Treatment FAQ

what is the most effective treatment model for juvenile offenders

by Eda Conroy Published 3 years ago Updated 2 years ago
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An examination of 200 studies published between 1950 and 1995 found that the most effective interventions for serious and violent juvenile offenders were interpersonal skills training, individual counseling, and behavioral programs (Lipsey and Wilson, 1998).

Full Answer

What is the best treatment model for juveniles who sexually offend?

As is described next, however, the most widely used treatment model for juveniles who sexually offend generally fails to address behavioral drivers that occur beyond the individual youth and focuses heavily on factors that might not predict youth sexual offending (e.g., deviant arousal). Current Treatments

How effective is treatment for juvenile offenders in community settings?

On the other hand, treatment in public facilities, custodial institutions, and the juvenile justice system was less effective than other alternatives, suggesting that treatment provided in community settings may be more effective.

What is the most effective treatment for juvenile substance abusers?

Thus, the effective treatment of juvenile substance abusers often requires a familybased treatment model that targets family functioning and the increased involvement of family members. Effective adolescent treatment approaches include multisystemic therapy, multidimensional family therapy, and functional family therapy.

What is the best alternative to incarceration for serious juvenile offenders?

Henggeler S., Melton G., Smith L. Family Preservation using multisystemic therapy: An effective alternative to incarcerating serious juvenile offenders. J.

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What is the most effective way to rehabilitate a juvenile offender?

The most effective interventions were interper- sonal skills training, individual coun- seling, and behavioral programs for noninstitutionalized offenders, and interpersonal skills training and community-based, family-type group homes for institutionalized offenders.

What are two main approaches for dealing with juvenile offenders?

Whereas the traditional juvenile justice model focuses attention on offender rehabilitation and the current get-tough changes focus on offense punishment, the restorative model focuses on balancing the needs of victims, offenders, and communities (Bazemore and Umbreit, 1995).

What theory of juvenile delinquency is best?

Anomie Theory Merton's theory explains that juvenile delinquency occurs because the juveniles do not have the means to make themselves happy. Their goals are unattainable within legal means so they find unlawful means by which to attain their goals.

What do the most successful juvenile delinquency prevention programs do?

The most successful programs are those that prevent youth from engaging in delinquent behaviors in the first place. Greenwood specifically cites home-visiting programs that target pregnant teens and their at-risk infants and preschool education for at-risk children that includes home visits or work with parents.

How are juveniles treated differently than adults in the criminal justice system?

As you can see, the difference in terminology between adult and juvenile court indicates that juvenile offenders are often treated more leniently. This is because there is a strong inclination to rehabilitate juveniles, instead of merely to punish them. Adults are punished for their crimes.

Is juvenile rehabilitation effective?

Background. In the last decade, California probation departments have had tremendous success in lowering juvenile detention rates by 60 percent and juvenile arrest rates by 73 percent since 2007, while now safely treating over 90% of youth in the community.

Which theory do you believe to be most aligned with why juveniles engage in delinquent activities or desist?

Merton's theory is used to explain not only why individual adolescents become delinquents but also why some classes are characterized by more delinquency than others.

Which theory causes juvenile delinquency the most?

One of the most prominent sociological theories is the social disorganization theory developed by Clifford Shaw and Henry McKay (1942), who suggested that juvenile delinquency was caused by the neighborhood in which a person lived.

What are the two most common theories of juvenile court concepts?

Theories on Juvenile Delinquency The three theories are the anomie theory, the subculture theory, and the differential opportunity theory.

Which types of juvenile punishment have proven most effective at preventing future crimes?

Cognitive behavioral therapy has been found to be effective with juveniles and adults who have committed an offense; substance abusing and violent individuals; and people on probation, persons who are incarcerated and those on parole.

Which program is one of teenage delinquency prevention programs?

Fresh Lifelines for Youth Program (F.L.Y.) (FLY) is a nonprofit organization dedicated to breaking the cycle of violence, crime, and incarceration of teens. FLY operates in Santa Clara, San Mateo, and Alameda counties.

How effective are crime prevention programs?

However, early prevention programs had no significant effects on the reduction of criminal behavior in adulthood. In conclusion, the findings of previous studies on the effectiveness of prevention programs targeting risk factors, such as family factors and lack of social skills, show overall positive effects.

What is therapeutic intervention for juveniles?

Given the prevalence of sexual offending by juveniles, and the potential links between sexually abusive behavior during adolescence or childhood and sexual offending later in life, therapeutic interventions for juveniles have become a staple of sex offender management practice in jurisdictions across the country.

Which study found that incarcerated juveniles who received intensive treatment in a self-contained housing unit of?

Waite and colleagues (2005) found that incarcerated juveniles who received intensive treatment in a self-contained housing unit of the correctional facility had better recidivism outcomes than incarcerated juveniles who received less intensive treatment and who remained in the facility's general population.

How does MST help juveniles?

Rigorous studies have demonstrated the efficacy of MST in reducing the recidivism of juveniles who commit sexual offenses. Recent research–both single studies and meta-analyses–on other treatment approaches has also produced positive results. For example, Worling, Littlejohn, and Bookalam (2010) found that the juveniles who participated in a community-based treatment program had significantly better outcomes than comparison group members on several measures of recidivism. Based on a 20-year followup period, adolescents who participated in specialized treatment were significantly less likely than comparison group subjects to receive subsequent charges for sexual (9 percent compared to 21 percent), violent nonsexual (22 percent compared to 39 percent), or any (38 percent compared to 57 percent) new offense. The researchers also found that only a minority (11.49 percent) of the adolescent study subjects were charged with a sexual crime as an adult. Waite and colleagues (2005) found that incarcerated juveniles who received intensive treatment in a self-contained housing unit of the correctional facility had better recidivism outcomes than incarcerated juveniles who received less intensive treatment and who remained in the facility's general population. Also, meta-analyses conducted by Reitzel and Carbonell (2006), Winokur and colleagues (2006), and Drake, Aos, and Miller (2009) all found positive treatment effects. Winokur and his colleagues (2006) reported that cognitive/behavioral treatment is effective in both community and residential settings.

How effective is MST?

More recently, Borduin, Schaeffer, and Heiblum (2009) examined the efficacy of MST with juveniles who sexually offend using a somewhat larger sample of 48 adolescents. 8 Based on a followup period of 8.9 years, 9 the researchers found significantly lower recidivism rates for juveniles who received MST treatment. The sexual recidivism rate was 8 percent for MST-treated subjects compared to 46 percent for the comparison group subjects. The nonsexual recidivism rate was 29 percent for MST-treated adolescents compared to 58 percent for comparison group subjects. MST-treated juveniles also spent 80 percent fewer days in detention facilities compared to their control group counterparts.

How many treated subjects recidivated for every 100 untreated subjects?

Walker and his colleagues reported a treatment effect size of 0.37, meaning that only 37 treated study subjects recidivated for every 100 untreated study subjects who recidivated.

What is the problem with sexually offending youth?

Another problem with the predominant approaches to treatment is the fact that many sexually offending youths desist from future offending (even in the absence of intervention).

How much does sex offender treatment reduce recidivism?

The researchers found that sex offender treatment programs for juveniles reduced recidivism, on average, by 9.7 percent. In addition, the treatment programs produced a net return on investment of more than $23,000 per program participant, or about $1.70 in benefits per participant for every $1 spent.

What are the programs that were effective?

The programs that were effective were those that were either provided by the researcher or implemented in treatment settings where the researcher was influential. This may indicate that treatment delivered or administered by the researcher was better implemented than typical programs, supporting Altschuler and Armstrong's point that poor implementation of a sound theoretical model is unlikely to produce a positive outcome.

Is rehabilitation a focus for juveniles?

Therefore, rehabilitation has particular appeal for use with juveniles. Theoretically, rehabilitation is the focus of corrections programs for juveniles. In practice, however, as occurs with adult programs, juvenile rehabilitation programs may be poorly implemented.

Is juvenile crime serious?

Juvenile crime is often serious and may represent a significant proportion of the total criminal activity in a community.

Is treatment in community settings more effective than in public facilities?

There was also evidence that more effective programs targeted higher risk juveniles, but this difference was small and nonsignificant. On the other hand, treatment in public facilities, custodial institutions, and the juvenile justice system was less effective than other alternatives, suggesting that treatment provided in community settings may be more effective. If this effectiveness is the result of increased linkages with agencies and individuals in the community, then Lipsey's work supports the proposed emphasis on reintegration in the Altschuler and Armstrong model. However, it is also possible that other factors may be important. Lipsey himself cautions that the conclusion that treatment in community settings is more effective cannot be separated from the differences in the intensity (number of meetings, length of time in treatment) and needs a more refined breakdown before definite conclusions can be drawn.

What percentage of juveniles are violent?

Studies from the US and the UK show that about 15 per cent of juvenile offenders are responsible for almost 80 per cent of total juvenile crime. Characteristic of serious juvenile offenders is that they commit violent offenses or that they have received three or more convictions.

How much lower is recidivism in juveniles?

Looking exclusively at serious offenses, for example violence or other serious crime, which results in the offenders ending behind bars again, juveniles who have received treatment have a 9 per cent lower probability of recidivism. For example, if 40 out of 100 of these juveniles would ordinarily relapse into serious crime, treatment means that only 36 out of 100 will relapse. Although this is only a small effect, it can be very significant as serious crime involves considerable human and societal costs.

What are the treatment programs studied?

The treatment programs studied include psychological approaches, social and educational methods and environmental conditions all aimed at supporting prosocial behaviors. They all took place while the participants were incarcerated in different types of secure correction. Common for all the correctional facilities was that they held the juveniles accountable for their delinquent acts. Moreover they were characterized by physical restraint measures such as locked doors, fences and similar. Community programs, where offenders were in daily contact with the surrounding community, such as group homes, foster care or periodical detention were not included. Programs with several phases in which part of the treatment took place outside the institution were only included if more than half of the treatment took place in the institution.

How old do juveniles have to be to be in secure correction?

The treatment programs aim at serious juvenile offenders between 12 and 21 years old in various forms of secure correction. The conclusion of the systematic review is that, overall, the programs studied work with regard to limiting relapses into crime.

What are the positive effects of cognitive behavioral therapy?

In cognitive treatments, participants must learn to recognize, control and ”reframe” automatic and distorted thought patterns. Similarly cognitive-behavioral programs involve training in, for example, social skills, anger control, critical reasoning and creative thinking. In contrast, the effect of programs which focus exclusively on education and academic skills is more doubtful. The same applies for behavioral programs in which delinquent behavior is perceived as learned behavior which can be ”reversed” using learning mechanisms and replaced with socially acceptable behavior.

How long is the follow up period for juvenile delinquency?

Recidivism to delinquency was calculated using reports from the police and probation services. Follow-up periods varied from 6 months to 10 years with an average of slightly more than 31 months.

Is delinquent behavior a learned behavior?

The same applies for behavioral programs in which delinquent behavior is perceived as learned behavior which can be ”reversed” using learning mechanisms and replaced with socially acceptable behavior.

What is the best treatment for juvenile offenders?

One of the best available treatment approaches for juvenile offenders with mental health treatment needs as indicated by empirical literature is Multisystemic Therapy ( MST). An intensive, multi-modal, family-based approach, MST fits treatment with identified causal factors and correlating factors of delinquency and substance use [55]. Extant literature lends support for the effectiveness of MST with juveniles who have emotional and behavioral problems [55]. Studies have demonstrated reductions as high as 70 percent in rates of re-arrest, reductions in out-of-home placements up to 64 percent, improvements in familial functioning, and decreases in mental health concerns for serious juvenile offenders [55].Timmons-Mitchell et al., (2006), found that that the use of MST produced significant reductions in rearrests and improvements in four areas of functioning measured by the Child and Adolescent Functional Assessment scale at 18 months and 6 months’ post treatment [64].This study used a real-world mental health setting with juvenile justice involved youth, further supporting the claim that community-based treatment may best fit the needs of delinquent youth with mental health difficulties. A meta-analysis of MST outcome studies [65] found that effect sizes of MST efficacy studies tend to be quite larger than MST effectiveness studies [66,67,68].

What is juvenile justice?

The juvenile justice (detention, probation, youth corrections facilities, etc.) system is currently faced with the task of providing mental health assessments and treatment services for its youth, as there is greater reliance on the juvenile justice system to do so.

How effective is CBT in reducing delinquency?

Several studies have demonstrated that CBT is effective for reducing future delinquency for youth with various depressive and anxiety disorders [52,53,54]. Cognitive-Behavioral therapy (CBT) teaches youth awareness of social cues and promotes delaying, problem solving, and nonaggressive responding strategies. Cognitive-behavioral approaches are particularly effective with juvenile offenders. According to the National Mental Health Association (2004), this approach is quite effective for youth involved in the legal system as it is structured and focused on triggers of disruptive or aggressive behavior [55]. CBT has been used to address a variety of issues including interpersonal, problem solving, anger management, and social skills in individual or group treatment models [55]. Reductions in recidivism of up to 50 percent have been demonstrated in research studies [55]. Thinking For a Change (TFAC) is a cognitive behavioral intervention developed by Glick, Bush, and Taymans (2001). The program aims to restructure juvenile offenders’ thinking and teach pro-social cognitive skills by incorporating various cognitive approaches. Administered in a weekly small group for approximately two hours, the curriculum is comprised of 22 lessons focused on problem solving. Although evidence suggests that intensive cognitive behavioral skills training is quite helpful, Shelton (2005) found that programs that incorporate these treatment options are not the norm in most jurisdictions [54]. She purports that young offenders are often placed in programs modeled after those designed for adults. Another issue may be the adaptation of treatment interventions originally developed in outpatient or community settings, yet being used in secure or residential settings. While adapting treatment interventions for use in a different setting is common and often helpful, outcome data and research should be conducted to inform treatment effectiveness regarding the treatment’s intended use in the different setting.

How does mental health affect youth?

Heilbrun, Lee, and Cottle (2005) indicate that understanding the link between mental health difficulties and youthful offending is important in considering treatment response, as there is growing evidence that mental health difficulties are linked directly and indirectly to later offending behavior and delinquency [38]. Youth with mood disorders are more likely to display anger, irritability and hostility [39,40,41]. Mood disorders, mostly depression, occur in about 10%–25% of youth in the juvenile justice system [16,26,31]. The irritable mood that often accompanies depressive disorders increases youths’ probability of inciting angry responses from others, thereby increasing their risk of engaging in more physically aggressive acts that get them arrested [11,42,43]. In custody, the adolescent’s mood disorder may increase the risk of altercations with others or increase the risk of anger at oneself, resulting in self-injurious behaviors [11]. Typically, anxiety disorders in youth result in less aggressive behaviors with the exception of posttraumatic stress disorder (PTSD) [44]. Children and adolescents with PTSD are liable to respond to perceived threats aggressively and unexpectedly [44]. Psychotic disorders are rarely seen prior to early adulthood and rare in juvenile justice settings [11,32]. Nonetheless, some youth may display psychotic-like symptoms that are possible expressions of an early form of a psychotic disorder. However, Connor (2002) acknowledges that there is not much evidentiary support for claims that youth with evolving psychosis are a greater threat of aggression or harm than any other youth [32].

How to help youth with mental illness?

According to Grisso (2008), the most common and effective treatments include professional clinical care, psychopharmacology as needed, and the structuring of an environment to protect youth as well as reduce stress while in crisis [11]. Several types of psychotherapy and psychosocial interventions available for youth with mental disorders actually focus on youth with both mental health difficulties and delinquent behaviors. While evidence is limited for the efficacy and effectiveness of some approaches, there are a few specific therapeutic models with promising evidence for their effectiveness with youth offenders with mental disorders.

What is FIT in juveniles?

The goal of FIT is to help youth generalize the skills learned while incarcerated to their daily lives within the community [62,63]. The FIT program is manualized, family-oriented, and community-based. The Juvenile Rehabilitation Administration (2002) indicates that the program was designed to address risk and protective factors of adjudicated youth with comorbid mental health and substance use disorders [62]. Evaluation research found that for those who participated in FIT, there was a 27 percent recidivism rate compared to 40 percent for non-participants [61].

What is ICT in youth?

According to Cleminshaw, Sheppler, and Newman, the Integrated Co-occurring Treatment (ICT) model for youth is an integrated treatment program, and is a component model of care that uses treatment and service elements that are effective with similar populations but adapted to the specialized needs of youth with co-occurring mental health and substance abuse disorders [56]. It is currently utilized by a number of evidenced-based practices (i.e., Multisystemic Therapy, Multidimensional Family Therapy, and Functional Family Therapy). ICT uses a stage progression treatment approach (engagement, persuasion, active treatment, and relapse prevention) and engages motivational interviewing as a method to facilitate readiness for change [56]. Multisystemic therapy, Functional Family therapy, and Multidimensional Treatment Foster Care, are promising or effective treatments used for youth within the justice system [10,57,58]. These modalities incorporate aspects of treating juvenile offenders that Underwood and colleagues [59,60] have identified as beneficial and preventative when provided by the justice system. The following section provides an overview of programs being implemented in order to provide effective treatment for juvenile offenders with mental health concerns.

What are the needs of young offenders?

Correctional research has shown that young offenders have different treatment and programming needs than adult offenders. A large number of specific treatment and violence prevention programs for young offenders have been developed and applied in many countries. The majority of these programs are of the "cognitive skills type", i.e., they aim at enhancing cognitive and social skills, which are often deficient in young offenders. Modern treatment programs attend to the criminogenic needs of offenders, such as impulsivity or poor affect control, empathy deficits, low levels of socio-moral reasoning, substance use and poor problem-solving skills; a style of delivery that young offenders will find interesting and engaging; and flexibility in its administration in order to take into account potentially small custodial sentences. Programs of this type teach young offenders cognitive-behavioral skills that enable them to take their time, i.e., to stop and think before they act, in order to resolve socially complex and potentially "dangerous" situations. Focussing on treatment programs, this review provides a brief overview of the history of (young) offender treatment and some of the most common treatment and violence prevention models for young offenders.

When did behavioral researchers begin to aversively condition unwanted sexuality?

therapy. In the 1960s, behavioral researchers began to aversively condition unwanted sexual

When did behavioral therapy start?

Beginning in the early 1970s, and in the tradition of early behavioral therapy for offenders. and especially sexual offenders, scientists in Canada and the United States started to develop. more complex programs aiming at the enhancement of more prosocial attitudes and skills in.

Has behavioral response been abandoned?

behavioral responses, have been abandoned in recent years. This is true for both adult and

Is aversion therapy effective?

arousal. Aversion therapy was reported to be effective, at first, but scientific enthusiasm for

Is prevention and treatment effective for juvenile offenders?

prevention and treatment of juvenile offenders has been effective, there are several limitations. to this approach. For example, pr ograms tend to focus on the reduction and elimination of. dynamic risk factors by teaching offenders how to avoid recidivism (avoidance goals).

What is the OJJDP?

psychopathology convened by the Of-fice of Juvenile Justice and DelinquencyPrevention (OJJDP), has concluded thatjuveniles who commit serious and vio-lent offenses most often have shownpersistent disruptive behavior in earlychildhood and committed minor delin-quent acts when quite young. There-fore, comprehensive interventionprograms should encompass childrenwho persistently behave in disruptiveways and child delinquents, in additionto young juvenile offenders who havecommitted serious and violent crimes.Focusing on children who persistentlybehave disruptively and child delin-quents has the following advantages:

What is the Ef Forts program?

Child delinquency intervention ef-forts need to be linked to a system ofgraduated sanctions —a continuum oftreatment alternatives that includesimmediate intervention, intermediatesanctions, community-based correc-tional sanctions, and secure corrections(Howell, 1995). One such program, the8% Early Intervention Program, focuseson juveniles younger than 15 who, al-though they represent only 8 percentof the total probation caseload, are ofgreatest concern to the communitybecause they account for more than halfof all repeat offenders among juvenileprobationers and because they are atrisk of becoming chronic, serious, andviolent juvenile offenders (Schumacherand Kurz, 1999). The following problemsserve as criteria for inclusion in the 8%Program:

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Introduction

  • Sex offenders have received considerable attention in recent years from both policymakers and the public. This is due at least in part to the profound impact that sex crimes have on victims and the larger community. While most perpetrators of sex crimes are adults, a significant percentage of sexual offenders are under age 18. Given the prevalence of sexual offending by juveniles, and …
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Issues to Consider

  • While there is growing interest in crime control strategies that are based on scientific evidence, determining what works is not an easy task. It is not uncommon for studies of the same phenomena to produce ambiguous or even conflicting results, and there are many examples of empirical evidence misleading crime control policy and practice because shortcomings in the qu…
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Summary of Research Findings

  • Findings From Single Studies
    Several single studies examining the effectiveness of treatment programs for juveniles who sexually offend have been undertaken in recent years, and these studies have consistently found at least modest treatment effects on both sexual and nonsexual recidivism. Worling and Curwe…
  • Findings From Synthesis Research
    One of the most frequently cited studies of the effectiveness of juvenile treatment was conducted by Reitzel and Carbonell (2006). Their meta-analysis included 9 studies and a combined sample of 2,986 juvenile subjects, making it one of the largest studies of treatment effectiveness for juveni…
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Summary

  • Given the prevalence of sexual offending by juveniles, therapeutic interventions for juveniles who sexually offend have become a staple of sex offender management practice in jurisdictions across the country. Indeed, the number of treatment programs for juveniles who commit sexual offenses has increased over the past 30 years, and the nature of treatment itself has changed a…
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