CHAPTER 5
Defining
a Target Population and
Establishing an Admission Process
Introduction
To maintain program integrity and accountability,
administering agencies must define the population that the juvenile holdover
program will serve. The more specific the program is in defining its target
population, the easier it will be to ensure appropriate referrals to the program.
Consideration should be given to starting with a narrowly defined population
and then, if needed, the target population can be expanded. There also are important
legal considerations involved in the identification of a target population,
which the reader can review in chapter 4, Legal
Issues.
The identity of the target population will emerge through the data collected, and the problem areas identified in the needs and resources assessment. The target population defines the type of youth who will be served by the juvenile holdover program. It describes them demographically (age, gender, and residence), by legal status (custody or voluntary), and by types of offenses or behaviors (e.g., misdemeanor, felony, status). Once the target population is defined, it is crucial that program organizers and staff outline a referral and screening process to protect the integrity of the program.
By the end of this chapter, the readers will be able to:
Defining
a Target Population
According to a survey conducted by the American Probation and Parole
Association (APPA, 1999) the majority of juvenile holdover programs operating
across the United States are designed to be used as a short-term holding program
for low risk or nonviolent juvenile offenders or children in need of care. Respondents
to the survey indicated that the juveniles served by their juvenile holdover
programs include:
The types of specific offenses reported being handled by juvenile holdover programs include (APPA, 1999):
These results indicate that, nationwide, juvenile holdover programs are being used as a response for a wide range of problem behaviors among youth. However, on a local level, programs should target offenses and offenders for services according to the unique needs of the particular community. Some important things to remember when defining the target population include (Godwin, Steinhart, and Fulton, 1998):
Chapter 2, Beginning the Planning Process: Defining the Problem, discussed the need to involve stakeholders when conducting a needs and resources assessment during the program planning process. As program organizers and staff review information collected from the needs and resources assessment, the following questions can assist them in defining the target population (Godwin, Steinhart, and Fulton, 1998):
Program organizers and staff also need to understand the purpose of the program and agree to the established goals and objectives when determining an appropriate target population (Carter, 1993). An issue that can cause severe conflict within a jurisdiction is an expectation that a holdover will provide a specific service in fulfillment of a purpose for which it was not created nor designed. In addition, the target population chosen for the program needs to be one for which the program can provide adequate services. For example, if the program is designed to be a nonsecure juvenile holdover program, then it would be inappropriate for it to receive referrals of youth who have been charged with a violent crime or who have the propensity to be violent. While flexibility is an important design element for a new program, a juvenile holdover program should not be asked to stretch too far beyond its intended role(s). If the juvenile holdover programs purpose and services are understood and accepted by all referral sources, this potential source of tension among participants in the system can be reduced significantly.
Establishing
Criteria For Admission
Establishing the admission criteria for youth placed in a juvenile holdover
program is another task involved in defining the programs target population.
Admission criteria are precise statements that make it clear which youth are
included in the target population and eligible for admission to the juvenile
holdover program and which youth are excluded. Laws and regulations are usually
written in a manner that defines who may be placed in specific programs or facilities.
Therefore, defining who may be admitted to a juvenile holdover program can serve
to safeguard the rights of the youth and provide liability protection for the
program.
Issues to consider when establishing admission criteria include:
This is not an exhaustive list of criteria to be considered. Additional criteria may be determined by the programs governing body and/or funding sources.
The following section provides additional information program organizers and staff may want to consider when examining some of the admission criteria issues identified above. In particular, issues related to the basis for placement, legal authority to hold a youth, age, gender, and geographical service area of the program will be discussed.
Basis
for Placement
Juvenile holdover programs can be designed to serve one or a multiple
of placement needs for youth. Reasons for placement that should be considered
include:
A juvenile holdover program generally is not designed to provide the same level of security as a physically secure juvenile detention center. Public safety concerns may dictate that the risk presented by certain offenses or offenders exceeds that which is determined to be reasonable for a juvenile holdover program. Juveniles alleged to have committed certain offenses may need to be held only in secure facilities to ensure the safety of the community, other residents, and the staff. Also, some of a youths physical or mental health needs may require a more structured or specialized placement.
The point at which the line is drawn between eligible and ineligible offenses for placement in a juvenile holdover program may differ from program to program. Variables such as the level of security available at the program site, training of staff, availability of backup staff, and resources will influence that decision. The unique needs of a youth must be evaluated against the ability and capability of the physical site and staff to safely and effectively manage a particular youths individual situation.
An example of an enhanced juvenile holdover program with the expanded capacity to handle a youth with a more serious charge or a history of violence would be a temporary, secure juvenile holdover program. In Minnesota, there are a few 8-day secure holdover programs that operate within jails or other secure facilities and are staffed by trained juvenile detention workers or correctional officers with specialized training in working with juveniles. These facilities have the capacity to isolate and secure a youth within a designated area of the facility.
Legal
Authority to Hold a Youth
The legal basis for holding a youth in a juvenile holdover program must
be clearly established. It must be anchored by reference to particular enabling
statutes of the state in which the program is located. See chapter
4, Legal Issues, for additional information on this issue.
Age
Another factor to consider when establishing admission criteria is the
age of youth. For example, program planners must determine if the program will
admit children and youth of all ages, including pre-teens if necessary, or if
it will develop its program for adolescents only. Often, the need falls somewhere
in the middle. Infants and small children are usually best placed in emergency
foster homes. A factor to consider is the age of jurisdiction of the juvenile
court. This varies from State to State, and is a legal boundary that may be
a useful reference when establishing the age range for the program. Minimum
and maximum age ranges should be established and stated in the admission criteria.
The established policy should recognize the limitations of the program to provide
services to certain age groups, yet allow for flexibility when needed.
Licensing guidelines also may influence the establishment of age parameters for the program. For example, mixing youth ranging in age from infancy to 18 may not be allowed in some facilities. It is possible that two types of licensing or certification may be required one for younger children and another for adolescents.
Male
and Female
Gender issues are another critical factor to consider when establishing
admission criteria. For example, a decision to admit both males and females
will have a direct impact on the requirements for a site for the juvenile holdover
program. Privacy issues are very important, and program organizers and staff
must assure that these rights can be adequately protected and that amenities
and services available for both genders are essentially equal (e.g., convenient
access to bathroom facilities, private sleeping areas).
The age and gender of youth accepted in the program will have an impact on the design of the daily program and activity schedule (e.g., facility specifications, amenities required, food provided, recreational equipment, or programming needed). More information on these types of issues will be discussed in chapter 7, Site and Facility Issues. How programs are staffed (e.g., same-gender staff) will also be affected by decisions made relative to the target population and admission criteria. More information on staffing is discussed in chapter 8, Staffing and Staff Training.
Geographic
Service Area
In addition to the basis for placement, age, and gender of the youth
admitted to a juvenile holdover program, the geographic area the program will
service must be clearly identified. Will the program serve a specific city?
Will the program serve a county or multiple county area? It is not necessary
for the youth involved to live in the specified area, but law enforcement officers
and other referral sources must know that the program provides beneficial services
for them. See Figure 5-1 for a statement describing a sample target population
for a juvenile holdover program.
Admission
Standards
Each program should clearly establish
the admission criteria based upon its own program resources and constraints
and identify the cut-off for admission standards. For example, if a program
has determined that it will accept youth detained for a minor in possession
of alcohol offenses, the program must have a procedure in place for assessing
whether the youth is under the influence of alcohol and, if so, whether there
is a danger to the youth or others. Factors to be considered in developing policies
and procedures related to cut-off standards for admission include:
Figure 5-2 is an example of a health care policy statement developed by the Attendant Care Program in Wellington, KS, that addresses some of these issues.
Establishing
Referral, Intake, and Screening Processes
Once the target population for the juvenile holdover program has been defined,
referral, intake, and screening processes must be outlined to assure appropriate
referrals are accepted into the program. Issues to consider include defining
referral source(s), establishing an intake procedure, notifying appropriate
persons and entities of a youths admission to the program, and outlining
a screening process providing an initial assessment for each referred youth.
Referral
Source(s)
Sources of referral to the juvenile holdover program must be identified
and legitimized. Legitimatization means that all of the system participants
recognize the validity and legality of a certain organization or individual
making referrals for placement.
For most juvenile holdover programs, law enforcement officers will be the primary source of referrals. There may be several different reasons for an officer to initiate a referral. Readers should recall that a key need and objective usually identified in the planning process of a juvenile holdover program is for a short-term holding program in which a law enforcement officer can place a youth so that the officer can return to his or her primary patrol duties. This alleviates the officer from having to sit with a young person for an extended period of time while certain logistics are being worked out (e.g., finding an alternative placement, locating the youths parent or guardian, parent or guardian traveling a long distance to come pick up the youth, completing investigation details, and awaiting a pending court appearance).
Law enforcement officers are not the only potential referral sources for a juvenile holdover program. Other referral sources may include:
If allowed according to geographic service area criteria established for admission, a juvenile holdover program also may receive referrals from neighboring jurisdictions that do not have a comparable resource in their communities.
Intake
Process
When a juvenile holdover program receives a referral from an approved
source, staff or volunteers must be able to determine if the youth(s) should
be admitted to the program. This is done through an intake process. The intake
process should include gathering pertinent information related to the youth
and providing an initial screening process to determine the presence of a problem,
substantiate that there is reason for concern, or identify the need for further
evaluation (Crowe and Reeves, 1994). An admission or referral form should be
completed during the intake process with assistance from the referral sources
as well as from youth self-report. The admission or referral form should clearly
state the admission criteria for the program and it may be useful to ask the
referral source to check off or otherwise identify the specific criteria they
feel pertains to the referred youth. In addition, the admission or referral
form should contain the following information:
Most juvenile holdover program staff have final authority to determine who will be accepted into the program. Therefore, a policy and procedure also should be outlined establishing how program staff should respond when inappropriate referrals are made. If the programs purpose statement allows for some flexibility to make limited exceptions to the admission criteria, the basis for making those decisions must be set forth in policy. In addition, the individual authorized to make such decisions, usually defined by job title, needs to be identified in the policy statement. Finally, it is important to establish a procedure for keeping a complete record of the rationale and process used to make exceptions for admission.
Notifying
Appropriate Persons and Entities
Parents and guardians should be among the first persons to be notified
of a youths placement in a juvenile holdover program. Policy and procedures
need to be developed that establish who has the responsibility for notifying
a youths parent or guardian and how the notification should be made (e.g.,
in-person, telephone, letter). Oftentimes, the holdover staff will make this
initial notification because they are often in the best position to explain
what the next steps for the youth will be and how the parents or guardians can
be involved. Even in cases where notification has been made by another entity
(e.g., law enforcement), contact from juvenile holdover program staff is usually
conducted as a follow-up to the initial notification. It is important, however,
that notification procedures be clearly defined and designated and that notification
of parents and guardians is documented. Although confidentiality is an important
tenet in situations involving juveniles, there may be other persons or entities
(besides the parent or guardian) who have a legitimate need to know that a juvenile
has been admitted to a juvenile holdover program. For example, social workers
and probation officers with open cases will need to be notified in most situations.
There also may be situations in which the school must be notified or when it
would be helpful to inform school authorities that a youth has been admitted.
Scenario 5-1 provides an example of how notification to additional individuals
can be beneficial to the youth and the justice system. A policy must be developed
to guide staff in determining if and when other persons or entities should be
notified of a juveniles admission to a holdover program. This policy should
be reviewed carefully on a case-by-case basis.
Scenario
5-1: Belinda
Does Someone Care?
Belinda was placed in a juvenile holdover program
by a police officer after she was found in the local park at 1:00 a.m. talking
with several young adult males. Belinda is 11 years old. She had run away from
a foster home located about 75 miles away. She told the officer who picked her
up that another foster youth in that home, a 14-year-old boy, had been trying
to touch her in a sexual way and that she was afraid to go back there.
After she was admitted to the holdover program, the staff on duty conducted an informal interview with her and learned that Belinda had been in court about two weeks ago and placed in the foster home. During the course of the discussion, Belinda told the staff about her social worker and someone she called her guard who was always with her in court and who came to visit her regularly wherever she was living. Unfortunately, Belinda couldnt remember this womans last name but said that Harriet always told the judge about what Belinda wanted and what she thought would be best for her. Because of the staff members comprehensive training and orientation to the child welfare system, she figured out quickly that Belinda was talking about a court appointed special advocate (CASA). She called the local police dispatcher who had access to basic computerized juvenile court records and determined that Belinda did, in fact, have a court appointed special advocate. Her name was Harriet Wilson and the court file included a phone number for Ms. Wilson. The staff member had already contacted the social worker, who had not mentioned anything about a court appointed special advocate being active in Belindas case.
Therefore, as soon as she finished her conversation with Belinda, she called Harriet Wilson and filled her in on what had occurred. As a volunteer CASA, Ms. Wilson has important responsibilities and obligations. It was very important that she be informed about what had happened. She came to visit first thing in the morning and within one hour, she was talking with the social worker and the judge about a different placement for Belinda. By noon, Belinda had been discharged from the juvenile holdover program less than 12 hours after she had been admitted.
Outlining
a Screening and Assessment Process
Another task when designing the intake process is the development of
screening criteria upon which youth will be assessed as a part of the process
for admission to a juvenile holdover program. There are four primary objectives
for using an established screening process:
In many situations, volunteers or attendant care workers are being called in to care for youth placed in a holdover program. It is helpful if law enforcement, an intake coordinator, or another on-duty staff can conduct a screening to determine if the youth appears to be appropriate for admission to the program, prior to calling in a on-call volunteer worker. Appropriate screening questions include:
Admission log notes can include information such as behavior and attitude to the presence of cuts and bruises.
To provide structure and consistency to the screening information collected by a juvenile holdover program, checklists have been developed that can help staff identify areas of potential concern and guide them in an interview that explores these areas with the youth. Such checklists are commonly used to review potential physical and mental heath concerns. Others have been developed that explore family functioning. Usually these tools pose a question or identify an area of potential concern and ask for a basic yes or no response. If a yes response is indicated, the forms usually request additional information or a description of the specific problem identified.
There are several formal screening instruments available that could be utilized by a juvenile holdover program. One example of a screening instrument is the Problem Oriented Screening Instrument for Teenagers (POSIT). This is a 39-question survey that provides information on potential problems in one or more of 10 psycho social functioning areas. The areas include:
The POSIT is an example of one screening and assessment tool that can be used by a juvenile holdover program. Program organizers and staff are encouraged to review screening and assessment tools prior to making a decision on which one to use. See appendix C for additional examples of decision trees and screening and assessment instruments.
When a youth is admitted to a juvenile holdover program, it is essential to explain the intake and screening process to the youth, as well as what will happen while he or she is in the program. The individual completing the intake screening or the holdover staff providing care for the youth needs to discuss critical information with the youth as soon as possible. Information to discuss directly with youth includes:
Development
of Procedures Unique to Each Program
Juvenile holdover programs are unique to each community and may vary
as to where they are located. Some are located in administrative areas of law
enforcement agencies, county complexes, nonsecure areas in jails, or juvenile
detention facilities while others are located in the facilities of community-based
organizations, such as probation offices, private nonprofit agencies, or emergency
shelters. These sites, each with unique characteristics, account for the individual
variances found among the referral, intake, and screening procedures established
for holdover programs. Following are examples of three different holdover programs
and their intake procedures.
Wright
County, MN
The juvenile holdover program is a nonsecure program located in the
administrative wing of the county jail complex. A law enforcement officer brings
the youth to the intake/processing unit of the jail and after completing the
necessary paperwork to transfer custody and leaves the youth with a jail staff
member. This provides an advantage to the law enforcement officer because he
or she is then able to return to duty rather than having to supervise the young
person. A jail staff member conducts an initial intake with the youth, obtaining
background information, and making a final decision as to the appropriateness
of the youth for the juvenile holdover program. If the jail staff member determines
that the youth is acceptable for juvenile holdover, an attendant care worker
is contacted. The jail staff member then takes the youth to the room used for
juvenile holdover and waits with the youth until the attendant care worker arrives.
Once the attendant care worker is present, this worker does another assessment
to ensure that the youth does not need medical or any other form of immediate
care. The attendant care workers also keep a log detailing activities that occur
while the young person is in their care.
Wellington,
KS
In contrast, Kansas statutes require that each of its 105 counties participate
in the Juvenile Intake and Assessment System. This statewide intake and assessment
system is an information gathering process by which juvenile offenders and/or
children in need of care are evaluated by a trained professional whenever youth
are taken into custody by law enforcement.
In Wellington, KS, the nonsecure attendant care program is located in the community corrections office and staffed by on-call volunteers. When needed, the law enforcement officer contacts the intake worker who meets the officer and youth at the community corrections office, which provides services for both intake and the attendant care (juvenile holdover) program. Upon completion of the intake and the assessment process, the intake worker makes a recommendation to the law enforcement officer for release, placement in a nonsecure setting, or placement in secure detention. The intake/assessment process includes a juvenile intake questionnaire and the Problem Oriented Screening Instrument for Teenagers (POSIT). A sample of the POSIT and the Kansas Intake and Assessment Questionnaire is provided in appendix C. The law enforcement officer has the final say at this time and can accept or reject the intake placement recommendation.
In the process of considering the least restrictive appropriate placement or release option, the intake worker will consider the following continuum of detention resources for their recommendation:
During the intake and assessment process, the intake worker provides crisis intervention, conflict resolution, and referrals to community agencies for the juvenile and the family. After the recommendation for placement or release is determined, the intake worker completes a contact report on the youth. This report is forwarded to the county attorney indicating the present offense information, placement outcome, and any record of prior contact with the intake and assessment system. The county attorney is responsible for making any further determination for case processing, including diversion, or filing a petition for adjudication.
If it is determined during the intake process that a short-term, nonsecure placement in attendant care is appropriate, the attendant care coordinator is contacted and the intake worker remains with the youth until the attendant care worker arrives. The attendant care site is located in one room of the community corrections office. The room contains a bunk bed, television, rocking chair, childrens toys, and books.
The attendant care worker is a quasi-volunteer who has been contacted by the program coordinator and will remain with the youth until the parents arrive or another attendant care worker takes over. All attendant care workers are considered employees of the county. They receive a small stipend but do not receive any other benefits.
Great
Falls, MT
The holdover site in Great Falls, MT, is located in the Cascade County
Regional Youth Service Center. The regional detention center provides a combination
holdover program, with both a secure facility for juvenile offenders and a nonsecure
area for the attendant care or holdover program. Law enforcement officers bring
youth to the center. Initially, all youth are admitted to the holdover program
until the law enforcement officer or juvenile probation officer determines if
the youth should be placed in detention or attendant care. If the youth does
not require secure detention, but the parents cannot be located, the youth remains
in the attendant care program. Youth in the attendant care program remain in
the central administrative area until the parents are located. This area provides
couches, television, and a family room atmosphere. Meals are provided by the
detention center.
Conclusion
Each juvenile holdover program meets the needs of the individual community
it serves, and that individualized program design process begins with the determination
of an appropriate target population. Almost all implementation planning will
hinge upon the target population. The definition of the population must meet
specific criteria for admission. Referral sources must be involved in this planning
and any agency or person who might refer a child or youth to the juvenile holdover
program must have a clear understanding of the admission criteria.