilson Systems of Care Team Lead Phone: (910) Fax: (910) awilson@eastpointe.net Data Reporter Contact Information: Chief Court Counselor: Penny Sutton Administration II Phone: Fax: psutton@eastpointe.net Lance Britt District 13 Furman Ivey District 16 Partnering Provider Agencies: Advantage Behavioral Barry Graham Coastal Horizons Center Ryan Estes & Stephen Rieman Consumer & Family Advisory Committee (CFAC) Chair Paul Russ 27 Family First Support Center Heather Locklear

28 Eastpointe-Lumberton Team 2015 Primary Health Choice Alice Hunt RHA Ivan Pride/Martha Locklear Other JJ Initiatives Reclaiming Futures Partnership Meeting Frequency: Individual Agency meetings monthly, not less than quarterly Management Team meets monthly or as needed Youth Referred Into Partnership: Services Provided within Partnership: Diversion with Contract Adjudicated Undisciplined Adjudicated Delinquent Pre-Adjudication Post Release Supervision Intake Intensive In-Home Multi-systemic Therapy Outpatient Substance Abuse Services Substance Abuse Intensive Outpatient Psychiatric Evaluations Psychological Evaluations Anger Management DA & CCA Mobile Crisis Individual Therapy Family Therapy Group Therapy Evidence Based Practices/ Treatments Provided: Global Appraisal of Individual Needs Multi-systemic Therapy Trauma Focused CBT Structural Family Therapy CBT Motivational Interviewing Screening Process: 28 Juvenile Court Counselors will complete the Risk and Needs Assessments and the GAIN SS for any court involved youth (complaint filed, diversion, probation, court supervision, PRS). Any youth determined to be eligible for a referral; guardian will be assisted in contacting the LME/MCO Call Center to choose a partnership provider. DJJ will forward the Risk

29 Eastpointe-Lumberton Team 2015 and Needs assessment results to the chosen the Provider Agencies. Assessment Process: Treatment Process: The partnership provider completes the GAIN assessment. Recommended treatment services; the consumer/guardian has the option to receive services from the provider performing the assessment or choose another provider in the partnership and or Eastpointe Provider network. Services will be offered based on the outcome of the assessment(s). Youth receiving enhanced services will have monthly Child and Family Teams to coordinate the Person Centered Plan. 29

30 Eastpointe-Rocky Mount Team 2015 Main Office Location: Affiliated Counties: Eastpointe Rocky Mount Site 500 Nash Medical Arts Mall Rocky Mount, NC Phone: Fax: Edgecombe, Nash, Wilson 1 st LME/MCO Liaison Contact Information: Cotina Thorne System of Care Specialist Phone: Fax: cthorne@eastpointe.net 2 nd LME/MCO Liaison Contact Information: Stacy Justiss Family Partner Coordinator NCFU/Eastpointe Phone: (919) Fax: (910) sjustiss@eastpointe.net 3 rd LME/MCO Liaison Contact Information Angela Wilson Systems of Care Team Lead Phone: (910) Fax: (910) awilson@eastpointe.net Data Reporter Contact Information: Cotina Thorne System of Care Specialist Phone: Fax: cthorne@eastpointe.net Chief Court Counselors: Mike Walston Chielf-District 7 Terri Proctor Supervisor - District 7 Partnering Provider Agencies: Easter Seals UPC NC & VA, Inc. Sandy Wilkey Nicole Bauer Pinnacle Family Services Katherine Mitchell Jocelyn Stephens Pride in NC Candance Sutton-Sauls 30

31 Eastpointe-Rocky Mount Team 2015 Other JJ Initiatives Partnership Meeting Frequency: None Individual Agency meetings every 60 days Steering Committee meets bi-monthly Management Team meets monthly Youth Referred Into Partnership: Services Provided within Partnership: Evidence Based Practices/ Treatments Provided: Screening Process: 31 Diversion with Contract Adjudicated Undisciplined Adjudicated Delinquent Pre-Adjudication Post Release Supervision Intake Global Appraisal of Individual Needs Assessments Intensive In-Home Multi-systemic Therapy Outpatient Substance Abuse Services Substance Abuse Intensive Outpatient Individual Therapy Family Therapy Group Therapy Psychiatric Evaluations Anger Management MH/SA Targeted Case Management DBT/Child & Family Theory DBT skills group IDD TCM DA & CCA SAS Group and Individual SET Program Mobile Crisis Medication Management SASSI (SA Assessments) Integrated Health Care Global Appraisal of Individual Needs Trauma Focused CBT Structural Family Therapy Multi-systemic Therapy DBT CBT Motivational Interviewing Juvenile Court Counselors use the GAIN-SS on any court involved youth (complaint filed, diversion, probation, court supervision, PRS). Any youth who scores in Moderate or High range is referred to the provider agency that the families have chosen from list above. DJJ also

32 Eastpointe-Rocky Mount Team 2015 supplies the juvenile data sheet to the Provider Agencies. Assessment Process: Treatment Process: The provider completes the GAIN assessment. Following recommendations for services the consumer/guardian has the option to receive services from the provider performing the assessment or choose another provider in the network. The Provider Agencies will confirm initial appointment with family. They will conduct Child and Family Team meetings and hold one every 30 days for the youth. Information about treatment will be provided monthly to DJJ staff and the Provider Agencies will be tracking the data and reporting it back to the MCO staff. 32

33 Partners Behavioral Health 2015 Main Office Location: Affiliated Counties: Partners Behavioral Health Management 901 S. New Hope Road Gastonia, NC Phone: Fax: Iredell, Surry, Yadkin 1 st LME/MCO Liaison Contact Information: Stephanie Funderburk System of Care Coordinator Phone Fax: nd LME/MCO Liaison Contact Information: Tara Conrad System of Care Manager Phone: Fax: (704) tconrad@partnersbhm.org Chief Court Counselors: Krista Hiatt District 22 Rusty Slate District 17 Bill Davis District 23 Partnering Provider Agencies: Barium Springs Home for Children Kevin Angell Daymark Recovery Services Ron Baczurik Easter Seals/UCP Zach Hawks Youth Villages George Edmonds Other JJ Initiatives Partnership Meeting Frequency: Youth Referred Into Partnership: Reclaiming Futures Monthly Intake Diversion Contract Adjudicated Undisciplined Adjudicated Delinquent 33

34 Partners Behavioral Health 2015 Services Provided within Partnership: Diagnostic Assessments Intensive In-Home Multi-systemic Therapy Outpatient Substance Abuse Services Individual Therapy Family Therapy Group Therapy Day Treatment Mobile Crisis Management Therapeutic Foster Care Level II Group Home Level III Group Home PRTF Evidence Based Practices/ Treatments Provided: Screening Process: Assessment Process: Treatment Process: Global Appraisal of Individual Needs Trauma Focused CBT Strengthening Families Multidimensional Family Therapy Incredible Years Intake Counselors utilize the GAIN Short Screener on any youth that is adjudicated and on youth with diversion contract. The results are forwarded to any of the four providers according to location and district. All four providers utilize the Comprehensive Clinical Assessment for their assessments and has a team of licensed professionals and qualified professionals that work together to complete the assessment process. The information from the assessment is then shared with the family, treatment provider (s) and DJJ staff to help in directing and organizing the Child and Family Team. The youth and their family can be referred to anyone in a network of providers in the area. Youth are referred to services based on their needs and as outlined in their Child and Family Team. Child and Family Teams are held at least one time a month or more often based on the needs of the youth and their family. The teams also work to include a family partner for each family that can advocate and assist in engagement processes for the families. 34

35 Sandhills Center Eight Counties 2015 Main Office Location: Affiliated Counties: Sandhills Center MCO P.O. Box 9 West End, NC Phone: Fax: Anson, Harnett, Hoke, Lee, Montgomery, Moore, Randolph, Richmond 1 st LME/MCO Liaison Contact Information: Lucy Dorsey (Sandhills Center) System of Care Coordinator 108 W. Walker Ave. Asheboro, NC Phone: Cell: Fax: lucyd@sandhillscenter.org Data Reporter Contact Information: Chief Court Counselor: Lucy Dorsey (Sandhills Center) System of Care Coordinator lucyd@sandhillscenter.org Marsha Woodall District 11 Furman Ivey District 16 Calvin Vaughan District 20 Emily Coltrane District 19 Partnering Provider Agencies: Carter s Circle of Care Megan Johnson Daymark Recovery Services Jamie Allen Jerry Earnhart NAMI Family Advocate Shirlyn Smith Pinnacle Family Service Andy Smitley Sandhills Behavioral Center Robert Smith 35

36 Sandhills Center Eight Counties 2015 Trinity Services Crystal Morrison Youth Unlimited Judy Fradenburg Youth Villages Kim Taxiera Other JJ Initiatives Partnership Meeting Frequency: Youth Referred Into Partnership: None Management team meets every one to two months. More frequently if needed. Youth referred by court counselors. May include adjudicated or diverted youth with a contract. Services Provided within Partnership: Comprehensive Clinical Assessments Medication Management Intensive-In-Home Outpatient Substance Abuse Services Therapeutic Foster Care Individual Therapy Family Therapy Group Therapy Day Treatment* Mobile Crisis Management* Level II Group Home* Level III Group Home* PRTF* CASP Group Home* Multisystemic Therapy* * These services are not provided by partnership provider but children in Partnership program have access to providers of these services via contract with MCO. Evidence Based Practices/ Treatments Provided: Screening Process: 36 Global Appraisal of Needs Trauma Focused CBT Multi-systemic Therapy Cannabis Youth Treatment Series Seven Challenges Motivational Interviewing Strengthening Families All Districts use the GAIN-SS and the Risks and Needs Assessment for screening of youth. Youth are referred for evaluations by court counselors based on screening indicators that reflect a need for assessment and possible treatment service. If

37 Sandhills Center Eight Counties 2015 a youth comes to the attention of DJJDP already in services with a treatment provider, the DJJ Court Counselor reviews current services with provider and family to determine if the current level of care is meeting client needs. If youth is not connected to another treatment service, a referral is made to one of the JJSAMHP providers. A referral form and consent form are sent to the single portal contact designated by the JJSAMHP provider agency. Court Counselors have the option of referring youth to the Court Liaison position with Daymark if the youth has no clinical home and has intensive service needs. Assessment Process: Treatment Process: If a youth does not have a clinical home, then he/she is referred to one of the JJSAMHP providers where they will be administered the GAIN, the CBCL, or the BASC-2. The youth is then given a comprehensive clinical assessment and may get a psychiatric assessment if indicated. Treatment recommendations are based on assessment results. The guardian has the option to receive service from the provider performing the assessment or be referred to any provider in the MCO network. If the youth is already involved with another treatment provider other than a JJSAMHP provider, these providers base treatment recommendations on the outcome of a comprehensive clinical assessment they perform. The goal of the JJSAMHP management team is to promote the use of evidenced based assessment by all providers of services to DJJ involved youth. Treatment services are determined through a comprehensive clinical assessment and must meet medical necessity as determined by the assessor and MCO. The treating provider serves as the clinical home for the referred youth. The clinical home is responsible for coordination and facilitation of Child and Family Team meetings. Children receiving enhanced or residential services have monthly CFT meetings. Decisions about treatment are made in collaboration with the family. Family Advocates are available if needed by the family. 37

38 Sandhills - Guilford 2015 Main Office Location: Affiliated Counties: Sandhills Center for MH/DD/SAS (Guilford Site) 201 N Eugene Street, Ste. A Greensboro, NC Phone: Fax: Guilford 1 st LME/MCO Liaison Contact Information: Lisa Salo System of Care Coordinator Phone: lisas@sandhillscenter.org Data Reporter Contact Information: Chief Court Counselor: Partnering Provider Agencies: Lisa Salo System of Care coordinator Phone: Fax: lisas@sandhillscenter.org Carmen Graves District 18 Amethyst Shawnta McMillian Carter s Circle of Care Ron Carter/Megan Johnson NC A&T Behavioral Health Kelly Graves/Chris Townsend Youth Focus, Inc. Lylan Wingfield/Van Catterall Youth Villages Tara Ward Alcohol and Drug Services Quentin Leak Substance Abuse Counselor Other JJ Initiatives Partnership Meeting Frequency: Youth Referred Into Partnership: 38 Reclaiming Futures Monthly with representatives from DJJ, provider, detention, MCO, and Reclaiming Futures; twice monthly Reclaiming Futures Fellows meetings and joint JJSAMHP and Reclaiming Futures meetings; Additional collaborative meetings as needed All youth referred by the Juvenile Court Counselors who are adjudicated or diverted with

39 Sandhills - Guilford 2015 contract and determined to need substance abuse prevention or treatment services Services Provided within Partnership: Evidence Based Practices/ Treatments Provided: Screening Process: Assessment Process: Treatment Process: Comprehensive Clinical Assessments Intensive In-Home Multi-systemic Therapy Outpatient Substance Abuse Services Substance Abuse Intensive Outpatient Mobile Crisis Management Day Treatment Therapeutic Foster Care Level II Residential Level III Residential Level IV Residential PRTF Individual Therapy Family Therapy Group Therapy Global Appraisal of Individual Needs Seven Challenges MET/CBT Multi-systemic Therapy The Juvenile Court counselors screen all adjudicated Youth and youth with diversion contracts using the GAIN SS. Any youth with moderate or high scores on any subscale (except CJ score) are referred to Youth focus for an assessment. Consent for referral is obtained on each youth. All Provider Agencies complete a Comprehensive Clinical Assessment or GAIN on DJJDP referred youth. All Provider Agencies lead the initial Child and Family Team Meeting. Based on assessment results and Child and Family Team recommendations, youth and families are referred for services to any of our six partnering agencies in this Initiative or another agency in the community, based on consumer choice. 39

40 Smoky Mountain LME/MCO Network 2015 Main Office Location: Affiliated Counties: Smoky Mountain LME/MCO 356 Biltmore Avenue Asheville, NC Phone: Fax: Avery, Buncombe, Henderson, Madison, McDowell, Mitchell, Polk, Rutherford, Transylvania, Yancey. Watauga, Cherokee, Clay, Graham, Haywood, Jackson, Macon, Swain Alleghany, Alexander, Ashe, Caldwell, and Wilkes 1 st LME/MCO Liaison Contact Information: Christy Satterfield Provider Relations Specialist ext Fax: christy.satterfield@smokymountaincenter.com 2 nd LME/MCO Liaison Contact Information: Donald Reuss Provider Account Director (828) x5969 Fax- (828) Donald.Reuss@smokymountaincenter.com 3 rd LME/MCO Liaison Contact Information: Brenda Chapman Substance Abuse Provider Specialist Data Reporter Contact Information: Christy Satterfield Provider Relations Specialist ext Fax: christy.satterfield@smokymountaincenter.com Chief Court Counselors: Sylvia Clement District 28 Lisa Garland District 24 Rodney Wesson District 29 Diane Whitman District 30 Bill Davis District Ronn Abernathy District 25D

41 Smoky Mountain LME/MCO Network 2015 Krista Hiatt District 22 Partnering Provider Agencies: Barium Springs/Children s Hope Alliance Matt Gaunt Tammy Deitz Family Preservation Services Courtney Ownings RHA Sandy Feutz Bill Westel Youth Villages George Edmonds Swain Recovery Center Vern Eleazer Jackson County Psychological Services/Meridian Behavioral Health Greta Metcalf Daymark Recovery Services Sarah Dunagan Other JJ Initiatives Juvenile Justice Treatment Continuum (JJTC) Partnership Meeting Frequency: Partnership agencies and LME meet on a monthly basis to implement JJSAMHP Plan of Work to review progress and discuss concerns. Monthly Supervisor meetings with the Chief Court Counselors, provider and LME supervisory staff Weekly meetings with Juvenile Justice, clinical staff and supervisors Youth Referred Into Partnership: Services Provided within Partnership: 41 Youth between the ages of 12 and 17 who are court involved and who score positive on the Gain Short Screen (administered by court counselor) or who have or are suspected of having a substance abuse or co-occurring substance abuse and mental health disorder. Prevention Services, Outpatient SA and MH individual, group and family therapy; Intensive In-Home; MST; referrals are made to higher levels of care such as residential SU or MH treatment facilities when indicated.

42 Smoky Mountain LME/MCO Network 2015 Evidence Based Practices: GAIN Short Screen GAIN Assessment Adolescent Community Reinforcement Approach (A-CRA) Trauma-Focused CBT Multi-Systemic Therapy (MST) Seven Challenges Screening Process: Assessment Process: Treatment Process: Any court involved youth or youth referred to Juvenile Justice for services are screened by the court counselor staff with the GAIN Short Screen. Those scoring any item under substance abuse or a three or more overall on the GAIN SS are referred for a substance abuse/co-occurring mental health disorder comprehensive clinical assessment. Youth may also be referred based on other information indicating a need for an assessment. Each youth referred receives a comprehensive clinical assessment by Youth Villages utilizing the GAIN Lite along with a drug screening test for those with indicators for a possible substance use disorder. If youth have a DSM diagnosis for substance use or mental health, they are then admitted into appropriate treatment services with a provider serving the region in which the youth resides. Youth can also be referred for Prevention Services or to other providers as indicated for residential or other specialized services or resources.. Treatment is holistic, with family and community-basedsupportsto wrap services around juveniles in ways to reduce/eliminate substance use and avoid future legal consequences. An array of service levels is available including ASAM Level I, II and III. Services are provided within culturally sensitive, motivational and recovery-oriented frameworks. Available treatment modalities include Multi- Systemic Therapy (MST), Adolescent Community Reinforcement Approach, Cognitive-Behavioral Therapy, Trauma-Focused Cognitive-Behavioral Therapy, and sex offender treatment services. 42

43 Smoky Mountain LME/MCO Network

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