South Carolina

Utilizing funds from the Governor’s Office, South Carolina Department of Juvenile Justice (SC DJJ) created the “Leveraging Effective Alternatives to Placement” (LEAP) project, which will include implementation of eight community-based, evidence-based programs (EBPs) in four regions of the state. The funds come from the Governor’s Emergency Education Relief (GEER) Fund as authorized by the Coronavirus Aid, Relief, and Economic Security (CARES) Act of 2020. These programs will serve as alternatives to incarceration for high-risk youth involved in the juvenile justice system and their families. This evidence-based initiative will begin in the fall of 2021 and continue for up to five years, utilizing local provider agencies and a broad range of national technical assistance and supports. Establishing enhanced and comprehensive community-based services is essential to increase the number of South Carolina's youth that are in school, living at home, and staying out of trouble.

Below are the models currently in use in the Juvenile Justice Reform project in the state of South Carolina.

Functional Family Therapy

Description

Functional Family Therapy (FFT) is a family focused intervention for at-risk and juvenile justice involved youth.

Age & Delivery

  • 10-18 years old
  • Typically conducted in a(n): Adoptive Home, Birth Family Home, Foster Home, and Outpatient Clinic.

Inclusionary Criteria

Child/Youth and their families whose range of problems include but are not limited to:

  • acting out
  • conduct disorder
  • alcohol and/or substance abuse
  • limited access to resources
  • a range of diagnose

Exclusionary Criteria

Child/Youth who is

  • actively suicidal
  • actively homicidal
  • actively psychotic without medication stabilization

Youth in respite or emergency care

Youth who will not be returning home within 30 days

Youth not living with permanent/long-term caregiver

Treatment Duration/Rate

Families participate in a series of sessions over a 3-5 month treatment period.

Multisystemic Therapy

Description

MultisystemicTherapy (MST) is an intensive family- and community-based treatment that addresses the multiple determinants of serious antisocial behavior in juvenile offenders.

Age & Delivery

  •         12-17 years old
  •         Typically conducted in a(n): Adoptive Home, Birth Family Home, Foster Home,  and Outpatient Clinic. Telehealth sessions could be an option for extreme circumstances.

Inclusionary Criteria

Child/Youth and their families whose range of problems include but are not limited to:

  •         acting out
  •         conduct disorder
  •         alcohol and/or substance abuse
  •         limited access to community resources
  •         a range of diagnose
  •         Pre- Dispositional Risk Assessment (PDRA) 2 or higher

Exclusionary Criteria

Child/Youth who is

  •         actively suicidal
  •         actively homicidal
  •         actively psychotic without medication stabilization
  •         Pre- Dispositional Risk Assessment (PDRA) below a 2
  •         Youth in respite or emergency care
  •         Youth who will not be returning home within 30 days
  •         Youth not living with permanent/long-term caregiver

Treatment Duration/Method

Families participate in 3 to 4 sessions per week over a 2 to 5 months treatment period

Average hours of therapy is 60

Following a competitive process, the SC DJJ selected Evidence-Based Associates (EBA) to manage the implementation of eight community-based, evidence-based programs (EBPs) in four regions of the state. EBA’s leadership team, led by Nicole Janer, EBA’s Director of Operations, will provide the oversight, technical support, and coordination of the multi-year initiative.

Information Coming Soon!

Frequently Asked Questions

* - Subject to change, last updated Jan 2023

What is SC LEAP Program?

The South Carolina Leveraging Effective Alternatives to Placement Program is a DJJ created and funded Project which consists of programs that will serve as alternatives to incarceration for high-risk youth involved in the juvenile justice system and their families.

What Programs are provided in the SC LEAP Program?

Functional Family Therapy (FFT): FFT is a short-term, high-quality evidence-based intervention program with an average of 12 to 14 sessions over three to five months. FFT works primarily with 11 to 18-year-old youth who have been referred for behavioral or emotional problems by the juvenile justice, mental health, school or child welfare systems. Please visit the FFT website at https://www.fftllc.com/ for additional information.

Multisystemic Therapy (MST): MST is an evidence-based program that empowers youth, aged 12 – 17, and their families to function responsibly over the long term. MST reduces delinquent and antisocial behavior by addressing the core causes of such conduct – and views the client as a network of systems including family, peers, school, and neighborhood. Please visit the MST website a

Who is Evidence-Based Associates?

As a ‘production company’, EBA focuses on the implementation issues backstage so that EBPs and community-based providers can be the ‘stars’ on stage. Founded in 2004, Evidence-Based Associates (EBA) is an experienced group of talented, dedicated professionals, who specialize in the high-quality implementation of evidence-based programs (EBPs) that address the unique needs of at-risk youth. Visit https://evidencebasedassociates.com/south-carolina/ for more information.

Who are the Direct Service Providers (DSP)?

Founded in 2006, Grace Harbour, Inc. is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). Grace Harbour has been in business for over fifteen (15) years. Specifically, Grace Harbour is accredited in providing outpatient mental health and substance abuse treatment services to children, adolescents, and adults. They provide FFT services in all four regions of the State and MST services in both the Pee Dee and Lowcountry regions. For more information about Grace Harbour please visit their website at https://www.gharbour.com/

Thompson Child & Family Focus (Thompson), a 501(c)(3) organization, is a leading provider of clinical and prevention services committed to transforming lives through early childhood, family stability, and mental health services for at-risk youth and families for 135 years. What started as an orphanage has

continued to pivot and grow to meet unmet needs in the Carolinas and Florida. Thompson currently employs over 330 dedicated professionals that care for over 4,000 at-risk children and families through a variety of services. MST services in South Carolina, are provided in both the Midlands and Upstate Regions. For more information about TCFF, please visit their website at https://www.thompsoncff.org/

Who can participate in this Program?

Families who currently have a member of their household under active DJJ community supervision i.e. probation, parole or intake status.

Youth on contract will be considered based on appropriateness (previous involvement with DJJ, current services, family support, chronic runaway behavior that makes at-home setting at risk, geographic location, etc. are all considered when determining a family’s fit for the Program).

How are families referred?

DJJ Staff: Probation/Parole/Intensive Supervision Officers and Intake Staff refer families of youth who are actively on their caseload.

How does DJJ Staff determine if a youth/family is appropriate for the Program?

Once DJJ Staff receives a case, the case is reviewed for previous and current services the youth/family have received. Also, the Court Order is reviewed to determine if there are potential barriers present to successful Program completion. Next, the following chart is used to determine which Program is the best fit for the family:

  MST (Multisystemic Therapy) FFT (Functional Family Therapy)
Target Population Youth ages of 12-17 who are living with a caregiver. Youth ages 11 to 18 years old living with a caregiver.
 

Appropriate Referrals

- High and moderate risk youth

- Youth who are under Intensive Supervision

- Youth needing access to 24-hour services due to youth and family needs, and to system concerns (i.e., community safety concerns, etc.)

Youth on Probation/Parole or Intake (on case-by-case basis) Status

- Moderate and high-risk youth

- Status offenders

-Youth on Probation/Parole or Intake (on case-by-case basis) Status

Treatment Duration An average of 120 Days An average of 90 Days
 

How does it work?

Sessions can be held with caregivers WITHOUT the youth present. Youth and their caregivers are present at every session.
 

Contact with Family

UP TO DAILY: Therapist communicate with families via text, telephone or in-person. Sessions typically occur 1-3 times per week based on the needs of the family. Therapists meet with the families initially 3 times within the first 10-days of treatment, then an average of once per week for duration of FFT Program unless family is in crisis and need sessions more frequently.
 

Therapist Availability

24 hr.\7 days\week team available and is on-call FFT therapists respond to crisis situations as needed.
BOTH MODELS ARE FAMILY THERAPIES NOT INDIVIDUAL COUNSELING
Can Judges, Solicitors, Public Defenders, Schools, etc. refer families?

No, only DJJ staff can make referrals at this time.

How can Judges and Solicitors support this Project?

Judges and Solicitors can support this Project by accepting DJJs recommendation to allow youth who are actively participating in the Project to remain in the home in lieu of out-of-home placement and by not court ordering services.

Is there a cost for services?

No, all costs are covered through funding provided by DJJ

Can families without private insurance or Medicaid be served?

Yes, this program is completely funded through DJJ

How long are the services provided to families?

FFT services are an average of 90 days; MST services are an average of 120 days

How do I know which model is the best fit for a family?

There are a number of factors that go into determining whether a family should be recommended for FFT or MST, these factors include:

  • Age of youth under DJJ supervision
  • Family situation i.e., where are youth living
  • Family’s willingness to participate
Can information disclosed during therapy sessions be used in adjudication proceedings?

Confidential information cannot be disclosed during court proceedings however, Therapists are mandated reporters and must report instances when clients have harmed or been harmed. Therapists may also be summoned to court of give an update of family progress.

Does LEAP (MST and FFT programs) address substance abuse? If so, can the LEAP providers share the results of drug screens with the court?

Yes. Research on substance use among teens points to the same factors that drive delinquency – family conflicts, negative peers, low school involvement, etc. – and these are the issues that FFT and MST address.

Can Service Providers share the results of drug screens with POs?

No. Providers do NOT share results of drug screens – it remains the responsibility of the DJJ probation officers to collect drug screens if they are necessary to monitor drug use per the terms of a youth’s probation orders. (The primary purpose of any screens or monitoring that families do as part of treatment is to help the family learn how to monitor and manage these behaviors.)

When are therapy sessions held?

Sessions are held at times convenient for the family to include evenings and weekends

Can DJJ Social Workers or Psychologists refer families?

Yes, however, only in collaboration with the Probation/Parole Officer. The referral would need to be approved by County Supervisor and sent by the Probation staff.

Should program be court ordered?

No, it is not advantageous to getting families to engage and participate in treatment in fact it may hinder the process.

Where are services provided?

All services are provided in the family’s home unless there is a risk issue. In this case virtual options may be used.

What happens if a child/family member or therapist tests positive for COVID?

Therapists will follow CDC Guidelines to reduce risk of spreading virus and to determine when it is appropriate to resume in-home sessions. Families who are unable to have in-home sessions due to exposure may participate in virtual sessions if necessary.

Is it appropriate to send referrals of youth who are in detention, long-term commitment or other out-of-home placements?

Yes, on a case-by-case basis as long as the youth is within 10 days of release however, our primary focus is youth who are already on active probation/parole.

What happens after a referral is made?

A Therapist will attempt contact with the family to answer any questions about the Program and to schedule the first session. Therapists begin attempting contact with families within 24 hours of receiving the referral.

Can referrals be made for families who are walking in with incorrigible kids?

No, at this time the youth would need to have an open case with DJJ to be referred.

Will referral sources be kept up-to-date on the progress of services?

Yes, DJJ staff will receive weekly census information regarding progress of referrals made. Monthly reports will summarize the progress to date with active families. Therapist may also send informal texts notifying the referral source of progress.

Whom do I contact or where do I go online if I have questions?

Call the SC LEAP Program Manager, Lamar Suber at 803-427-1498 or email lsuber@ebanetwork.com. Also, check out our Frequently Asked Questions page at www.evidencebasedassociates.com/South-Carolina/faq.pdf

I want to refer a youth to LEAP who is also on medication and getting medication management support from DMH -- is this youth going to be eligible for MST or FFT?

Yes, they are eligible, but please contact your local LEAP Provider or Lamar Suber at EBA to discuss, prior to making the referral. For families enrolled in DJJ's LEAP Program, youth who receive medication management support provided by DMH will continue to receive Psychiatric services from a DMH counselor (at their local CMHC) in order to meet DMH requirements for counseling support related to medication management and monitoring.

Alternatively, medication management responsibilities could shift to a pediatrician or primary care doctor as appropriate. DJJ is currently working on partnership with DMH to seamlessly provide services to Families via the SC LEAP Program while not interrupting medication management monitoring services provided by DMH.

S.L. Frazier
Project Director, LEAP Program
sfrazier@ebanetwork.com

Frazier currently serves as the Project Director of the South Carolina LEAP Project bringing over 10 years of professional experience working in the private and public sectors managing a number of Federal, State and Local program/projects. Ms. Frazier has successfully led several large-scale projects implementing various evidence-based models throughout the states of Georgia and South Carolina. She holds a Bachelor of Arts in Sociology from Augusta State University and several certificates from the University of South Carolina.


Lamar Suber
Project Manager, LEAP Program
lsuber@ebanetwork.com

Suber currently serves as the Project Manager of the South Carolina LEAP Project. He brings over 15 years of experience in the Behavioral Health field ranging from laboratory research, inpatient and outpatient community care, residential treatment, and clinical management. Lamar has successfully led several projects implementing various evidence-based models throughout the states of Illinois and South Carolina. He holds a bachelor of arts in Psychology and bachelor of arts in Africana Studies from Binghamton University and a master of arts in Marriage and Family Counseling from Adler University.