AMIkids Community-Based Day Treatment Services

Evidence Rating:
Promising – One investigate Promising - One study

Program Goals
AMIkids offers a accumulation of community-based, experiential diagnosis interventions for at-risk and derelict youths that are designed to revoke recidivism and be cost effective. The AMIkids programs are run by a nonprofit classification AMIkids, Inc. (formerly Associated Marine Institutes) in Florida and offer services by several opposite module settings, including day diagnosis centers, forest camps, home-based family counseling, residential programs for masculine adolescents, gender-specific programming for womanlike adolescents, and choice schools.

Program Theory
AMIkids’ use smoothness is targeted during 8 integrated components: education, plea experiences, cognitive–behavioral therapy, strengths-based box management, function modification, family partnership, problem-solving and amicable skills development, and village service. This proceed is formed on fanciful perspectives and diagnosis interventions found in experimental investigate novel to effectively revoke youthful evasion (Winokur Early et al. 2010).

The substructure of use smoothness adheres to a AMIkids Personal Growth Model (PGM), that is a one proceed to treatment, education, and function alteration designed to assistance youths grasp personal expansion and success. The PGM uses an experiential training sourroundings to broach cognitive–behavioral interventions designed to revoke youths’ risks for mental, behavioral, and romantic problems while enlivening a youths to make certain changes in their lives to equivocate destiny impasse in a youthful probity system. The goals of a PGM are:

  • Integration of evidence-based interventions and strategies into a services supposing by AMIkids
  • Reduction in recidivism and alleviation in prosocial outcomes by addressing youths’ risks, needs, and responsivity
  • Establishing a holistic proceed to portion youth, encompassing a individual, a family, and a village

The unpractical horizon of a PGM is formed on investigate and speculation of evasion and diagnosis interventions for juveniles (AMIkids 2009a). The PGM also embodies a formation of module components centered on a AMIkids Culture, that consists of 6 core principles: bonding, family atmosphere, nonprison environment, certain training environment, gender responsiveness, and informative relevancy.

Program Components
Upon enrollment in AMIkids, any girl is administered a extensive comment called a Positive Achievement Change Tool (PACT). The PACT comment instrument identifies youths’ criminogenic risks and needs. Based on a PACT assessment, youths are reserved to mental health or piece use diagnosis services (or to both) that embody of:

  • Cognitive–Behavioral Therapy, to residence anger, mental health, behavior, and piece use diagnosis needs
  • Motivational Enhancement Therapy, to residence piece use diagnosis needs
  • Aggression Replacement Training, that concentrates on annoy and skills deficits as good as dignified reasoning
  • Skillstreaming, to understanding with amicable skills deficits
  • Motivational Interviewing for rapport building and relocating youths toward certain change

The comment also determines a required power and generation of diagnosis interventions formed on particular risk and protecting factors, responsivity to treatment, willingness to change, and criminogenic needs.

The AMIkids day diagnosis programs yield community-based interventions that concede youths to reside during home while they attend daily services. During a day, youths accept impasse services and attend propagandize during a day diagnosis core in an educational setting. At night, youths lapse home, that fosters family impasse in a diagnosis process. Day diagnosis programs are designed to offer derelict youths in a nonresidential environment and to urge youths’ educational achievement, vocational achievement, and propagandize assemblage and revoke their problem behaviors such as piece use, violence, delinquency, and control disorders. Youths participating in day diagnosis programs have been adjudicated derelict by a probity for misdemeanors and obtuse felonies and mostly have co-occurring piece injustice and mental health issues.

The day diagnosis programs are customarily small, customarily located nearby a youth’s home, and generally work from 8 a.m. to 5 p.m. on Mondays by Fridays. The normal length of stay in a module is typically 4 to 6 months. Services supposing by module staff residence issues in both a home and area by operative with any girl and his or her family together. Services embody staff home visits, a tiny staff-to-student ratio, extensive counseling, individualized cognitive–behavioral diagnosis services, and family integration.

Evaluation Outcomes

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Evaluation Methodology

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The research by Winokur Early and colleagues (2010) used a quasi-experimental pattern to review recidivism outcomes for masculine and womanlike youthful offenders who finished AMIkids’ community-based day diagnosis module during mercantile year 2007–08 to a matched representation of youths who finished secure residential programming during a same time period.

Youths completing AMIkids day diagnosis programs were compared with a matched representation of youths completing low-, moderate-, and high-restrictiveness-level residential programs. A execution of secure residential programming is tangible as any girl designated in Florida’s Juvenile Justice Information System (JJIS) carrying successfully finished a program, carrying been reserved to trial following release, carrying been directly liberated but successive supervision, and/or carrying reached a limit youthful jurisdictional age or tenure served and afterwards being expelled behind to a community. Restrictiveness turn refers to a earthy and staff confidence turn of a facility, and not to a risk of reoffending. However, youths were matched by risk level, as totalled by a PACT that is used by a Florida Department of Juvenile Justice (FDJJ) to consider criminogenic risks and needs. A inclination measure relating custom was used to statistically control for fundamental differences between a groups. The inclination measure was distributed as a luck of a given girl completing AMIkids day diagnosis services contra residential joining regulating a probabilities constructed by a logistic retrogression model. Youths with a same inclination measure were matched and divided into dual groups: those who did and did not accept AMIkids community-based interventions.

Youths who perceived AMIkids day diagnosis services (n=1,083) were 80 percent male, 51 percent African American, and 14 percent Hispanic, with an normal age of 16.2 years during admission. Youths who finished residential programming (n=1,083) were 81 percent male, 53 percent African American, and 15 percent Hispanic, with an normal age of 15.8 years during admission. There were no statistically poignant differences between a groups solely on dual factors: youths who perceived residential programming were younger during recover and had a longer normal length of stay, compared with youths who perceived AMIkids day diagnosis services.

Measures of recidivism and customary follow-up durations are formed on those used by FDJJ in their annual outcome evaluations of youthful probity programming in a state. Recidivism, tangible by FDJJ, is any successive offense that formula in adjudication, adjudication withheld, or adult self-assurance within 1 year of release. The research in a investigate also examined swap girl outcome measures including transgression adjudication or conviction, detain and transgression arrest, and successive placements into commitment, adult probation, or jail within 1 year of module completion. Data was gathered from a JJIS, a Florida Criminal Information Center, a Florida Department of Corrections, a FDJJ Office of Management and Budget, and a FDJJ Bureau of Quality Assurance. Independent representation t–tests were used to exam for poignant differences in a outcomes between a groups for any analysis.

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Cost

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Evidence-Base (Studies Reviewed)

top borderThese sources were used in a expansion of a module profile:

Study 1
Winokur Early, Kristin, Gregory A. Hand, Julia L. Blankenship, and Steven F. Chapman. 2010. “Experimental Community-Based Interventions for Delinquent Youth: An Evaluation of Recidivism and Cost Effectiveness.” Unpublished manuscript.

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Additional References

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AMIkids. 2009a. AMIkids Personal Growth Model: Service Philosophy Manual. Tampa, Fla.: AMIkids, Inc.

AMIkids. 2009b. AMIkids Personal Growth Model: A Unified Approach to Behavior Modification, Education, and Treatment. Tampa, Fla.: AMIkids, Inc.

AMIkids. 2010. Behavior Modification Operations Manual. Tampa, Fla.: AMIkids, Inc.

AMIkids. 2011. “Home.” Accessed Dec 2, 2011.
http://www.amikids.org

Justice Research Center. 2011. AMIkids Outputs and Outcomes Reports 2010. Tallahassee, Fla.: Justice Research Center.

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