Transcript Slide 1

Understanding TASC
Marc Harrington, LPC, LCASI
Case Developer
Region 4 TASC
[email protected]
828 779-1621
Robin Cuellar, CCJP, CSAC
Buncombe County Director
[email protected]
828-210-0540
Understanding TASC
•What is TASC
•TASC in North Carolina
•13 Critical Elements
What is TASC?
The purpose of TASC is to
engage persons referred
by the justice system in
Substance abuse treatment
and other services, and to
collaborate with both
justice and treatment to
ensure that appropriate
and adequate services are
available for the justice
clients.
TASC benefits both Justice
and Treatment systems by:
Treatment System
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Assessing clients for level of
treatment needed
Retaining clients in treatment
by using leverage of the
justice system
Supporting treatment
compliance through drug and
alcohol testing
Providing a structure to
coordinate treatment with
Justice
Justice System
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Increasing supervision through
alcohol and drug testing and
ongoing client contact.
Offering interventions
strategies to augment courtimposed sanctions
Reporting to the Justice
system
Supporting communication
between treatment and
Justice
TASC in North Carolina
• The mission of the
North Carolina TASC
Network is to provide
care management
services to druginvolved and mentally
ill offenders as early in
the criminal justice
continuum as possible.
Care Management
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When implemented to its
fullest, case management will
enhance the scope of
addictions treatment and the
recovery continuum. A
treatment professional
utilizing case management will
provide the client a single
point of contact for multiple
health and social services
systems, advocate for the
client, be flexible, communitybased, client-oriented, and
assist the client with needs
generally thought to be
outside the realm of
substance abuse treatment.
What We Know About Treatment &
Offenders
• Treatment works
• Incentives & sanctions yield higher
retention & lower relapse rates - compared
to voluntary participation in treatment
• Offenders leaving a structured
institutional setting endure increased
stress; while possessing limited coping
skills. They need relapse prevention
• Offenders need a continuum of care
available, as they move through systems.
System Coordination Elements
Insure that activities are undertaken by TASC to
generate ongoing support and resources for
managing substance involved clients form the
justice system. A supportive framework in the
larger community is needed for client activities to
be meaningful and successful.
• Element 1 Coordination
• Element 2 Information
Element 1 coordination
A Process to Coordinate Justice, Treatment & other
Systems
• Develop collaborative approaches to integrate
treatment & justice to provide a seamless
continuum of treatment and accountability
• Develop & expand treatment networks
• Influence the policies, procedures & priorities of
the justice & treatment systems
• Insure adequate & appropriate services for justice
clients
Element 2 Information
Procedures for Providing Information &
Cross-Training to justice, treatment &
other systems
• Continuously develop skills & relationships
• Keep policymakers & practitioners current
about status of & effective strategies for
managing substance involved justice
populations
Organizational Elements
Describe the basic structures that need to be in place
to establish and maintain TASC as an
organization, and to enable case managers to
conduct client activities effectively
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Element 3 Justice Support
Element 4 Treatment Support
Element 5 Organizational Integrity
Element 6 Staff Training
Element 7 Management Information Systems
Element 3 Justice Support
A Broad Base of Support from the
Justice System with a Formal System
for Effective Communication
• Establish & maintain a coordinated
effort & understanding for referrals
between TASC & justice system
components
Element 4 Treatment Support
A Broad Base of Support by the Treatment &
Other Social Services Community
Establish and maintain the linkages &
understanding to:
• Ensure availability & quality of treatment
for justice clients
• Make client referrals
• Conduct tracking, monitoring & case
management activities
Element 5 Organizational
Integrity
• Insure TASC program integrity and
organizational capability to carry out the
program mission
• Insure objectivity and autonomy
Over-identification with either system
can limit TASC’s credibility and
functioning
Element 6 Staff Training
Policies and procedures for regular staff training
• Insure that all staff understand the TASC mission,
philosophies & procedures to ensure competency
• TASC staff must be experts in all participating systems
• TASC staff must have skills to connect with & manage
clients
• Clinical & non-clinical staff can be effective
Element 7 Management
Information system
A management information system with a
program evaluation design
Provide timely and accurate information
• for developing & managing program
services
• for determining & improving operational
effectiveness
• for policymakers & funding sources
• to meet public information needs
Operational Elements
Define the basic activities that make up direct client
management services that TASC programs
provide.
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Element 8 Eligibility Criteria
Element 9 Person-Centered Case Management
Element 10 Screening
Element 11 Assessment
Element 12 Monitoring
Element 13 Competency with Diverse Populations
Element 8 Eligibility Criteria
Clearly Defined Client Eligibility
Criteria
• Set clear standards for inclusion &
exclusion of individuals from TASC
• Justice system involvement
• Current &/or previous AOD involvement
• Informed voluntary consent
Element 9 Person-Centered
Case Management
Performing Client Centered
Case Management
• Maintain ongoing connection with each client as he/she
moves through various justice processes & multiple programs
• Communicate progress & changes regularly to both justice &
treatment
• Provide the leverage, support & advocacy to encourage
treatment engagement & retention
• Intervene before behavior results in treatment termination
Element 10 Screening
Screening Procedures for Identification of
TASC Clients within the Justice System
• Determine appropriateness & suitability
for treatment
• Determine TASC eligibility
• Begin building a plan for treatment &
supervision
Element 11 Assessment
Documented Procedures for Assessment & Referral
• Provide a standardized assessment that includes
clinical, justice & other information
• Referral to an appropriate level of care that is
coordinated with justice requirements
• Development of a comprehensive case management
plan
Element 12 Monitoring
Policies, Procedures & Protocols for
Monitoring Drug & Alcohol Use
through Chemical Testing
• Reliably monitor & report client’s use
of or abstinence from alcohol & other
drugs to encourage compliance & to
facilitate the therapeutic process
Element 13 Competency with
diverse Populations
• Insure that TASC & treatment delivery
systems are sensitive to & provide relevant
services regardless of client race, culture,
religion, gender, age, ethnicity or sexual
orientation
• Treatment engagement & success is
dependent on the ability programs &
counselors have to connect with the client
Questions?