Transcript 2016 Naples 24x7 sobriety program presentation

Immediate Sanctions, Lasting Effects
FACC ANNUAL TRAINING INSTITUTE
Naples, Florida
July 7, 2016
C. Sue Holley
Exec. Director
Northeast Florida Safety
Council, Inc.
Jacksonville, FL
Tara H. Wildes
Director, Department of
Corrections, Jacksonville
Sheriff’s Office, Retired
A commitment to working with chronic DUI
defenders and other substance abusers
toward changing their behavior and
preventing additional substance abuse related
arrests.
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24x7 Sobriety Programs are a growing
national trend − in which alcohol and other
drug offenders are monitored by various
means to achieve extended sobriety.
Desire was that this program would have a
real impact on not just the offenders, but
their families and employers as well.
A law enforcement concept that began as a
pilot program in South Dakota in 2005
 That sets a standard of no use of alcohol and
no use of illegal drugs as an ordered
condition for:
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bond,
post-sentence probation,
work permits,
parole,
corrections, and
other special conditions
A recent study by the U.S. Dept. of Justice
Report on Alcohol and Crime, identified
alcohol abuse as a factor in 40% of violent
crimes committed in the U.S. Add in drugabuse and the numbers grow larger yet.
 A large percent of U.S. inmates have an
admitted drug or alcohol dependency. More
than 4 in 10 offenders nationwide return to
state prison within 3 years of their release,
despite a massive increase in state spending
on prisons, according to a Pew report.
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Less quantifiable, but even more serious, are
the human costs of this problem:
◦ loss of life and limb,
◦ loss and bereavement of loved ones,
◦ medical and psychiatric treatment,
◦ the scarred life that results for an individual who
has killed or injured others, and
◦ the loss of potential realized by individuals who
have ongoing alcohol or substance-abuse
problems.
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Personal responsibility and accountability by the offender
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Structure for the offender and their families
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Change in behaviors and choices, by daily in-person
contact
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Alcohol and other drug abstinence---confirmed through
testing
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Daily data collection & dissemination
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Swift, certain, and appropriate sanctions for violations
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Statewide programs established in South
Dakota, Washington, North Dakota, Montana,
Idaho, Wyoming and Alaska
Pilot programs are currently in operation in
Florida, Nebraska, and some jurisdictions in
the UK
Pilot programs and/or legislation are being
pursued in Utah, Arkansas, Colorado, Illinois,
Kansas, Louisiana, Nevada, Wisconsin, Indiana
and Iowa.
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It works – Shown to have long term positive
impacts on reducing recidivism in repeat DUI
and other offenders
Provides less opportunity for tampering and
manipulating the system – the monitoring is
not under the control of the offender for the
vast majority of the participants.
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An evidence-based program designed to
maintain sobriety for offenders of crimes that
have a nexus to drug or alcohol use.
The core premise of the Program is that in
order to affect behavioral change an
immediate consequence should be imposed
soon after a violation has occurred.
(It is believed that as the span of time between
a non-compliant event and the sanction
increases, the long term effect on behavioral
change diminishes.)

 Increased
Public Safety
 Increased
Public Health Outcomes
 Reduction
in Recidivism
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abstinence,
monitoring,
consequences for
violations,
personal
responsibility and
accountability,
data base
collection,
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communication,
poly substance use
testing,
change of
behavior/choices;
and
Immediate
sanctions
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While on this program, participants remain in
society, conduct their daily lives, work, pay
their fees, and fulfill their responsibilities, as
long as they are program compliant and pass
the sobriety testing.
The basic 24/7 Program model for monitoring:
twice-daily (seven days a week) through an onsite
breath test (PBT) for alcohol, or
monitoring by other means, such as
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Continuous alcohol monitoring (CAM)
Drug patches
Saliva/oral swab testing
Random urine or blood tests
Personal, remote breath device with “cloud-based”
monitoring
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Judges can order one or more of the testing
modalities for a particular offender.
Consequences for failing tests or not showing
up for testing is a specific time of
incarceration.
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1st violation: 12 hours automatic jail time
then return to program
2nd violation: 24 hours automatic jail time
then return to program
3rd violation: Arrest and mandatory
appearance before the Judge who will
determine if the offender may remain on the
program or face other sanctions.
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Based on Participant Pay (User-Funded) Model
Web-based 24x7 management software to
coordinate data, testing sites, and
communication of information to all related
agencies
Flexibility allows the testing agency to utilize
existing or new resources to maximize
efficiencies
Price points for testing can be kept low
Hallmarks of this award-winning
program include:
Cost efficiency
Reduction of jail and prison populations
Enhancement of public safety, and
Enabling more offenders to change selfdefeating behaviors and stop re-offending
A Community Partnership
The Mapping Process
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Judiciary
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State’s Attorney
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Public Defender & Other Defense Attorneys
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Probation & Parole
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Law Enforcement
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Substance Abuse Treatment Providers
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Began accepting orders August 2014
◦ 74 Enrolled through 6-30-2016
◦ Offenses include DUI, Hit & Run, Domestic Violence,
Possession of Controlled Substance, Assault, &
Disorderly Conduct.
◦ Most were Pre-Trial or Condition of Bond
◦ 4 as a Condition of Probation
◦ Only 1 arrested for a new crime
Days Active on Protocols
(8-1-14 through 6-30-16)
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◦ 5346 for PBTs
◦ 2108 for Drug Sweat Patch
◦ 1676 for Transdermal (SCRAM Ankle Monitor)
◦ 180 for Remote Breath Tests
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Tests Performed
◦ PBT = 5979
◦ Transdermal = 1676
◦ Remote Breath = 264
◦ Drug Sweat Patch = 26
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6 with 1st violation resulting in 12-hour hold
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1 with 2nd violation resulting in 24-hour hold
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0 with 3rd violation
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Judicial Acceptance – changes, widgets,
philosophies, politics, pressures…
Constant need to “Refresh” – easy to
become complacent. Just like the program
says…has to be 24/7 for all involved.
Testing Sites - study
Duval County DUI Arrests
4/1/2015 – 4/1/2016
•2,285 DUI Arrests were examined.
•Records were excluded for mapping
purposes where either the arrest location
or arrestee home address was not entered
or entered incorrectly (ex: I-10).
•The arrest data includes DUI arrests for
other agencies (e.g. beaches, FHP).
•1,936 DUI Arrests (based upon arrest location)
931 (48.1%) of DUI arrests (arrest location)
within 5 miles of a 24/7 testing site
1,445 (74.6%) of DUI arrests (arrest location)
within 10 miles of a 24/7 testing site
1,933 (99.8%) of DUI arrests (arrest location)
within 15 miles of a 24/7 testing site
•1, 830 DUI Arrests (based upon arrestee home
address)
705 (38.5%) of DUI arrests (arrestee home
address) within 5 miles of a 24/7 testing site
1,406 (76.8%) of DUI arrests (arrestee home
address) within 10 miles of a 24/7 testing site
1,817 (99.3%) of DUI arrests (arrestee home
address) within 15 miles of a 24/7 testing site
2010 NHTSA Awards
In Recognition of Efforts to Make Roadways
Safer Judge Larry Long, Second Judicial
Circuit, Pierre, South Dakota, recognized for
…creation and implementation of the
successful 24/7 defendant sobriety
program to keep DUI offenders sober, and
minimize the risk they pose to other drivers
on South Dakota roadways.
2009 The John P. McGovern Award
Recognizing innovation in drug abuse
prevention by identifying ideas to guide
effective actions to reduce illegal drug use.
2008 Innovations Award
The Council of State Governments
Rand Study on 24/7 Program
released by the American Journal
of Public Health
“Efficacy of Frequent Monitoring With Swift,
Certain, and Modest Sanctions for Violations:
Insights From South Dakota’s 24/7 Sobriety
Project”
Contributors: Beau Kilmer, PhD, Nancy Nicosia, PhD, Paul
Heaton, PhD, and Greg Midgette, MPP
http://www.rand.org/health/projects/24-7.html
Judge Larry Long, South Dakota: “The 24x7 program
works like an electric fence works. The punishment
is swift, 100% certain, but not severe. And that
seems to be why the program is effective. I also
think there is a therapeutic effect for offenders
involved in a twice-daily program with a
community of participants like themselves. They
don’t feel singled out and they have others
involved daily in addressing their addiction
problem. It’s been gratifying to me to hear from
family members of offenders who see a real
difference in their son or daughter or spouse as
they become sober again and are able to sustain it
over time. I believe that the 24x7 sobriety program,
which allows us to gather and analyze data related
to these repeat offenders, will help us make real
strides in the future in balancing punitive and
treatment options that can help end the cycle and
move people to permanent sobriety.”
With the 24/7 Sobriety Project and other state
initiatives, South Dakota has completely
turned this around and:
◦ From 2006 to 2007, alcohol-related traffic deaths
declined by 33%, the highest decrease in the nation
(NHTSA, 2008)
◦ Outperformed every other state in its percentage
reduction in DUI fatalities
◦ Achieved stellar compliance rates among program
participants
Conclusions. In community
supervision settings, frequent
alcohol testing with swift,
certain, and modest sanctions
for violations can reduce
problem drinking and
improve public health
outcomes.
For more information about the 24x7 Sobriety System, go
to http://www.24x7sober.com/
Read more about the Rand Study at
http://ajph.aphapublications.org/doi/abs/10.2105/AJP
H.2012.300989
For more information about Florida’s program pilot plans,
contact the Florida Association of DUI Programs at 800953-3237 or email [email protected].
For Duval County information, contact
 Sue Holley at 904-399-3119, EXT 139 or email
[email protected] or
 Tara Wildes at 904-238-9704 or email
[email protected].