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• Despite reform efforts, the juvenile justice system is permeated with inequities. • Partnering with stakeholders, we developed an integrated model of juvenile justice. • The model layers public health, socioecological and restorative justice frameworks. • Applied examples illustrate how this approach can benefit youth and communities. • Recommendations for engaging in community-driven reform efforts are provided. Approaches to juvenile justice have undergone significant change in recent years, shifting away from retributive models and toward greater focus on rehabilitation and recognition of the unique developmental needs of youth. However, the juvenile justice system is still permeated with significant challenges, including the overrepresentation of vulnerable youth, particularly youth of color, and limited community-based interventions for youth at risk for justice involvement. Current models of juvenile justice do not fully address the needs of at-risk and justice involved youth, and have struggled to effectively reduce racial and ethnic disparities within the system, suggesting there is a need for a model that is better able to conceptualize and respond to youths' needs. The purpose of this paper is to describe the Integrated Model of Juvenile Justice (IMJJ), a novel conceptual approach to juvenile justice reform, which integrates the public health, social-ecological, and restorative justice models. We worked collaboratively with justice system stakeholders in Connecticut to develop the IMJJ, which proposes that juvenile justice practice must take into account and provide for youths' multi-level needs. Through an applied example, this paper describes how the IMJJ can be utilized to target youth offending and promote equitable treatment of youth in the juvenile justice system. Recommendations for justice system stakeholders are provided and implications for policy and practice are discussed. [ABSTRACT FROM AUTHOR]

The purpose of this paper is to describe a best practice model of care for children's mobile crisis services in Connecticut: Emergency Mobile Psychiatric Services (EMPS). EMPS responds to homes, schools, emergency departments and other community locations to provide children and their families with mobile crisis stabilization, assessment and brief intervention, and referral and linkage to ongoing care. The system is comprised of a statewide network of contracted providers, a statewide Call Center to manage and triage incoming referrals, and a Performance Improvement Center to provide data analysis, reporting, quality improvement, and standardized training. Data collected since 2009 demonstrate high service utilization, consistently high mobility rates, and rapid response times as well as statistically significant improvements in child outcomes. The paper discusses the role of mobile crisis services within a comprehensive continuum of behavioral health care for children and families. [ABSTRACT FROM AUTHOR]

Abstract The involvement of consumers in the planning and development of health services has been encouraged and, in some cases, mandated. This involvement is viewed by many as a democratic or ethical requirement in that consumers have a right to influence services. Connecticut has been working toward the full implementation of a children's behavioral health system of care since 1997 but has lacked the mechanisms needed for family members to have their voices heard or to be full partners at decision-making tables. This paper is a case study that highlights work that has been done to 1) gather systematic feedback from families through the use of participatory research methods; 2) increase family access to data; and, 3) build the capacity of caregivers with the goal of increasing their involvement and leadership at all levels of the system of care. Highlights • The involvement of consumers in the planning and development of health services is encouraged. • Involvement of consumers is viewed by many ethical as consumers have a right to influence services they receive. • Connecticut has been working to engage family members as full partners at children's behavioral health decision-making tables. [ABSTRACT FROM AUTHOR]