Moving the Needle: Cultivating Systemic Change in Juvenile Services

Approximately 1.7 million delinquency cases are disposed in juvenile courts annually (Puzzanchera, Adams, & Sickmund, 2011). Of these youth, tens of thousands experience confinement in the US (Sawyer, 2019), while hundreds of thousands experience probation or are sentenced to community based programs (Harp, Muhlhausen, & Hockenberry, 2019). These youth are placed in the care of programs overseen by directors and clinicians. A survey of facility directors and clinicians from member agencies of the National Partnership for Juvenile Services (NPJS) Behavioral Health Clinical Services (BHCS) committee identified three primary concerns practitioners face in caring for these youth; 1) low resources to recruit and retain quality staff, 2) training that is often not a match for, and does not equip staff to effectively manage the complex needs of acute youth, and 3) the perspective of direct care as an unskilled entry-level position with limited impact on youth’s rehabilitation. This article seeks to address these issues and seeks to highlight potential best practices to re-solve for those obstacles within juvenile services.