Abstract
Crossover or dually involved youth are youth enmeshed in the child welfare system (CWS) and juvenile justice system (JJS). Given their dual status and high needs, attention has recently focused on how to best respond to them in an integrated, interagency fashion. The Crossover Youth Practice Model (CYPM) is designed to facilitate interagency collaboration between the CWS and JJS in order to enhance services and diversion to these youths. This study reports on the benefits and challenges that the JJS and CWS, as well as the personnel working within them, experience by participating in a CYPM effort in a Midwestern county, and provides recommendations for continued improvements in interagency collaborations for crossover youth.
Children enmeshed in the juvenile justice system (JJS) or the child welfare system (CWS) are high risk for developing detrimental behavioral, educational, and health-related outcomes, but those who are involved in both systems may be at even greater risk for a wide range of short- and long-term problems (Ryan, Williams, & Courtney, 2013; Widom & Maxfield, 2001). These âdually involvedâ or âcrossoverâ youths are higher risk for exposure to violence and/or abuse, familial dysfunction, substance use, congregate or group home placement, school dropout, poor grades, truancy, mental health and/or substance use problems, and adult criminality (e.g., Halemba, Siegel, Lord, & Zawacki, 2004; Herz & Ryan, 2008; Widom & Maxfield, 2001; Young, Bowley, Bilanain, & Ho, 2015). They are also at risk to incur more juvenile, adult, and violent arrests (Ryan et al., 2013; Widom & Maxfield, 2001) and to be perceived as high risk by system personnel (Morris & Freundlich, 2004). It is not surprising, therefore, that they are highly represented at deep levels of the JJS (e.g., comprising out-of-home placement cases), and they tend to receive harsher sanctions or congregate care placement more often than nondually involved youth (Halemba et al., 2004; Ryan, Herz, Hernandez, & Marshall, 2007; Young et al., 2015).
Responding to crossover youthsâ needs in the CWS, while balancing accountability and risk reduction in the JJS, can present a host of problems, but neither system appears to be adept at keeping crossover youth out of trouble: justice-involved children are highly likely to recidivate and come into contact with the system again (Herz, Ryan, & Bilchik, 2010), while youth enmeshed in the CWS have a very high likelihood of justice involvement and further maltreatment referrals (Huang, Ryan, & Herz, 2012; Johnson, Ereth, & Wagner, 2004; Ryan et al., 2013). Yet fostering collaboration and information sharing between the systems in order to better respond to crossover youth are rarely done, largely because there are very few policies in place that require the two systems to work together (Herz et al., 2012; Wylie, 2014). This is complicated by the fact that many actors in these agencies hold different perspectives of youthsâ needs, with those in the JJS often seeing the youth as a perpetrator in need of rehabilitative services, while child welfare actors may view the youth as a victim in need of care and protection (Lutz, Stewart, Legters, & Herz, 2010).
Ultimately, the lack of coordination, communication, and information sharing between the JJS and CWS has implications not only for the two systems but also for the staff and the crossover youth (and their families) as well. From a systems perspective, two distinct systems responding to a crossover youth with the same or similar services duplicates efforts, which increases costs. The duplication of services also means that system personnel are used inefficiently (i.e., their services are duplicated as well), wasting scant resources and increasing costs. Given the different perspectives each system brings to crossover youth (rehabilitation vs. protection), they might provide different treatments to the youth and family, causing confusion and frustration for the youth and family, as well as expending additional resources. There is also some indication that crossover youth are not necessarily at higher risk for misbehavior but have more unmet âneedsâ (perhaps stemming from significant family problems), which makes them vulnerable to criminogenic outcomes (Andrews & Bonta, 2007; Andrews et al., 1990; Ryan et al., 2013); in these cases, diversion or increased servicesâbut not punishmentâis needed, and doing otherwise may again waste scant system resources. Moreover, responding to a youth who has a multitude of problems that have resulted in both child welfare and juvenile justice involvement with a single-systems approach is limited in scope and likely fails to address the core problems that resulted in dual involvement in the first place.
The Crossover Youth Practice Model (CYPM; Lutz et al., 2010) was developed in part to address these problems and enhance service delivery and/or diversion to crossover youth. The goal for the model is to identify these crossover youth, coordinate, and inform decisions made by both CWS and JJS regarding the youth and their families and provide enhanced, evidence-based services to them in order to divert them from further entrenchment into the JJS and CWS. To achieve these goals, the CYPM promotes collaboration between juvenile justice and child welfare personnel and provides techniques to inform decision-making between the two agencies in order to better serve crossover youth. As a âpractice model,â it provides a conceptual map and organizational ideology regarding how staff can collaborate with families and system personnel to provide effective services to at risk youth (Lutz et al., 2010) but can be tailored to the needs and goals of each jurisdiction in which it is adopted.
The CYPM in this study was adopted and implemented in 2012 in an urban county in a Midwestern state with technical assistance from the Center for Juvenile Justice Reform at Georgetown University. Agencies involved in the CYPM initiative include the county attorneyâs office, Department of Health and Human Services, juvenile assessment center (diversion), probation department, private welfare provider, a family advocacy center, a youth advocate, and a facilitator. Representatives from these agencies come together every week to consider crossover cases in the county. Ultimately, the county attorney, with input from the above mentioned team members, makes decisions to nolle pros, file charges, provide enhanced child welfare services, or divert the case. The team then works collaboratively to provide appropriate services and interventions for each youth until the case is closed. A large component of this effort is that the youth and family have âa voiceâ in the process as well. This study summarizes themes from interviews with CYPM team members referenced above to understand the benefits and challenges of interagency collaboration that are experienced by bringing professionals from different justice and welfare agencies (e.g., child welfare, juvenile justice, probation, juvenile courts, etc.) together to improve responsiveness for crossover youth.
The CYPM Approach
In the broadest sense, crossover youth refers to any youth who has experienced maltreatment and engaged in delinquency (Lutz et al., 2010), although these youth may not be formally known to either CWS or JJS. Alternatively, dually involved youth is youth who has some level of involvement in both the CWS and JJS, while dually adjudicated youth refers to those youths who are formally involved and adjudicated in the delinquency system (Herz et al., 2012). 1 The primary intended outcomes of the CYPM include reductions in preadjudication detention, group, foster care, or out-of-home placements, recidivism, reidentification as crossover youth, disproportionate minority representation, and an increase in diversion from the JJS (Bilchik & Tuell, 2011; Lutz et al., 2010). These outcomes are possible due to increased collaboration and information sharing between systems personnel, the youth, and their families (Lutz et al., 2010).
The model is implemented in three phases that span various decision points across the JJS. Phase I encourages increased and informed collaboration between juvenile justice and child welfare personnel when making detention and charging decisions (Lutz et al., 2010). Once a youth is arrested, justice representatives check child welfare records to determine if the youth is also involved in the CWS. Upon learning that the youth is dually involved in both systems, justice staff are then granted access to and receive all relevant child welfare case information (in the county under study, shared information is done via cooperative memoranda of understanding between agencies), and are also in direct contact with the child welfare case worker. Next, âdiversion meetingsâ (referred to as âcrossover staffingsâ in the county in this study) are held between the youth, his/her family, the child welfare social worker, the juvenile justice personnel, attorneys, and other service providers, to explore the feasibility of diverting the youth from further involvement in the juvenile system. Team members review and share their assessment information at the meetings (e.g., child welfare background, current child welfare services, law enforcement referral information, school/education status, etc.). The county attorney considers the input provided at the meeting to make his or her decision to nolle pros, file charges, provide enhanced child welfare services, or divert the case. The team then works collaboratively to provide appropriate services and interventions for each youth until the case is closed.
If the case is not dropped or the youth is not successfully diverted, Phase II focuses on continued collaboration between the welfare case worker and the justice case worker throughout the case assignment and case planning stages. These personnel are expected to jointly assess the youth and create an integrated, evidence-based case plan that is best suited to the youthâs needs. Phase III involves coordinated case planning/management, planning for youth permanency, transition, and case closure. The goal of coordinated case supervision is to reduce recidivism and improve the well-being of the youth. In this phase, the CYPM professionals work collaboratively to deliver services, to assess the youthâs progress, and to find and transition the youth into a permanent, safe, secure, and loving environment for the closure of the case (Lutz et al., 2010).
The Importance of Interagency Collaboration
Given the challenges experienced by crossover youth (e.g., truancy, living in a group home, substance use) and their families (Herz & Ryan, 2008; Young et al., 2015), interagency collaboration between the JJS and CWS is vital to the success of CYPM. Yet challenges to successful collaboration exist on multiple levels. For instance, Herz and colleagues (2012) identified various barriers to interagency collaboration between the CWS and JJS, particularly for crossover youth. First, the two systems often lack infrastructures that facilitate communication, collaboration, or information sharing; for instance, they are housed separately and often have different (sometimes competing) goals and mandates. In addition to differing philosophies about serving and responding to crossover youth, Herz et al. (2012) suggested that often personnel in one system lack an understanding about the objectives and duties of personnel in the other system. They list a variety of pitfalls from this lack of collaboration, including ineffective service delivery, lack of engagement with educational and behavioral health systems, and failed family engagement (Herz et al., 2012).
Given the difficulty of interagency collaboration of this nature, it is unsurprising that very few studies have examined the challenges and perceived benefits of CWS and JJS collaboration for crossover youth (but see Haight, Bidwell, Marshall, & Khatiwoda, 2014). The early evidence, however, seems to suggest positive perceived outcomes from those involved in such multisystems collaborations including the ability to offer a broader range of services to youth and families that would not have been available through one system alone, improved procedures and legal mandates for sharing information across departments, and improved interagency relationships (Haight et al., 2014).
As mentioned, however, the CYPM is a model that is meant to follow certain practices but can also be tailored to meet the needs and concerns of each jurisdiction. Therefore, it is likely that the model âlooks and feelsâ slightly different in each jurisdiction, and accordingly, it may be perceived differently by agency professionals as well. Our study contributes to the small, but growing, focus on crossover youth and the importance of a cross-agency collaboration between child welfare and juvenile justice for these youth by expanding on the challenges experienced at multiple levels of interagency collaboration (e.g., system and personnel levels). Further, we expand upon existing data regarding the benefits of such collaborations and draw from our findings to provide recommendations for overcoming these barriers in practice.
Method
Data
The CYPM under study was implemented in November 2012. A 2-year process and outcome evaluation of the initiative began on September 1, 2014. This article focuses on the lessons learned from the process evaluation portion of the evaluationâthat is, the CYPM team membersâ notions of the benefits and challenges of implementing the CYPM in the study site.
Interviews
Data for this research are the responses to semistructured interviews of all 13 CYPM team members (100% participation rate) who represented the organizations which signed a memorandum of understanding as a collaborative CYPM partner in the county. Interviews occurred in March and April 2015 and lasted approximately 1 hr with each team member. See Table 1 for a full list of participants.
Team Members CYPM.
Note. CYPM = Crossover Youth Practice Model.
Interviews were conducted by the first or second author at the worksite of each interviewee. The semistructured interviews were guided by an 18-question interview protocol that included follow-up questions and probes for more complex areas of inquiry. Prompts included general questions regarding the process, successes, and challenges faced by the CYPM, as well as prompts about how participating in CYPM has affected the team members personally and professionally. The authors had spent significant time with the initiative attending working group meetings, stakeholder meetings, subcommittee meetings, and witnessing CYPM staffings, which provided the background and context for additional probes and dialogue that elicited richer information than is possible with a formalized, structured interview process.
Analysis
Each interview subject consented to tape recording of the interview. The resulting digital audio recordings were subsequently transcribed and coded for themes. Data analyses were conducted using MaxQDA software (version 11) and a grounded theory approach (Strauss, 1987). Transcripts were then coded by each principal investigator and intercoder reliability was compared (reliability was high, reaching approximately 90%). Any discrepancies were discussed for substantive meaning to increase intercoder reliability in the final coding process. Themes were then analyzed to determine both the number of professionals who mentioned each theme and the number of times, total, each theme was mentioned. The findings that follow were guided by this thematic analysis.
Results
Several distinct but related themes emerged from our analyses (see Table 2), many of which underscore previous findings and confirm anecdotal stories of prior interagency collaborations (Haight et al., 2014; Herz et al., 2012). We summarize the themes below.
System-Level and Personnel-Level Challenges and Benefits of CYPM.
Note. CYPM = Crossover Youth Practice Model.
System-Level Challenges and Benefits of Interagency Collaboration
Differing Philosophies About Crossover Youth and the Difficulties of Implementing Change Within the Realities of the âSystemâ
One of the challenges presented in successfully implementing and sustaining the CYPM under study was the recognition that the two systems in which crossover youth are embedded do indeed have differing views and philosophies about the youth: the CWS views the child primarily as a victim who is in need of services, while the JJS views the youth primarily as an offender in need of rehabilitation and accountability (Herz et al., 2012). This theme was mentioned 73 times (by 11 people). While the stateâs juvenile court is rehabilitative in nature, fundamental differences exist in the way each system perceives and responds to youth. These different philosophies may lead to conflicting priorities and even different definitions of success (Dickerson, Collins-Camargo, & Martin-Galijatovic, 2012); thus, it is not surprising that team members did not always agree on a best course of action for the youth. These rifts often fell along agency lines and could create frustration between CYPM members. For instance, some team members viewed other members as too punishment oriented, while others felt that collaborators had a tendency to âgive inâ too much to families, particularly when the families had not demonstrated that such âchances would be beneficial.â Finding a balance between service and empowerment to crossover youth and their families with accountability for wrongdoing required âfinesseâ by team members. Getting team members back on the same page often required reminding them of the broader goal of CYPM, which was to better serve youth, with the mantra of âweâre in this together for the same reasons.â
In addition, there are some realities of working in âthe systemâ that the professionals recognized might influence the CYPM initiative over time. This theme involved getting past âinstitutional historiesâ where agencies had not historically been collaborative, as well as competition over resources, especially when collaborating agencies could not agree on who was to pay for services to crossover youth. Team members also reported concerns with turnover among team members, noting that promotions, dropping out, or âburnoutâ might play a problem (cited by three team members). They worried about the sustainability of the CYPM, given that high turnover in the CWS and JJS is simply âgoing to be a reality.â Finally, two professionals also acknowledged that the system is not very âfamily friendly,â despite efforts to reduce this problem. They noted that while professionals working in child welfare and juvenile justice typically work regular workday hours, problems endured by crossover youth and their families do not necessarily only happen during those time frames.
Better Responses to Crossover Youth Because Decision Makers Get a More Complete Picture of the Youth; the Reduction in Information Silos Increases Positive Outcomes and Reduces Costs to the System
Despite the challenges above, CYPM team members identified key benefits that they believed each system gained by interagency collaboration. First, and perhaps most importantly, they believed better decisions were made at various touchpoints in the system (e.g., charging, service delivery, etc.) because of interagency collaboration and information sharing (mentioned by five team members). Prosecutors indicated that they gained more insight about the youthâs case and surrounding circumstances by participating in the weekly team meetings to discuss each case, and this often went beyond the information they were able to get from a police report. They also noted that hearing from social workers, youth advocates, and the youth and family themselves provided a deeper understanding of the situations that may have precipitated the youthâs misbehavior. Team members felt that obtaining information from multiple sources who had access to different databases and information fields and from various professional backgrounds, simply provided better quality information. Getting a better sense of the âwhole pictureâ of what was going on in the youthâs life from multiple sources also made the attorney feel more confident about the case decision.
Second, and similar to Haight, Bidwell, Marshall, and Khatiwodaâs (2014) findings, team members in our study also routinely indicated that their relationships with professionals in other agencies involved in CYPM have become stronger over time. In fact, 11 team members mentioned improved interagency relationships a total of 37 times. Team members noted that better relationships had improved the flow of information across agencies, as well as increased their understanding of what other agencies can (and cannot) do for crossover youth. Further, the increased flow of information between agencies also likely reduced the duplication of services that were offered to the youth. Team members suggested that this may in turn lead to reductions in costs for each case, which they expected to, in turn, benefit each system. 2
Team members also viewed the initiative as doing something different from the status quo of juvenile justice, particularly by allowing the youth to have âa voiceâ by telling the team about the event that brought them to the attention of authorities (e.g., what led up to their misbehavior, why they misbehaved, etc.). Importantly, the youth voice aided the team in understanding how outside events influenced the youth, and was not considered being lenient, but instead, was seen as helping the team identify and better respond to the youthâs needsââgetting to the root of the problem,â as one team member said. This, in turn, led to reductions in duplications of services across systems, and more often resulted in outcomes such as diversion, or enhanced services for those youth who âdonât belongâ in the juvenile system, but could benefit from alternative interventions and/or community resources. Finally, team members also noted that such positive benefits for the youth would likely translate into benefits for the JJS, such as lower caseloads for system personnel, lower associated costs with case filing and processing, fewer court fees, and related expenses (mentioned 79 times by 10 people).
Interagency Collaboration: Personnel-Level Challenges and Benefits
Limited Resources, Frustration With Others, and Concerns About Sustainability Over Time
An issue that concerned most (12) team members (noted 115 times) was that CYPM is not institutionalized in the countyâit has no formal financial backing, no âcentral hub of management,â and currently relies on the relationships between team members to keep the initiative moving forward. While each team member participates in the CYPM, no agency has a dedicated crossover budget or staff, though many team members have shifted much of their caseloads to crossover youth. These team members recognize the time, effort, and energy that CYPM takes and hope to see the program become institutionalized with a formal structure and financial backing in the county. Relatedly, while âmission driftâ is a constant threat to reform initiatives, CYPM members indicated that it may present an even bigger challenge to this initiative because of the lack of a formal âleader.â Team members noted that because every team member, in a sense, volunteers their time to CYPM, when disagreements or factions arise, it can be more disruptive because the team does not have a âbossâ to keep everyone in line. To address this, team members suggested that âsuccession planningâ is needed for long-term sustainability. While some turnover in team membership is viewed as inevitable, there are some key positions in the team that are vital for stability and sustainability purposes. In particular, team members noted that the chair and cochair are key positions that, if (and when) turnover in these positions occurs, mission drift and momentum change are likely, so planning is needed to make sure someone is ready to step in. Team members likely saw these positions as most vital to sustainability because the cochairs often act as the âleadership team.â
Finally, agency professionals involved in CYPM also cited issues in time, effort/energy, and resources as major challenges faced in working on the initiative (this was the most-often cited problemânoted 176 times by 11 people). For the most part, team members acknowledged that their work on the initiative was meaningful and worth it, but nonetheless time consuming and (at times) draining. For others, collaborating across agencies for crossover youth entailed new, different, and sometimes complicated duties, such as communicating with multiple agencies. No doubt these efforts took more time and energy to complete. Simply meeting with the youth and family each week sometimes presented scheduling problems for the professionals and families involved, due to familiesâ transportation needs, school schedules, and work obligations. A couple of team members also expressed frustration with youth and their families who do not seem to want to be there and or do not want help. Despite the groupâs best intentions, they are nonetheless representatives of the JJS and CWSâsystems which are tainted by persisting negative stereotypes by most involved youth and families, and there may be long-standing views of the system from citizens that are difficult to break.
Increased Trust Between Professionals and Their Agencies Leads to Improved Responsiveness to Crossover Youth and Better Outcomes
Despite the challenges described above, CYPM team professionals suggested that getting to know the professionals from partnering agencies has benefited them in personal and professional ways. For instance, child welfare professionals often work very closely with probation officers in this program, which has led to increased trust (âincreased trust and better relationships with other team membersâ was noted 16 times by 10 team members). Subsequently, this had led to some cross-agency trainings on the issues of crossover youth, trauma, and related topics. Such initiatives likely would not have been created if it were not for their collaboration through CYPM (see also Haight et al., 2014). Seeing the same people âat the tableâ each week not only increased trust but also effectively led to sustained inertia to continue the collaboration. Although the CYPM program initially brought the professionals together, over time, the collaborations between members have led to increased commitment to the program itself, as well as continued commitment to each other. While this may not be enough to sustain the initiative over time, it has seemed to create short-term inertia among the team members.
Finally, professionals involved in the CYPM program believed that it directly impacted crossover youth and their families in a positive way as well. Team members identified positive outcomes for the youth which they believe will be evident over time: longer time to recidivate, reduced severity of offenses, and less trauma and stigma to the youth. As noted, they also believed that such positive outcomes for the youth would likely translate into benefits for both the JJS and CWS in the form of lower caseloads for system personnel, fewer duplicated services, fewer court fees, and so forth.
Recommendations and Conclusions
The call for interagency collaboration to improve information sharing, services, and responsiveness to youth is not new. However, the identification and focus on crossover or dually involved youth across the CWS and JJS is a relatively new frontier. Collaboration between these two systems is difficult to accomplish for a variety of reasons, including differing infrastructures, information privacy policies, and competing priorities (Herz et al., 2012), and as such, is not often accomplished. Very few studies have investigated these interagency collaborations, but their results suggest that there may be positive outcomes such as better identification of crossover youth, more efficient service delivery, and improved interagency relationships as a part of CYPM efforts (Haight et al., 2014).
Our study uncovered similar themes in terms of better decision-making and improved interagency relationships between personnel, but our findings also expanded upon the challenges of interagency collaboration and identified different levels at which challenges and benefits were experienced. Our findings suggest that interagency collaboration is impeded by differing philosophies about crossover youth, as well as the realities of âsystemâ work, such as high turnover and burnout. Team members identified ways to overcome challenges, suggesting that successful collaboration can have far-reaching effects, benefiting each agency or system with more informed decisions, and cost reductions due to more efficient processing and less duplication of services. While system personnel overwhelmingly experience challenges regarding time, resources, and sustaining practices, they also reported improved relationships and satisfaction with the collaboration. Further, team members were proud to be a part of something that fostered engagement (âhaving a voiceâ) among the crossover youth and their families.
Based on our findings, we believe that practitioners can address many of the challenges of interagency collaboration for crossover youth. First, we suggest that leaders and CYPM professionals should not try to change membersâ philosophies about crossover youth, but instead, should endeavor to understand the challenges these different philosophies present. It is important to respect othersâ philosophies and viewpoints in âteamâ situations, and administrators can create points of commonality between members by focusing on what is in the best interest of the youth and family, despite differing philosophies. And though it is tough to change the challenging working conditions of CWS and JJS (e.g., burnout, turnover, promotions, etc.), it is possible for initiatives like the CYPM to manage the disruptions these kinds of events can create. Succession planning may be needed to achieve this. We suggest that practitioners can (a) create and maintain policy and procedure manuals so that even new members can âlearn the ropesâ quickly, (b) have multiple persons in leadership positions (like the chair and cochair in this study) in case turnover occurs, and (c) provide adequate resources to crossover positions to make these positions desirable as long-term careers. To the latter point, we recommend that administrators consider treating crossover positions as specialty positionsâthe complexities of the cases and dual involvement truly necessitate a deeper understanding of the issues involving trauma, abuse, family dysfunction, and delinquency. As such, crossover staff should be trained to tackle these issues and provided an understanding of the other system(s) in which the youth is involved. A specialty position (one of commensurate pay, benefits, and the necessary training and education) may have less turnover than other staff positions.
Regarding the personnel-level challenges we identified, our focus on sustainability and dedicated resources remains relevant. In addition, we suggest that administrators consider specialized caseloads of only crossover cases for these positions, including judges, attorneys, and child welfare and juvenile justice management and supervision staff. Staff with specialized caseloads would gain expertise about crossover youth through hands-on experience and collaboration as well as additional interagency trainings. Over time, staff working on these cases would become more knowledgeable and efficient, and handling crossover cases would become less burdensome, frustrating, and time consuming.
In short, policy makers, agency administration, and those working hand in hand with youth would be well served to formalize efforts like CYPM which seek to reduce silos and move toward multisystems collaboration. Sharing information about cases not only leads to better, more well-informed decisions, but the process also strengthens working relationships among those involved. Our findings suggest that the challenges experienced in multisystems collaboration such as the CYPM are worth the effort when it comes to crossover youth.
Footnotes
Declaration of Conflicting Interests
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Funding
The author(s) received no financial support for the research, authorship, and/or publication of this article.
