Adolescent Domestic Battery Typology Tool Manual
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Adolescent Domestic Battery Typology Tool Manual Wendy Nussbaum, LCPC Stuart M. Berry, MSW, LISW Shannon Hartnett, M.A. Gina Vincent, Ph.D The preparation of this document was supported by John D. and Catherine T. MacArthur Foundation. Anyone may use the content of this publication as is for educational purposes as often and for as many people as wished. All we ask is that you identify the material as being the property of the John D. and Catherine T. MacArthur Foundation. If you want to use this publication for commercial purposes in print, electronic, or any other medium, you need our permission. If you want to alter the content or form for any purposes, educational or not, you will also need to request permission. © December 2015 Models for Change All young people should have the opportunity to grow up with a good education, get a job and participate in their communities. Creating more fair and effective juvenile justice systems that support learning and growth and promote accountability can ensure that every young person grows up to be a healthy, productive member of society. Models for Change: Systems Reform in Juvenile Justice, a MacArthur Foundation initiative, began by working comprehensively on juvenile justice reform in four states, and then by concentrating on issues of mental health, juvenile indigent defense, and racial and ethnic disparities in 16 states. Through collaboration with the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Office of Juvenile Justice and Delinquency Prevention (OJJDP), Models for Change expanded its reach and its work of replicating and disseminating successful models for juvenile justice reform to 40 states. ABOUT THE AUTHORS Wendy Nussbaum, LCPC, is the Executive Director of Northeast DuPage Family and Youth Services, a communitybased social service agency in Addison, IL. Her agency provides social services to police departments and to youth at risk of involvement in the juvenile justice system. She also serves as the Executive Director of the DuPage Youth Services Coalition and as such, developed and implemented a statewide safety screening process for Illinois’ Comprehensive Community Based Youth Services System (CCBYS). Ms. Nussbaum has a background in family counseling, child welfare and crisis intervention and is the developer of the original concept of the Adolescent Domestic Battery typology matrix. Stuart M. Berry, MSW, LISW is a licensed independent social worker and independent Juvenile Justice Consultant. Since 2008, Mr. Berry has been involved in strategic consulting work, on statewide reform efforts for Juvenile Justice, through both the Casey Foundation and the John D. and Catherine T. MacArthur Foundation. He is the Special Projects Director for the Lucas County Juvenile Court, where he has played an integral role in developing a comprehensive Juvenile Sex Offender Treatment and Management program. Mr. Berry served as the Court Administrator for the Delaware County (Ohio) Juvenile and Probate Court(s) from 1984-2003 and was the Family Court Administrator for Logan County (Bellefontaine, Ohio), from 2003-2006, and involved in the inception of their comprehensive family court. He was involved, through the National Center for Juvenile Justice, for five years in the MacArthur Foundations’ Models for Change process as a lead National Resource Bank consultant for the state of Illinois, developing efforts in three Illinois sites to create model efforts in dealing with youthful family violence offenders. Shannon Hartnett, M.A. is a Program Manager for the 18th Judicial Circuit Court Department of Probation and Court Services in DuPage County, the second most populous county in Illinois. In this capacity, she coordinates the DuPage County Juvenile Justice Council and develops, implements, and evaluates various probation initiatives. Ms. Hartnett previously coordinated the MacArthur Foundation’s Models for Change juvenile justice reform initiative for the 18th Judicial Circuit where she developed and implemented community-based supervision strategies and skill-building programs to divert youth from formal court involvement. She has over 15 years of experience providing grant writing and technical assistance in the development and implementation of policies and programs in the juvenile justice and mental health fields. Gina Vincent, Ph.D. is an Associate Professor and Co-Director of the Law & Psychiatry Program in the Department of Psychiatry at the University of Massachusetts Medical School, Worcester, MA. She also is President of the National Youth Screening and Assessment Project (NYSAP). Dr. Vincent has a strong track record in grant funding for studies relevant to risk for reoffending, mental health problems, and substance abuse among youth involved in the juvenile justice system. She provides technical assistance and training to juvenile justice agencies regarding the selection, development, and implementation of risk assessment tools. WITH ASSISTANCE FROM: Jonathan Clayfield, M.A., LMHC is a licensed mental health clinician and Project Director at the University of Massachusetts Medical School’s Systems & Psychosocial Advances Research Center (SPARC). He currently works for the UMass Law & Psychiatry Program’s National Youth Screening & Assessment Project (NYSAP), a technical assistance and research program dedicated to helping juvenile justice programs identify youths’ needs for behavioral health intervention and risk management. Mr. Clayfield provides trainings and technical support on the MAYSI-2 juvenile mental health screening instrument, and MAYSIWARE, the software version of the MAYSI-2. He has authored/co-authored over 30 peer-reviewed articles and book chapters mostly regarding the diversion of persons with mental illness out of the criminal justice system and into appropriate treatment, as well as on the need for first responders to receive proper crisis intervention and risk management training to successfully resolve crisis situations involving persons with mental illnesses. Ryan Kelly, M.A. is a research intern for the Law & Psychiatry Program in the Department of Psychiatry at the University of Massachusetts Medical School, Worcester, MA. He completed his Masters of Arts in Forensic Psychology at Roger Williams University where he also earned his undergraduate degree in psychology. During his time at Roger Williams University Mr. Kelly has served as a graduate assistant, completed a senior thesis on juror decision making, been active on several research projects and assisted on court order assessments of juvenile offenders. Adolescent Domestic Battery Typology Tool Manual Wendy Nussbaum, LCPC Stuart M. Berry, MSW, LISW Shannon Hartnett, M.A. Gina Vincent, Ph.D With assistance from: Jonathan Clayfield & Ryan Kelly Executive Summary There has been an increase in the number of youth referred to the juvenile justice system for charges related to abusing their parents. The Adolescent Domestic Battery Typologies Tool (ADBTT) was developed over the span of five years to provide a greater understanding of these youth. It was designed using a combination of the available research literature, a multi-site validation study, and clinical experience to fill a niche in the assessment of a population that has not been well understood. This assessment tool provides a structured framework to help inform case processing, dispositional, and treatment decisions based on an assessment of youths’ risk for future Adolescent Domestic Battery (ADB). Implementation of the ADBTT early in the juvenile justice process should lead to diverting the “right” youths away from formal processing with minimum intervention. Significance and Benefits The increasing prevalence of ADB has prompted more research and thinking around this issue in order to understand the underlying dynamics and identify the most effective services and supports to help both youth and their families. Typical responses to ADB rely on the adult intimate partner violence model, which typically favors separation of the parties and sole blame on the perpetrator. These responses fail to treat ADB as a family systems issue by focusing only on the youth and often place unnecessary strain on detention facilities and out of home placements. Indeed, there are many aspects of an adolescent’s abuse on a parent that differ from domestic violence directed towards an intimate partner on which many of our policies were based. In many families, ADB involves a pattern of aggression between the same parties (family members) in which there is not always a clear delineation between the victim and perpetrator, even within the same incident. The violence can appear reciprocal. Frequently it is the family that defines ADB and determines if it has occurred. Family expectations around acceptable behavior and the current situation may impact how behavior is identified and reported. Similarly, the dynamics of ADB differ from other forms of youth aggression (e.g., fighting, bullying, gang violence) because the youth has an emotional connection between himself and his victim, creating ambivalence over his or her feelings and his or her behavior. This connection, as well as the family’s living arrangements, makes it difficult for the parties to separate, both emotionally and physically. In sum, ADB is a unique form of aggression and requires a specialized assessment that can guide the appropriate course of action. With generous support from the MacArthur Models for Change (MfC) Initiative, three Illinois counties (Cook, DuPage, Peoria) set forth to develop and implement improved system responses to youth involved in domestic conflict and their families. Juvenile justice stakeholders in each of these counties found that the traditional approach of utilizing detention and formal court involvement was an ineffective means of achieving safety and holding youth accountable and did not adequately address the unique characteristics of ADB. In Illinois, for example, stakeholders found that despite 99% of these incidents resulting in either no injury or only minor injury, these youth were being placed into detention at nearly twice the rate of other offenders and were formally processed by the court at higher rates (Hartnett et al., 2012). GUIDING PRINCIPLES The development of this tool was guided by a number of important principles: • ADB youth are different than adults engaged in intimate partner violence; • Not all youth who enter the system for ADB are the same; • ADB is predominantly a family problem rather than a youth-specific problem; • Many of these youth suffer from mental health issues or are entangled in ongoing family cycles of violence and neglect, substance abuse, and criminal involvement; • There are too few alternatives to formal system involvement or secure detention; and vii • Based on actual risk of harm to others, some of these youth and families do not belong in the “delinquency” system at all. BENEFITS It is our hope that implementation of the Adolescent Domestic Battery Typologies Tool will result in: • Increased use of diversion for youth who are charged with ADB with the “right” youth being diverted away from formal processing; • Decreased use of detention as a means for separating youth from their parents; and • Matching youth to appropriate interventions based on their characteristics (or ‘typology’) as opposed to ‘one size fits all’ treatment. Purpose and Use of the ADBTT The ADBTT allows for increased understanding of the differences among youth in this population along a risk continuum. The ADBTT is a reliable and valid tool that was designed to aid in dispositional and treatment planning by identifying youth at risk of committing another act of domestic battery. This innovative tool assigns youth to one of four distinct typologies, providing a framework to match dispositional responses with a youth’s risk level and characteristics in order to achieve better outcomes. The typologies are as follows: • Defensive – any violence (not just the current incident) directed toward the parent has been in response to a physical threat by the parent. • Isolated incident – violence was an isolated event of aggression born out of atypical family or individual stress. Without such stress youth may have chosen a more appropriate conflict resolution. viii Risk Assessment in Juvenile Justice: A Guidebook for Implementation • Family Chaos – a pattern of events in which the youth’s behavior predictably spirals to the point of aggression in order to obtain his or her purposes and is characterized by inconsistent and unclear parental authority. • Escalating – a pattern of behavior designed to intimidate, control and coerce the parent into giving into the youth’s demands and ultimately to shift parental authority to the youth, effectively establishing the youth in a position of control over the parent. By assigning youth to the typologies, the ADBTT provides the basis for recognizing that all youth who commit domestic battery do not have the same risk level to reoffend and should be given different responses and interventions. For example, the continuum of classification categories identifies youth who could be effectively handled through system diversion. The assessment of risk may also be used to address level of supervision requirements for probation as well as potential out of home placement needs, including level of safety/security that is necessary. Where Should It Be Implemented? The ADBTT is designed as a pre-dispositional assessment instrument for use in juvenile justice settings. As such, it can be used at the time of arrest, upon admission to detention, in alternative domestic violence or crisis center settings, or as part of the court or probation intake process. Although the ADBTT can be used post-adjudication, it is recommended that the ADBTT be used pre-adjudication in order to assist in making diversion decisions prior to adjudication, as well as later dispositional decisions where applicable. In some situations, the tool can also be used postdisposition, via a referral from the Court, when family violence has been identified as an issue in the dispositional or probation process. Although the tool was developed and validated for use in juvenile justice settings, it has the potential to be used in other related clinical and social service settings that deal with family violence, such as crisis centers, community mental health/family counseling agencies, and child welfare settings. Who Is Eligible for Use? How Was It Developed? The tool is appropriate for use with youth being charged with an act of family violence against a parent or caregiver. There may be occasions, however, when the nature of the situation (e.g., a mental health crisis, traumatic emotional or physical injury, or alcohol/drug impairment) may render an immediate assessment of this type impractical. The development of the Adolescent Domestic Battery Typologies Tool was a product of the MfC Initiative, funded by the John D. and Catherine T. MacArthur Foundation (Grant #13-103826-000-USP). The tool was created by the authors (a group of individuals working with youth charged with adolescent domestic battery), with the assistance of the National Youth Screening & Assessment Project (NYSAP), a technical assistance and research group dedicated to helping juvenile justice programs implement screening and assessment tools to identify youths’ needs for behavioral health intervention and risk management. How Is It Completed and What Are the Resource Requirements? The ADBTT is comprised of 30 items falling within eight domains. Items are rated based on a short interview with the youth, an interview with the parent, and collateral information (e.g., police reports, criminal and social histories, child welfare system records). The ADBTT may be supplemented with mental health screening, drug and alcohol screening, and screening of trauma-related symptoms as resources permit. The tool was designed to be administered by a wide variety of professionals, regardless of licensure; however, assessors should demonstrate competencies in adolescent development and family systems, motivation interviewing and basic trauma principles. The tool developers recommend assessors complete a specialized training workshop for the ADBTT but this is not required. Training can be requested through the NYSAP website at www.NYSAP.com. The ADBTT manual is available for download free from www.NYSAP.com or http://www.modelsforchange.net/ publications/index.html. It summarizes the research on adolescents who abuse their parents, describes the development and validation of the ADBTT, explains how to administer and score the tool, and can be used to guide the implementation of the ADBTT in a juvenile justice or other child and family service setting. The items of the ADBTT were originally written based on years of clinical observation and experience with these families as well as small scale pilot research study. The final version of the ADBTT was based on findings from the ADBTT Validation Study conducted in six jurisdictions across the US. This study has the largest reported sample of youth who have been arrested for an act of domestic battery toward a parent. The final tool and typologies were generated based on factor analysis and the items were all tested for their inter-rater reliability to ensure different types of assessors could rate the items of the assessment consistently. The sample of youth was tracked for an average of 10.6 months to determine whether the typologies validly predicted who was most likely to be charged with another act of domestic battery or to reoffend generally. The researchers also explored other characteristics of these typologies, such as whether they had mental health issues or a history of traumatic experiences. The ADB Typologies are significant predictors of new charges for domestic violent acts. Youth falling into the Family Chaos and Escalating Types were significantly more likely to receive new petitions for a domestic violent act than the Defensive and Isolated Types. A progressive risk score (PRS) is also calculated. The PRS is an accurate indicator of individual youth in the lower risk Types who may progress in their risk level and commit domestic acts again if they do not receive intervention. ix What Is the Value Added? There are many screening and assessment tools available for use in juvenile justice settings to identify various types of behavioral health needs (e.g., mental health screening, potentially traumatic events screening) and to assess risk of reoffending. Before developing and releasing yet another tool into the juvenile justice field, it was important to determine whether the tool provided any unique information that the juvenile justice system would not get from other tools used in routine practice. The use of multiple tools in a juvenile justice setting, particularly in an early setting such as pre-adjudication intake, is essential but the number of tools should be kept to a minimum. Therefore, new tools are only necessary if the tool is filling an important gap. The most important question in this context was whether the ADBTT added any value to general risk assessment tools for reoffending that are already used widely by juvenile justice agencies. The ADBTT was compared to several other popular and valid risk assessment tools (e.g., YASI, OYAS, ARNA) in its ability to predict youth who received new petitions for acts of domestic violence. The ADBTT improved upon regular risk assessment tools with respect to predicting new domestic battery-related offenses because it was more discriminating. In addition, the information gathered for the ADBTT is more specific to ADB risk than a risk assessment tool for general reoffending, and therefore, should be better equipped to guide the appropriate ADB-related service modalities. x Risk Assessment in Juvenile Justice: A Guidebook for Implementation Table of Contents Section 1- Using the ADBTT Chapter 1: Introduction to the ADBTT....................................................................................................... 1 Literature Review...................................................................................................................................................... 1 History of the Adolescent Domestic Battery Typologies Tool (ADBTT).......................................................... 3 Need for the ADBTT ................................................................................................................................................. 6 Considerations for the use of the ADBTT ............................................................................................................. 7 Where should it be implemented?........................................................................................................................ 7 Who is eligible for use?........................................................................................................................................ 7 What are the legal considerations?.................................................................................................................... 10 What are the resources needed and the costs?................................................................................................. 11 How does an agency implement an assessment system?................................................................................. 12 Chapter 2: Introducing the Typologies and Domains........................................................................ 13 Guiding Principles.................................................................................................................................................. 13 The ADBTT Typology Graph ............................................................................................................................... 15 The ADBTypologies................................................................................................................................................. 16 Defensive Typology............................................................................................................................................. 16 Isolated Incident Typology................................................................................................................................... 16 Family Chaos Typology........................................................................................................................................ 17 Escalating Typology............................................................................................................................................. 18 Determining the Progressive Nature of the ADB Typologies.......................................................................... 19 The ADBTT Domains .............................................................................................................................................. 20 Domain 1: Scope of ADB .................................................................................................................................... 20 Domain 2: Parent Authority................................................................................................................................. 21 Domain 3: Predictability of Event........................................................................................................................ 24 Domain 4: Triggers to Violence .......................................................................................................................... 25 Domain 5: Behavioral Intent .............................................................................................................................. 27 Domain 6: Youth AttitudeToward Violence ........................................................................................................ 29 Domain 7: Youth Attitude Toward Change ......................................................................................................... 31 Domain 8: Parent’s Concern................................................................................................................................ 33 Chapter 3: Scoring the ADBTT .................................................................................................................. 35 General Instructions for Gathering Information................................................................................................ 35 Handling Issues That Arise................................................................................................................................... 36 Instructions for Completing the ADBTT.............................................................................................................. 36 Chapter 4: Responding to Typology Scores .......................................................................................... 41 Matching Typologies with Interventions.............................................................................................................41 Systems Responses ........................................................................................................................................... 41 Treatment Responses ......................................................................................................................................... 43 Section 2-Development of the ADBTT: A Technical Report Chapter 5: The ADBTT Validation Study: Identification of the Typologies ...........................45 Description of Sites ................................................................................................................................................45 Description of the Sample......................................................................................................................................46 Chapter 6: Psychometric Properties and Reliability ..........................................................................51 ADBTT Scoring Procedures...................................................................................................................................51 Inter-Rater Reliability..............................................................................................................................................51 Identifying the ADB Typologies Using Factor Analysis.....................................................................................52 Gender and Race/Ethnicity Differences...............................................................................................................53 Progressive Risk Score ..........................................................................................................................................54 Concurrent Validity: Correlates With The ADB Typologies Tool.....................................................................55 ADB Typologies and Potentially Traumatic Experiences .................................................................................... 55 ADB Typologies and Behavioral or Mental Health Problems............................................................................. 56 Chapter 7: The ADBTT and Risk for Reoffending.................................................................................59 ADB Typologies and Risk for Reoffending Assessment Tools.........................................................................59 Rates of Reoffending ...............................................................................................................................................60 ADB Typologies and Reoffending..........................................................................................................................61 Progressive Risk Score and Reoffending............................................................................................................62 General Risk Assessment Tools and Reoffending.............................................................................................62 Does the ADBTT Detect Who Is Likely to Have a Future ADB Charge?.........................................................63 Do the ADB Typologies Detect Who Is Likely to Have a Future ADB Charge Better Than General Risk Assessment Tools?........................................................................................................64 Interventions, ADB Types and Reoffending.........................................................................................................64 Services Youth Received........................................................................................................................................65 References ......................................................................................................................................................67 Appendices ......................................................................................................................................................69 A. Literature Review of Prevalence Studies on Adolescent Domestic Battery...........................................71 B. The Adolescent Domestic Battery Typologies Tool......................................................................................73 C. Introductory Script and Suggested Interview Questions ............................................................................79 D. Inter-Rater Reliability for Original ADBTT Items...........................................................................................83 Chapter 1 SECTION 1 USING THE ADBTT xiii CHAPTER 1: Introduction to the ADBTT LITERATURE REVIEW Terminology Youth violence toward a parent was first identified as “battered parent syndrome” by Harbin and Madden in 1979. Now there seems to be varied, yet interchangeable terminology used to describe this long standing, but historically hidden problem (Holt, 2013). In this manual, the term “Adolescent Domestic Battery” (ADB) is used to encompass family crisis or violence that results in police contact and possible delinquency system involvement for a young person. Youth may be charged with domestic battery against a parent, caregiver or sibling, or the youth may be charged with a different offense connected to the family conflict (Hartnett S., et al., 2012)1. Prevalence Research estimates the number of adolescents who have hit their parents at least once as ranging anywhere from 3-20% (Cornell & Gelles, 1982; Ulman & Straus, 2003; Snyder & McCurley, 2008). However, ADB prevalence research has typically been small in scale, qualitative, and based almost exclusively on self-report, all of which limit the conclusions that can be drawn. Research has been conducted with both community samples and juvenile justice data but the true prevalence level among the general population is likely underestimated (Condry & Miles, 2013; Holt, 2013). Further, prevalence estimates are inconsistent because youth violence toward parents has not been clearly delineated as a form of family violence (e.g. Estevez & Gongora, 2009; Walsh & Krienert, 2008; Buel, 2002; Kethineni, 2004; Ulman & Straus, 2003; Cornell & Gelles, 1982). A sample of some of the major studies conducted on adolescent to parent violence and their key findings regarding prevalence is provided as Appendix A. Offender Demographics As cited in Holt (2013), studies estimate that males represent between 58% and 87% of the perpetrators of violence against parents (Kethineni, 2004; Snyder & McCurley, 2008; Walsh & Krienert, 2008; Condry & Miles, 2013); which suggests that some have found little to no gender differences among youth arrested for assaulting their parents (e.g. Cornell & Gelles, 1982; Gebo, 2007; Strom, et al., 2010). In fact, Strom (2010) concludes that any gender gap that may exist is narrowing. In Holt’s (2013) review of several recent studies, she found that the mean age of parent abuse offenders in the juvenile justice system is 15 (see Kethineni, 2004; Gebo, 2007; Walsh & Krienert, 2007; Strom et al. 2010). Condry and Miles’ (2013) study of 1,892 cases reported to London Police in 2009-2010 found that the mean age of male juvenile offenders was slightly older at 16.4 years. Studies have also found a steady decline in the overall rate of violence toward parents as youth age (Ulman & Straus (2003). 1 This terminology was derived by practitioners in Illinois using state criminal statute as a reference (750 ILCS 60) in order to help foster a common understanding of the issue. 1 Chapter 1 Evidence is inconclusive regarding the association between parent abuse and social class, ethnicity, and previous offending (Holt, 2013). Some studies suggest that a majority of perpetrators and victims are White (Condry & Miles, 2013; Walsh & Krienert, 2009; Snyder & McCurley, 2008). Routt and Anderson (2011), however, reported an overrepresentation of African Americans in the sample of cases reported to King County, Washington’s juvenile court. Phillips and Bowling’s research, as cited in Condry and Miles (2013), suggests this may be a result of the overrepresentation of young black offenders across the juvenile justice system. Other studies have found no significant relationship between ethnicity and violence toward parents (Cornell & Gelles, 1982; Gebo 2007). Victim Demographics Mothers are found to be the victims of most parental abuse in juvenile justice, clinical, and community samples (Kethineni, 2004; Walsh & Kreinert, 2009; Gebo, 2007; Cornell & Gelles, 1982; Snyder & McCurley, 2008; Strom et al., 2010; Routt & Anderson, 2011; Condry & Miles 2013). Kethineni (2004) articulates possible reasons for mothers’ likelihood of abuse, including their physical size and increased opportunity for victimization based on the fact that most youth live with their mothers. Other research suggests that since mothers engage in more limit setting and supervision than fathers, they are more likely to be targets of adolescent violence (Ulman & Straus, 2003). As Holt (2013) notes, studies that have drawn on clinical data, juvenile justice data, and survey data tend to have identified a mean age for parents victimized by their children at 41-50 years. Many studies have found that most of the victims of parent abuse were White (Walsh & Krienert, 2009; Strom et al., 2010; Condry & Miles, 2013). Level of Severity There is very little research on incident severity in parent abuse cases. However, available research shows a low level of injury compared with adult domestic assaults (Condry & Miles, 2013; Snyder & McCurley, 2008). Condry & Miles (2013) further stress that a significant proportion of parents reporting violence from their children to the police are male, and they tend to report more serious levels of violence than female victims. Some research finds that girls are more likely to be reported for assault with minor injury and boys more likely to be reported for criminal damage to property (Condry & Miles, 2013; Walsh & Krienert, 2007). Pathways to ADB Research describes intrapersonal, interpersonal, intra-familial, and structural explanations for parent abuse, which may include witnessing intimate partner violence, parenting style, family conflict, mental health issues, substance abuse, child abuse, poverty, stress, negative peer influence, and lack of social supports (Holt, 2013; Condry & Miles, 2013; Howard, 2011; Estevez & Gongora, 2009; Agnew & Huguley, 1989). However, while familial and sociological perspectives are slowly starting to permeate explanations of parental abuse, psychological models citing mental illness, personality disorders, and effects of substance abuse still underpin most responses to this type of violence (Bobic, 2004; Holt, 2013). Holt (2013) asserts that an analysis of parenting practices (e.g. supervision, discipline) provides the most dominant explanation of parent abuse, both scientifically and practically. This is largely based on Baumrind’s research where he identified three consistent parenting styles: authoritarian, authoritative, and permissive (see 1966, 1967). For example, when 2 Adolescent Domestic Battery Typology Tool Manual Chapter 1 parents cannot effectively enforce the rules, children exhibit aggression toward their parents to gain power and control to replace ineffective parenting. Violence can become normalized and serve as a method of communication (Holt, 2013). Parent abuse can also serve as a way for the youth to adapt to abusive treatment from parents (Brezina, 1999; Kethineni, 2004). Growing up with violence in the home can have a powerful, lasting effect on the way we respond emotionally and cognitively to difficult situations (Routt & Anderson, 2015). As Estevez and Gongora (2009) explain, these youth are simultaneously considered victimizers and victims. Relationship of Adolescent Domestic Battery to Other Forms of Family Violence Routt and Anderson (2015) assert that parent abuse is different from other types of abuse in three distinct ways. First, social and cultural norms support parental power and control over their children for important reasons. They argue that other social norms may support abuse and violence, but they are not part of the role of the child in a family. Secondly, parents are legally and morally responsible for their children and want to grow closer to their child, even after being victimized by them. Victims of partner abuse have the possibility and sometimes the resources to separate from the abuser, while parents often do not. And thirdly, parents often seek outside help, sometimes from police, because of growing concern that their child will continue to use violence in other settings and relationships. Routt and Anderson (2015) further argue that the patterns of parent abuse as well as the types of abuse are markedly different from intimate partner violence. For example, it is uncommon for youth to engage in patterns of: possessiveness, jealously, intrusiveness, and attempts to isolate their parent; all of which are characteristic of violent intimate partner relationships. Further, youth do not typically seek to control the family finances by restricting the financial freedom of their parent as is customary in intimate partner abuse. Despite critical differences, Routt and Anderson (2015) find that parent abuse does parallel intimate partner violence in that the various behaviors exhibited by youth have the effect of usurping a parent’s power in the family. They explain that some teens use abuse or violence in isolated and extreme circumstances, while others develop patterns of abusive behavior that undermine their parent’s decision making authority and challenge limits and consequences. Routt and Anderson do acknowledge, however, that most teens find healthy and non-violent ways to obtain independence. HISTORY OF THE ADOLESCENT DOMESTIC BATTERY TYPOLOGIES TOOL (ADBTT) With generous support from the MacArthur Foundation’s Models for Change (MfC) Initiative, three Illinois counties (Cook, DuPage, Peoria) set forth to develop and implement improved system responses to youth involved in domestic conflict and their families. Since 2006, these sites have demonstrated how police, juvenile court, probation, and community-based service providers can collaboratively provide safe and economical alternatives to secure detention and system penetration. These reforms were driven by juvenile justice stakeholders in each of these counties who found that the traditional approach of utilizing detention and formal court involvement was an ineffective means of achieving safety and holding youth accountable and did not adequately address the unique characteristics of ADB. In DuPage County for example, stakeholders found that despite 99% of these incidents resulting in either no injury or only minor injury, stakeholders found that these youth were being placed into detention at nearly twice the rate of other offenders and were formally processed by the court at higher rates (Hartnett, et al; 2012). Notably, data revealed that these youth were also being re-arrested more quickly than youth charged with other offenses. 3 Chapter 1 Key stakeholders from each of these three counties met a number of times to examine local and state-level data as well as discuss their anecdotal experiences working with these youth and families. These discussions prompted the careful consideration of the following findings in the creation of a more appropriate and impactful response to youth charged with domestic battery: • Focusing on a youth’s behavior alone did not resolve the underlying family needs or dynamics; • A DB is different than intimate partner violence so assuming a youth was a “domestic batterer” in development was not always accurate or useful; • Y outh entering the system for ADB were a heterogeneous group and there was too little known about what was actually occurring with families experiencing this problem; • M any of these youth often suffered from mental health issues or were entangled in ongoing family cycles of violence and neglect, substance abuse, and criminal involvement; • There were too few alternatives to formal system involvement or secure detention; and • Based on actual risk of harm to others, some of these youth and families did not belong in the “delinquency” system at all. These anecdotal experiences were strongly supported by the small, but growing, research on ADB (see Literature Review). In 2009, this prompted Wendy Nussbaum, Executive Director of Northeast DuPage Family and Youth Services (NEDFYS), to create a conceptual tool to categorize the differences among youth entering the juvenile justice system on domestic related charges. Stuart Berry and Hunter Hurst, two consultants from the National Center for Juvenile Justice (NCJJ) and lead MfC consultants in Illinois, took note of the potential this conceptual framework had to provide a more effective way of working with these kids and families. Over the next year, this tool was refined and pilot tested with domestic battery cases in the three Illinois MfC sites. Over a period of six months, the NCJJ consultants reviewed approximately 150 files in order to retroactively apply the tool. These file reviews clearly demonstrated the tool’s conceptual validity in that youth seemed to fall roughly into one of the five originally conceived categories. As a result, the tool was further refined over the next 18 months based on both an informal study of ADB cases and on continuing clinical experience led by the ADB Consortium, which included Wendy Nussbaum, Stuart Berry, Hunter Hurst, and Shannon Hartnett. In 2010, with promising findings from this initial inquiry, NCJJ consultants contacted Dr. Gina Vincent of the National Youth Screening and Assessment Project (NYSAP) to develop a pilot validation study of the tool. NYSAP researchers partnered with local practitioners to gather a random sample of 89 youth (31 females and 58 males) charged with domestic battery in 2012 using court files from DuPage and Cook counties. The study was designed to take an initial look at whether there was any validity to the composition of the typologies (using factor analysis) and whether some types were more likely to reoffend than others. The initial factor analysis indicated that there appeared to be five typologies as originally conceived but the sample was too small to draw conclusions. It was also clear that these typologies differed in their likelihood of committing another act of domestic violence and in their needs for intervention. This very basic validation process showed significant promise for the tool’s applicability to ADB cases but revision and validation with a larger sample was required. 4 Adolescent Domestic Battery Typology Tool Manual Chapter 1 In 2013, The MacArthur Foundation funded NYSAP and the ADB Consortium to conduct a large-scale study in multiple jurisdictions to refine and validate the ADB Typologies Tool in the field. The ADBTT Validation Study was designed to ensure the tool was valid for use across jurisdictions. The researchers identified six jurisdictions willing to volunteer as testing sites: • DuPage County, Illinois • Toledo, Ohio • San Antonio, Texas • Tucson, Arizona • Hartford, Connecticut, and • New Britain, Connecticut. The research design was multifaceted to determine: • The presence and structure of typologies to classify youth (using factor analysis); • W hether the tool could be rated reliably across different youth and assessors from different professions (e.g., social workers, probation officers, intake workers); • If some types of adolescent batterers were more likely to commit future domestic battery; • If some youth could be safely diverted from the juvenile justice system without a risk to public safety; and • A common language to solidify our understanding of ADB. The ultimate goal of this effort was to modify the tool for use as a specialized assessment and case-planning tool upon system entry for youth charged with domestic related offenses. Each site 1) reviewed the tool for local applicability and relevance; 2) helped develop a standard clinical interview process; 3) used the ADBTT and some other tools in their routine intake process for youth charged with ADB of a parent; and 4) assisted with the interpretation of final results and wording of the final ADBTT. Each youth intake in the sample was tracked to determine if they reoffended over a minimum 10 month period. The results of this study were incorporated into the final ADBTT described in this manual and are described in detail in Chapters 5 through 7. 5 Chapter 1 NEED FOR THE ADBTT Typical responses to ADB rely on an adult intimate partner violence/ perpetrator model, which typically favors separation of the parties and sole blame on the perpetrator. These responses fail to treat ADB as a family systems issue by focusing only on the youth and often place unnecessary strain on detention facilities and out of home placements. Further, in most cases, the dynamics of ADB are different from the dynamics of other types of adolescent aggression including fighting, bullying, gang violence, etc. One major difference is the emotional connection between victim and perpetrator. In ADB, the youth has an emotional connection between himself and his victim, creating ambivalence over his feelings and his behavior. “I love my mother and I know I should not hit her; but, on the other hand...” This connection, as well as the family’s living arrangements, makes it difficult for the parties to separate, both emotionally and physically. In many families, ADB involves a pattern of aggression between the same parties (family members) in which there is not always a clear delineation between the victim and perpetrator, even within the same incident. The violence can appear reciprocal—“He pushed me, I pushed him back.” However on most occasions, only one person is charged. (An exception would be two teens or two groups of teens fighting, in which case both parties likely would be arrested and held responsible for their actions.) Other types of adolescent aggression appear more random or have a clear-cut perpetrator, as is the case with bullying. In families affected by ADB, frequently it is the family that determines whether or not ADB has occurred. Family expectations around acceptable behavior and the current situation/emotional state of the family members may impact how behavior is identified and reported. In other instances of aggression, it is the system that determines when the aggressive behavior has met the threshold in order to be charged with battery. It is important to understand the differences between the dynamics of ADB and other aggression because it impacts how the youth’s aggressive behavior will be treated. In order to achieve the best possible outcomes for ADB, the family should be involved in treatment. Treatment should address not only each family member’s responsibilities and needs but also the interactions and triggers to violence within the family. The increasing prevalence of ADB has prompted more research and thinking around this issue in order to understand the underlying dynamics and identify the most effective services and supports to help both youth and their families. The ADBTT was developed based on the unique dynamics of ADB and will allow for increased understanding of the differences among youth in this population along a risk continuum. This innovative tool is expected to provide a much needed framework to match dispositional responses with a youth’s risk level in order to achieve better outcomes. Sound implementation of the ADBTT should prevent youth who are unlikely to repeat or to be delinquent from unnecessarily penetrating the system and possibly maximize the effectiveness of program services. The tool may eventually be used by child welfare systems when contemplating making a juvenile justice referral. The ADBTT is an attempt to provide some indication of likelihood for continued risk of family violence. At a minimum, it is a management tool that can assist procedural decision-making. The continuum of classification categories is designed specifically to identify youth who could be effectively handled through system diversion. The assessment of risk may also be used to address level of supervision requirements for probation as well as potential out of home placement needs, including level of safety/security that is necessary. Additionally, the tool may be used to assist in decisions about the need for, and alternatives to, secure detention. 6 Adolescent Domestic Battery Typology Tool Manual Chapter 1 CONSIDERATIONS FOR USE OF THE ADBTT WHERE SHOULD IT BE IMPLEMENTED? The ADBTT is designed as a pre-dispositional assessment instrument for use in juvenile justice settings. As such, it can be used at the time of arrest, upon admission to detention, in alternative domestic violence or crisis center settings, or as part of the court or probation intake process. Although the ADBTT can be used post-adjudication, it is recommended that the ADBTT be used pre-adjudication in order to assist in making diversion decisions prior to adjudication, as well as later dispositional decisions where applicable. In some situations, the tool can be used post-disposition, via a referral from the Court, when family violence has been identified as an issue in the dispositional or probation process. If a youth is served in the formal system, the tool can be used at progress intervals (typically six months) to re-evaluate ongoing risk and need. Although the tool was developed and validated for use in juvenile justice settings, it has the potential to be used in other related clinical and social service settings that deal with family violence, such as crisis centers, community mental health/family counseling agencies, child welfare settings, and police department operated diversion programs. WHO IS ELIGIBLE FOR USE? The tool is appropriate for use with youth being charged with an act of family violence against a parent or caregiver. There may be occasions, however, when the nature of the situation (e.g., a mental health crisis, traumatic emotional or physical injury, or alcohol/drug impairment) may render an immediate assessment of this type impractical. Determining whether to use the ADBTT on a particular youth and family is based on several factors: 1) Family Composition, 2) Youth’s Developmental Ability, and 3) Youth’s Mental Health. Family Composition Family composition can change over time, through divorce, death, broken relationships, inability to parent, etc. The ADBTT is designed to be used when a youth is aggressive or violent toward someone who is in a stable (for the foreseeable future), long-standing, parental role over the youth. Parental role can be viewed as the person in the position of responsibility for the actions and activities normally assigned to the parent or caregiver. Someone in the “parental role” has the duty to care for, protect and reasonably discipline the child. This can include: • Financial responsibility for food, clothing, housing and health care, • Responsibility for making decisions for the child such as residency, education, religion, etc., and • Responsibility for child’s moral development, behavior, and growth. Parental role may or may not include legal responsibility for the youth. For example, a step-parent may be in a parental role but may not be legally responsible; whereas, an adoptive parent would be legally responsible for the youth. 7 Chapter 1 It is important to note that just because someone is in a parenting role; it does not mean that he/she is fulfilling all the responsibilities of that role. When considering the use of the ADBTT, the assessor is asked to determine if the “victim” is in a parental role, not if the victim is effective at parenting. The assessor should determine whether the person in the parenting role had been in that role for a significant length of time (long-standing), prior to the incident. For example, aggression toward a step-parent who has been married to the child’s parent for the past ten years is different than aggression toward a step-parent who met, married and moved in within the past six months. Rule of thumb: if the victim has been in parental role for less than 12 months prior to the incident, do not use the ADBTT to assess youth’s aggression. Because the composition of a family can change, the person who may be identified as being in the parental role can also change. If the family situation is identified as one that is stable for the foreseeable future (i.e. presumed to be permanent), including adoption, the ADBTT may be appropriate. If the situation is “temporary”, including foster care, do not use the ADBTT. The table below lists options for family composition and should be used to help determine whether the ADBTT is applicable. Locate the family composition that includes the youth being assessed and the victim of the aggression. (For example, if the youth lives with his father and stepmother but the aggression was toward his biological mother, the assessor would choose “non-custodial parent.”) If the youth lives in a family situation for which the family composition is not listed, the assessor should use the same three questions. If the identified family composition has “Depends on family being assessed” as an answer to any of the questions, the assessor should ask the corresponding question(s): • Parental role: Does the “victim” have a parental role over the youth? • Long-standing parental role: Was the “victim” in the parental role well before the incident occurred? • Stability of parental role: Is the parental role presumed to be stable for the foreseeable future? If the answer to all three questions is “yes”, the ADBTT can be used to assess the family. If the answer to any of the questions is “no”, the ADBTT should not be used. 8 Adolescent Domestic Battery Typology Tool Manual Chapter 1 FAMILY COMPOSITION PARENTAL ROLE LONG-STANDING Parental role FUTURE STABILITY of Parental Role USE ADBTT? Intact Family YES YES YES YES Single Parent YES YES YES YES Non-custodial Parent Depends on family being assessed Depends on family being assessed Depends on family being assessed If answer to all three questions is yes, use ADBTT Sibling, Non-caregiver NO NO NO NO Sibling as Caregiver YES Depends on family being assessed Depends on family being assessed If answer to all three questions is yes, use ADBTT Adoptive Parent YES YES (if > 12 months) YES If answer to all three questions is yes, use ADBTT Step Parent living with parent YES YES (if > 12 months) YES If answer to all three questions is yes, use ADBTT Parent’s live-in Girlfriend/Boyfriend Depends on family being assessed Depends on family being assessed Depends on family being assessed If answer to all three questions is yes, use ADBTT Relative as Caregiver YES YES (if > 12 months) Depends on family being assessed If answer to all three questions is yes, use ADBTT Foster Parent, Licensed YES YES (if > 12 months) NO NO Unlicensed Foster Parent* Depends on family being assessed Depends on family being assessed NO NO Congregate Care** NO Depends on family being assessed Depends on family being assessed NO Youth’s Boyfriend/ Girlfriend*** NO NO NO NO *An unlicensed foster parent would include informal arrangements, such as living with friend’s family or “couch-surfing.” **Congregate Care would include group homes, shelters, etc. The ADBTT was not designed to be used in these settings. ***This tool is NOT designed to measure teen dating violence. 9 Chapter 1 Youth’s Developmental Ability Most youth ages 12 to 18 will be able to understand the concepts and participate in the clinical interview needed to complete the ADBTT. Youth with mild cognitive or neurological difficulties will need to be evaluated on a case-by-case basis for their ability to understand and participate in the interview. Differentiating “developmental aggression” from adolescent domestic battery: Studies show that the majority of young children are physically aggressive toward siblings, peers and adults by 17 months of age. “Temper tantrums” including behaviors such as kicking and throwing things, are recognized as normal development. Most children learn to regulate their aggression and use alternatives during their preschool years (Trembly, 2004). This early aggression is substantially different from Adolescent Domestic Battery which is not considered normal developmental behavior. If a youth has a moderate to severe cognitive delay or a pervasive developmental disorder (including autism spectrum disorder) that causes him/her to function at a pre-school level, the ADBTT should not be used. Youth’s Mental Health If a youth has mental health issues that historically have led to extreme aggression and/or violence, the ADBTT should be used with caution. Extreme episodes of aggression as a symptom of mental illness may potentially change the family dynamics on which it is predicated. Additionally, if the youth or a family member is in an immediate state of trauma, having a mental health crisis or actively under the influence of substances, it would not be appropriate to proceed with the tool at that time. Once the crisis situation has been resolved, the tool may be administered. WHAT ARE THE LEGAL CONSIDERATIONS? The ADBTT can be used to make both procedural and treatment decisions in juvenile cases involving family violence. It is typically a pre-disposition tool used to make decisions on several issues: 1) appropriateness of system diversion; 2) level of system involvement necessary to achieve stated goals; and 3) treatment planning. The ADBTT may be applied prior to the initial hearing or adjudicatory proceedings with the proper protections in place. There are due process considerations if an arrested youth denies the potential charge. In such cases, an attorney, a parent/ caregiver or the youth themselves may refuse to cooperate the with the ADBTT assessment process to protect against self-incrimination. The experience throughout the study of the ADBTT in a variety of jurisdictions is that this occurs very infrequently and that most referrals voluntarily agree to cooperate. Confidentiality and Mandated Reporting When engaging a youth/ family in the ADBTT assessment process, it is important to clearly communicate the limits of confidentiality. Certainly the information is not for public use and will not be shared outside the bounds of case decisionmaking. However, the information gathered will be used to make both procedural and treatment decisions and, as such, will be available to those individuals involved in those decision-making processes. When performing this type of assessment, as well as any other assessment instruments (e.g., risk), it is not uncommon for the assessor to become aware of child abuse situations, which are differentiated from youth-initiated violence. If the assessor suspects or is made aware that child abuse has occurred, it is appropriate and most likely mandated that the assessor make a report to the local child welfare agency. Users should consult local/state statues for clear guidelines about when to report abuse and regarding legal responsibilities for mandated reporting. 10 Adolescent Domestic Battery Typology Tool Manual Chapter 1 WHAT ARE THE RESOURCES NEEDED AND THE COSTS? There is no set financial cost for the use of the ADBTT aside from building a structure that permits use of an assessment tool with fidelity and training staff. There may be financial costs in terms of staffing assignments depending on your jurisdiction. In our national study, the perspectives on these costs varied widely. For some jurisdictions, the ADBTT was easily integrated into existing intake processes. Other jurisdictions that had historically performed little or no formal screening of these cases had to re-allocate staff time. In terms of staffing, the costs of implementing the ADBTT vary widely depending on the type of staff assigned to conduct the assessment and at what point of contact the ADBTT is to be completed. If the ADBTT will be performed in operational detention facilities or crisis screening centers with existing staff, the additional costs may be minimal. If the ADBTT is performed by Court/Probation staff during a scheduled visit, it may require additional staffing. It is important, however, to weigh the benefits of utilizing the ADBTT against the anticipated financial costs. This tool is designed to help identify low risk youth who can be diverted from detention and/or formal court processing which may help alleviate the overall financial burden on the system. Training Requirements and Assessor Qualifications The use of the ADBTT requires an investment in some training and/or competencies for those administering the tool and those entering and keeping track of data. Although, the tool was designed to be utilized by a wide variety of people working in the field, regardless of licensure, it does require awareness of the interview dynamic as well as the subject matter. Assessors should demonstrate competence in the following: • Adolescent development and family systems; • Motivational interviewing techniques with youth and with families; • Basic trauma principles; and • Familiarity with local programs and resources to provide necessary services to the population being served by this tool. Agencies may opt to obtain formal training for their staff on the ADBTT by the ADB research consortium (information can be obtained from NYSAP at www.NYSAP.us). The recommended training is multi-layered and includes an initial phone contact with the agency to review current processes and procedures, determining which staff should be trained on the assessment, on-site training for practitioners, and regular follow-up calls with project staff to review the experience and brainstorm solutions to problem areas if desired. Data Collection Data collection is imperative to establish baselines and trends, ensure the fidelity of the tool, track outcome data, and inform decision-making around ADB policy and practice. The size of the jurisdiction and/or the number of youth referrals for domestic-related offenses will most likely determine the overall level of necessary data automation for ADB information. Some systems may have existing databases into which ADB specific data can be easily integrated. Others jurisdictions may have to create data storage systems, which could include simple Excel spreadsheets or more sophisticated methods. 11 Chapter 1 HOW DOES AN AGENCY IMPLEMENT AN ASSESSMENT SYSTEM? There are many screening and assessment tools available for use in juvenile justice settings to identify various types of behavioral health needs (e.g., mental health screening, potentially traumatic events screening) and to assess risk of reoffending. Before developing and releasing yet another tool into the juvenile justice field, it was important to determine whether it provided any unique information that the juvenile justice system would not get from other tools used in routine practice. The use of multiple tools in a juvenile justice setting, particularly in an early setting such as pre-adjudication intake, is essential but the number of tools should be kept to a minimum. Therefore, new tools are only necessary if the tool is filling an important gap. The most important question in this context is whether an adolescent domestic battery tool could contribute any unique information to the risk assessment tools for general reoffending that are already used by juvenile justice agencies. If these tools designed to identify youth at the highest risk for reoffending also identify youth who are likely to engage in continued domestic battery, than it is our premise that a risk assessment specifically for domestic battery would be unnecessary. Therefore, as part of its development, the ADB tool was compared to several other popular and valid risk assessment tools in its ability to predict youth who received new petitions or adjudications for acts of domestic violence, general violence, and other offenses. We determined that the ADBTT does improve upon a regular risk tool’s prediction of new domestic violence related offenses. The ADB Typologies tool was designed for the purpose of identifying youth at highest risk of reoffending violently in a domestic context and to aid in dispositional and treatment planning. Often times, it will be beneficial to pair the tool with other screening or assessment tools because other characteristics of youth charged with domestic battery will be relevant to their dispositional and treatment planning. For example, juvenile justice personnel may want to know whether a youth has been exposed to significant traumatic events in the past and is experiencing trauma-related symptoms. If a youth is experiencing these symptoms, it is likely relevant to his or her treatment planning because it may be the underlying cause of the youth’s violence. Screening for general mental health problems can also be highly relevant to the treatment planning for these youth. For some, the root cause of their violence may be thought disturbance, in which case it will be imperative to obtain a psychological evaluation and psychiatric treatment. 12 Adolescent Domestic Battery Typology Tool Manual CHAPTER 2: Introducing the Typologies and Domains GUIDING PRINCIPLES The Adolescent Domestic Battery Typology Graph is based on three primary principles: • ADB youth are different than adults engaged in intimate partner violence (IPV): Not all youth who enter the juvenile justice system for ADB will grow up to engage in IPV. The family dynamics of power and control of ADB are very different from IPV. Appropriate parental authority over their children is necessary for healthy development and is supported by social and cultural norms. Within intimate partner violence, the ultimate power and control of one partner over another is dangerous. Treatment for ADB works to establish or re-establish parental authority while treatment for IPV seeks to balance authority or to disengage. ADB youth should not be treated the same as adult offenders. • Not all youth who enter the system for ADB are the same: Social learning theory suggests that youth who have witnessed or experienced violence in the home are at increased risk to do the same as an adult. However, Holt (2013) states that generational transmission of violence only accounts for some of the cases of parent abuse. There are many different reasons, situations and factors that lead to youth violence toward a parent or caregiver. Effective treatment cannot be the same for all ADB youth, but must address the individual needs and strengths of the youth and their families. • ADB is predominantly a family problem rather than a youth-specific problem: Youth who engage in ADB are frequently identified as “the problem” within the family and are dealt with as such. However, family dynamics and behaviors can cause ADB and are impacted by the consequences of ADB. Parenting styles, generational transmission of violence and the parent’s own behavior can be factors in the youth’s choice to use violence. On the other hand, youth violence affects the parents’ ability to fulfill their leadership role in the family, threatens the family’s resources and capacity to meet everyday challenges, and destroys the parent-teen bond. (Routt and Anderson, 2015). Providing services to the family rather than just the youth will allow the family to address underlying causes and have better outcomes. THE ADB TYPOLOGY GRAPH Using the guiding principles, ADB has been categorized into four sub-types (typologies): Defensive, Isolated Incident, Family Chaos and Escalating. Each typology has separate, distinct characteristics (domains) that include specific family dynamics, reactions, behaviors, attitudes and concerns. The ADBTT was developed in order to determine the typology of a youth’s violence or aggressive behavior. The ADBTT is comprised of eight domains with a Progression Risk Score (PRS) associated with each domain. Each domain is separated into four unique options that are characteristic of the different typologies of domestic battery. The assessor must determine which of the four options best describes the youth and his/her family. The assessor further evaluates the youth and family under the escalating category by placing their behaviors, attitudes and concerns along a continuum of “0” to “4” according to the description that best fits the youth and his/her family. Each item defines the “0”, “1”, and “4” ratings. The “2” and “3” ratings are intentionally undefined so that the assessor can rate answers that may fall between the two extremes. 13 Chapter 2 The domains and the PRS are scored according to the clinical impressions and judgment of the assessor based on information garnered through interviews with the youth and parent as well as any collateral information the assessor may have. Once the items are scored, the youth’s typology is assigned. (Complete instructions for scoring the ADBTT are described in Chapter 3.) The Adolescent Domestic Battery Typology Graph is included on the next page for an at-a-glance review of the specific categorization and organization of the typologies and their corresponding domains. Please note that for the purposes of this manual, masculine pronouns are used to describe youth perpetrators of domestic battery toward a parent. The authors acknowledge that while boys represent the majority of perpetrators in many studies on adolescent domestic battery, a significant proportion are girls. 14 Adolescent Domestic Battery Typology Tool Manual Chapter 2 ADOLESCENT DOMESTIC BATTERY TYPOLOGIES GRAPH *Items must be present for youth to fit in this type SCOPE OF ADB PARENTAL AUTHORITY Isolated Family Chaos *Any violence directed toward a parent has ONLY been in response to a physical threat *Isolated/infrequent incidents (<3 in past 24 months); Incidents are not “ONLY in response to a physical threat” n/a Frequent (3 or more in past 24 months) and serious incidents; Incidents are not “ONLY in response to a physical threat” 1. T hreats or aggressive incidents by youth are beginning to increase in frequency and severity 4. Y outh demonstrates an established pattern of frequent and severe aggression; at least one incident required medical attention Parent demonstrates developmentally unreasonable level of authority (authoritarian) Parent demonstrates developmentally reasonable level of authority (authoritative) Parental authority is inconsistent or unclear Parental authority is shifting or has shifted to youth 1. Parental authority is becoming ineffective and control has shifted to youth 4. Youth demonstrates unreasonable level of control/ decision-making over parent; parent has no influence over youth n/a Both parent and youth may be surprised that situation deteriorated to point of violence Neither parent nor youth is surprised by the predictable pattern/ intensity of youth’s increasingly aggressive behavior; parent not living in fear Neither parent nor youth is surprised by aggression; may or may not be surprised at the intensity of the aggression; Parent is increasingly fearful 1. Both express surprise at intensity; parent is beginning to be fearful 4. Neither is surprised by intensity; parent lives in constant fear Violence is protective and in response to physical threat by parent Response to atypical stress without which incident would not have occurred Response to inconsistent parental discipline, request or limit Overall pattern shows lessening tolerance for anger and frustration 1. R esponse to parental discipline, request or limit with which youth would have previously complied 4. N o trigger necessary, unpredictable pattern Attempt to protect self or other family members Impulsive, immediate remorse; no intent to harm Increasingly aggressive pattern of behavior will stop once youth gets own way, no intent to harm Pattern of behavior designed to intimidate or control in order to seize parental authority. Will harm if necessary 1. Y outh is struggling to get what he wants and attempts to use intimidation to take over parental authority 4. B ehavior establishes coercive control over parent; deliberate with intent to harm Believes violence is inappropriate but is justified in this incident Believes violence is inappropriate and can identify more appropriate ways he could have resolved situation Acknowledges violence as inappropriate but is willing to use it again if less aggressive behaviors are not effective in achieving his purpose Youth is beginning to consider or has decided that violence is appropriate 1. Is ambivalent about the appropriateness of violence but is experimenting with violence to see if it is effective 4. Accepts violence as preferred response Youth hopes he won’t have to repeat but may do so in response to a perceived threat Believes own behavior was wrong & is willing to change May believe own behavior is wrong but states he is only willing to change if parents change their behavior Youth is resistant toward changing behavior 1. Unsure if own behavior needs to change; may believe it is wrong but knows he/she may repeat because it is effective (contemplation) 4. Unwilling to change behavior; believes own behavior is acceptable and preferred Wants to deflect responsibility for incident to youth; may want to see youth punished Wants situation resolved/no ongoing concerns regarding safety; may take some responsibility Desires to have someone else (JJ system) impact/influence youth; Parent does not want to be required to change Parent is concerned for Personal or Family Safety/ Future 1. E xpresses some concern for safety but mostly is anxious for youth, family and own future if behavior continues 4. C onstant and overwhelming fear for personal and family’s safety PREDICTABILITY OF EVENT TRIGGERS TO VIOLENCE BEHAVIORAL INTENT YOUTH ATTITUDE TOWARD VIOLENCE YOUTH ATTITUDE TOWARD CHANGE PARENT’S CONCERN Escalating (Items 1-4 represent range of behavior) Defensive 15 Chapter 2 THE ADB TYPOLOGIES Defensive Typology Defensive domestic battery is defined as an incident of aggression in which the youth is defending himself or a family member from abuse. In order to fall into this typology, the assessor must determine that any violence (not just the current incident) directed toward the parent has been in response to a physical threat by the parent. A youth categorized within the Defensive Typology has typically been raised in a home with an abusive or domineering parent with rigid rules and harsh punishments. The incident of aggression occurred because the youth felt physically threatened was responding to a perceived threat based on a history of parental aggression. The parent often would like to see the youth punished for his aggressive behavior and the parent does not take any responsibility for the incident. The youth understands that violence is inappropriate but feels in this situation he did not have a choice but to respond with aggression. Furthermore, the youth believes he would repeat the violence if it is necessary to continue to protect oneself or a family member. Example: Katie was a fifteen year-old girl who grew up in a home where the punishment for breaking the rules was a whipping with a belt. Katie knew that her dad was upset over something that she had done at school. When she saw him walking down the hall toward her room with his belt in hand, she knew she was going to get a beating. Katie ran out of her room and into the kitchen where her mom was cooking dinner. Her dad followed her and Katie picked up a knife that had been lying on the counter. She told her dad, “You will never touch me again” and ran out the door into the back yard. Her father called the police and told them that she had threatened him with a knife. Because a weapon was involved, Katie was arrested. The percent of juvenile-justice involved youth categorized within the Defensive Typology is relatively low. In many cases, these families are commonly and more appropriately served by the Child Welfare System. Isolated Incident Typology Isolated incident domestic battery is defined as an isolated event of aggression born out of atypical family or individual stress. Without such stress youth may have chosen a more appropriate conflict resolution. Family stressors may include events such as the death of a family member, sudden economic struggles, job loss, divorce, etc. Individual stressors may include social struggles, school or job difficulties, time-management, etc. In order to classify a youth into the isolated incident typology, the assessor must determine that there have been no more than two incidents of youth aggression toward a parent in the past twenty-four months. A youth who commits an isolated incident of domestic battery typically has a parent who demonstrates a reasonable level of authority and encourages age appropriate maturity and behavior from the youth. Both the parent and youth may be surprised that the situation escalated to the point of aggression. The youth did not intend to harm his or her parent, understands his behavior was inappropriate, and is willing to change. Parent is primarily concerned that this type of behavior does not re-occur and may take some responsibility for the incident. The parent maintains authority by enforcing appropriate consequences. 16 Adolescent Domestic Battery Typology Tool Manual Chapter 2 Example: Jason is a straight A student who plays football and recently started high school. His first week of school consisted of getting up early to get to school on time, learning a new class schedule and finding his way around his new school, attending football practice after school and then doing homework late into the evening. One evening, Jason was playing video games when his mom came in his room to tell him to do his homework. Jason wanted to continue playing the game “to unwind”; Jason’s mom grabbed for the controller and they began struggling over it. Jason’s mom tripped over the ottoman and fell to the ground. Jason’s brother called the police and Jason was arrested because his mom had a bruise on her arm. Jason’s mom states that she could have handled the situation differently. Jason was initially very embarrassed but admits he should have listened to his mom or negotiated with her for a few additional minutes of game time. Family Chaos Typology Family Chaos domestic battery is defined as a pattern of events in which the youth’s behavior predictably spirals to the point of battery in order to obtain his purposes and is characterized by inconsistent and unclear parental authority. * The lack of a consistent parental role can lead to mutual attempts to by the parent and youth to gain control of the situation at hand. The youth has learned a pattern of intensifying behavior to get what he wants and to temporarily usurp his parent’s authority (asking a whining a pleading a arguing a name calling a shoving a hitting, etc.) Incidents of aggression rarely occur if the parent gives into the youth and once his goal is achieved, parental authority returns to status quo. Attempts by the parent to establish his or her authority frequently result in escalating arguments that may include aggressive behavior by both the parent and youth. For families within the Family Chaos Typology, arguing and fighting are a common means of conflict resolution. Generally the families are not fearful of one another and at times can be resistant to change. Parents may want or need “system involvement” to help them parent. Youth may state that he wants to see the parents change first. *It should be noted that many parents do not necessarily choose to be inconsistent or absent, but there may be other factors in play, such as job schedules, mental health or substance abuse issues, trauma, illnesses, lack of resources, etc. Example: Ryan is a sixteen year-old boy who asked his mom if he could have the car on Friday night. Mom said “no” because she had received a note from school saying he was missing assignments and he couldn’t have the car until the assignments were turned it. Ryan tried to negotiate with his mom saying he would complete the assignments over the weekend if she let him have the car. Mom continued to say “no.” Ryan began yelling at his mom—“That’s not fair; you let Andy (Ryan’s brother) take the car last weekend and he was suspended.” Ryan responded by calling his mom an idiot to which she replied, “You’re a bigger idiot; now you’ll never get the car.” Ryan grabbed the keys out of his mom’s hand, shoved her and walked out the door. Ryan’s little sister got scared and called the police. Mom told the police, “This happens all the time and I don’t know what to do. You take him.” When Ryan came home that evening, he asked his mom for money so he could take his girlfriend out on Friday so she gave him $20. Later, as a result of the police being called, Ryan was ordered to complete family counseling; his mother was upset and said it wasn’t fair that she had to participate because he was the one who shoved her. 17 Chapter 2 Escalating Typology Escalating domestic battery is a pattern of behavior designed to intimidate, control and coerce the parent into giving into the youth’s demands and ultimately to shift parental authority to the youth, effectively establishing the youth in a position of control over the parent. The “Escalating Typology” is characterized by a range of behaviors and attitudes designed to result in a non-developmental and ultimately permanent shift from parental authority to youth control. The parent is able to identify a shift in youth’s behavior as he begins to disregard family rules; ignores parent input and ignores or defies parent attempts at discipline. The youth demonstrates less and less tolerance for discipline and anger, responding more quickly with violence. Often, the youth will make unrealistic demands on the parent and his punitive behavior toward the parent is increasingly harsh when demands are not met Parental attempts to influence the youth will decrease and eventually stop because of fear of repercussions. Early in the shift from parental authority to youth control, the youth may be ambivalent toward the use of violence, knowing that it is wrong and not wanting to hurt his parent. But as violence proves to be effective, his attitude begins to change until violence becomes the preferred response. The parent is fearful for the family’s physical safety as the violence may be worsening in both frequency and severity. Example: Bobby was a 17 year-old boy who lived with his mother. His parents divorced when he was young and he visited his dad on occasion. Bobby’s mom described his childhood as pretty normal with family vacations, attending church, neighborhood friends, etc. Bobby’s mom said this all began to change when Bobby went to seventh grade. He began to refuse to go to school and it became more and more difficult to get him to go. The harder mom would try, the angrier he got. He stopped spending time with his mom and rarely came home until late at night. When his mom asked him where he had been, he told her “Shut up, it’s none of your business,” and shoved her out of his way. Later, he told a family friend, “I know I shouldn’t treat her like that but she gets all up in my business and I just want her to leave me alone.” Bobby’s behavior continued to worsen, with more and more aggressive episodes. One evening, when he was a sophomore in high school, Bobby’s mom came into his room to tell him his dad was on the phone. Bobby jumped up off his bed and began screaming at his mom, “Get out, I’ve told you never to come into my room.” He grabbed her by the neck and threw her down the stairs. Fearing for her physical safety, she called the police and Bobby was arrested. 18 Adolescent Domestic Battery Typology Tool Manual Chapter 2 DETERMINING THE PROGRESSIVE NATURE OF THE ADB TYPOLOGIES Once a youth has been classified into a typology, the question becomes, “Based on subsequent behavior, can a youth’s typology change?” The development of the ADB typologies combined both progressive and non-progressive characteristics of the different typologies. Some youth may progress from one typology to a more serious typology while others will not. The typology graph was not created as a continuum, but as separate, distinct categories of ADB. However, in light of the malleable nature of adolescent development, a youth’s typology may change over time. Factors to consider when determining the potential progressive nature of the typologies: 1. N ot all ADB is progressive. For example, a youth identified as “family chaos” may continue into adulthood as “family chaos” and may, in fact, raise another generation of youth with similar, but not worsening, behaviors. It is also possible for a youth identified in the “family chaos” category to begin to choose more appropriate conflict resolution strategies as he or she matures. In these examples, the distinction between “non-progressive” family chaos and escalating ADB categories is the critical concept behind the typologies: Not all youth who commit ADB will grow up to commit acts of intimate partner violence as an adult. 2. T he typologies differ in level of severity. The problematic nature of the typologies escalates from left to right on the ADB Typology Graph. This is with the understanding that defensive ADB is purely protective and therefore would not fall neatly on a continuum. Isolated ADB would be less problematic than Family Chaos, which would be, in turn, less problematic than Escalating ADB. 3. W hen ADB does progress, it is not along a set path. For example, a youth would not have to pass through “family chaos” to reach Escalating. 4. T here is a distinction between an “isolated incident” and an “early incident”. The assessor should not determine that the youth falls into the isolated category solely because the aggression had never or rarely occurred before. Early incidents of what is to become “escalating” ADB will have similar frequencies (scope) as the isolated typology but the remaining domains will more closely match those of the escalating typologies. T he likelihood that a youth might progress to a more serious typology is assessed, in part, with the Progression Risk Score (PRS). The Progression Risk Score looks at the range of behaviors only within the Escalating Typology domains. The behaviors within each domain are rated by a Likert scale from “0” to “4” with a total range between “0 to 32”. The validation study indicated the higher the PRS score, the higher the likelihood youth will receive a petition for a new ADB offense, regardless of the typology to which the youth was assigned (see Chapter 8). A high PRS will help determine an early incident from an isolated incident. 5. In order for youth to change typologies, there must be a non-developmental shift in parental authority. (See “Domain 2 Parental Authority” on page 21) 19 Chapter 2 THE ADBTT DOMAINS The ADBTT is comprised of eight domains. Not every typology will contain a response from every domain. In order to accurately assign a youth to one of the typologies, the assessor must have a careful understanding of these domains. Domain 1: Scope of ADB Domain 2: Parental Authority Domain 3: Predictability of Event Domain 4: Triggers to Violence Domain 5: Behavioral Intent Domain 6: Youth’s Attitude toward Violence Domain 7: Youth’s Attitude toward Change Domain 8: Parent’s Concern Domain 1: Scope of ADB The intensity and frequency of incidents of ADB are crucial in determining not only the youth’s typology, but also in determining what type of treatment should be put into place. If the assessor determines that the frequency and intensity is increasing or has reached a harmful threshold, safety planning should occur in accordance with the agency’s policy and procedures. ADBTT “SCOPE of ADB” ITEMS AND DEFINITIONS: Domain 1 SCOPE OF ADB Check the box next to the option(s) that best fits. n Defensive This option was scored in Question #1. Do not count this box as checked Isolated Incident n Family Chaos **Isolated/infrequent (<3 in past 24 monthsincidents); Incidents are not “ONLY” in response to a physical threat There is no option available for this typology. Do not count this box as checked. Escalating Frequent (3 or more in past 24 months) and serious incidents; Incidents are not ONLY in response to a physical threat Domain 1 PRS Scale Rate “Scope of ADB” on a scale of zero to four. Enter score in the box. 0 1 Defensive/Isolated incident OR behavior is not worsening Threats or aggressive incidents by youth are beginning to increase in frequency and severity 2 3 4 PRS SCORE Youth demonstrates an established pattern of frequent and severe aggression; at least one incident required medical attention Purpose: To determine the pattern of aggressive behavior and to see if it is worsening in terms of frequency and intensity. Assessor should ask for family to report, but can also use collateral information such as police reports and clinical impressions. 20 Adolescent Domestic Battery Typology Tool Manual Chapter 2 According to factor analytic results (see Chapter 7) the Defensive and Family Chaos typologies do not have a measurable pattern of severity or scope and therefore, are not scored in this domain. Isolated Incident: Isolated or infrequent incidents (less than 3 incidents in the past 24 months); Incidents are not “ONLY in response to a physical threat.” Definition: Incident occurs infrequently (less than 3 incidents in the past 24 months). Incident(s) must not be solely a defensive act against a parental threat; otherwise, incident(s) would be scored in the defensive typology. Escalating: Frequent (three or more incidents in the past 24 months) and serious incidents; Incidents are not “ONLY in response to a physical threat.” Definition: Three or more incidents of youth aggression toward parent in the past 24 months; incidents are not “only in response to physical threat by parent”. Parent is at risk of harm. Suggested Interview Questions to assess Scope of ADB • Has this ever happened before? Describe previous events. • If yes, how often does this happen? • Were there ever visible marks? • Did victim ever need to go to the emergency room? • Was the youth ever the victim or witness of aggression? • Does the aggression always have the same victim/perpetrator? WH AT TO WH EA EN T T O WH SLE AT EP TO HO WE W TO WH AR B AT EH A AV CT WH E I VIT OA ES RE HO TO MY W DO FRI TO EN SP DS EN DM ON EY BIRTH YOUTH AUTHORITY PARENT AUTHORITY Domain 2: Parental Authority YOUNG ADULT 21 Chapter 2 When an infant is born, a parent or caregiver has almost 100% control or authority over the baby’s life. The parent decides what the child will wear and eat, who will be introduced to the child, where he goes and to some extent even when the child will be awake or asleep. Through these and future decisions, the parent begins to communicate a set of expectations he has for the child’s behavior. As the baby begins to grow, he learns that he has some influence into his parent’s behavior. He can cry to indicate that he is hungry, turn his head away to indicate he is full or that he does not like his food, etc. As a toddler, the child begins to choose his own clothes; a kindergartener may decide who his friends will be; a ten year old may decide what activities he wants to do, etc. In addition, a parent can allow the child to influence family decisions, such as what movie to watch, what restaurant to go to, where they might go on vacation, etc. As the child learns to make choices in line with his parent’s expectations, he is given more decision-making opportunities. A typical pattern of development shows a gradual reduction of parental authority, as the child is able to make an increasing number of appropriate decisions for himself. It is important to note that timing and choices will differ from family to family but the overall pattern remains. When social and cultural norms regarding parental authority are disrupted, various patterns of authority with unique characteristics begin to emerge. Correctly assessing “Parent Authority” within the context of the youth’s age and maturity, is a critical step to accurately identifying the adolescent’s typology. The characteristics of parental authority significantly define the typologies themselves. ADBTT PARENTAL AUTHORITY ITEMS AND DEFINITIONS: Domain 2 PARENTAL AUTHORITY Check the box next to the option(s) that best fits. Defensive Parent demonstrates developmentally unreasonable level of authority (authoritarian) Isolated Incident Family Chaos Parent demonstrates developmentally reasonable level of authority (authoritative) Parental authority is inconsistent or unclear Escalating Parental authority is shifting or has shifted to youth Domain 2 PRS Scale Rate “Parental Authority” on a scale of zero to four. Enter score in the box. 0 1 Parental authority is not shifting or has not shifted to youth Parental authority is becoming ineffective and control is shifting to youth 2 3 4 PRS SCORE Youth demonstrates unreasonable level of control/decision-making over parent; parent has no influence over youth Purpose: To determine the characteristics of the existing level of parental authority between Parent and Youth. Assessor should look at patterns of interactions between the parent and youth, not just at the precipitating incident of aggression. For Domain 2 “Parental Authority” the assessor needs to determine not only how the youth acted at the time of the incident, but more importantly, how the youth generally acts. The assessor must determine is this his usual pattern of behavior or is this unusual. For this domain, the assessor can ask about other behaviors, not just aggression. 22 Adolescent Domestic Battery Typology Tool Manual Chapter 2 Defensive: Parent demonstrates developmentally UNREASONABLE level of authority (authoritarian) Definition: Parental authority is rigid and unchanging over time. The parent attempts to maintain an unreasonable level of control over the youth and family by making the majority of household decisions while ignoring the input of others within the home, including the youth. Parenting style is considered authoritarian. The parent(s) may have unrealistically high expectations for youth with harsh, often corporal consequences when expectations are not met Isolated Incident: Parent demonstrates developmentally REASONABLE level of authority (authoritative) Definition: Parental authority most closely follows the societal norm—a gradual reduction of parental authority as the youth demonstrates the ability to make appropriate decisions for himself. Parenting style is considered authoritative. The parent requires age-appropriate maturity and behavior from the youth and communicates these expectations clearly. The parent has final say about decisions affecting the family but allows the youth to have input and encourages autonomy. An “isolated incident” of aggression would be a rare breech of parental expectations, usually caused by undue stress on the youth or family. The parent maintains his or her authority by providing an appropriate consequence for the aggressive behavior. Family Chaos: Parental authority is inconsistent or unclear Definition: Parental authority is inconsistent or non-existent. At times the parent seems to be in control, at other times, the youth seems to be in control, and sometimes no one appears to be in control. The parent has low or unclear standards for the youth’s behavior and maturity and makes sporadic or inconsistent attempts to discipline, enforce rules or set limits. Consequences are inconsistent with minimal follow-through. The youth may be given opportunities to influence family decisions but these decisions result in frequent arguments. In most cases, Family Chaos aggressive behavior is the youth’s attempt to temporarily usurp the parent’s authority in order to get what he wants. After the youth achieves his purpose, parental authority returns to “status quo” until the next time. In the case of families in which the parent is physically or emotionally unavailable, Family Chaos aggression may be the youth’s attempt to engage the parent long enough to get what he wants. Escalating: Parental authority is shifting or has shifted to youth Definition: Parental authority is usurped as youth exhibits a range of behaviors and attitudes designed to create a nondevelopmental and ultimately permanent shift in control from parent to youth. In the early stages of the shift, the youth begins to challenge his parents’ rules and influences, for example, waiting longer to comply with requests, coming home later and later after curfew, refusing to do chores he had previously done, etc. Once the shift of control is complete, the youth does not recognize any authority in the home except for himself. The youth makes all of his decisions for himself with no regard for his parent’s feelings or input. As a result, the parent is no longer able to effectively influence the youth’s behavior or decisions. Parental attempts to influence the youth will decrease and eventually stop because of fear of repercussions. Often, the youth will make unrealistic demands on the parent and his punitive behavior toward the parent is increasingly harsh when demands are not met. Escalating aggression is a pattern of behavior designed to intimidate, control and coerce the parent into doing what the youth wants. 23 Chapter 2 Suggested Interview Questions to assess Parental Authority a. What are the “rules” in your house? (Actual rules and unspoken rules) b. What happens when “rules” are broken or expectations are not met? c. Does the youth comply with discipline? d. Does the parent follow through with discipline? e. Who makes decisions about family events, like where to go out to dinner or what to do on vacation or what TV show is on? f. How has parenting changed from when the youth was younger? g. What happened after this particular incident? Domain 3: Predictability of event The family’s ability or inability to predict the event allows the assessor to assess not only the pattern of physically aggressive behaviors but also to assess whether other issues may be occurring. A parent may say, “I saw this coming—he has been more and more agitated lately.” Or, the parent may be shocked because it has never happened before. The youth may be surprised by how quickly he reacted—“I must have blanked out because all I remember is talking to my mom about my grades and the next thing I knew, I had punched her.” These types of details help the assessor determine how to score this domain and also open the door to ask about what else might be going on. The assessor can also use the family’s responses to this item to determine if the responses are congruent with other items on the test. A family may say they are not surprised by the incident but insist it has never happened before. It should be noted that this domain is the most time-sensitive item on the ADBTT. Frequently the parent or youth will disagree about how the other party reacted especially if a significant time has passed between the incident and the screening. ADBTT “PREDICTABILITY OF EVENT “ITEMS AND DEFINITIONS: Domain 3 PREDICTABILITY OF EVENT Check the box next to the option(s) that best fits. n Defensive There is no option available for this typology. Do not count this box as checked. Isolated Incident Family Chaos Both parent and youth may be surprised that situation deteriorated to point of violence Neither parent nor youth is surprised by the predictable pattern/intensity of youth’s increasingly aggressive behavior; parent not living in fear Escalating Neither parent nor youth is surprised by aggression; may or may not be surprised at the intensity of the aggression; parent is increasingly fearful Domain 3 PRS Scale Rate “Predictability of Event” on a scale of zero to four. Enter score in the box. 24 0 1 Parent is not fearful Both express surprise at intensity; parent is beginning to be fearful Adolescent Domestic Battery Typology Tool Manual 2 3 4 Neither is surprised by intensity; parent lives in constant fear PRS SCORE Chapter 2 Purpose: To determine if family perceives youth’s aggressive behavior as congruent with youth’s overall patterns of other behaviors and to determine if family’s reaction is congruent with their expressed concern over the incident. Domain 3, “Predictability of event” looks specifically at the incident that brought the youth to the attention of the juvenile justice system, but the way the family answers, gives the assessor insight into the pattern of events. Defensive: The defensive typology does not have a measurable pattern of predictability of events and therefore is not scored. Isolated Incident: Both parent and youth may be surprised that situation deteriorated to the point of violence Definition: Both parent and youth are surprised by the incident because it has not happened before or has rarely happened before. Family Chaos: Neither parent nor youth is surprised by the predictable pattern/intensity of youth’s increasingly aggressive behavior; parent not living in fear Definition: Parent can describe youth’s pattern of increasingly aggressive behavior that youth uses to get what he/she wants. (For example, asking a whining a pleading a arguing a yelling a shoving a hitting, etc.) Neither party is surprised by the youth’s behavior. Parent may be fearful at the time of the incident but does not live in constant fear for his/ her own safety. Escalating: Neither parent nor youth is surprised by aggression; may or may not be surprised at the intensity of the aggression; Parent is increasingly fearful Definition: Parent or youth are not surprised by the youth’s aggression but may be surprised that the situation escalated as quickly as it did or that the intensity was more than was expected. Suggested Interview Questions to assess Predictability of Event: a. How did you feel when the incident was happening? b. Did you see this coming? If so, what were signs? c. What was your reaction when it was over? d. How do you feel about the incident now? e. On a scale of one to ten, how safe do you feel? How has that feeling changed? Domain 4: Triggers to Violence To assess “Triggers to violence” the assessor must determine what occurred to cause the youth to be aggressive. This is generally done by examining the sequence of events that led up to the aggression. While it may be easy to identify the trigger in one specific event, it is important that the assessor look for patterns by examining triggers to several events. Some triggers can be easily identified—“I asked him to take out the trash and he got mad.” Others may be more difficult or less easily connected. “He seemed to be in a bad mood.” The most obvious trigger for ADB will be a parental request (“take out the trash”), a response to parental discipline (“you are grounded and can’t go out tonight”) or a parental limit (“no, I will not buy you a $200 pair of shoes to play basketball with your friends.”) The assessor should look beyond the single incident to decide if other triggers are factoring into the youth’s response. For example, a youth may normally comply with his mother’s requests, but he broke up with his girlfriend and was really upset that day. 25 Chapter 2 Common triggers: • Parental request, limit or discipline • Stress at school or with friends • Desire to be left alone • Bad moods • Physical trigger such as being tired or being hungry • Being embarrassed in front of peers • Being upset over own performance in sports, grades, etc. • Feeling bad about oneself (appearance, weight, feeling lonely, etc.) • Loss or illness of a loved one • Other traumatic events (parents’ divorce, death of a loved one, health problems, financial stress, etc.) • Physical or verbal aggression toward the youth ADBTT “TRIGGERS TO VIOLENCE” ITEMS AND DEFINITIONS: Domain 4 TRIGGERS TO VIOLENCE Check the box next to the option(s) that best fits. Defensive Violence is protective and in response to physical threat by parent Isolated Incident Family Chaos Response to atypical stress without which incident would not have occurred Response to inconsistent parental discipline, request or limit Escalating Overall pattern shows lessening tolerance for anger and frustration Domain 4 PRS Scale Rate “Triggers to Violence” on a scale of zero to four. Enter score in the box. 0 1 Youth’s trigger does not fall on the continuum Response to parental discipline, request or limit with which youth would have previously complied 2 3 4 PRS SCORE No trigger necessary, unpredictable pattern Purpose: To determine what caused the youth to engage in domestic battery. In order to accurately rate this item, the assessor may have to look at a number of incidents of aggressive behavior (if more than one), to determine patterns and choose the answer that most closely fits. Defensive: Violence is protective and in response to physical threat by parent Definition: Incident occurred when youth felt physically threatened by parent. Youth is acting to protect self or other family members, or in response to an ongoing pattern of parental aggression. Isolated Incident: Response to atypical stress without which incident would not have occurred Definition: Incident occurred when youth and/or family was under atypical stress. Atypical stress can include the occurrence of an unusual event (e.g., death in the family, divorce of parents, job loss, etc.) or an unusual number of normal 26 Adolescent Domestic Battery Typology Tool Manual Chapter 2 stressors at one time (e.g., financial issues, school issues, full schedules, etc.). Without this additional stress, the family agrees the situation would have been resolved differently. It is important to remember that the parent’s/youth’s definition of stress can be different but both should be considered valid. Family Chaos: Response to inconsistent parental discipline, request or limit Definition: Incidents almost always occur as a response to a parental request, boundary or discipline. Usually the incident occurs when the parent requests the youth to do something the parent wants to be done or denies the youth permission to do something the youth wants to do. Often, the parent has been inconsistent when setting limits or enforcing discipline in the past. The family agrees incidents rarely occur if the parent gives in to youth demands. Escalating: Overall pattern shows lessening tolerance for anger and frustration Definition: Incident may occur as a response to parental request, boundary, or discipline or may have an unrelated trigger, i.e. breakup with a girlfriend, trouble at school, etc. or even an unidentifiable trigger. Youth is reacting to frustration and anger more quickly and more aggressively than he has in the past. Suggested Interview Questions to assess Triggers to Violence a. What does parent/youth think caused the event? b. Describe the sequence of events that led up to this particular incident. c. If applicable, describe the sequence of events that led up to prior incidents. d. D escribe typical sequence of events that instigate arguments in the family or that occur when there is a disagreement between parent and youth. e. Do parent and youth agree about sequence of events? f. Describe situations when conflict does not lead to aggression. g. On a scale of one to ten how stressed do you think you are normally, the day of the incident, now…? Domain 5: Behavioral Intent The question behind behavioral intent is simply to understand what the youth hoped to accomplish by using aggressive behavior. Was the youth acting impulsively or had he considered the consequences of his actions? Was the youth attempting to “get something” or to control his parent’s behavior? Was the youth attempting to engage his parents or make them go away?” One way to assess for intent is to carefully examine what happened immediately following the event. Did youth go into his room and shut the door or did he continue to follow his parent around? What did the parent do? 27 Chapter 2 ADBTT “BEHAVIORAL INTENT” ITEMS AND DEFINITIONS: Domain 5 BEHAVIORAL INTENT Check the box next to the option(s) that best fits. Defensive Attempt to protect self or other family members Isolated Incident Family Chaos Impulsive, immediate remorse; no intent to harm Pattern of increasingly aggressive behavior will stop once youth gets own way, no intent to harm Escalating Pattern of behavior designed to intimidate or control in order to seize parental authority; will harm if necessary Domain 5 PRS Scale Rate “Behavioral Intent” on a scale of zero to four. Enter score in the box. 0 1 Youth’s behavioral intent does not fall on the continuum Youth is struggling to get what he wants and attempts to use intimidation to take over parental authority 2 3 4 PRS SCORE Behavior establishes coercive control over parent; deliberate with intent to harm Purpose: To determine what motivated the youth to engage in domestic battery and what outcome he/she was trying to achieve. Domain 5 “Behavioral Intent” depends on examining multiple incidents and looking for patterns: Is there a common theme as to what the youth is trying to accomplish? Defensive: Attempt to protect self or other family members Definition: Youth’s behavior is to protect self or other family members from a real or perceived threat of harm. Isolated Incident: Impulsive, immediate remorse, no intent to harm Definition: Youth’s behavior appears impulsive or reactionary with no intent to harm. Youth is immediately remorseful. Family Chaos: Pattern of increasingly aggressive behavior will stop once youth gets own way, no intent to harm Definition: Behavior begins when youth perceives that he is not getting own way in regards to parental request, boundary, or discipline. Usually, the youth has no intent to harm, but to simply get what he wants. Escalation of aggressive behavior stops immediately if parent “gives in.” (Temporarily shifts parental authority) Escalating: Pattern of behavior designed to intimidate or control parent in order to seize parental authority; will harm if necessary Definition: Youth uses intimidation and control tactics in an attempt to achieve his purposes and to permanently shift parental authority from parent to youth. 28 Adolescent Domestic Battery Typology Tool Manual Chapter 2 Suggested Interview Questions to assess Behavioral Intent: a. What was youth hoping to achieve by using aggression? b. Would aggression have occurred if youth had gotten own way earlier? c. What else, if anything could have prevented the aggression? d. What was the immediate behavior of youth and parent following the event? e. What usually happens after an event like this? f. Does/did youth demonstrate remorse? How? Domain 6: Youth Attitude toward Violence A youth who believes that the use of violence is appropriate is at a higher risk to commit a violent offense. The Office of Juvenile Justice and Delinquency Prevention (OJJDP) convened a study group to analyze research on risk and protective factors for serious and violent juvenile offending. One of the risk factors studied was “Belief and attitudes favorable to deviant or antisocial behavior.” The group found that especially for boys, “dishonesty, antisocial beliefs and attitudes, attitudes favorable to violence, and hostility toward police have been found to predict later violence.” Assessing a youth’s attitude toward the use of violence not only helps to determine into which typology he will fit, but may also assist in determining the most appropriate intervention. (Hawkins et al., 2000) ADBTT YOUTH ATTITUDE TOWARD VIOLENCE ITEMS AND DEFINITIONS: Domain 6 YOUTH ATTITUDE TOWARD VIOLENCE Check the box next to the option(s) that best fits. Defensive Believes violence is inappropriate but is justified in this incident Isolated Incident Family Chaos Believes violence is inappropriate and can identify more appropriate ways he could have resolved situation Verbally acknowledges violence as inappropriate but is willing to use it again if less aggressive behaviors are not effective in achieving his purpose Escalating Youth is beginning to consider or has decided that violence is appropriate Domain 6 PRS Scale Rate “Youth Attitude toward Violence” on a scale of zero to four. Enter score in the box. 0 1 Youth believes violence is inappropriate Is ambivalent about the appropriateness of violence but is experimenting with violence to see if it is effective 2 3 4 PRS SCORE Accepts violence as preferred response Purpose: To determine whether or not the youth believes the use of violence is appropriate. It is difficult to determine a youth’s attitude toward violence from one incident, but the assessor should still look for patterns: In general, how does the youth feel about the use of violence? Does he use it across settings; is he remorseful? 29 Chapter 2 Defensive: Believes violence is inappropriate but is justified in this incident Definition: Youth believes use of violence is inappropriate. Youth can identify other ways to handle anger/frustration that he has personally used in the past and could use in the future. However, youth believes that this particular incident of violence was justified because youth felt threatened or felt a need to protect self or others. Isolated Incident: Believes violence is inappropriate and can identify more appropriate ways he could have resolved situation Definition: Youth believes use of violence is inappropriate. Youth can identify other ways to handle anger/frustration that he has personally used in the past and could use in the future. Youth believes he should have handled this incident differently and demonstrates remorse. Family Chaos: Verbally acknowledges violence as inappropriate but is willing to use it again if less aggressive behaviors are not effective in achieving his purpose Definition: Youth verbally acknowledges that violence is inappropriate, however will use it if he cannot achieve his purposes by other means. Youth may try other non-aggressive options but if he does not obtain desired results, behavior will continue to escalate until youth gets what he wants or needs. Escalating: Youth is beginning to consider or has decided that violence is appropriate Definition: Youth is determining whether to use patterned violence as a means to achieve his purposes. The youth generally condones violence as a method for resolving problems. Suggested Interview Questions to assess Youth Attitude toward Violence a. Does being aggressive/violent get you what you want? Why or why not? b. Are you ever violent or aggressive at school, work, with your friends, etc.? c. Do you think being aggressive is ever justified? Under what circumstances? d. How do you (youth) feel about hitting your parent (or friend) or (someone else)? e. If you had it to do over, what (if anything) would you do differently? f. Can you think of other ways you could have handled this? g. If you saw one of your friends being aggressive/violent, what would you do/say/feel? h. If one of your friends saw you being violent, what would they have said? 30 Adolescent Domestic Battery Typology Tool Manual Chapter 2 Domain 7: Youth Attitude toward Change DiClemente and Prochaska (1982) developed a five-stage model of change based on observations of how people attempted to change addictive behaviors such as drinking, smoking and over-eating. The “Stages of Change” became the foundation for Transtheoretical therapy that has been applied to a variety of problematic behaviors. Pre-contemplation Does not see the problem; no intention of changing Contemplation Knows there is a problem; thinking about changing Preparation Focused on the problem; has a plan to change Action Is working on changing the problem behavior Maintenance Taking steps to ensure the change is permanent (adapted from the Transtheoretical Model of Change by Prochaska and DiClemente, 1982) Assessing the youth’s readiness or resistance to changing his behavior is not only beneficial for determining the typology, but also to determine what interventions will be the most effective. According to Norcross, et al., (2013), the most efficient method to assess readiness to change is to ask a simple series of questions. For example, ‘Do you think behaviour X is a problem for you now?’ (if yes, then contemplation, preparation, or action stage; if no, then maintenance or pre-contemplation stage) and ‘When do you intend to change behaviour X?’ (if some day or not soon, then contemplation stage; if in the next month, then preparation; if now, then the action stage.)” ADBTT YOUTH “ATTITUDE TOWARD CHANGE” ITEMS AND DEFINITIONS: Domain 7 YOUTH ATTITUDE TOWARD CHANGE Check the box next to the option(s) that best fits. Defensive Youth hopes he won’t have to repeat but may do so in response to a perceived threat Isolated Incident Family Chaos Believes own behavior was wrong and is willing to change (preparation/action stage) May believe own behavior is wrong but states he is only willing to change if parents change their behavior Escalating Resistant toward changing behavior Domain 7 PRS Scale Rate “Youth Attitude toward Change” on a scale of zero to four. Enter score in the box. 0 1 Aggression was solely protective OR youth is willing to change Unsure if own behavior needs to change; may believe it is wrong but knows he may repeat because it is effective (contemplation) 2 3 4 PRS SCORE Unwilling to change behavior; believes own behavior is acceptable and preferred (pre-contemplation) 31 Chapter 2 Purpose: To determine whether the youth believes he needs to change his behavior. The assessor should attempt to determine whether the youth demonstrates a willingness to change (contemplation, preparation, action) and is not simply saying that he is willing to change for the purpose of the interview (pre-contemplation). Defensive: Youth hopes he won’t have to repeat but may do so in response to a perceived threat Definition: Youth believes his behavior was the right response given the circumstances because he did not believe he had other options by which he could protect himself or other family members. Youth hopes that he will not have to repeat his behavior, but if in the future, youth were to feel threatened by parent, youth believes repeating his aggressive behavior would be justified. Isolated Incident: Believes own behavior was wrong and is willing to change (preparation or action stage) Definition: Youth believes his aggressive behavior was inappropriate and needs to change in the near future. Youth is willing to consider and use other more appropriate ways to resolve conflict. Youth accepts responsibility for behavior. Family Chaos: May believe own behavior is wrong but states he is only willing to change if parents change their behavior (contemplation) Definition: Youth believes that he needs to change behavior but will not commit to change unless the parent(s) also commit to change. Youth may use parent’s behavior as an excuse to continue his own behavior and avoid change. Escalating: Resistant toward changing behavior; believes own behavior is acceptable and preferred (pre-contemplation) Definition: Youth is not ready to commit to changing behavior because he is not convinced the negative consequences of his behavior outweigh the benefits. Suggested Interview Questions to assess Youth Attitude toward Change a. Do you think your aggression/violence is a problem for you? b. Is being aggressive something you could change? Why or why not? c. Do you think it is something you should change? Why or why not? d. Is this something you want to change? e. What do you think it would take to motivate you to change? f. What do you think would help you change it? g. When do you intend to change it? h. What would be the benefits to changing? 32 Adolescent Domestic Battery Typology Tool Manual Chapter 2 Domain 8: Parent’s Concern In any case of domestic battery, safety needs to take precedence over all other concerns. If necessary, the assessor should assist the family in safety planning, at minimum, by instructing the family to call 911 and separate themselves from potential danger. If at all possible, the assessor should provide a referral to someone who can help the family create a safety plan that will include a prioritized written list of strategies and sources of support that families can use during times of conflict and emotional stress. In addition to safety concerns, parents can have a variety of other concerns. These concerns may differ by typology and may be challenging for the assessor to identify. The assessor should listen to other statements the parent(s) make, actions immediately following the incident, what details the parent(s) stress, etc. These concerns may include: • How do I keep this from happening again? • What will people think of me as a parent? • How do I re-establish myself in the parenting role? • Will my child be punished for what he did to me? • What will happen if this keeps getting worse? • What will happen to my child if he continues to be aggressive? • How do I get help dealing with my aggressive child? • How much effort and resources can I afford to put into solving this problem? ADBTT “PARENT’S CONCERN” ITEMS AND DEFINITIONS: Domain 8 PARENT’S CONCERN Check the box next to the option(s) that best fits. Defensive Wants to deflect responsibility for incident to youth; may want to see youth punished Isolated Incident Family Chaos Wants situation resolved/no ongoing concerns regarding safety; may take some responsibility Desires to have someone else (JJ system) impact/influence youth; Parent does not want to be required to change Escalating Parent is concerned for Personal or Family Safety/ Future Domain 8 PRS Scale Rate “Parent’s Concern” on a scale of zero to four. Enter score in the box. 0 1 Parent does not have any concerns about safety Expresses some concerns about safety but mostly anxious for youth, family, and own future if behavior continues 2 3 4 PRS SCORE Constant and overwhelming fear for personal and family’s safety. Purpose: To determine what the parents’ concern is regarding the incident and/or pattern of their child’s domestic battery. In addition to parents’ expressed concern about safety, the assessor must try to determine the parent’s other concerns. Parents’ concern can be examined over a series of incidents and over a period of time. For example, parent may say, “I was scared at the time, but now I am more worried about what might happen to my kid.” 33 Chapter 2 Defensive: Wants to deflect responsibility for incident to youth; may want to see youth punished Definition: Parent deflects own responsibility for incident to youth to protect self from blame. Wants the “system” to take parent’s point of view and punish the youth. Isolated Incident: Wants situation resolved/no on-going concerns regarding safety; may take some responsibility for incident Definition: Parent would like to resolve the issue, while ensuring that it does not repeat. Parents do not have on-going concern for own safety. Parent may take some responsibility by saying “I should have/could have handled it differently.” Family Chaos: Desire to have someone else (JJ system) impact youth/influence youth; Parent does not want to be required to change. Definition: Parent would like someone else (possibly the Juvenile Justice system) to establish authority over and affect change in the youth. Parent may want immediate support in own parental role but is resistant to being held accountable for changing his own behavior. Escalating: Personal or Family Safety/Future Definition: Parent‘s primary concern is for personal safety or for the safety of the family. Parent is concerned about what will happen to the family if youth’s behavior does not change. As youth’s behavior becomes more extreme, parent may have developed a strategy about what to do if the behavior occurs or what to do to prevent the behavior (safety planning). Suggested Interview Questions to assess Parent’s Concern a. What bothers you most about the situation that occurred? b. What, (if any) safety plans have you made? c. If it were to happen again, what would you do? d. What do you think should happen to your child now? e. Would you be willing to participate in a program to help your child? f. Have you talked to anyone else about your child’s behavior? 34 Adolescent Domestic Battery Typology Tool Manual CHAPTER 3: Scoring the ADBTT GENERAL INSTRUCTIONS FOR GATHERING INFORMATION The ADBTT (see Appendix B) is comprised of eight domains with a Progression Risk Score (PRS) associated with each domain. Each domain is separated into four unique options that are characteristic of the different typologies of domestic battery. The assessor must determine which option best describes the youth and his/her family. The assessor further evaluates the youth and family by placing their behaviors, attitudes and concerns along a continuum, creating a PRS. The domains and the PRS are scored according to the clinical impressions and judgment of the assessor based on information garnered through interviews with the youth and parent as well as any collateral information. Collateral information can be gathered from a variety of sources including police reports, criminal and social histories, and history of involvement with the child welfare system. In addition, the ADBTT may be supplemented with mental health screening, drug and alcohol screening, and screening of trauma-related symptoms as resources permit. The primary source of information, however, will come from the interviews with the youth and parents or caregivers. Ideally, the interview process should occur in three parts: interview with the youth, interview with the parent and a joint interview with the youth and parent. If it is not possible to do a joint interview, separate interviews can suffice. If either the youth or the parent is unavailable, the ADBTT should be considered incomplete and any results viewed with caution. As noted in Chapter One, the timing and location of the interview process can vary by jurisdiction but the earlier in the process the better. Earlier assessments have a greater chance of impacting diversion decisions. The inclusion of parents/caregivers is integral to the process of completing the ADBTT. In addition to providing information about the referring incident, they are also in a position to provide both historical and dynamic information about the youth’s patterns of violence and behavior. Having both a youth and their parent/caregiver account, together with the other available information, provides for the most accurate representation of the level of both risk and need. Basing the ADBTT scoring on the youth’s self-report alone is likely to be skewed. Moreover, some items of the tool are scored based on the parents’ concerns, which would be difficult to discern without a parent interview. When completing the ADBTT, the assessor needs to be aware that scoring the domains and the Progression Risk Scores requires him or her to assess the youth’s patterns of behavior. With the exception of Domain 3, “Predictability of Event”, each domain should be scored by examining multiple incidents, events or scenarios. The assessor should look for patterns of behavior, attitudes, concerns, relationships, etc., in order to most accurately assign the youth’s typology. Make sure your agency has safeguards in place to keep information the youth and family gives you about prior incidents confidential (within any legal or ethical limits). While the ADBTT is not simply a list of questions that the assessor asks the youth and the parents, this manual does include some “Suggested Interview Questions” in both Chapter 2 and in Appendix C. These examples demonstrate the type of questions the assessor might use in order to make a clinical judgment regarding the domains and the PRS. The assessor is able to use his own questions as appropriate and is not required to get answers to all of the suggested questions. If there are discrepancies between the youth and parents’ reports these discrepancies should be resolved during the joint interview. If discrepancies cannot be resolved, the assessor should score the ADBTT based on the most reliable and credible source. 35 Chapter 3 HANDLING ISSUES THAT ARISE The utilization of the ADBTT and the accompanying clinical interview and screening process may result in increased disclosure of acute youth or family situations. Although, this is certainly aligned with the general purpose of any effective juvenile justice intake process, the more intensive nature of this process can also provide more revelations than a more cursory intake process. Issues that will likely arise include mental health and substance abuse issues, neglect or dependency indications, health issues and evidence of child physical/sexual abuse. Additionally, a clear ongoing threat of violence to family members, or others, may be discernable. Most of these situations already have clear responses stipulated in local policy and protocol for intake interviews. When closely screening for violence/abuse/trauma patterns, the assessor may encounter cases where they may need to provide for, or arrange for, an immediate crisis de-escalation or response. There should be clear protocol developed for whom to contact in these situations when using the ADBTT process, and a basic level of crisis de-escalation training provided to all assessors. As stated in previous sections, there is also the risk of discovering the occurrence of ongoing abuse, which would require an immediate report to the local child welfare agency by the assessor who is likely to already be a mandated reporter. INSTRUCTIONS FOR COMPLETING THE ADBTT The ADBTT process probes into some very sensitive areas in the lives of youth and families entering the system after a family violence event. As such, it is critical that the process be presented in as non-threatening, cohesive, and professional a manner as possible. Sites using the tool should develop both a “script” for the assessors to follow as well as set of clinical interview questions to be used as guide to access information (see Chapter 2 and Appendix C for “Suggested Interview Questions”). These tools are best devised locally to meet the specific need of your population and to take into account local standards and practices. We recommend an introductory script using the structure outlined below. 1. Read the script introducing the ADBTT. Script: To the youth and parent(s): “I am going to ask you some questions that will help us to better understand what has happened with your family to plan the appropriate services and action for you. This will require that I have some time to speak with both of you separately and then I would like to speak with both of you together.” 2. R eview the limits of confidentiality as per standards in your jurisdiction and provide any other details as to how the information might be used. 3. Complete the client information. See next page. 36 Adolescent Domestic Battery Typology Tool Manual Chapter 3 ID# is the number your agency assigns to the youth John Carter 2/11/00 ID#: __________________________ 15-000234 Name: __________________________ DOB_________ Race: American Indian/Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander X White other Multiple Races Unknown X Non-Hispanic Unknown Gender: X Male Female DuPage County, IL Home Site: _______________________________ Screening Setting: Youth _________________________ Ethnicity: Hispanic (Jurisdiction/County, State) (Detention, court, etc.) John Smith Screener Name: ________________________________ 1 5, 2004 Date of Screening: June _______________ 4. Answer Question #1 regarding “violence in response to physical threat”. If the answer is “yes”, follow the specific instructions indicated by the asterisk (*) in the question box. If the answer is “no” proceed to instruction #3. Question #1: Has every incident of violence by the youth toward the parent, ONLY been in response to a physical No threat by the parent? X Yes* *If the answer is “yes” score only the Defensive items for the other domains. In each domain, check the Defensive box if it fits the youth and family. If it does not fit, do not check any domain boxes. Complete all the PRS Scales for every domain as well as the “Additional Instructions to Assign Typology and Calculate Risk Score” on page 4 of the ADBTT. PLE M EXA X Defensive Parent demonstrates developmentally unreasonable level of authority (authoritarian) Domain 2 PARENTAL AUTHORITY Check the box next to the option(s) that best fits. Isolated Incident Parent demonstrates developmentally reasonable level of authority (authoritative) Family Chaos Parental authority is inconsistent or unclear Escalating Parental authority is shifting or has shifted to youth Domain 2 PRS Scale Rate “Parental Authority” on a scale of zero to four. Enter score in the box. Do not score these typologies. BUT complete the PRS scores on all the Score this; check box if “Yes”; 1 4 PRS SCORE 0 domains. (See2 #5 for3instructions on how to complete PRS Score. leave unchecked if “No.” Parental authority is not shifting or has not shifted to youth Parental authority is becoming ineffective and control is shifting to youth Youth demonstrates unreasonable level of control/decision-making over parent; parent has no influence over youth 37 Chapter 3 5. E ach domain is scored based on information garnered through interviews with the youth/parent as well as any collateral information the assessor has. Refer to “suggested interview questions” in Chapter 2 of the manual. The scorer should choose the option that he feels is the most accurate description of the family based on his observations and knowledge, in addition to the family and youth’s answers to his questions. 6. F or each domain, check the box next to the option(s) that best fits the youth and his/her family. If the check box is blacked out “n”, there is no option available for that typology. Do not check that box. E PL XAM Domain 3 PREDICTABILITY OF EVENT E Check the box next to the option(s) that best fits. n Defensive There is no option available for this typology. Do not count this box as checked Isolated Incident Both parent and youth may be surprised that situation deteriorated to point of violence Family Chaos Neither parent nor youth is surprised by the predictable pattern/intensity of youth’s increasingly aggressive behavior; parent not living in fear Escalating Neither parent nor youth is surprised by aggression; may or may not be surprised at the intensity of the aggression; parent is increasingly fearful Domain 3 PRS Scale Rate “Predictability of Event” on a scale of zero to four. Enter score in the box. Do not 0score this typology Parent is not fearful 1 Choose that best describes the family PRS SCORE 2 the option 3 4 Both express surprise at intensity; parent is beginning to be fearful Neither is surprised by intensity; parent lives in constant fear 7. Refer to the domain definitions provided in the manual to score the items as accurately as possible. PLE M EXA (Domain 3: PREDICTABILITY OF EVENT) Family Chaos: Neither parent nor youth is surprised by the predictable pattern/intensity of youth’s increasingly aggressive behavior; parent not living in fear Definition: Parent can describe the pattern of increasingly aggressive behavior that youth uses to get what he/ she wants. (For example, asking>whining>pleading>arguing>yelling>shoving>hitting, etc.) Neither party is surprised by the youth’s behavior. Parent may be fearful at the time of the incident but does not live in constant fear for his/her own safety. 38 Adolescent Domestic Battery Typology Tool Manual Chapter 3 8. If no option appears to fit, or if more than one option appears to fit, follow these instructions: a. Refer back to the definitions for clarification. b. A sk the youth or family member additional questions. (See “Suggested Interview Questions” in the Chapter 2 of the manual). c. Example for Predictability of Event: • How did you feel when the incident was happening? • What was your reaction when it was over?” d. Choose the option that most closely fits. e. If no answer is close, leave that domain unchecked, but score the PRS as accurately as possible. f. If the assessor still believes that the options fit the family equally, he can choose both, but it is less desirable than choosing one. The assessor should be careful not to choose contradictory options. 9. T he Progression Risk Score (PRS) measures the likelihood that a youth will commit another ADB or could move to a more serious typology. The PRS looks at the range of behaviors within the Escalating Typology domains but is scored for each domain even if the Escalating Typology was not chosen. 10. In the gray “PRS Scale” box under each domain item, rate the domain on a scale of “0” to “4” according to the description that best fits the youth and his/her family. Each item defines the “0”, “1”, and “4” ratings. The “2” and “3” ratings are intentionally undefined so that the assessor can rate answers that may fall between the two extremes. Provide a PRS score even when scoring the domain is not possible (e.g., the check box is blacked out), or no typology definition fits the youth/family. E PL XAM Domain 3 PREDICTABILITY OF EVENT E Check the box next to the option(s) that best fits. n Defensive There is no option available for this typology. Do not count this box as checked Isolated Incident Family Chaos Both parent and youth may be surprised that situation deteriorated to point of violence Neither parent nor youth is surprised by the predictable pattern/intensity of youth’s increasingly aggressive behavior; parent not living in fear Escalating Neither parent nor youth is surprised by aggression; may or may not be surprised at the intensity PRS of the aggression; parent is increasingly fearful Domain 3 PRS Scale Rate “Predictability of Event” on a scale of zero to four. Enter score in the box. 0 1 Parent is not fearful Both express surprise at intensity; parent is beginning to be fearful 2 3 4 PRS SCORE Neither is surprised by intensity; parent lives in constant fear 2 Choose the option that best describes the family. Enter the number in the box. 11. Once all domains and PRS Scales have been completed, follow instructions #11 through #15 on the last page of the ADBTT. 39 Chapter 3 12. C ount the number of items that are checked in each of the typologies: Defensive, Isolated Incident, Family Chaos and Escalating. (Do not count boxes that have been “blacked out”.) Record “number of items checked” on the indicated lines. 0 1 2 5 Defensive items: ___ /6 Isolated Incident Item: ___ /8 Family Chaos: ___ /7 Escalating: ___ /8 13. R efer to the “Typology Scoring Table” to find the youth’s score in each typology and enter them into the indicated boxes. Typology Scoring Table Typology Score Domains Checked Defensive Isolated Incident Family Chaos Escalating 0 0 0 0 0 1 17 13 14 13 2 33 25 29 25 3 50 38 43 38 4 67 50 57 50 5 83 63 71 63 6 100 75 86 75 29 7 - 88 100 88 Escalating 8 - 100 - 100 Defensive 0 Isolated Incident 13 Family Chaos 63 14. Re-enter the answer to question #1 (from page 1 of the ADBTT) and answer question #2. Question #1: Has every incident of violence by the youth toward the parent, ONLY been in response to a physical Yes X No threat by the parent? (If “no,” youth CANNOT be assigned to the Defensive typology.) Question #2: Were there less than 3 incidents of youth aggression in a 24-month period? (If “no,” youth CANNOT be assigned to the Isolated Incident typology.) Yes X No 15. T he youth is assigned to the typology with the highest score, unless otherwise indicated by the answers to #1 or #2. If the Defensive and/or Isolated Incident typologies are ruled out, then assign the youth to the typology with the next highest score. Check the box with the final typology assignment. PRS SCORE TOTAL Final Typology Assignment Defensive Isolated Incident Family Chaos Escalating 24 16. A dd together the Progression Risk Scores (PRS) from the shaded boxes on pages 2 and 3. Enter the total (0 – 32) in the shaded box below. (Note: This is separate from the Typology Score) 40 Adolescent Domestic Battery Typology Tool Manual CHAPTER 4: Responding to Typology Scores MATCHING TYPOLOGIES WITH INTERVENTIONS The ADBTT is designed to aid in dispositional and treatment planning by identifying youth at risk of reoffending violently in a domestic context. By assigning youth to distinct typologies, the ADBTT provides the basis for recognizing that youth who commit domestic battery are not all the same; they do not have the same risk level to reoffend and should be given different responses. The tool’s classification methodology provides the foundation for a developing a structured framework to effectively match intervention level to risk level, thus providing a much greater likelihood for successful treatment outcomes. For example, a youth classified as an “isolated case” would not be appropriate for an intensive long term treatment program but would likely benefit from some form of educational programming through a diversion contract. 1. T wo Cautions: Decisions about how to intervene with a youth and his or her family should not be based solely on the ADBTT. Other youth characteristics must be considered including additional screening as necessary, for mental health, substance abuse and trauma issues. Family needs and resources should also be considered. 2. A dditional research is needed to match interventions to youth who have committed ADB. While the research behind the ADBTT included measuring the impact of interventions to recidivism rates, the results are not definitive. System Responses: Because every jurisdiction has its own set of responses, terminology and available resources, it is impossible to create a decision-making grid that will include every potential system response. The System Response grid is based on responses utilized in the state of Illinois and is an example of how the typologies could be matched to those responses. Each site will need to develop its own grid by employing risk levels, risk management principles and an understanding of dynamics of the typologies. The System Response grid is not intended to recommend any system response that would be more intensive than would normally occur. Specific cases may at times defy the logic of the grid and must be evaluated individually as it is possible that the grid may overreact or underreact to any unique set of circumstances. One System Response, not currently available in Illinois, but used successfully in other jurisdictions is the “Specialized Docket or Specialized Court.” These courts differ from traditional courts in that they focus on one type of offense or offender. Usually the judge plays an intensive supervisory role. Other criminal justice components (e.g., probation) and social services agencies (e.g., drug treatment) are involved and collaborate closely in case processing. Specialized dockets for family violence fall under the scope of Therapeutic Jurisprudence to reduce criminal offending through therapeutic and interdisciplinary approaches that address the underlying issues without jeopardizing public safety and due process. Specialized dockets for ADB would be appropriate for Family Chaos and Escalating Types but would most likely be too intensive for the Isolated Incident category. Family cases within the Defensive Type would likely be heard in a child welfare jurisdiction court. 41 Chapter 4 Recommended Juvenile Justice System Responses to ADB (Example only) System Responses to ADBTT CRISIS RESPONSE Crisis Intervention Safety/Screening and Planning Typologies of ADBTT Defensive Isolated Family Chaos Escalating These services should be available for all typologies and should inform subsequent responses. May be done by police or other agency. ADB Assessment If ADB assessment cannot be done at the point of crisis, it should be done as soon as possible. Referral to Child Welfare Mandated by Illinois law As indicated Respite/Shelter Care If necessary; it should be a DCFS (child welfare) placement Not likely to be necessary If available If available and only if no significant history of aggression Not appropriate Not appropriate May be appropriate; override not recommended May be appropriate; override as needed Detention POLICE RESPONSE (FOLLOWING CRISIS) Defensive Isolated Family Chaos Escalating Family Generated Solution (no arrest) May be appropriate; if DCFS is investigating or if family is receiving services elsewhere Not appropriate Appropriate for first time offenders; based on parent's resources and request as well as youth attitude Not appropriate May be appropriate; if DCFS is investigating or if family is receiving services elsewhere Appropriate, (both informal and formal S. A.) Formal S.A. only; requiring programmatic response Not appropriate Station Adjustment (S.A.) May be appropriate if it is the only way to get the family services Appropriate if the family does not feel it has the resources to generate a solution Appropriate Appropriate Refer case to Probation Referral for Treatment PROBATION/COURT SERVICES RESPONSE As needed (If other agency is providing the crisis response, agency should offer or link family to follow-up services.) Defensive Isolated Family Chaos Escalating May be appropriate; if DCFS is investigating or if family is receiving services elsewhere Not appropriate Appropriate for first time offenders; based on parent's resources and request as well as youth attitude Not appropriate Not appropriate Appropriate Not appropriate Informal Supervision (Diversion) May be appropriate; if DCFS is investigating or if family is receiving services elsewhere Appropriate, with or without Appropriate only if requiring Appropriate only if requiring programmatic response programmatic response requiring programmatic response Continuance under Supervision May be appropriate if it is the only way to get the family services Appropriate, with or without Appropriate only if requiring Appropriate only if requiring programmatic response programmatic response requiring programmatic response. Not appropriate Not appropriate, unless all attempts at diversion have failed Appropriate if attempts at diversion have failed or if intensity of incident warrants it. Should include programmatic response. Appropriate if attempts at diversion have failed or if intensity of incident warrants it. Should include programmatic response. Residential Placement Not appropriate Not appropriate Not appropriate Only in extreme cases Referral for Treatment If case reaches Probation and Court Services, a referral for assessment for treatment is appropriate Family Generated Solution (close case) Mediation Formal Supervision (Probation) 42 Adolescent Domestic Battery Typology Tool Manual Appropriate if only other offenses are minor Chapter 4 Treatment Responses: Choosing a treatment response for each of the typologies presents a challenge to many jurisdictions. Jurisdictions must identify resources (time, money, staffing, etc.), collaborate with various agencies (usually the juvenile justice system as well as a community provider at a minimum) and choose a treatment program that will work within their system. The Treatment Response Grid is not to be considered an exhaustive list of treatments; there may be other valuable programs that have not been included. A “recommended” treatment means that it should be considered as an option for that typology, not that it should be required for every youth categorized in that typology. “ADB specific” means that the treatment was designed to specifically address ADB or DV. “Non ADB specific” means that treatment is used to treat other issues or problematic behaviors but can be applied to ADB. A “Blended Response” is both a system response as well as treatment. Specialized dockets would fall into the “Blended Response” category. Recommended Juvenile Justice Treatment Responses to ADB (system responses) Justice Trearment Responses to ADB Non ADB Specific Treatment Individual Counseling Family Counseling Brief Strategic Family Therapy MST/FFT Parent Education Typologies of ADBTT Defensive Isolated Family Chaos Recommended, especially if youth has trauma issues; focus on coping skills Usually not necessary unless youth demonstrates need based on other assessment Not recommended to address domestic violence, unless paired with other services Recommended, needs to be paired with services to support the family Not recommended unless abusive parent has received DV services prior to family counseling Usually not necessary unless family requests or demonstrates need based on other assessment Recommended Recommended if it does not put other family members at risk See Family Counseling Recommended on case by case basis Highly Recommended Recommended for early incidents and only if it does not put other family members at risk See Family Counseling Not recommended, service is more intensive than needed Highly recommended Recommended if it does not put other family members at risk Recommended, focus on parent skills Recommended, focus on parent skills and support May be recommended Recommended; needs to include abusive parent accountability to the system (monitoring) Escalating 43 Chapter 4 Recommended Juvenile Justice Treatment Responses to ADB (system responses) Anger Management ADB Specific Treatment Safety Planning Domestic Violence Education (4 hour educational program) Step Up (21 week group therapy curriculum with parent component) Traditional Adult DV education Blended Responses (system and treatment) Not recommended for youth, Usually not necessary may be recommended for abusive parent Defensive Isolated Family Chaos Escalating Recommended, including planning around parent violence Recommended, may include Recommended; may include Highly Recommended, may want to safety plan with “behavior contract” “behavior contract”; may parent alone need to include planning around parent behavior Recommended on case by case basis and only if it has a parent component Recommended on case by case basis Recommended if it has a parent component Recommended for early incidents Not recommended unless it is the only treatment option available Due to length of program, not recommended unless parents are requesting additional support Highly recommended; emphasize accountability Highly Recommended; emphasize safety planning; needs to include youth accountability to the system (monitoring) Not recommended Not recommended Not recommended Recommended only for escalating youth with very high risk scores Defensive Isolated Family Chaos Escalating Not recommended Highly Recommended Recommended if there is additional system monitoring/accountability Recommended only for early incidents and only if there is additional system monitoring/accountability Child Welfare Jurisdiction Court Not recommended, service is more intensive than needed Highly recommended Highly recommended Mediation Specialized Docket Recommended; should be Recommended on case by case basis; should be paired paired with other services with other services The Response Grids are provided merely as examples of structured decision making grids. Specific individual cases may at times defy the logic of the chart and must be independently evaluated as it is possible that the response grid may overreact or underreact to any unique set of circumstances. 44 Adolescent Domestic Battery Typology Tool Manual CHAPTER 5: The ADBTT Validation Study: Identification of The Typologies The authors developed and finalized the version of the ADBTT described in this manual based on findings from the multisite ADBTT Validation Study. This study has the largest reported sample of youth who have been arrested for an act of domestic battery toward a parent. Therefore, the characteristics of this sample can be used to understand this population generally. The validation study examined: (1) whether the ADB characteristics fit statistically into the classifications created by the developers, (2) how other youth and family risk factors (e.g., history of potentially traumatic events, mental health issues, substance abuse, parental criminality) correlated with the typologies and (3) whether some of these categories identified youth who were more likely to commit domestic battery again or to reoffend generally over the course of a year. The research methodology also examined the inter-rater reliability of items to ensure different types of assessors could rate the items of the assessment consistently. The sample was drawn from six court jurisdictions, each of which implemented the ADBTT interview and scoring as part of their routine practice for youth charged with ADB toward a parent. Each of these sites also completed their own general risk assessment with the youth and parent as part of their routine practice to estimate risk of reoffending and to guide case planning. In addition, the sites administered a questionnaire about prior potentially traumatic experiences and a checklist of additional risk factors to the youth to complete on their own. DESCRIPTION OF THE SITES It was important to test the ADBTT and interview procedures in different juvenile justice settings and with assessors from different types of professions to strengthen its generalizability. The location where the assessment was conducted varied across sites as follows: • Lucas County Juvenile Court – ADBTT assessments were conducted when the youth first entered the detention facility. • DuPage County Juvenile Court – ADBTT assessments took place with youths at intake, either at diversion or prearraignment. Youths who committed felonies were automatically referred for a formal delinquency petition and not included or assessed. • Pima County Juvenile Court Center – ADBTT assessments took place at the Domestic Violence Alternative Center (DVAC), which serves as an alternative to detention intake for youth who are arrested for misdemeanor domestic violence offenses. Youth who committed felonies were automatically petitioned and not included or assessed. • Bexar County Juvenile Probation Department – ADBTT assessments were typically completed at the first meeting with the probation department. Youths who committed felonies were automatically filed and not assessed. • Connecticut Judicial Branch Court Support Services Division (New Britain and Hartford) – Most of the youth involved in the project were first and second time offenders who were eligible for non-judicial handling, so the ADBTT assessments were administered at the first meeting after an admission to the charges. 45 Chapter 5 DESCRIPTION OF THE SAMPLE The sample for the study comprised youth who were charged with a domestic battery offense. The ADBTT initially was completed for 515 adolescents charged with a domestic battery offense who were brought to one of the six juvenile justice locations in the study. A total of 142 of these cases were excluded as follows: 93 cases were removed because they were ineligible for the study (there wasn’t a real battery charge, ADB was not against a parent), 45 were removed because they were duplicate cases, and 4 were removed due to incomplete assessments. The final sample included 373 adolescents charged with a domestic battery specifically against at least one parent or caregiver. Demographic information for the entire sample is included in Tables 1 through 3, which also provide the information by site. The youth averaged 14.6 years of age and most were boys, but a surprising 40% were girls. The sites had significant differences in the number of youth with child welfare involvement (see Table 1), with the highest rates in Hartford County and the lowest rates in Pima and DuPage Counties; 2(5, 358) = 60.92, p < .01. Table 1: Age, Gender, and Child Welfare Involvement By Site Overall N = 373 DuPage n = 32 Lucas n = 91 Bexar n = 31 Pima n = 175 New Britain n = 21 Age Range 9-18 12-18 12-17 11-17 9-17 13-17 12-17 Age M(SD) 14.68 (1.7) 15.44 (1.3) 14.65 (1.5) 14.77 (1.5) 14.51 (1.9) 15.14 (1.5) 14.48 (1.5) 221 (59.2%) 25 (78.1%) 25 (78.1%) 16 (51.6%) 99 (56.6%) 16 (76.2%) 16 (69.6%) 49 (13.1%) 0 24 (26.4%) 7 (22.6%) 6 (3.4%) 2 (9.5%) 10 (43.5%) 96 (25.7%) 1 (3.2%) 40 (44.0%) 14 (45.2%) 27 (15.4%) 7 (33.3%) 7 (30.4%) Gender (n & % Male) Current Child Welfare Involvementa Prior Child Welfare Involvement Hartford n = 23 Note. There were no significant differences in age or gender across sites. There were significant differences in child welfare involvement by site 2(5, 358) = 60.92, p < .01 Unlike the general population of youth in the juvenile justice system, the majority of this adolescent domestic battery sample was White and non-Hispanic (see Tables 2 and 3). There were significant differences in the racial [2(15, N = 373) = 77.40, p < .001] and ethnic [2 (5, 360) = 29.49, p < .01] breakdown across sites (see Tables 2 and 3). Lucas and Hartford Counties had the highest proportion of Black adolescents. Bexar had the highest proportion of Hispanic youth. 46 Adolescent Domestic Battery Typology Tool Manual Chapter 5 Table 2: Racial Composition of Sample by Site Overall N = 373 DuPage n = 32 Lucas n = 91 Bexar n = 31 Pima n = 175 New Britain n = 21 Hartford n = 23 Black 81 (21.7%) 5 (15.6%) 41 (45.1%)a 6 (19.4%) 14 (8.0%) 5 (23.8%) 10 (43.5%)a White 257 (68.9%) 25 (78.1%) 44 (48.4%) 22 (71.0%) 139 (79.4%) 15 (71.4%) 12 (52.2%) Asian 3 (0.8%) 2 (6.3%) 0 1 (3.2%) 0 0 0 Other 32 (8.6%) 0 6 (6.6%) 2 (6.5%) 22 (12.6%) 1 (4.8%) 1 (4.3%) Hartford n = 23 10 (43.5%) Table 3: Ethnicity by Site (overall n = 123, 34.2% Hispanic) Hispanic DuPage n = 32 Lucas n = 91 Bexar n = 31 Pima n = 175 New Britain n = 21 8 (25.0%) 13 (14.1%) 19 (61.2%) 69a (39.4%) 4a (19.0%) Note: There were significant differences in ethnicity by site 2(5, 360) = 29.49, p < .01. a = Significantly higher proportions than the other sites. 47 Chapter 5 Juvenile Justice Status Youth were at various stages in the juvenile justice process at the time they completed their ADBTT interview (see Table 4). Most juveniles interviewed in DuPage County were placed into a diversion program by the time of the interview. Similarly, youth in Pima County were interviewed at a Domestic Violence Alternative Center (DVAC) diversion program, which serves as an alternative to detention intake for youth who are arrested for misdemeanor domestic violence offenses. The majority of youth in Bexar County, Hartford, and New Haven, were interviewed pre-adjudication while in the community; whereas in Lucas County, youth were interviewed pre-adjudication in detention. Table 4: Juvenile Justice Status At Time of Interview Overall N = 373 DuPage n = 32 Lucas n = 91 Bexar n = 31 Pima n = 175 New Britain n = 21 Hartford n = 23 Pre-Adjudicationin community 228 (61.3%) 7 (21.9%) 13 (14.3%) 15 (48.4%) 155 (88.6%) 15 (75.0%) 23 (100%) Pre-Adjudicationin detention 90 (24.2%) 4 (12.5%) 70 (76.9%) 14 (45.2%) 0 2 (10.0%) 0 Diversion program 35 (9.4%) 21 (65.6%) 6 (6.6%) 0 8 (4.6%) 0 0 Probation 12 (3.2%) 0 0 0 12 (6.9%) 0 0 Other (nonjudicial, pending, post adjudication) 7 (1.9%) 0 2 (2.2%) 2 (6.5%) 0 3 (15.0%) 0 Note: Sites differed significantly in the proportion of youths at different juvenile justice stages; 2(20, 372) = 390.02, p < .01. Information was missing for one case in New Britain. 48 Adolescent Domestic Battery Typology Tool Manual Chapter 5 Victims Types of victims for the current domestic battery incident were collected using the ADB tool. Youth ranged from having zero to five victims for their current domestic battery charge, for a total of 435 victims; an average of 1.19 (SD = 0.50) victims for each index offense. The most likely victims were mothers across the board (see Table 5). The sites significantly differed with respect to the proportion of victims who were fathers or other relatives, with New Britain and DuPage County having the highest proportion of father victims; 2 (5, 352) = 14.47, p = .01. Bexar, DuPage, and Hartford counties had the highest proportion of additional victims that were relatives other than parents or siblings (aunts, uncles, grandparents); 2 (5, N = 353) = 19.30, p < .01. Pima county had the highest proportion of ADB incidents with 2 or more victims (z = 2.1); 2 (5, N = 376) = 50.22, p < .01. Table 5: Victims of Acts of Domestic Battery Mother Father Sibling Other Overall 266 (71.9%) 80 (21.6%) 40 (10.8%) 49 (13.2%) DuPage 19 (59.4%) 10 (31.3%)a 1 (3.1%) 6 (18.8%)a Lucas 63 (70%) 14 (15.6%) 10 (11.1%) 12 (13.3%) Bexar 22 (71%) 4 (12.9%) 2 (6.5%) 6 (19.4%)a Pima 131 (74.9%) 41 (23.4%) 23 (13.1%) 21 (12%) New Britain 13 (68.4%) 9 (47.9%)a 1 (5.3%) 0 Hartford 18 (78.3%) 2 (8.7%) 3 (13%) 4 (17.4%)a NOTE: Youth could have more than one victim for the index offense. There were significant differences in the proportion of father and other victims by site. a = Significantly higher proportions than the other sites 49 CHAPTER 6: Psychometric Properties and Reliability The ADBTT Validation Study investigated many qualities that make an assessment tool like this sound. In order for a tool to be considered scientifically sound, there should be evidence that (1) it can be rated reliably by different assessors, (2) the items on the tool hang together statistically to form typologies, (3) the tool relates to other variables it is expected to correlate with, and (4) the tool predicts reoffending in this case, domestic violence offenses (predictive validity). This chapter covers items #1 through #3. Chapter 9 describes the ADBTT’s predictive validity and the association between the typologies, services received, and reoffending. ADBTT Scoring Procedures In order to test all aspects of the tool, particularly whether the types fit into statistically valid ‘factors’, it was first necessary to develop a scoring method for each of the individual characteristics to be rated by the assessors that used a continuous scale. The initial tool created by the developers had eight domains (e.g., “Youth Attitude Toward Change”, “Triggers to Violence”, “Reaction of Parties”) with five items in each domain, for a total of 40 items. Each of the five items within a domain was expected to be a quality of only one of the five typologies. For example, for the domain “Parent/ Youth Roles”, the items ranged from a) parent demonstrates inappropriate power and control (Defensive) to e) youth demonstrates inappropriate power and control (Escalating). Interviewers were instructed to rate each item on a 3-point scale, with 2 meaning “Yes, describes the youth or situation”, 1 meaning “Maybe, describes the youth or situation in some respects”, and 0 meaning “No, it does not describe the youth or situation”. This rating scheme permitted the option of having more than one item within a domain endorsed for a youth if it applied. It also enabled the use of confirmatory factor analysis statistics to identify whether items fit within the typologies as expected. Inter-rater Reliability The ADBTT requires good training and some judgment to rate the items of the tool. Inter-rater reliability (IRR) is the extent to which independent raters of a test are consistent with each other in assigning ratings to test items or arriving at final conclusions. In other words, if two probation officers were to complete the ADB Typologies tool on the same youth, they should rate the items in the same way. If a tool does not have inter-rater reliability than it will not be able to demonstrate validity and is not much better than simply using one’s judgment without use of a tool. The procedures were as follows. At each site, a random sample of youth was selected as inter-rater cases. In these cases, one trained staff member (a clinician or probation officer) conducted the interviews with the youth and parent while another trained staff member observed. Both staff members then rated the assessment tool independently. The number of youth cases that were double-rated for this IRR analysis ranged from two to 12 per site for a total of 37 cases. Intra-class correlation coefficients (ICC) were used to examine the IRR of each item. ICCs can range from 0 (no association) to 1.0 (perfect reliability), with ICCs between .60 to .80 indicating good agreement and .80 to 1.00 indicating excellent agreement. Eighteen of the 40 items on the ADBTT performed in the good to excellent range with ICCs > .60. Twenty-two items did not have good IRR; however, this was largely due to a lack of variability in the ratings of the items. In other words, some of these items had very few 0 or 2 ratings. This limits the ability to test the IRR using ICCs. For instance, for 51 Chapter 6 one item the raters had 100% agreement across the 37 cases but because there was no variability in the item responses, an ICC could not be calculated. For these items, we examined the percent agreement between raters. Nine of the items with low response variability performed well with a percent agreement greater than 80%. Nine other items with low response variability performed adequately with percent agreements between 70 and 80%. Only 4 of the 40 items did not perform satisfactorily with less than 70% agreement. Overall, the majority of items (36 out of 40) performed adequate to excellent. The four poor items were either rewritten or eliminated from the final tool. Appendix D contains the inter-rater reliability indices for each item. Identifying the ADB Typologies Using Factor Analysis An exploratory factor analysis indicated a four typology framework (instead of five as was originally conceived), suggesting that there were four somewhat independent types of youth committing domestic battery from the sample. The researchers used factor analysis to examine whether items of the ADBTT fit into typologies in the way we hypothesized. A series of steps were taken in order to derive the most appropriate factor structure using MPlus software, which can test factor structures for ordinal item-level data using polychoric correlations. We started with confirmatory factor analysis (CFA) to determine if the five-factor structure derived from the pilot study held up in this new sample. The fit was poor. Thus, we eliminated the four items with poor inter-rater reliability and conducted an exploratory factor analysis (EFA) to use a statistically-driven approach to identify which items had the best fit within different factors. It was evident some items had to be eliminated because they were characteristic of more than one typology. Once the best factor structure was identified using EFA, it was tested again using CFA. The final model with the best fit was a 3-correlated factors model with some factors having different numbers of items (RMSEA = 0.076 and CFI = 0.90). The factor loadings ranged from .44 to 1.0 (factor loadings were set to 1.0 for the first item on each factor), with most equaling .70 or higher. In order to obtain this good model fit, a number of changes had to occur to the tool, which should explain why it is scored as described in Chapter 3: • It was necessary to leave all of the defensive type items out of the factor analysis because these items stood alone into one independent factor with very good fit. Further, a youth can only be classified as this type if every act of ADB has been in self-defense. • A number of items had to be removed from the Family Chaos category or rewritten. The researchers believe this was due to misunderstandings of the raters in the characteristics these items were designed to capture. • The Escalating category had the most items because two originally conceived types actually characterized only this type. Researchers interpreted the results to mean the Escalating type falls on a continuum of severity. Further, youth classified in other Types can have varying degrees of Escalating traits. Therefore, the developers created the Progressive Risk Score. Some youth may start out as defensive or isolated but are actually holding attitudes consistent with increased risk of more domestic violence. Further validation of the factor structure of the final tool will be needed as data accumulate. 52 Adolescent Domestic Battery Typology Tool Manual Chapter 6 After the factor structure was finalized, youth were assigned to a category based on the number of items that were rated as a ‘2’ within each category. The most common type was Escalating. We examined whether there were differences in the proportion of youth in each typology by site and demographic characteristics to further validate the structure.2 The highest proportion of Escalating youth was in CT, with over 50% of youth in the Escalating category (see Table 6). Bexar County had the highest proportion of defensive adolescents. The differences across jurisdictions are likely due to jurisdictional differences in youth processing and arrests. However, the notion that this could be due to differences in the site philosophies of rating items cannot be discounted despite the good to excellent reliability. Table 6: Number (%) of Cases Falling Within Each ADB Typology By Site Typology Overall (N = 373) DuPage (n = 32) Lucas (n = 91) Pima (n = 175) Bexar (n = 31) CT (n = 44) Defensive 50 (13.7%) 2 (6.3%) 14 (15.4%) 21 (12.0%) 8 (25.8%)a 5 (11.4%) Isolated Incident 96 (26.3%) 11 (34.4%)a 30 (33.0%)a 35 (20.0%)b 10 (32.3 %)a 10 (22.7%) Family Chaos 65 (17.8%) 9 (28.1%)a 10 (11.0%)b 36 (20.7%) 5 (16.1%) 5 (11.4%)b Escalating 154 (42.2%) 10 (31.3%)b 30 (33.0%)b 82 (46.9%) 8 (25.8%)b 24 (54.5%)a 8 (2.1%) 0 7 (7.7%)b 1 (0.6%)a 0 0 Unclassified Note: There were significant differences in the proportion of youth falling into the typologies by site - 2 (16, N =373) = 42.00, p < .01. a - Significantly higher proportions, b - Significantly lower proportions. Gender and Race/Ethnicity Differences There were no significant racial or ethnic differences in the proportion of youth falling within each typology. However, there were significant differences by gender (see Table 7). Youth falling within the Escalating type were 65.6% male. However, among girls the highest proportion still fell within the Escalating type. Girls (17.1%) were more likely to be in the defensive type than boys (10.9%) and were more likely to be unclassifiable. 2 The two CT sites were collapsed into one group for most analyses due to the small numbers in the two sites, and they were relatively similar in most respects. 53 Chapter 6 Table 7: Prevalence of ADB Typologies Within Each Gender Typology Male (N = 221) Female (N = 152) 2 (0.9%) 6 (3.9%) Defensive 24 (10.9%) 26 (17.1%) Isolated Incident 61 (27.6%) 35 (23.0%) Family Chaos 33 (14.9%) 32 (21.1%) Escalating 101 (45.7%) 53 (34.9%) Unclassified NOTE: Differences across all categories were significant 2 (4, 373) = 11.74, p = 0.02. Percentages reflect the percent falling into each Type within gender. Progressive Risk Score A Progressive Risk Score (PRS) also was calculated for every youth by creating a score for each of the eight domains ranging from 1 to 3 based on the level of severity and then summing ratings across the eight domains. It was essential to derive this added scoring procedure because it was evident that individuals within all types could have qualities from the Escalating type that may indicate whether they are likely to escalate. For example, an individual in the Isolated Incident type may have just hurt a parent for the first time but could have the potential to do it many more times. The PRS ranged from 0 to 23 (out of a possible 24) with an average of 6.08 (SD = 5.69). As expected, the PRS was significantly higher for the Escalating type with an average score equal to 11.52, whereas the other types all ranged from scores of 2 to 2.5; F(3, 364) = 218.6, p < .001. It should be noted that the authors developed a scoring system ranging from 0 to 4 for each item to calculate the PRS for this final version of the ADBTT. Therefore, the possible range of scores on the PRS is now 0 to 32. 54 Adolescent Domestic Battery Typology Tool Manual Chapter 6 Concurrent Validity: Correlates With the ADB Typologies Tool ADB Typologies and Potentially Traumatic Experiences The Juvenile Victimization Questionnaire (JVQ) (Finkelhor, Hamby, Ormrod, & Turner, 2005) was administered alongside the ADBTT to determine if there were any differences in the occurrence of prior potentially traumatic events between the ADB typologies. The JVQ contains 34 yes/no items that gain information on five different types of potentially traumatic experiences (e.g., conventional crime, child maltreatment, peer & sibling victimization, sexual victimization, and witnessed crime). Additionally, four composite scores can be derived from the items in order to delineate any type of victimization from property crime, physical crime, sexual assault, or peer & sibling assault. The JVQ was designed and validated with community populations so there are no established cutoffs for juvenile justice youth. In other words, we cannot say what are relatively high or relatively low scores on this tool. Analyses indicated that the ADB Typologies differed with respect to their self-reported prior experiences in the following ways (see Table 8): • Victimization total scores: The Escalating (M = 11.21, SD = 6.85) Type scored significantly higher on victimization scores than the Isolated Incident Type (M = 8.67, SD = 6.09; p = .024); F (3, 320) = 2.96, p = .03. • Child maltreatment: The Isolated Incident Type (M = 1.20, SD = 1.13) reported significantly fewer experiences related to child maltreatment than the Defensive (M = 2.00, SD = 0.95, p = .003), Family Chaos (M = 1.75, SD = 1.34, p = .037), and Escalating adolescents (M = 1.66, SD = 1.25, p = .045); F(3, 322) = 4.99, p = .002. • Other scales: There were significant differences on the Sexual victimization [F(3, 321) = 2.71, p = .045, property crime [F(3, 318) = 3.68, p = .012], and sexual assault [F(3, 222) = 3.05, p = .029] scales such that the Escalating type was significantly higher (M = 0.99, SD = 1.48; M = 0.48, SD = 0. 89; M = 1.73, SD = 1.07, respectively) than the Isolated Incident Type (M = 0.50, SD = 1.09, p = .046; M = 0.19, SD = 0.61, p = .029; M = 1.27, SD = 1.13, p = .012). 55 Chapter 6 Table 8: JVQ Scores by ADB Typology 3.67(2.4), 0-9 Primary Subtype Defensive Isolated Family Chaos M(SD), Range of Scores 3.54(2.2), 0-9 3.19(2.3), 0-8 3.85(2.5), 0-8 3.92(2.4), 0-9 1.60(1.2), 0-4 2(0.95), 0-4a 1.2(1.1), 0-4b 1.75(1.3), 0-4a 1.66(1.3), 0-4a 1.83(1.5), 0-6 1.98(1.5), 0-6 1.65(1.4), 0-5 1.73(1.4), 0-5 1.94(1.5), 0-6 0.75(1.4), 0-6 0.68(1.3), 0-6 0.5(1.1), 0-5b 0.59(1.3), 0-6 0.99(1.5), 0-6a 2.42(2), 0-8 2.76(1.9), 0-7 2.1(2), 0-8 2(2.1), 0-7 2.71(2), 0-8 Overall Modules A. Conventional Crime B. Child Maltreatment C. Peer & Sibling Victimization D. Sexual Victimization E. Witnessed Crime Composite Scores Property Crime Physical Crime Sexual Assault Peer & Sibling Assault Total Scores Escalating 1.57(1.1), 0-3 3.78(2.5), 0-11 0.33(0.8), 0-4 1.18(1.1), 0-5 M(SD), Range of Scores 1.43(1.1), 0-3 1.27(1.1), 0-3 1.72(1.2), 0-3 4.15(2.3), 0-11 3.38(2.3), 0-9 3.73(2.6), 0-9 b 0.23(0.7), 0-3 0.24(0.8), 0-4 0.19(0.6), 0-3 1.27(1.0), 0-4 1.1(1.0), 0-3 1.07(1.2), 0-5 1.73(1.1), 0-3 3.94(2.5), 0-11 0.48(0.9), 0-4a 1.25(1.1), 0-5 10.27(6.5), 0-30 M(SD), Range of Scores 9.81(6.5), 0-25 10.95(5.5), 0-30 8.67(6.1), 0-25b 11.21(6.9), 0-27a Note: a - Significantly higher scores, b - Significantly lower scores within JVQ subscales. There were also significant differences on JVQ score by site; F(3, 328) = 6.16, p > .01. Post hoc comparisons indicated that the mean JVQ score for Lucas County (M = 12.34, SD = 6.33) was significantly higher than DuPage County (M = 8.22, SD = 5.74, p = .01) and Connecticut (M = 7.93, SD = 5.14, p > .01). It is unclear whether this is due to differences in youths’ environments (high crime vs. lower crime areas), the setting in which the ADB interviews occurred, or the method of the assessors. Lucas County, for example, had relatively high reporting on the JVQ and these were the only interviews conducted in pre-trial detention. Confinement can affect the intensity of a juvenile’s symptoms, or cause them to overreport symptoms (Krisberg & Wolf, 2005). DuPage County administered the JVQ at the end of an assessment battery when youth may have been burnt out and less likely to report issues. ADB Typologies and Behavioral or Mental Health Problems Youths were asked to complete a checklist containing 26 additional risk factors to examine other characteristics that discriminate youth within the typologies. Some of these factors pertained to the youth and some pertained to the parents. Most of the items referred to behavioral problems and a few involved mental health characteristics. Youth classified within the four typologies significantly differed with respect to 10 of the behavioral items (see Table 9). In general, youth in the Escalating Type had the most behavioral problems exhibited by the youth; whereas youth in the defensive category had the most behavioral problems exhibited by a parent or caregiver. 56 Adolescent Domestic Battery Typology Tool Manual Chapter 6 Table 9: Behavioral Factors That Differed Significantly Between Typologies Youth factors Prior police contact Prior runaway > 24 hours In Special Education Hurt someone who lives with you out of anger Physically fight with siblings often Hurt someone who does not live with you out of anger Been so angry you destroyed something belonging to you or someone else intentionally Pushed/kicked parents over cell phone or other technology > 2x Parent factors Parent/caregiver abuses alcohol or uses illegal drugs Parents have been so angry they hurt youth in an argument Defensive n = 50 Isolated n = 96 Family Chaos n = 65 Escalating n = 154 2(df) 25 (50.0%)b 14 (28.0%)b 5 (10.0%)b 67 (69.8%)a 22 (22.9%)b 14(14.6%)b 48 (73.8%)a 18 (28.0%)b 13 (20.0%)b 119 (77.3%)a 58 (37.7%)a 45 (29.2%)a (3) = 15.53*** (3) = 7.80* (6) = 15.32** 17 (34.0%)b 50 (52.1%)a 25 (38.5%)b 83 (53.9%)a (3) = 10.71** 2 (4.0%)b 5 (5.2%)b 4 (6.2%)b 28 (18.2%)a (9) = 38.15*** 9 (18.0%)b 18 (18.8%)b 9 (13.8%)b 45 (29.2%)a (3) = 8.48* 8 (16.0%)b 25 (26.0%)b 14 (21.5%)b 55 (35.7%)a (6) =18.50** 6 (12.0%)a 2 (2.1%)b 11 (16.9%)a 23 (14.9%)a (6) =14.38* 16 (32.0%)a 13(13.5%)b 16 (24.6%)b 35(22.7%)b (3) =7.93* 33 (66.0%)a 39(40.6%)b 33 (50.8%)b 77(50.0%)b (3) =10.79** Note: a - Significantly higher proportions and b - Significantly lower proportions within each factor. * = p < .05, ** = p < .01, *** = p < .001. The ADB typologies were similar in the prevalence of the following behavioral factors: • Criminal record of live-in relative/parent • Unexcused absences from school • Behavioral problems at school • Gang involvement • Youth’s drug use • Has harmed a significant other • Threatened someone with a weapon • Homicidal ideation • Witnessed physical abuse in the home • Witnessed sexual abuse in the home With respect to mental health concerns, youth in the Escalating type were most likely to have a history of mental health problems (see Table 10). 57 Chapter 6 Table 10: Mental Health Factors That Differed Significantly Between Typologies Been in counseling or had a psychological evaluation Diagnosed with a mental illness Defensive n = 50 Isolated n = 96 Family Chaos n = 65 Escalating n = 154 2(df) 27 (54.0%)b 62 (65.3%)b 42 (64.6%)b 111 (72.1%)a (3) =11.59** 17 (34.0%)b 52 (54.2%)b 29 (44.6%)b 101 (65.6%)a (3) =17.77*** Note: a - Significantly higher proportions and b - Significantly lower proportions within each factor. * = p < .05, ** = p < .01, *** = p < .001. The ADB typologies were similar in the prevalence of the following mental health factors: • Suicidal ideation • History of self-harm • Mental illness diagnoses of someone in the home • Disability of someone in the home 58 Adolescent Domestic Battery Typology Tool Manual CHAPTER 7: The ADBTT and Risk for Reoffending The ADBTT Validation Study tracked data from youth in this sample after their ADBTT assessment. Data gathered included all the services youth attended and all new juvenile and adult petitions and adjudications (dates and charges) incurred since their ADBTT assessment. The information was tracked from official records and administrative databases. The length of follow-up for individual youths ranged from 155 days to 467 days for an average of 10.65 months (SD = 2.56 months) following their ADBTT assessment. It also was important to track the amount of juvenile justice intervention youth in the sample received or were receiving during the follow-up period. The more intervention received after their index offenses, the less opportunity they would have had to reoffend. Table 11 indicates the court outcomes or dispositions received for the whole sample and by site. It is important to note that the court outcomes in Table 11 were not necessarily a result of the ADB charge. Often times the ADB charges were pled down and youth instead incurred a disposition as a result of other offenses they were charged with at the same time (e.g., criminal damage, disorderly conduct). As illustrated in Table 11, only one youth was removed from the community after their index offense. This case was excluded from all the recidivism analyses. Table 11: Court Outcomes/Dispositions Following ADB Assessment Case Held Open Dismissed/Transferred Dismissed After Mediation Informally Handled Diversion Adjudicated Only Probation Intensive Probation Placement Overall N = 373 DuPage n = 32 Lucas n = 91 Bexar n = 31 Pima n = 175 17 (4.6%) 58 (15.5%) 14 (3.8%) 107 (28.7%) 111 (29.8%) 19 (5.1%) 43 (11.5%) 3 (0.8%) 1 (0.3%) 11 (34.4%) 0 0 0 21 (65.6%) 0 0 0 0 2 (2.2%) 27 (29.7%) 14 (15.4%) 6 (6.6%) 1 (1.1%) 18 (19.8%) 23 (25.3%) 0 0 0 2 (6.5%) 0 6 (19.4%) 23 (74.2%) 0 0 0 0 4 (2.3%) 21 (12.0%) 0 61 (34.9%) 66 (37.7%) 1 (0.6%) 18 (10.3%) 3 (1.7%) 1 (0.6%) CT sites n = 44 0 8 (18.2%) 0 34 (77.2%) 0 0 2 (4.5%) 0 0 ADB Typologies and Risk for Re-Offending Assessment Tools Each participating site administered a risk assessment tool for general reoffending to each youth completing an ADBTT assessment as part of their routine practice to assist with case management and supervision decisions. The risk assessment tool utilized varied by site. For example, DuPage County used the Youth Assessment and Screening Instrument (YASI-2). Lucas County used the Ohio Youth Assessment System (OYAS). Pima County used the Arizona Risk/Needs Assessment (ARNA). Bexar County used the Positive Achievement Change Tool (PACT). Connecticut (Hartford and New Britain) used the Juvenile Assessment Generic (JAG). Each of these risk assessment tools, with the exception of the JAG, has more than one peer-reviewed publication of studies demonstrating the tool’s predictive validity for future offending. The researchers examined the association between the Typologies and risk levels (Low, Moderate, or High) identified by a risk assessment tool, regardless of the tool used. This procedure was legitimate because the validity of most of the tools’ 59 Chapter 7 risk levels has been established and, therefore, the tools should be measuring the same thing. Surprisingly, the majority of youth in the sample were rated at Moderate risk for reoffending. This is surprising because most of these youth were assessed very early in the system, where there is a greater likelihood of youth being Low risk. Youth within the Typologies differed significantly in their level of risk for reoffending; 2(6, 357) = 27.93, p = .001 (See Table 12). As expected, the Escalating type was significantly more likely to be rated as High risk than the Isolated or Defensive types. Youth in the Family Chaos type were the second most likely to be rated High Risk. Table 12: N(%) of ADB Types Falling Within Each Level of Risk For Reoffending From Risk Assessment Tools Low (n = 57) Moderate (n= 178) High (n = 122) Defensive (n = 49) 11 (22.4%) 25 (51%) 13 (26.5%) Isolated (n = 92) 19 (20.7%) 58 (63%) 15 (16.3%)b Family Chaos (n = 65) 13 (20%) 27 (41.5%) 25 (38.5%) Escalating (n = 151) 14 (9.3%)b 68( 45.0%)a 69 (45.7%)a Typology a Note: 2(6, 357) = 27.93, p = .001; a and b subscripts denote groups that are significantly different from each other. Rates of Reoffending Reoffending (or recidivism) was examined in terms of both new petitions and new adjudications. The types of petitions and adjudications were categorized as follows: generally violent offenses (does not include domestic violence), domestic violence, non-violent crime, and any crime (includes all of the above and probation violations, but excludes status offenses). Overall, the rates of new petitions were fairly high (41.8%). The most common category of new offense was domestic violence at (25.5%), followed by non-violent reoffending at (19.3%), violent reoffending (10.2%), and probation violations (8.3%). There were significant differences by site for any type of reoffending and rates of domestic violence (see Table 13). Pima County had the highest proportion of new petitions for domestic violence and for any recidivism. Table 13: Rates of New Petitions Within Each Site DuPage n = 32 Lucas n = 91 Bexar n = 31 Pima n = 175 CT Sites n = 44 2(4, 372) Violent 1 (3.1%) 12 (13.2%) 3 (9.7%) 16 (9.1%) 6 (13.6%) 3.13, ns Non-Violent 6 (18.8%) 17 (18.7%) 3 (9.7%) 37 (21.1%) 9 (20.5%) 2.77, ns Domestic Violence b 4 (12.5%) 24 (26.4%) 1 (3.2%) 65 (37.1%) 1 (2.3%) 36.31*** Probation Violations Any 0 8 (25.0%)b 13 (14.3%)a 36 (39.6%) 1 (3.2%)b 6 (19.4%)b 17 (9.7%)b 93 (53.1%)a 0 13 (29.5%) 13.23** 21.32*** b a b Note: a - Significantly higher proportions and b - Significantly lower proportions within recidivism type. * = p < .05, ** = p < .01, *** = p < .001. 60 Adolescent Domestic Battery Typology Tool Manual Chapter 7 The rates of adjudications for the sample were much lower than petitions because so many youth were diverted or handled informally. In addition, in some jurisdictions it took a long time for cases to be fully processed. The rate of new adjudications for any type of offense was 13.9%. The most common type of adjudication was for a domestic violence offense with a rate of (6.7%), followed by probation violations (4.6%), violent offenses (4.3%), and non-violent offenses (4%). The Connecticut sites did not have any adjudications because they started the study late, averaging a 7.86 month (SD = 1.26 months) follow-up. Lucas had the highest rates of adjudications because they were the first site in the study. Because the rates of adjudications were so low and could vary as a function of the length of time each site was in the study, all subsequent analyses of recidivism focus only on new petitions. Table 14: Rates of New Adjudications Within Each Site DuPage n = 32 Lucas n = 91 Bexar n = 31 Pima n = 175 CT Sites n = 44 2(4, 372) 0 6 (6.6%) 0 10 (5.7%) 0 6.86, ns Non-Violent 1 (3.1%) 6 (6.6%) 2 (6.5%) 6 (3.4%) 0 4.08, ns Domestic Violence 2 (6.3%) 17 (18.7%) 1 (3.2%) 5 (2.9%) a 0 28.66*** Probation Violations Any 0 2 (6.3%)b 6 (6.6%) 25 (27.5%)a 0 3 (9.7%)b 11 (6.3%) 22 (12.6%)b 0 0a 7.18, ns 23.34*** Violenta a b b Note: a - Significantly higher proportions and b - Significantly lower proportions within recidivism type. * = p < .05, ** = p < .01, *** = p < .001. ADB Typologies and Reoffending The typologies differed in the rates of reoffending in the expected direction. With respect to new petitions, the Escalating Type (31.2%) and Family Chaos Type (33.8%) had significantly higher rates of domestic violence than the other types (see Table 15). In addition, the Escalating Type had significantly higher rates of any type of reoffending than the others. Because adjudications were relatively low, the typologies only differed significantly for any type of reoffending, with the Escalating type being the highest. Table 15: Rates of New Petitions Within Each Typology Defensive n = 50 Isolated n = 96 Family Chaos n = 65 Escalating n = 154 2(3, 365) Violent 3 (6.0%) 10 (10.4%) 6 (9.2%) 19 (12.3%) 2.21, ns Non-Violent 6 (12.0%) 18 (18.8%) 12 (18.5%) 36 (23.4%) 4.35, ns Domestic Violence 7 (14.0%) b 16 (16.7%) 22 (33.8%) a 48 (31.2%) 12.57*** Probation Violations Any 1 (2.0%) 10 (20.0%)b 4 (4.2%) 30 (31.3%)b 5 (7.7%) 30 (46.2%) 20 (13.0%) 83 (53.9%)a 9.59* 24.86*** b a Note: a - Significantly higher proportions and b - Significantly lower proportions within recidivism type. * = p < .05, ** = p < .01, *** = p < .001 61 Chapter 7 Progressive Risk Scores and Reoffending The PRS was significantly related to all types of reoffending, except for non-violent reoffending specifically. Table 16 illustrates the differences in the average PRS score between the youth who received a new petition and those who did not by the end of the follow-up period. Most notably, as expected, the PRS was related to repeated domestic violent offending irrespective of the typology youth were assigned to (although the typology and PRS are strongly related, such that the higher the PRS the greater the likelihood the youth is the Escalating Type). Table 16: Progressive Risk Scores (PRS) of Recidivists and Non Recidivists by Re-offense Types Recidivists M(SD) Non Recidivists M(SD) F(1, 371) Violent 7.92 (6.11) 5.87 (5.62) 4.46* Nonviolent 7.18 (6.17) 5.81 (5.55) 3.39, ns Domestic 7.24 (5.81) 5.68 (5.61) 5.36* Probation Violation Any reoffending 9.61 (6.75) 7.60 (6.10) 5.76 (5.49) 5.04 (5.16) 13.44*** 18.85*** Note- * = p < .05, ** = p < .01, *** = p < .001 General Risk Assessment Tools and Reoffending Youths’ risk level as identified by risk assessment tools for general delinquent reoffending was also significantly related to all re-offense types. This is a powerful effect given risk levels were identified by different risk assessment tools at each site. Risk level was significantly related to domestic violent reoffending despite the fact these risk assessments were designed to predict general reoffending only. However, despite the statistical significance, the results in Table 17 indicate the utility of these tools is slightly limited. In almost every category of reoffending, the Moderate risk youth had the same rates of reoffending as the High risk youth, so the risk assessments did not discriminate well between these two groups. The only exception was for probation violations. So in sum, the risk assessment tools appeared to be most useful for distinguishing between youth at high and low risk for domestic violence and general reoffending. Table 17: Rates of New Petitions Falling Within Each Risk Level on Risk Assessment Tools (n[%]) Low Risk (n = 58) Moderate Risk (n = 184) High Risk (n = 123) 2(2, 364) Violent 5 (13.2%) 16 (42.1%) 17 (44.7%) 0.32, ns Nonviolent 6 (8.5%) 32 (45.1%) 33 (46.5%) 7.84* Domestic 7 (7.4%) 44 (46.8%) 43 (45.7%) 11.46** Probation Violation Any reoffending 1 (3.2%) 15 (9.7%) 7 (22.6%) 68 (44.2%) 23 (74.2%) 71 (46.1%) 25.11*** 20.57*** Note- * = p < .05, ** = p < .01, *** = p < .001 62 Adolescent Domestic Battery Typology Tool Manual Chapter 7 Does the ADBTT Detect Who Is Likely To Have A Future ADB Charge? The most important question was whether the ADB Typologies predicted domestic violent reoffending. Another important question was whether the Progressive Risk Score (PRS) added to the prediction of reoffending above and beyond the youth’s typology classification. The answers to both questions enable us to comment on the utility of the use of the ADBTT as a risk assessment for domestic violence, which in turn informs the user as to the intensity of monitoring and treatment intervention that is required. Cox regression techniques were used to answer these questions. Cox Regression estimates the strength of the association between a predictor variable (in this case, the typologies) and a future event (in this case, a new petition) and can also estimate the relative contribution of multiple predictor variables compared to each other. The advantage of using Cox Regression is that it accounts for the length of time an individual had the opportunity to reoffend (time ‘at-risk’), which is crucial for our sample where youth had different lengths of follow-up (some were in the study only 5 months and others were in the study over one year). In addition, Cox Regression takes ‘censored’ cases into account meaning youth who have not yet reoffended are still included in the prediction model because they could still reoffend in the future. For these individuals, the time at-risk is the days between their ADBTT assessment to the end of their follow-up period. The researchers conducted these statistics for each type of reoffending (new petitions) separately, except violent (non-domestic) petitions because of the low base rate. The ADB Typologies were significant predictors of new petitions for domestic violent acts. A Cox Regression comparing the Types indicated that the Escalating Type was significantly more likely to receive a new petition for a domestic violent act than the Defensive (2 = 5.31, p = .02) and Isolated Types (2 = 6.13, p = .01). The Family Chaos Type also was significantly more likely to receive a new petition for a domestic violent act than the Defensive (2 = 5.41, p = .02) and Isolated Types (2 = 5.80, p = .02). As expected, the Defensive and Isolated Types did not differ in their likelihood of domestic violent reoffending and the Family Chaos and Escalating Types also were not significantly different from each other. The PRS also significantly predicted time to a new domestic violence offense on its own (2 = 5.83, p = .02), but it did not add to the tool’s ability to predict domestic violent reoffending after taking the Typologies into account as a whole. This is largely due to the overlap in content between the PRS and the Escalating Type. In practice, this means the types will be the best predictors of who is likely to commit more acts of ADB (if the youth is classified as Escalating or Family Chaos they have the greatest likelihood). However, the PRS can have clinical value in individual cases when trying to gauge the risk of youths on lower levels of the spectrum; namely, the Defensive or Isolated youths. Put simply, if one of these youths had a relatively high Progressive Risk Score, they may be in need of more intervention or victim safety planning. The researchers also investigated the ADBTT’s ability to predict other types of reoffending. The Escalating Type was significantly more likely to commit any type of new offense than any other Type except Family Chaos (2 = 1.36, p = ns). Family Chaos had a greater likelihood of any reoffending than the Defensive (2 = 7.47, p = .01) and the Isolated youth (2 = 3.90, p = .05). The PRS alone also predicted whether youth were likely to reoffend generally (2 = 24.87, p < .001) and added significantly to the ADB Typologies’ ability to estimate the likelihood of any reoffending (2 = 5.70, p = .02). This means that youth with relatively high Progressive Risk Scores have greater likelihoods of reoffending generally regardless of their Type classification. 63 Chapter 7 Do the ADB Typologies Detect Who Is Likely To Have A Future ADB Charge Better Than General Risk Assessment Tools? The next important question was whether the ADBTT predicted future acts of domestic violence better than the risk assessments used for general reoffending. It turns out that the risk levels from the general risk assessment tools alone significantly predicted domestic violence (2 = 9.99, p < .001, Exp[B] = 1.75). The Exp[B] is the hazard function and can be loosely translated in this case to mean that as risk level increases, the likelihood of obtaining a new petition for an act of domestic violence increases by 1.75 (almost twice as likely). However, as was evident in Table 17, the risk assessments only tell us that both the Moderate and High risk youth have close to a 50% chance of receiving a new petition for a domestic violent act but the Low risk youth were very unlikely to do this. So the tools are not very discriminating. The Typologies significantly added to the risk assessment tools’ ability to predict domestic violent reoffending. Adding the Typologies to the regression equation significantly improved the model fit (Likelihood ratio test = 35.683(3), p < .001). This means that even though risk level on a general risk assessment tool predicted domestic violence, the ADB Typologies were more discriminating. The ADB Typologies did not add anything to the prediction of non-violent reoffending, which is better estimated by a general delinquency risk assessment. Moreover, the PRS alone did not contribute significantly to the prediction of domestic violent reoffending after taking level of risk from the general risk assessment tools into account. In conclusion, the ADB Types significantly detect youth at increased likelihood for continued acts of domestic violence, particularly the Escalating and Family Chaos Types. The PRS can assist with the determination of risk for continued ADB if it is elevated for youth within the lower risk Types. Risk assessment tools also have value for detecting who is likely to commit future acts of ADB but these may not discriminate as well as the ADBTT. To explain, there were 307 youth identified as moderate or high risk on the risk assessment tools and they reoffended at the same rates – around 45%. Thus, if one relied on the risk assessment tools to identify youth needing lots of intervention to prevent reoffending, this would be 87% of their youth. The overall re-offense rate for the whole sample was only 41%. Conversely, if one used the ADBTT to identify youth they should be most concerned about, this would be 59% of the sample (Family Chaos and Escalating Types) or 41% of the sample if they just used Escalating. This is much closer to the actual reoffending rate in this sample. In other words, a risk assessment tool may ‘screen in’ too many youth for higher levels of intervention. Interventions, ADB Types and Reoffending If one follows the risk principle (see Andrews & Bonta, 2010), youth at increased likelihood for committing future acts of ADB are in need of more intervention or effective ADB services. The next question was whether youth receiving different types of interventions were more or less likely to reoffend. The researchers conducted some cursory analyses to examine this question and whether interventions appeared to have differential effects based on youths’ ADB Type. The analyses were limited due to inconsistencies in data availability. Studies with a more rigorous research design are needed to better evaluate the impact of intervention services. 64 Adolescent Domestic Battery Typology Tool Manual Chapter 7 Services Youth Received The types of services youth received from the courts, probation, or programs in the study included both domestic batteryrelated services (e.g., domestic violence education for youth and parents, respite, mediation, safety planning, etc.) and any other juvenile justice interventions (e.g., mental health treatment, substance abuse treatment, family services, education/ employment services, peer mentoring programs, etc.). Data were obtained for each service received since the youths’ ADB assessments, including: the name of service (what was it actually called); the agency where the service was received; the date the youth started receiving the service; the date the service ended; and some indicator of completion status (e.g., terminated early/failed to complete, successful completion, sporadic attendance, on-going). The researchers counted only services that were successfully completed or that were attended for at least one month before the service was terminated or the youth was transferred.3 In addition, we only counted services that were initiated prior to the youth receiving a petition for a new act of domestic violence (services received after a youth reoffended would not have impacted their re-offense). After all the exclusions, a total of 165 youth received at least one service and some received more than one service during the study period. The researchers explored whether youth attending certain services were more or less likely to reoffend. The analyses indicated that none of the services tested were associated with decreased reoffending. Next services used by ADB Type were examined because it is conceivable that youth in some Types may benefit more from some services than others; however none of these differences were significant. There were several limitations with the service analyses that impair one’s ability to draw strong conclusions. First, we were unable to control for the length of time spent in services because of missing data. We attempted to get the number of sessions youth attended for each service but this was rarely available in the court data. Second, the analyses do not account for youth receiving multiple services (65 youth received two or more services). However, initial analyses indicated youth receiving two or more services were just as likely to receive a new DV petition as youth who received none or one. Third, sites probably differed in the quality of services that were available. Service quality was not measured in this study because it was well beyond the scope. Lastly and most importantly, there were simply not enough youth within each Type receiving each type of service to conduct meaningful statistical comparisons. More studies are needed that examine the effectiveness of services for treating ADB and treating youth in different Typologies. 3 Services were not counted if there was no information about whether the youth actually attended the service, if the service was unsuccessfully terminated in less than one month, or the youth was transferred in less than a month. 65 REFERENCES Agnew, R. & Huguley, S. (1989). Adolescent violence towards parents. Journal of Marriage and the Family, 51, 699-711. Andrews, D.A. & Bonta, J. (2010). Rehabilitating criminal justice policy and practice. Psychology, Public Policy, and Law, 16(1), 39-55. Andrews, D. & Dowden, C. (2006). Risk principles of case classification in correctional treatment: A meta-analytic investigation. International Journal of Offender Therapy and Comparative Criminiology, 50, 88-100. Baumrind, D. (1966). Effects of authoritative parental control on child behavior. Child Development, 37 (4), 889-907. Bobic, N. (2004). Adolescent violence toward parents. Austrailan Domestic and Family Violence Clearninghouse. Retreived January 2015 from http://www.austdvclearinghouse.unsw.edu.au/pdf%20files/adolescent_violence.pdf. Brezina, T. (1999). Teenage violence toward parents as an adaptation to family strain. Youth and Society, 30 (4), 416-444 Buel, SM. (2002). Why juvenile courts should address family violence: promising practices to improve intervention outcomes. Juvenile and Family Courts Journal, 53 (2), 1-16. Condry, R. & Miles, C. (2012). Adolescent to parent violence: Framing and mapping a hidden problem. Criminology and Criminal Justice, 14, 257-275. Cornell, C.P. & Gelles, R.J. (1982). Adolescent-to-parent violence. Urban Social Change Review, 15 (1), 8-14. Estevez, E. and Gongora, J.N. (2009). Adolescent aggression towards parents: Factors associated and intervention proposals. Handbook of Aggressive Behavior Research, 6, 1-25. Gebo, E. (2007). A family affair: the juvenile court and family violence cases. Journal of Family Violence, 22, 501-509. Hamby, S. L., Finkelhor, D., Ormrod, R. K., & Turner, H. A. (2004). The juvenile victimization questionnaire (JVQ): Administration and scoring manual. Durham, NH: Crimes Against Children Research Center. Hartnett, S., et al. Adolescent Domestic Battery: Responding Effectively to Families in Crisis. Illinois Models for Change Initiative. December 2012. Hawkins, J.D., et.al. (2000). Predictors of Youth Violence (Bulletin). Washington, DC: U.S. Department of Justice. Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention. Holt, A. (2013). Adolescent-to-parent abuse: Current understandings in research, policy, and practice. Bristol, England: Policy Press. Kethineni, S. (2004). Youth-on-parent violence in a central Illinois County. Youth Violence and Juvenile Justice, 2, 374-394. Krisberg, B. & Wolf, AM. Juvenile offending in juvenile delinquency: prevention, assessment, and intervention. Edited by Herbrun K, Sevin Goldstein NE, Redding RE. New York, Oxford University Press, 2005, 67-84. Norcross, et al. (2013). Self-help that works. (4th Ed.). New York: Oxford University Press. Prochaska, J. & DiClemente, C. (1982). Transtheorectial therapy: Toward a more integrative model of change. Psychotherapy: Theory, Research, and Practice, 19, 276-288. Routt, G. & Anderson, L. (2011). Adolescent violence towards parents. Journal of Aggression, Maltreatment, & Trauma, 20, 1-19. Routt, G. & Anderson, L. (2015). Adolescent violence in the home: Restorative approaches to building healthy, respectful family relationships. New York, NY: Routledge. Snyder, H. N., McCurley, C. (2008). Domestic assaults by juvenile offenders. Washington, DC: U.S. Dept. of Justice, Office of Justice Programs, Office of Juvenile Justice and Delinquency Prevention. 67 References Ullman, A. & Straus, M.A. (2003). Violence by children against their mothers in relation to violence between parents and corporal punishment by parents. Journal of Comparative Family Studies, 34, 41-60. Tremblay, R. ,et al. (2004). Physical aggression during early childhood: Trajectories and predictors. Pediatrics 114, 1, e43-e50. Walsh, J. and Krienert, J. (2008). A decade of child initiated family violence: comparative analysis of child-parent violence and parricide examining offenders, victims, and event characteristics in a national sample of reported incidents; 1995-2005. Retrieved from www.castonline.ilstu.edu/krienert/vita/CPV_Parricide_2009.pdf 68 Adolescent Domestic Battery Typology Tool Manual Chapter 1 APPENDICES 69 Appendix A: Literature Review of Prevalence Studies on Adolescent Domestic Battery 4 5 6 7 8 9 Author Year Sample Type Findings Cornell and Gelles 1981 Nationally representative sample of 608 families in 1976 9% of the parents of adolescents reported that their child had used one form of violence against them at least once. Authors further projected that more than 2 ½ million adolescents struck a parent at least once in that same year. They note that these are likely underestimates as the data was limited to two parent households and that single parent households are likely to have higher rates of adolescent violence. Smith et.al 4 1992 Patients reporting domestic violence in the Emergency Room at a UK hospital 6% of the domestic violence cases presenting in the ER were child-to-parent British Crime Survey 5 1996 Small community sample 3% of domestic violence cases were child-to-parent Wilson, et al. 6 2006 2005 Offending, Crime, and Justice Survey 3% of youth reported parents as their victim Walsh and Krienert 2007 National Incident Based Reporting System (NIBRS) data representing 23 states in 2002 17,957 youth ages 21 and younger assaulted their parent or step parent Parentline Plus (UK Charity)7 2008/2010 Calls to agency helpline 8% of 30,000 calls to the helpline were for child aggression toward parents; From June 2008-June 2010, the helpline received 22,537 calls from parents dealing with aggression from their children, with 7,000 of those calls for physical aggression Snyder and McCurley 2008 FBI’s National Incident Based Reporting System (NIBRS) data representing law enforcement agencies in 20 states in 2004 Juveniles represented 9% of all domestic assault offenders. Half (51%) of juvenile domestic assault offenders victimized a parent. Walsh and Krienert 2009 FBI’s National Incident Based Reporting System data examining victim, offender, and incident characteristics of domestic violence incidents from 1995-2005 Between 1995 and 2005, there were 108,231 child-to-parent violence offenders in the NIBRS data Hunter8 2010 Family Intervention Projects 11% of 256 families have reported experiencing violence from their children Howard9 2011 Police data from the state of Victoria (Australia) 9% of all family violence incidents recorded in 2009-2010 involved adolescent to parent violence Condry and Miles 2013 Domestic violence incidents reported to the London police from April 2009March 2010 1,892 cases of violence from adolescents (13-19 years) toward a parent, most of which involved violence against the person or criminal damage in the home, were examined As cited in Condry & Miles (2013) As cited in Condry & Miles (2013) and Holt (2013) As cited in Condry & Miles (2013) As cited in Holt (2013) As cited in Condry & Miles (2013) and Holt (2013) As cited in Condry & Miles (2013) 71 Appendix B: Adolescent Domestic Battery Typology Tool Instructions for Completing the ADBTT items: 1. Read the script and complete the Client Information below. 2. A nswer “Question #1” regarding “violence in response to physical threat”. If the answer is “yes”,” follow the specific instructions indicated by the asterisk (*) in the question box. If the answer is “no,” proceed by scoring each domain as described below. 3. E ach domain is scored based on information garnered through interviews with the youth/parent as well as any collateral information the screener has. Refer to “suggested interview questions” in the manual. 4. F or each domain, check the box next to the option(s) that best fits the youth and his/her family. If the check box is blacked out “n”, there is no option available for that typology. Do not check that box. 5. Refer to the domain definitions provided in the manual to score the items as accurately as possible. 6. If no option appears to fit, or if more than one option appears to fit, follow the instructions on page __ of the manual. 7. In the gray “PRS Scale” box under each domain item, rate the domain on a scale of “0” to “4” according to the description that best fits the youth and his/her family. Each item defines the “0”, “1”, and “4” ratings. The “2” and “3” ratings are intentionally undefined so that the screener can rate answers that may fall between the two extremes. Provide a PRS score even when scoring the domain is not possible (e.g., the check box is blacked out), or no typology definition fits the youth/family. 8. O nce all domains and PRS Scales have been completed, follow the additional instructions #9 through #13 on the last page. At the start of the interview, read the following script to youth and/or caregiver: “I am going to ask you some questions that will help us to better understand what has happened with your family to plan the appropriate services and action for you.” ADBTT Client Information Name: __________________________ DOB_________ ID#: __________________________ American Indian/Alaska Native Asian Race: Black or African American Native Hawaiian or Other Pacific Islander White other Multiple Races Unknown Non-Hispanic Unknown Gender: Male Female Ethnicity: Hispanic Site: _______________________________ Screening Setting: _________________________ (Jurisdiction/County, State) (Detention, court, etc.) Screener Name: ________________________________ Date of Screening: _______________ Question #1: Has every incident of violence by the youth toward the parent, ONLY been in response to a physical Yes* No threat by the parent? *If the answer is “yes,” review only the Defensive items for each of the domains. If the Defensive domain description fits the youth and family, check the Defensive box; otherwise do not check ANY typology for that domain. Complete all the PRS Scales for every domain. (See #5 of the instructions.) 73 Appendix: B Domain 1 SCOPE OF ADB Check the box next to the option(s) that best fits. n Defensive Isolated Incident n Family Chaos Escalating This option was scored in **Isolated/infrequent (<3 in past 24 There is no option available for this Frequent (3 or more in past 24 Question #1. Do not count this months.) incidents; Incidents are not typology. Do not count this box as months) and serious incidents; box as checked “ONLY” in response to a physical checked. Incidents are not ONLY in threat response to a physical threat Domain 1 PRS Scale Rate “Scope of ADB” on a scale of zero to four. Enter score in the box. 0 1 2 3 4 PRS SCORE Defensive/Isolated incident OR Threats or aggressive Youth demonstrates an behavior is not worsening incidents by youth are established pattern of beginning to increase in frequent and severe aggresfrequency and severity sion; at least one incident required medical attention Domain 2 PARENTAL AUTHORITY Check the box next to the option(s) that best fits. Defensive Isolated Incident Parent demonstrates Parent demonstrates developmentally unreasonable developmentally reasonable level of level of authority (authoritarian) authority (authoritative) Family Chaos Parental authority is inconsistent or unclear Escalating Parental authority is shifting or has shifted to youth Domain 2 PRS Scale Rate “Parental Authority” on a scale of zero to four. Enter score in the box. PRS SCORE 0 1 2 3 4 Parental authority is not Parental authority is Youth demonstrates shifting or has not shifted to becoming ineffective and unreasonable level of youth control is shifting to youth control/decision-making over parent; parent has no influence over youth Domain 3 PREDICTABILITY OF EVENT n Defensive Isolated Incident There is no option available for Both parent and youth may be this typology. Do not count this surprised that situation deteriorated box as checked to point of violence Check the box next to the option(s) that best fits. Escalating Neither parent nor youth is surprised by aggression; may or may not be surprised at the intensity of the aggression; parent is increasingly fearful Domain 3 PRS Scale Rate “Predictability of Event” on a scale of zero to four. Enter score in the box. 0 1 2 3 4 PRS SCORE Parent is not fearful Both express surprise at Neither is surprised by intensity; parent is beginning intensity; parent lives in to be fearful constant fear Domain 4 TRIGGERS TO VIOLENCE Defensive Violence is protective and in response to physical threat by parent Isolated Incident Response to atypical stress without which incident would not have occurred Family Chaos Neither parent nor youth is surprised by the predictable pattern/intensity of youth’s increasingly aggressive behavior; parent not living in fear Check the box next to the option(s) that best fits. Family Chaos Response to inconsistent parental discipline, request or limit Escalating Overall pattern shows lessening tolerance for anger and frustration Domain 4 PRS Scale Rate “Triggers to Violence” on a scale of zero to four. Enter score in the box. 0 1 2 3 4 PRS SCORE Youth’s trigger does not fall on Response to parental No trigger necessary, the continuum discipline, request or limit unpredictable pattern with which youth would have previously complied 74 Adolescent Domestic Battery Typology Tool Manual Appendix: B Domain 5 BEHAVIORAL INTENT Defensive Attempt to protect self or other family members Isolated Incident Impulsive, immediate remorse; no intent to harm Check the box next to the option(s) that best fits. Family Chaos Pattern of increasingly aggressive behavior will stop once youth gets own way, no intent to harm Escalating Pattern of behavior designed to intimidate or control in order to seize parental authority; will harm if necessary Domain 5 PRS Scale Rate “Behavioral Intent” on a scale of zero to four. Enter score in the box. 0 1 2 3 4 PRS SCORE Youth’s behavioral intent does Youth is struggling to get what Behavior establishes not fall on the continuum he wants and attempts to coercive control over parent; use intimidation to take over deliberate with intent to parental authority harm Domain 6 YOUTH ATTITUDE TOWARD VIOLENCE Check the box next to the option(s) that best fits. Defensive Believes violence is inappropriate but is justified in this incident Isolated Incident Family Chaos Escalating Believes violence is inappropriate Verbally acknowledges violence as Youth is beginning to consider and can identify more appropriate inappropriate but is willing to use it or has decided that violence is ways he could have resolved again if less aggressive behaviors are appropriate situation not effective in achieving his purpose. Domain 6 PRS Scale Rate “Youth Attitude toward Violence” on a scale of zero to four. Enter score in the box. 0 1 2 3 4 PRS SCORE Youth believes violence is Is ambivalent about the Accepts violence as inappropriate appropriateness of violence but preferred response is experimenting with violence to see if it is effective Domain 7 YOUTH ATTITUDE TOWARD CHANGE Defensive Youth hopes he won’t have to repeat but may do so in response to a perceived threat Check the box next to the option(s) that best fits. Isolated Incident Family Chaos Believes own behavior was wrong May believe own behavior is wrong & is willing to change (preparation/ but states he is only willing to change action stage) if parents change their behavior Escalating Resistant toward changing behavior Domain 7 PRS Scale Rate “Youth Attitude toward Change” on a scale of zero to four. Enter score in the box. 0 1 Aggression was solely protec- Unsure if own behavior needs tive OR youth is willing to to change; may believe it is change wrong but knows he may repeat because it is effective (contemplation) 2 Domain 8 PARENT’S CONCERN 3 4 Unwilling to change behavior; believes own behavior is acceptable and preferred (pre-contemplation) PRS SCORE Check the box next to the option(s) that best fits. Defensive Isolated Incident Family Chaos Escalating Wants to deflect responsibility Wants situation resolved/no ongoing Desires to have someone else (JJ Parent is concerned for for incident to youth: may want concerns regarding safety; may take system) impact/influence youth; Personal or Family Safety/ to see youth punished some responsibility Parent does not want to be required Future to change Domain 8 PRS Scale Rate “Parent’s Concern” on a scale of zero to four. Enter score in the box. 2 3 4 PRS SCORE 0 1 Constant and overwhelming Parent does not have any Expresses some concerns fear for personal and family’s concerns about safety about safety but mostly safety. anxious for youth, family, and own future if behavior continues 75 Appendix: B Additional Instructions to Assign Typology and Calculate Risk Score 9. C ount the number of items that are checked in each of the typologies: Defensive, Isolated Incident, Family Chaos and Escalating. (Do not count boxes that have been “blacked out”.) Record “number of items checked” on the indicated lines. Defensive items: ___ /6 Isolated Incident Item: ___ /8 Family Chaos: ___ /7 Escalating: ___ /8 10. Refer to the “Domain Scoring Table” to find the youth’s score in each typology and enter them into the indicated boxes. Defensive Isolated Incident Family Chaos Escalating Typology Scoring Table Domains Checked Defensive Isolated Incident Family Chaos Escalating 0 0 0 0 0 1 17 13 14 13 2 33 25 29 25 3 50 38 43 38 4 67 50 57 50 5 83 63 71 63 6 100 75 86 75 7 N/A 88 100 88 8 N/A 100 N/A 100 11. Re-enter the answer to question #1 (from page 1 of the ADBTT) and answer question #2. Question #1: Has every incident of violence by the youth toward the parent, ONLY been in response to a physical Yes No threat by the parent? (If “no,” youth CANNOT be assigned to the Defensive typology.) Question #2: Were there less than 3 incidents of youth aggression in a 24-month period? (If “no,” youth CANNOT be assigned to the Isolated Incident typology.) Yes No 12. T he youth is assigned to the typology with the highest score, unless otherwise indicated by the answers to #1 or #2. If the Defensive and/or Isolated Incident typologies are ruled out, then assign the youth to the typology with the next highest score. Check the box below with the final typology assignment. 13. A dd together the Progression Risk Scores (PRS) from the shaded boxes on pages 2 and 3. Enter the total in the shaded box below. PRS SCORE TOTAL Final Typology Assignment Defensive 76 Isolated Incident Adolescent Domestic Battery Typology Tool Manual Family Chaos Escalating Appendix C: Introductory Script and Suggested Interview Questions Before completing the ADBTT, read the following script: To the youth and parent(s): “I am going to ask you some questions that will help us to better understand what has happened with your family to plan the appropriate services and action for you. This will require that I have some time to speak with both of you separately and then I would like to speak with both of you together” Suggested Interview Questions Domain One: Suggested Interview Questions to assess Scope of ADB 1. Has this ever happened before? Describe previous events. 2. If yes, how often does this happen? 3. Were there ever visible marks? 4. Did victim ever need to go to the emergency room? 5. Was the youth ever the victim or witness of aggression? 6. Does the aggression always have the same victim/perpetrator? Domain Two: Suggested Interview Questions to assess Parental Authority 1. What are the “rules” in your house? (Actual rules and unspoken rules) 2. What happens when “rules” are broken or expectations are not met? 3. Does the youth comply with discipline? 4. Does the parent follow through with discipline? 5. Who makes decisions about family events, like where to go out to dinner or what to do on vacation or what TV show is on? 6. How has parenting changed from when the youth was younger? 7. What happened after this particular incident? Domain Three: Suggested Interview Questions to assess Predictability of Event: 1. How did you feel when the incident was happening? 2. Did you see this coming? If so, what were signs? 3. What was your reaction when it was over? 4. How do you feel about the incident now? 77 Appendix: C Domain Four: Suggested Interview Questions to assess Triggers to Violence 1. What does parent/youth think caused the event? 2. Describe the sequence of events that led up to this particular incident. 3. If applicable, describe the sequence of events that led up to prior incidents. 4. Describe typical sequence of events that lead up to arguments in the family or that occur when there is a disagreement between parent and youth. 5. Do parent and youth agree about sequence of events? 6. Describe situations when conflict does not lead to aggression. 7. On a scale of one to ten how stressed do you think you are normally, the day of the incident, now…? Domain Five: Suggested Interview Questions to assess Behavioral Intent: 1. What was youth hoping to achieve by using aggression? 2. Would aggression have occurred if youth had gotten own way earlier? 3. What else, if anything could have prevented the aggression? 4. What was the immediate behavior of youth and parent following the event? 5. What usually happens after an event like this? 6. Does/did youth demonstrate remorse? How? Domain Six: Suggested Interview Questions to assess Youth Attitude toward Violence 1. Does being aggressive/violent get you what you want? Why or why not? 2. Are you ever violent or aggressive at school, work, with your friends, etc.? 3. Do you think being aggressive is ever justified? Under what circumstances? 4. How do you (youth) feel about hitting your parent (or friend) or (someone else)? 5. If you had it to do over, what (if anything) would you do differently? 6. Can you think of other ways you could have handled this? 7. If you saw one of your friends being aggressive/violent, what would you do/say/feel? 8. If one of your friends saw you being violent, what would they have said? 78 Adolescent Domestic Battery Typology Tool Manual Appendix: C Domain Seven: Suggested Interview Questions to assess Youth Attitude toward Change 1. Do you think your aggression/violence is a problem for you? 2. Is being aggressive something you could change? Why or why not? 3. Do you think it is something you should change? Why or why not? 4. Is this something you want to change? 5. What do you think it would take to motivate you to change? 6. What do you think would help you change it? 7. When do you intend to change it? 8. What would the benefits to changing be? Domain Eight: Suggested Interview Questions to assess Parent’s Concern 1. What bothers you most about the situation that occurred? 2. What, (if any) safety plans have you made? 3. If it were to happen again, what would you do? 4. What do you think should happen to your child now? 5. Would you be willing to participate in a program to help your child? 6. Have you talked to anyone else about your child’s behavior? 79 Appendix D: Inter-Rater Reliability for Original ADBTT Items Inter-rater Reliability (IRR) = Reliability refers to consistency. Inter-rater reliability is the extent to which independent raters of a test are consistent with each other in assigning ratings to test items or arriving at final conclusions. The ADB tool’s inter-rater reliability was tested by having trained intake workers independently rate the items with a random sample of youth cases that were seen by both intake workers (one conducted the interview and one observed). Intra-class correlation coefficient (ICC) = Another way of performing reliability testing is to use the intra-class correlation coefficient. This statistic is used for continuous items. The range of the ICC may be between 0 and 1.0. The ICC will be high when there is little variation between the scores given to each item by the raters, for example if all raters give the same or similar scores to each of the items. Like the kappa, ICCs ranging between .60 to .80 indicate good agreement and between .80 to 1.00 indicates very good agreement Inter-Rater Indices By Item: 1. Parent and Youth Roles N ICC1 p 1a. Parent demonstrates inappropriate power and control 37 0.59 < .001 1b. Appropriate balance of power and control 37 0.55 < .001 1c. Power and control unclear/varies 37 0.69 < .001 1d. Signs of shift to youth power and control 1e. Youth demonstrates inappropriate power and control 2. Intensity of Adolescent Domestic Battery (ADB) 2a. Incident(s) only in response to parental threat 2b. Isolated or infrequent 2c. Consistent level of low severity 2d. Frequent with increasing severity 2e. Frequent and severe 3. Reaction of Parties 3a. Relief/fear by youth and anger/surprise by parent 3b. Both parties surprised incident escalated to point of violence 3c. Neither party surprised by predictable escalation 3d. Neither party surprised by aggression, may be by intensity 3e. Neither party surprised by incident or intensity, parents fear 4. Triggers to Violence 4a. Violence is protective and in response to physical threat 4b. Response to unusual stress 4c. Response to inconsistent parental discipline, request or limit 4d. Varies with situation; pattern of lessening tolerance 4e. Trigger are unclear and/or unpredictable pattern 5. Behavioral Intent 5a. Protective 5b. Impulsive, immediate remorse 5c. Opposing parental request, not necessarily intent to harm 5d. To get what he wants, may use intimidation 5e. Controlling or intimidating as well as deliberate or premeditated. Intent to harm as a means to control 37 37 0.25 0.97 .073 < .001 36 36 36 36 36 0.58 0.60 0.52 0.57 0.40 < .001 < .001 .001 < .001 .007 37 37 36 37 37 0.50 0.73 0.41 0.63 0.73 .001 < .001 .006 < .001 < .001 37 37 37 37 37 0.66 0.73 0.54 0.44 0.78 < .001 < .001 < .001 .003 < .001 37 36 37 37 0.58 0.80 0.55 0.50 < .001 < .001 .00 .001 37 -0.04 .589 81 Appendix: D 6. Youth Attitude Towards Violence 6a. Accepts violence as inappropriate, this incident as justified 6b. Accepts violence as inappropriate 6c. Accepts violence if nothing else works 6d. Accepts violence as sometimes appropriate, experimenting 6e. Accepts violence as preferred response 7. Youth Attitudes Toward Change 7a. Believes he is justified but hopes he won’t have to repeat 7b. Believes behavior was wrong does not want to repeat 7c. Will repeat if other options are not available 7d. Ambivalent toward behavior change 7e. Believes others should change 8. Parent’s Primary Concern 8a. Transfers blame to youth 8b. Wants to get past/move on, may take some responsibility 8c. Initially overwhelmed/angry, some resistance to system 8d. Primarily concerned with re-establishing balance, 2nd safety 8e. Concern for personal/family safety Note. VAR = lack of variability. Highlighted items have poor reliability. 82 Adolescent Domestic Battery Typology Tool Manual 37 37 37 37 41 0.63 0.68 0.59 0.63 0 < .001 < .001 < .001 < .001 Var 37 37 36 37 37 0.32 0.55 0.36 0.42 0.65 .026 < .001 .017 .004 < .001 37 37 37 36 36 0.37 0.64 0.69 0.79 0.91 .013 < .001 < .001 < .001 < .001 Appendix: D Percent Agreement for Items With Poor ICCs (from above) 1. Parent and Youth Roles 1a. Parent demonstrates inappropriate power and control 1b. Appropriate balance of power and control 1d. Signs of shift to youth power and control 2. Intensity of Adolescent Domestic Battery (ADB) 2a. Incident(s) only in response to parental threat 2c. Consistent level of low severity 2d. Frequent with increasing severity 2e. Frequent and severe 3. Reaction of Parties 3a. Relief/fear by youth and anger/surprise by parent 3c. Neither party surprised by predictable escalation 4. Triggers to Violence 4c. Response to inconsistent parental discipline, request or limit 4d. Varies with situation; pattern of lessening tolerance 5. Behavioral Intent 5a. Protective 5c. Opposing parental request, not necessarily intent to harm 5d. To get what he wants, may use intimidation 5e. Controlling or intimidating as well as deliberate or premeditated. Intent to harm as a means to control 6. Youth Attitude Toward Violence 6c. Accepts violence if nothing else works 6e. Accepts violence as preferred response 7. Youth Attitudes Toward Change 7a.. B elieves he is justified but hopes he won’t have to repeat 7b. B elieves behavior was wrong does not want to repeat 7c. Will repeat if other options are not available 7d. Ambivalent toward behavior change 8. Parent’s Primary Concern 8a. Transfers blame to youth n # Agree # Disagree % Agreement 37 33 4 89.2% 37 37 26 28 11 9 70.3% 75.6% 36 36 36 36 31 27 28 32 5 9 8 4 86.1% 75.0% 77.8% 88.9% 37 36 32 26 5 10 86.5% 72.2% 37 27 10 72.9% 37 24 13 64.8% 37 30 7 81.1% 37 25 12 67.6% 37 24 13 64.9% 37 34 3 91.9% 37 37 28 37 9 0 75.6% 100.0% 37 33 4 89.2% 37 27 10 73.0% 36 37 25 29 11 8 69.4% 78.4% 37 34 3 92.0% Note: Highlighted items had poor agreement that was not due to lack of variability in responses. These items were eliminated or rewritten for the final ADBTT. 83 Acknowledgements The authors would like to thank Hunter Hurst, Senior Research Associate at the National Center for Juvenile Justice for his pivotal role in the early development of the ADB typologies. Recognition is also extended to Lisa Jacobs, Illinois Models for Change Project Coordinator and Jennifer Burrows, MSW, Independent Licensed Social worker (LISW) for their valuable insights, which guided the authors in the finalization and completion of this manual. Finally, the authors express deep gratitude to the juvenile justice sites that adopted the ADB tool and were willing to provide their data and their input to this project: Lucas County Juvenile Court, DuPage County Juvenile Probation, Pima County Juvenile Court Center, Bexar County Juvenile Probation Department, and the Connecticut Judicial Branch Court Support Services Division. We greatly appreciate the administrators and staff who participated in the data collection and project related meetings to develop the contents of this manual. Bexar County, Texas Andrea Ames, Elisa Cruz, Dennis Donelson, Rachele Guerrero, Karl Johnson, Marcella Rincon, Jeannine Von Stultz, Alberta Ortiz Connecticut Judicial Branch Court Support Services Division Deborah Ahl, Marck Ciccio, Alex Colon, Jeff Florian, Michael Gagnon, Daniella Guzman, Tasha Hunt, Peter Kochol, Nordia Napier, Deborah, Mayano, Julie O’Leary, Carol Zadziko DuPage County, Illinois Lois Dresselhaus, Rebecca Kaplan, Christal Ireland, David Nix, Ray Stubner Lucas County, Ohio Nicholas Boggionia, Hans Giller, Debra Hodges, Kendra Kec, Amy Lentz, Sindhia Swaminathan (Research Assistant, Bowling Green University), Chuck Vogelbacher Pima County, Arizona Joanne Basta, Patricia Canterbury, Julie Kudrna, Martin Schulte, Beverly Tobiason An initiative supported by the John D. and Catherine T. MacArthur Foundation www.macfound.org www.modelsforchange.net
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