Five-year integrated, community-focused collaboration for
adolescents receiving juvenile justice services who also had diagnosed mental
health and substance abuse disorders is described. Multiple outcomes, including multi system- level and individual client-level outcomes are reported. System
level outcomes include: 1) the creation and continuation of a system of care
for the target group, including natural and community supports; and 2) the
impact of cultural issues on treatment and integrated service planning.
Individual client-level outcomes include: 1) reduced juvenile justice systems involvement and reduced incarceration and out-of-home placements; 2) improved
school performance and attendance; 3) accurate and timely behavioral health
screening; 4) improved clinical outcomes; and 5) improved satisfaction with
services.