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Disproportionate Minority Contact for
        African American and Hispanic Youth:
             The Story Behind the Numbers and the Path to Action

Presentation to Fairfax Board of Supervisors &
Fairfax County School Board

September 18, 2012
2




Today’s Presentation
• Why conduct an analysis in Fairfax?

• What is an Institutional Analysis?

• What did we learn from this Institutional Analysis?

• What’s next?
3




Terminology and Background
• Disproportionality refers to the over- or under-
  representation of a given population group, often
  defined by racial, ethnic, or socioeconomic status

• In the juvenile justice system, disproportionality is
  measured as disproportionate minority contact (DMC) at
  all decision points in their system (i.e. cases referred,
  diverted, probation, detention, etc.)

• In the 1988 Amendments to the Juvenile Justice and
  Delinquency Prevention (JJDP) Act of 1974, Congress
  required that States address DMC in their State plans
4




Regional & State Context
• Disproportionality and disparities exist in neighboring
  localities and at the State level
• Aside from Arlington County, Fairfax County has the highest
  rate for African American referrals to juvenile court.
  ▫ For every one white youth referred, there are 3.78 African
    American youth referred in Fairfax County
  ▫ In Prince William, the rate is 2.41 to 1
  ▫ In Montgomery County, the rate is 4.38 to 1
• Except for Loudoun County, Fairfax has the lowest diversion
  rates for both African American and Hispanic youth
  ▫ For every one white youth diverted from juvenile court in Fairfax,
    .64 and .60 (African American and Hispanic) are diverted
  ▫ In Arlington County, the rates are .75 and 1.76 respectively
  ▫ In Montgomery County, the rate is .87 and .82 respectively
5




Why an Analysis in Fairfax?
• Fairfax County’s has always made efforts to eliminate disparities in outcomes
  for youth and recognize the complexities across institutions and community.
  Continual improvement examples of practices working well include:
  ▫   JDRDC “Youth Assessment Screening Instrument”
  ▫   Opportunity Neighborhood: Mount Vernon pilot
  ▫   Systems of Care reform
  ▫   Positive Behavioral Interventions and Supports (PBIS) school based teams

• A community collaborative Together We’re the Answer engaged stakeholders
  across communities, faith, private and public sectors to further the local
  journey in 2004
  ▫ To reduce disproportionality of African American and Hispanic children and youth
    in Child Welfare & Juvenile Justice systems
  ▫ To eliminate the achievement gap and health disparities

• Despite efforts and rhetorically “race-neutral” policies, disproportionate
  minority contact (DMC) within juvenile justice remains a relevant and
  growing problem
6



Why an Analysis in Fairfax?
• About 3% of youth ages 10 – 17 in Fairfax County are
  referred to Juvenile Court (4,106 of 119,287 – FY 2011)

• African American youth comprise 10% of the County’s
  youth population, yet:
  ▫ 27% of JDRC referrals (1,108 youth)
  ▫ 37% of detention center placements (173 youth)

• Hispanic youth comprise 17% of the County’s youth
  population, yet:
  ▫ 27% of JDRC referrals (1,108 youth)
  ▫ 36% of detention center placements (167 youth)
7



Why an Analysis in Fairfax?
• Disproportionality has been increasing for both African American and
  Hispanic youth at almost every decision making point in the juvenile court
  system
  • In FY 2004, the rate of referral for African American and Hispanic youth was
    2.45 and 1.17 and in FY 2011, these rates were 3.78 and 2.22
  • In FY 2004, the rate of diversion for African American and Hispanic youth was
    .80 and .76 and in FY 2011, these rates were .64 and .60

• DMC is most marked at the initial stage of referral to JDRDC and is most
  dramatic for African American youth

• An African American youth has nearly a four times greater chance than
  his/her white peer to be referred to juvenile court – a Hispanic youth more
  than twice

• African American and Hispanic youth have less than half the chance to be
  diverted – and are more than twice as likely to be detained
8


 What is an Institutional Analysis?
• A diagnostic process used by a trained team to reveal
  the gap between what a youth and their family needs to
  be safe, stable and successful and what institutions are
  actually set up to do

• Grounded in sociology, institutional ethnography

• Ethnographic methods uncover the experience of
  individuals as they encounter institutions and provide an
  understanding of how the organization of institutions
  and the standardized methods of processing people as
  “cases” contributes to problematic outcomes
9




What the IA is NOT

• Not quantitative analysis

• Not an assessment of individual judges, police or
  probation officers

• Not a comparative study

• Not intended to uncover all sources of DMC
10


 What is an Institutional Analysis?
Core Assumptions
• Institutions are designed to ensure consistency
  among staff and limit the influence of
  idiosyncratic worker behavior

• Institutional view of clients is rarely neutral

• Institutional changes can improve outcomes for
  youth and families

• Population specific studies produce valid insights
11




Institutional Analysis Framework

                                         JUVENILE JUSTICE SYSTEM
                                               & PARTNERS


                                                        Mission,
        African                                         Purpose,       Concepts
    American/Hispanic                                   Function         and
   YOUTH & FAMILIES                    Other                           Theories


                                                                                   Education
                                                                                                       OUTCOMES:
    • Strengths/Resources                                                            and       •   No recidivism
    • Challenges                                                                   Training    •   Youth connected to school
    • Risk Taking Behavior   Accountability       • Knowledge of Client(s)
                                                   • Effective Intervention                    •   Youth connected to positive
                                                 • Capacity to Intervene/Act
                                                                                                   adults
                                                                                   Resources   •   Youth engaged positively with
                                                                                                   community
                                Administrative
                                  Practices
    COMMUNITY:
    • Formal and Informal                                               Linkages
                                                   Rules and
      Supports / Resources                        Regulations
    • Constraints
12



IA Data Collection
•   ‘Big Picture’ Interviews with Leadership (37)
•   Case based analysis (8 youth – included 71 interviews)
•   Work Practice Interviews (71)
•   Observations (23)
•   Youth and Parent interviews / focus groups (11)
•   Practitioner Focus Groups (4)
•   Text Analysis (70 case records)
•   Policy Analysis
13




IA Data Collection
       N= 179 interviews and focus groups
14


    Phases of the Fairfax IA Process
• Initial Planning and Preparation
    ▫ Identify and Train Internal Investigative Team
• Map Key Decision Points of Institutional Intervention
• Data Collection
    Phase I – African American Lived Experience
    Phase II – Latino Lived Experience
•   Analyze Information
•   Identify Opportunities for Improvement
•   Communicate Findings
•   Identify Mechanisms to Support Local Action Plan
•   Implement Action Plan
15



What We Learned from the IA
Shared by African American and Hispanic Youth and Families

• Theme 1: Publicly available preventive services do not consistently
  meet the broad range of needs of African American and Hispanic
  youth and families.
• Theme 2: Youth who become involved with the courts frequently
  have mental health, substance abuse and special education needs,
  and earlier interventions to address these needs have either not
  occurred or not been sufficient.
• Theme 3: A common, cross-system vision promoting the well-being
  of youth and families and emphasizing collaborative work with
  families has not been fully developed and implemented. As a result,
  families experience uncoordinated teams, assessments and case
  plans.
16



What We Learned from the IA
Shared by African American and Hispanic Youth and Families


• Theme 4: Approaches to working with families are often based on
  operational requirements of the system—that is, the system
  privileges its need for efficiency over the individual needs of
  families.
• Theme 5: Most youth involved with juvenile court are also
  struggling in school. System interventions do not consistently
  support youth in remaining connected to and completing school.
17



        What We Learned from the IA
              Specific to Hispanic Youth and Families
• Theme 6: The mixed documentation status of many Hispanic
  households creates unique needs for this population and often
  compromises a family’s ability to access prevention services.

• Theme 7: School truancy is often a warning sign of significant needs of
  the youth and family. Interventions around school truancy issues of
  Hispanic youth do not necessarily account for and meet the underlying
  needs of youth and are therefore unsuccessful resulting in youth
  becoming more involved in the juvenile court system.

• Theme 8: Interventions do not take into account the language barriers
  and cultural barriers experienced by some Hispanic families who were
  newer to the United States.
18



  Opportunities for Improvement
• Findings illustrate the complexity of
  addressing DMC and that DMC is not solely
  caused by - nor solved by - the juvenile justice
  system

• Changes and actions are required within
  communities and other public systems
19



Opportunities for Improvement
 • Improve cross-systems data capabilities
 • Change the way County institutions are organized
     ▫ Align partner missions and functions into overarching
       County goals
     ▫ Revise administrative procedures and protocols
     ▫ Expand and tailor resources
 •   Strengthen systems of accountability
 •   Expand knowledge and skills
 •   Enhance partnerships and linkages
 •   Conduct additional analyses
20




Next Steps Discussion
21




Additional Data and Information
• The IA serves as beginning point of analysis, not an
  exhaustive investigation
• Other County and School data will inform our actions
  ▫ Youth Survey
  ▫ Graduation Task Force Report
  ▫ Community School Linked Services unified assessments
• Promise Scorecard will begin to collect data across the
  systems in Opportunity Neighborhood
22


Change Framework
    Strategic Action Levels                        Change Mechanisms

 Influence Policy & Legislation             Successful Children & Youth Policy Team

                                                    Regional Change Team(s)
Change Organizational Practices                  Dialogue with Directors Series

                                                    Individual Agency Actions
 Foster Coalitions & Networks                                DDPET

                                            Opportunity Neighborhood: Mt Vernon
      Educate Providers                        DDPET & Ambassador Program

Promote Community Education                  DDPET, Community & All Stakeholders

     Strengthen Individual                       Community & All Stakeholders

      Knowledge & Skills
                Change Framework Source : Prevention Institute’s Spectrum of Prevention
23

Organizing for Improvements
              Influencing Policy and Legislation

• Successful Children and Youth Policy Team (SCYPT)
  ▫ Provides the leadership, vision, and strategy needed to
    enhance the well-being and resilience of children and
    youth

       Shared vision for positive youth outcomes
       Capacity to address shared policy issues
       Shared accountability
       Balanced Membership comprised of Human Services,
        Police, Schools, Community, Youth and Parents
24

Organizing for Improvements
Change Organizational Practices - Foster Coalitions & Networks
- Educate Providers
  • Disproportionality and Disparity Prevention and
    Elimination Team (DDPET)
    ▫ Facilitate Dialogue with Directors
    ▫ Link and support Regional Change Teams
    ▫ Track and connect agency specific and system wide
      initiatives
    ▫ Provide workforce development actions on
      disproportionality and disparity
25


Organizing for Improvements
Change Organizational Practice – Promote Community Education

• Regional Change Team(s)
   ▫ Membership comprised of community based
     organizations, faith groups, county and schools
     providers
   ▫ Neighborhood based change teams
      Start-up in Opportunity Neighborhood
   ▫ Apply a deliberate change model to pilot and measure
     impact of incremental changes
   ▫ Identify policy issues for the SCYPT
26


Organizing for Improvements
Change Organizational Practices – Promote Community Education


• Individual Agencies
   ▫ Examine the implications of the IA findings for your
     agency’s policies and practices
   ▫ Examine how your agency’s policy and practices
     potentially influenced the IA findings
   ▫ Identify and monitor agency specific disproportionality
     and disparity initiatives
   ▫ Participate in cross-system initiatives
27



Communication Plan: IA Findings
• CSSP & Fairfax County Joint Report

• Internal Communications
  ▫ Board of Supervisors & School Board
  ▫ Human Services, Police and School Leadership
  ▫ Human Services, Police and School Staff

• Community
  ▫ Target groups include
        Annandale Round Table
        Minority Student Achievement Oversight Committee
        Opportunity Neighborhood Governance Team
        Partnership for Youth
        Together We’re the Answer
        United Prevention Coalition
28



Disproportionate Minority Contact for
African American and Hispanic Youth:
The Story Behind the Numbers and the Path to Action

 Report contains:

 • Additional data
 • Discussion regarding how each theme emerged
   through the analysis
 • Opportunities for Improvement strategies
 • Appendix C contains a growing inventory of
   initiatives targeting supports for African American
   and Hispanic Populations
29




Questions and Dialogue

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Disproportionality Presentation to BOS and FCPS

  • 1. Disproportionate Minority Contact for African American and Hispanic Youth: The Story Behind the Numbers and the Path to Action Presentation to Fairfax Board of Supervisors & Fairfax County School Board September 18, 2012
  • 2. 2 Today’s Presentation • Why conduct an analysis in Fairfax? • What is an Institutional Analysis? • What did we learn from this Institutional Analysis? • What’s next?
  • 3. 3 Terminology and Background • Disproportionality refers to the over- or under- representation of a given population group, often defined by racial, ethnic, or socioeconomic status • In the juvenile justice system, disproportionality is measured as disproportionate minority contact (DMC) at all decision points in their system (i.e. cases referred, diverted, probation, detention, etc.) • In the 1988 Amendments to the Juvenile Justice and Delinquency Prevention (JJDP) Act of 1974, Congress required that States address DMC in their State plans
  • 4. 4 Regional & State Context • Disproportionality and disparities exist in neighboring localities and at the State level • Aside from Arlington County, Fairfax County has the highest rate for African American referrals to juvenile court. ▫ For every one white youth referred, there are 3.78 African American youth referred in Fairfax County ▫ In Prince William, the rate is 2.41 to 1 ▫ In Montgomery County, the rate is 4.38 to 1 • Except for Loudoun County, Fairfax has the lowest diversion rates for both African American and Hispanic youth ▫ For every one white youth diverted from juvenile court in Fairfax, .64 and .60 (African American and Hispanic) are diverted ▫ In Arlington County, the rates are .75 and 1.76 respectively ▫ In Montgomery County, the rate is .87 and .82 respectively
  • 5. 5 Why an Analysis in Fairfax? • Fairfax County’s has always made efforts to eliminate disparities in outcomes for youth and recognize the complexities across institutions and community. Continual improvement examples of practices working well include: ▫ JDRDC “Youth Assessment Screening Instrument” ▫ Opportunity Neighborhood: Mount Vernon pilot ▫ Systems of Care reform ▫ Positive Behavioral Interventions and Supports (PBIS) school based teams • A community collaborative Together We’re the Answer engaged stakeholders across communities, faith, private and public sectors to further the local journey in 2004 ▫ To reduce disproportionality of African American and Hispanic children and youth in Child Welfare & Juvenile Justice systems ▫ To eliminate the achievement gap and health disparities • Despite efforts and rhetorically “race-neutral” policies, disproportionate minority contact (DMC) within juvenile justice remains a relevant and growing problem
  • 6. 6 Why an Analysis in Fairfax? • About 3% of youth ages 10 – 17 in Fairfax County are referred to Juvenile Court (4,106 of 119,287 – FY 2011) • African American youth comprise 10% of the County’s youth population, yet: ▫ 27% of JDRC referrals (1,108 youth) ▫ 37% of detention center placements (173 youth) • Hispanic youth comprise 17% of the County’s youth population, yet: ▫ 27% of JDRC referrals (1,108 youth) ▫ 36% of detention center placements (167 youth)
  • 7. 7 Why an Analysis in Fairfax? • Disproportionality has been increasing for both African American and Hispanic youth at almost every decision making point in the juvenile court system • In FY 2004, the rate of referral for African American and Hispanic youth was 2.45 and 1.17 and in FY 2011, these rates were 3.78 and 2.22 • In FY 2004, the rate of diversion for African American and Hispanic youth was .80 and .76 and in FY 2011, these rates were .64 and .60 • DMC is most marked at the initial stage of referral to JDRDC and is most dramatic for African American youth • An African American youth has nearly a four times greater chance than his/her white peer to be referred to juvenile court – a Hispanic youth more than twice • African American and Hispanic youth have less than half the chance to be diverted – and are more than twice as likely to be detained
  • 8. 8 What is an Institutional Analysis? • A diagnostic process used by a trained team to reveal the gap between what a youth and their family needs to be safe, stable and successful and what institutions are actually set up to do • Grounded in sociology, institutional ethnography • Ethnographic methods uncover the experience of individuals as they encounter institutions and provide an understanding of how the organization of institutions and the standardized methods of processing people as “cases” contributes to problematic outcomes
  • 9. 9 What the IA is NOT • Not quantitative analysis • Not an assessment of individual judges, police or probation officers • Not a comparative study • Not intended to uncover all sources of DMC
  • 10. 10 What is an Institutional Analysis? Core Assumptions • Institutions are designed to ensure consistency among staff and limit the influence of idiosyncratic worker behavior • Institutional view of clients is rarely neutral • Institutional changes can improve outcomes for youth and families • Population specific studies produce valid insights
  • 11. 11 Institutional Analysis Framework JUVENILE JUSTICE SYSTEM & PARTNERS Mission, African Purpose, Concepts American/Hispanic Function and YOUTH & FAMILIES Other Theories Education OUTCOMES: • Strengths/Resources and • No recidivism • Challenges Training • Youth connected to school • Risk Taking Behavior Accountability • Knowledge of Client(s) • Effective Intervention • Youth connected to positive • Capacity to Intervene/Act adults Resources • Youth engaged positively with community Administrative Practices COMMUNITY: • Formal and Informal Linkages Rules and Supports / Resources Regulations • Constraints
  • 12. 12 IA Data Collection • ‘Big Picture’ Interviews with Leadership (37) • Case based analysis (8 youth – included 71 interviews) • Work Practice Interviews (71) • Observations (23) • Youth and Parent interviews / focus groups (11) • Practitioner Focus Groups (4) • Text Analysis (70 case records) • Policy Analysis
  • 13. 13 IA Data Collection N= 179 interviews and focus groups
  • 14. 14 Phases of the Fairfax IA Process • Initial Planning and Preparation ▫ Identify and Train Internal Investigative Team • Map Key Decision Points of Institutional Intervention • Data Collection Phase I – African American Lived Experience Phase II – Latino Lived Experience • Analyze Information • Identify Opportunities for Improvement • Communicate Findings • Identify Mechanisms to Support Local Action Plan • Implement Action Plan
  • 15. 15 What We Learned from the IA Shared by African American and Hispanic Youth and Families • Theme 1: Publicly available preventive services do not consistently meet the broad range of needs of African American and Hispanic youth and families. • Theme 2: Youth who become involved with the courts frequently have mental health, substance abuse and special education needs, and earlier interventions to address these needs have either not occurred or not been sufficient. • Theme 3: A common, cross-system vision promoting the well-being of youth and families and emphasizing collaborative work with families has not been fully developed and implemented. As a result, families experience uncoordinated teams, assessments and case plans.
  • 16. 16 What We Learned from the IA Shared by African American and Hispanic Youth and Families • Theme 4: Approaches to working with families are often based on operational requirements of the system—that is, the system privileges its need for efficiency over the individual needs of families. • Theme 5: Most youth involved with juvenile court are also struggling in school. System interventions do not consistently support youth in remaining connected to and completing school.
  • 17. 17 What We Learned from the IA Specific to Hispanic Youth and Families • Theme 6: The mixed documentation status of many Hispanic households creates unique needs for this population and often compromises a family’s ability to access prevention services. • Theme 7: School truancy is often a warning sign of significant needs of the youth and family. Interventions around school truancy issues of Hispanic youth do not necessarily account for and meet the underlying needs of youth and are therefore unsuccessful resulting in youth becoming more involved in the juvenile court system. • Theme 8: Interventions do not take into account the language barriers and cultural barriers experienced by some Hispanic families who were newer to the United States.
  • 18. 18 Opportunities for Improvement • Findings illustrate the complexity of addressing DMC and that DMC is not solely caused by - nor solved by - the juvenile justice system • Changes and actions are required within communities and other public systems
  • 19. 19 Opportunities for Improvement • Improve cross-systems data capabilities • Change the way County institutions are organized ▫ Align partner missions and functions into overarching County goals ▫ Revise administrative procedures and protocols ▫ Expand and tailor resources • Strengthen systems of accountability • Expand knowledge and skills • Enhance partnerships and linkages • Conduct additional analyses
  • 21. 21 Additional Data and Information • The IA serves as beginning point of analysis, not an exhaustive investigation • Other County and School data will inform our actions ▫ Youth Survey ▫ Graduation Task Force Report ▫ Community School Linked Services unified assessments • Promise Scorecard will begin to collect data across the systems in Opportunity Neighborhood
  • 22. 22 Change Framework Strategic Action Levels Change Mechanisms Influence Policy & Legislation Successful Children & Youth Policy Team Regional Change Team(s) Change Organizational Practices Dialogue with Directors Series Individual Agency Actions Foster Coalitions & Networks DDPET Opportunity Neighborhood: Mt Vernon Educate Providers DDPET & Ambassador Program Promote Community Education DDPET, Community & All Stakeholders Strengthen Individual Community & All Stakeholders Knowledge & Skills Change Framework Source : Prevention Institute’s Spectrum of Prevention
  • 23. 23 Organizing for Improvements Influencing Policy and Legislation • Successful Children and Youth Policy Team (SCYPT) ▫ Provides the leadership, vision, and strategy needed to enhance the well-being and resilience of children and youth  Shared vision for positive youth outcomes  Capacity to address shared policy issues  Shared accountability  Balanced Membership comprised of Human Services, Police, Schools, Community, Youth and Parents
  • 24. 24 Organizing for Improvements Change Organizational Practices - Foster Coalitions & Networks - Educate Providers • Disproportionality and Disparity Prevention and Elimination Team (DDPET) ▫ Facilitate Dialogue with Directors ▫ Link and support Regional Change Teams ▫ Track and connect agency specific and system wide initiatives ▫ Provide workforce development actions on disproportionality and disparity
  • 25. 25 Organizing for Improvements Change Organizational Practice – Promote Community Education • Regional Change Team(s) ▫ Membership comprised of community based organizations, faith groups, county and schools providers ▫ Neighborhood based change teams  Start-up in Opportunity Neighborhood ▫ Apply a deliberate change model to pilot and measure impact of incremental changes ▫ Identify policy issues for the SCYPT
  • 26. 26 Organizing for Improvements Change Organizational Practices – Promote Community Education • Individual Agencies ▫ Examine the implications of the IA findings for your agency’s policies and practices ▫ Examine how your agency’s policy and practices potentially influenced the IA findings ▫ Identify and monitor agency specific disproportionality and disparity initiatives ▫ Participate in cross-system initiatives
  • 27. 27 Communication Plan: IA Findings • CSSP & Fairfax County Joint Report • Internal Communications ▫ Board of Supervisors & School Board ▫ Human Services, Police and School Leadership ▫ Human Services, Police and School Staff • Community ▫ Target groups include  Annandale Round Table  Minority Student Achievement Oversight Committee  Opportunity Neighborhood Governance Team  Partnership for Youth  Together We’re the Answer  United Prevention Coalition
  • 28. 28 Disproportionate Minority Contact for African American and Hispanic Youth: The Story Behind the Numbers and the Path to Action Report contains: • Additional data • Discussion regarding how each theme emerged through the analysis • Opportunities for Improvement strategies • Appendix C contains a growing inventory of initiatives targeting supports for African American and Hispanic Populations

Editor's Notes

  1. Specifically, under the Formula Grants Program, each State must address efforts to reduce the proportion of youth detained or confined in secure detention facilities, secure correctional facilities, jails, and lockups who are members of minority groups if it exceeds the proportion of such groups in the general population. For purposes of this requirement, OJJDP has defined minority populations as African Americans, American Indians, Asians, Pacific Islanders, and Hispanics.
  2. In FY 2005, Montgomery County, MD utilized grant funds to examine how their youth became involved with law enforcement and juvenile justice systems and the decisions made that led to youth being place in secure detention.
  3. This is a national issue and concernTWA’s mission included: Addressing the disproportionality of African American and Hispanic youth in the juvenile justice and child welfare systems – eliminating the achievement gap – and eliminating health disparities. Seizing a grant opportunity of Dept of Criminal Justice Services – we focused in on the front door of the juvenile justice system and moved forward to conduct an institutional analysis
  4. Together, African American and Hispanic youth comprise 74% of the youth population detained and 54% of the referrals to juvenile court In the County populations, these subgroups comprise 27% of youth ages 10 - 17
  5. The IA is grounded in a form of sociology known as institutional ethnography. Institutional ethnography produces “accounts of institutional practices that can explain how workers are organized and coordinated to talk about and act on cases.
  6. Quantitative analysis is used to determine the focus of inquiry – in Fairfax, this emerged as the front door of juvenile justice
  7. standardization
  8. Small sliver unlabeled is “other” and includes 5 interviews with community non-profit (2), local pastor (1), Public Defender office(1) and Commonwealth Attorney’s office (1) Appendix A in the report details all of the data collection activities
  9. Fairfax Investigative Team members came from: Health Department Juvenile and Domestic Relations District Court Neighborhood and Community Services Office for Women and Domestic and Sexual Violence Services Police Department Family Services Office of the County Executive
  10. The findings illustrate the complexity of addressing DMC and that it is not solely caused by – nor solved by the juvenile justice system alone. Rather, changes and actions are required within communities and other public systems. Some findings are generally applicable to youth in Fairfax County, stressing the importance of overall access to preventive services to support families and promote positive youth development. Other findings are more specific to the experiences of African American and Hispanic youth encountered in this study, and very well may apply to other populations.
  11. Change Framework helps us to organize and align multiple strategic levels When multiple levels are worked simultaneously – creates a synergy that produces better results to effect positive, sustainable change