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NCJRS Abstract

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NCJ Number: 123211 Find in a Library
Title: Model for Drug/Alcohol Continuum of Care
Corporate Author: Washington Dept of Social and Health Services
Division of Juvenile Rehabilitation
United States of America
Date Published: Unknown
Page Count: 40
Sponsoring Agency: Washington Dept of Social and Health Services
Olympia, WA 98504
Type: Program Description (Model)
Format: Document
Language: English
Country: United States of America
Annotation: The Washington Division of Juvenile Rehabilitation (DJR) has developed a model program for action with substance abuse clients based on findings which indicate that substance abuse in adolescents has a similar etiology to delinquent lifestyle including alienation, frustration, lack of self-worth, and failure by family or peer group to address and control the youth's impulsive responses. The data also suggest that successful intervention requires a multidimensional approach including assessment, education, therapy, structured management, skills building, and follow-up support.
Abstract: Using the medical model of substance abuse and chemical dependency, the DJR employes the Client Substance Index (CSI) to test all DJR clients. The index categorizes subjects as non-users, situations users, drug or alcohol abusers, and dependent users. The CSI testing approach provides the DJR with a program evaluation baseline as well as a research-based component for future program development. The DJR has adapted a curriculum for use as a didactic teaching approach for all clients; teachers will present the materials in a format ensuring retention and consistent exposure. Intervention methods, applied throughout the system, include clarification of attitudes about drugs, written policy outlining conformance with those attitudes, consequences for misbehavior, and provision of a drug-free environment. All DJR residential units will offer therapeutic treatment for Stage 3 and 4 clients, focusing on the levels of denial, progression of chemical dependency, confrontation, small group therapy process, and networking practice. The DJR operates an intensive hospitalization program for chemically dependent clients; the Exodus program framework includes group work, lectures, recreation, nutrition, and skills development. In terms of aftercare, the DJR alcohol and drug program relies heavily on the Alcoholics Anonymous network for on-going services. Each component of the DJR system (institutions, regions, and group homes) has a local coordinator responsible for program design and implementation of the model in their area. The DJR Drug/Alcohol Continuum of Care will be evaluated to determine compliance to system expectations, response to population changes, effectiveness of treatment model, and consistent application of services. 6 appendixes, 2 attachments.
Main Term(s): Juvenile drug treatment; Underage Drinking Programs
Index Term(s): Program design; Washington
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