BSC AT A GLANCE

•! The high probability for youth to cross-systems

•! The connection between child abuse and neglect and the onset of juvenile

delinquency

•! A longitudinal study conducted in the Midwest found that a history of child abuse

and neglect increased a young person’s risk of arrest as a juvenile by 55%. It also

found that there is a 96% risk of being arrested for a violent crime

•! Child abuse and neglect is associated with the earlier onset of juvenile crime

•! Youth with a history of abuse and neglect are associated with earlier onset of

juvenile crime by one year than youth with no child abuse and neglect history

•! Continued challenges between Juvenile Justice & Child Welfare systems

This is the first national effort of its kind that has focused on the integration of Juvenile

Justice & Child Welfare

A Continuous Quality Improvement Method

•! Uses small, rapid tests (PDSAs) to create change

•! Measures results on an ongoing basis –throughout the BSC

A Systems Improvement Method

•! Focuses on achieving improvements in a specific area of practice (as identified by the BSC topic)

•! Grounds work in a specific structure (Change Package) to address all parts of the system.

A Collaboration Among Committed Teams

•! Generates new and better ideas quickly

•! Creates opportunities to assess similar strategies within different agencies and within different populations

•! Provides an equal opportunity for people from the family, line level and management to make improvements in the system

Engagement in 13-month BSC

Various levels of TA Conducting PDSA’s based

on area of need

Solidify the Target Pop. & Formulate the Core Team Area of focus within the

larger site Working group for the BSC

Certificate Program for Teams

Learning Opportunity Ability to plan for BSC

•! Anyone (on your team) can have and test ideas grounded in the Change Package

•! Consensus by the group is NOT needed

•! Changes happen at all levels (not just the top)

•! Ideas, tests, and successes are shared openly between teams

•! Successes are spread quickly

•! Rapid Plan-Do-Study-Act (PDSA) cycles are used

•! SPREAD is based on successful tests of change (as assessed through the “study”

process of the PDSA)

PLAN •! Determine

objective,

questions, & predictions

•! Create plan to

test idea (who,

what, where,

when, how?)

ADJUST •! Make

adjustments

•! Ensure that the next cycle

reflects the

learning's

DO •! Carry out the plan

•! Document

challenges and results

•! Begin analysis of

data/collected

information

STUDY •! Complete analysis

of learning's

•! Compare data to predictions

•! Summarize what

was learned

Adapted from © 2001 Institute for Healthcare Improvement

1

2 3

4

Measureable Systems of Agency/Interagency, Court, and Community

Accountability

Active Engagement of Family and Youth in Planning and Decision

Making

Integrated System of Information Compilation and Sharing

Shared Approach to Prevention, Identification, Assessment, and Case Plan Development Within and Across

Systems

Shared Case Management, Decision Making and Community Service

Utilization

Effective Use of Blended Resources

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California (SPA 3 & 6)

L.A. Co. Probation Depart.

& L.A. Co. Depart. of

Children and Family

Services

Colorado (Denver)

Den. Juvenile Court/

Probation & Den. Depart. of

Human Services, Family and

Children’s Services

Florida (CFCE)

Florida Depart. of Juvenile

Justice & Florida Depart. of

Children and Families

Iowa (Sioux City)

Woodbury County Juvenile

Court Services & Depart. of

Human Services

Maryland (Baltimore)

MD. Depart. of Juvenile

Services & MD Depart. of

Human Resources

South Carolina

(Georgetown)

S.C. Depart. of Juvenile

Justice & S.C. Depart. of

Social Services

Washington (Kent region)

King Co. Juvenile Court

Services & Washington State

Depart. of Social and Health

Services

!! Joint staffing of crossover youth within 10 days of placement

!! Identification of group home facilities with a high incidence of

using law enforcement as a form of intervention for managing the

behaviors of their youth

!! Social Workers were granted immediate access to youth placed in

detention this decreased the length of stay in detention facilities

!! Two forms of a MDT process (1) specifically for crossover youth

and (2) for youth placed in CW shelters at risk of offending or

immediately following the offense to ensure they are not penetrated

deeply into the JJ system due to lack of a family-based or permanent

placement (different sites created each process)

!! Conducting a joint assessment for youth at the point of crossing over

!! Creation of a Joint Home Study Assessment – this assessment is

designed to ensure that each system is capturing the same information

and working collaboratively

!! Creation of a Crossover Court - this models the One Judge/One Child

model and ensures that JJ and CW workers are doing joint case

planning/staffing prior to each court hearing

!! Parent Liaison/Partner - a parent with a prior history of involvement

with the CW & JJ system is paired with a parent who is interfacing

with the JJ & CW system collectively for the first time

!! Reduction of the target population in congregate care from 149 to 110

!! All of the target population were removed from group home settings and

placed in a family setting

!! Of the target population no new charges were received

!! 56% decrease in the use of congregate care for crossover youth

!! Drastic increase in the utilization of kin/relatives as placement options for

crossover youth

!! A site was able to reduce their crossover population by 46%

!! Each site has been encouraged to continue making great strides in

improving the outcomes for crossover

!! Maintain and continue to grow their core team

!! Continue testing the existing PDSAs and moving them to spread

!! Continue using the methodology in their respective agencies for other

populations

!! A final report highlighting the BSC efforts is being drafted

!! A Crossover Youth Practice Model is being developed based on the

learning's from the BSC and the growing research on this population