Girl’s Summit-October 12, 2007 Iowa Juvenile Home/State Training School for Girls-Profile Training School Admission For a delinquent, a girl must commit a crime that qualifies through criteria established in the Code of Iowa for Training School Admission Generally, this includes 3 of the 4 noted below: 1)15 years or older 2)Crime against a person-aggravated misdemeanor or felony Training School Admission- continued 3) Prior delinquency adjudication 4) Prior Treatment Placement Special considerations are noted for other felony violations and youth under 15 State Training School for Girls Delinquent Youth Crimes - FY 07 FY’07 female admissions=91 58%--CINA 42%--Delinquent For CINA girls, Toledo is a placement of last resort for chronic, high risk acting out behavior that includes: running away use/abuse of substances promiscuous behavior/poor boundaries in relationships aggression toward others poor peer relationships difficulty in following adult expectations self-harm and suicidal gestures lack of understanding in connecting actions w/ consequences poor school attendance poor educational performance strained family relationships or absence of family multiple placements out of home WHO are the girls @ Toledo? Behaviors get our girls to Toledo; it is only through an understanding of what lies UNDER that behavior that we can help girls find success and hope for their future Long term-system involved: Out of Home Placements: FY’07 Delinquent---4.9 CINA---10.3 (does not include shelter or detention) Where Do They Come From? Age: FY’07 CINA---15 years, 9 months Delinquent---15 years, 11 months Ethnicity: FY’07 RACE CINA RACE DEL FY 07 FY07 CAUCASIAN 75% CAUCASIAN 47% BLACK 21% BLACK 47% OTHER 4% OTHER 6% Education: FY’07 CINA---67% Special Education Delinquent---33% Special Education On average, Toledo girls are 2- 3 years below grade placement 0% 10% 20% 30% 40% 50% 60% 70% CONDUCT DISORDER ANTISOCIAL PERSONALITY DISORDER ATTENTION DEFIICT HYPERACTIVE POST TRAUMATIC STRESS DISORDER SUBSTANCE ABUSE BORDERLINE PERSONALITY DISORDER DEPRESSIVE/MOOD DISORDER OPPOSITIONAL DEFIANT DISORDER HISTRIONIC PERSONALITY DISORDER NARCISSISTIC PERSAONALITY DISOR BORDERLINE INTELLECTUAL LEARNING DISORDER MIXED CLUSTER B TRAITS BIPOLAR DISRUPTIVE BEHAVIOR DISORDER AVOIDANT PERSONALITY DISORDER ANXIETY DISORDER MENTAL RETARDATION NEGATIVISTIC TRAITS CINA DELIN DEPRESSIVE PERSONALITY TRAITS ENCOPRESIS / ENURESIS EATINGS DISORDER MENTAL HEALTH DIAGNOSIS FOR FEMALES FY 07 DEPENDENT PERSONALITY DISORDER PSYCHOTIC ADJUSTMENT DISORDER Mental Health Diagnosis: DEVELOPMENTAL DISORDER SCHIZOID PERSONALITY DISORDER OBSESSIVE COMPULSIVE DISORDER HALLUCINATIONS Significant mental health needs, regardless of CINA/Delinquent status: 1)attention deficit-results in problems in school/difficulty in relationships/poor impulse control 2)post traumatic stress-signifies trauma/abuse 3)substance abuse-signifies trauma/abuse/maladaptive coping/addiction 4)borderline personality-drives instability in thought/mood/behavior-difficulty w/ relationships 5)depressive/mood disorder-drives withdrawal, isolation, depression/often leads to self harm/suicidal gestures 6)histrionic personality-drives instability in regulating emotions- difficulty in relationships Medication: CINA-70% (3.1meds each) Del. -61% (1.2 meds each) These kind of diagnoses tell the story of girls’ lives. Whether CINA or delinquent, our girls at Toledo come from family systems that are broken. Deficits in families translate into deficits in children. Common family dynamics for our girls include: Family Dynamics: single parent family/incarcerated parent/terminated parental rights substance abuse domestic violence inconsistent parenting lack of routine and consistent expectations requirement of age inappropriate responsibilities lack of problem solving skills poor modeling of socially appropriate behavior sexual abuse/physical abuse lack of boundaries in relationships lack of healthy intimacy and connectedness w/ others What Do We Do? In order to see permanent change, we must treat the whole person. This requires a partnership that provides a safe, structured and predictable living environment coupled w/ a treatment approach that recognizes what happened in your PAST is what drives how you behave today.
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