Transcript Orleans Parish Drug Court Expansion Grant

Orleans Parish Drug Court
Expansion Grant
RISK AND NEED TRACKS
SAMHSA 2013
Goals and Benefits
ORLEANS PARISH OUTCOMES COULD
CHANGE DRUG COURT STATUTE TO
INCLUDE INDIVIDUALIZED
TREATMENT
GOALS:
Increase and Improve
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Access
Availability
eligibility screening
assessment
treatment types
group types,
intervention types
modalities
programming for men and
women
• individualized treatment
• provide lower recidivism
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rates
higher retention rates
promote public safety
individual trauma
counseling
transportation services
childcare
vocational training
Benefits of Drug Court
Track System
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Increased retention and graduation rates
Reduced recidivism
Self-efficacy
Empowerment
Sustainable employment
Employment skills
Increase in physical and mental health
Access to health care
Enhanced parenting skills
Family relationships
Trauma symptom reduction
No More One Size Fits All Treatment
Current Process
Current
Process
vs
Process
after
Grant
Implementation
Intake Screening
Form
Intake/Accepted
into Drug Court
DAST
Addiction
Severity Index
Gender Specific
Treatment
Groups
After Grant
Implementation
Intake
Screenin
g Form
TCUD
S-II
Nursing
Assessmen
t
RANT
Specialized
Risk/Need
Treatment
Tracks
Four
Question
PTSD
Screener
PCL-C
SLES
Q
Helping
Women
Recover and
Helping Men
Recover
Curriculum
MHSF
-III
Psychiatric
Evaluation
Intake/
Accepted
into Drug
Court
Addiction
Severity
Index
Gender
Specific
Tretment
Groups
Screening and
Assessment
2 DESIGNATED
SCREENING AND INTAKE
COUNSELORS
ADDED ASSESSMENTS TO
CREATE INDIVIDUALIZED CASE
MANAGEMENT AND TREATMENT
PLANS
Screening
 Court calls for screening prior to sentencing
 Intake counselor screens for eligibility
 Risk and Needs Assessment Triage (RANT)
 Screening completed in the DCCM
Outcome:
 Individualized Case Management Plan:
 GED
 Housing
 Medicaid
Assessment
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Intake completed in DCCM and GPRA
Mental Health Screening
Trauma Screening
TCU-Drug Abuse Screening
Addiction Severity Index (ASI)
Outcome:
 Individualized Treatment Plan:
 Psych Evaluation (onsite Psychiatrist)
 Nursing Assessment (onsite nurse)
 Individual Counseling (onsite trauma therapists)
 Personalized Treatment Track (Risk and Need)
 Grief Counseling
 Anger Management
 Parenting Groups (NOLA DADS)
Risk and Need
Tracks
HIGH RISK/HIGH NEED
HIGH RISK/LOW NEED
LOW RISK/HIGH NEED
LOW RISK/LOW NEED
Risk and Need
RISK
Need
 Prognostic Risk
 Criminogenic Need
 Re-Offending
 Substance Dependence
 Career Criminal
 Rehabilitation
 Revolving Door
 Sobriety
Risk and Need Quadrants
High
High
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Low
Standard Drug Court Track
(10 Key Components)
Status Calendar
Intensive Treatment
Compliance is proximal
Restrictive Consequences
Focus consequences on treatment and
supervision
Specialized Track
(Accountability emphasis)
Status Calendar
Pro-social rehabilitation
Prevention Services
Abstinence & compliance are proximal
Low
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Specialized Track
(Treatment emphasis)
Noncompliance calendar
Intensive treatment
Treatment is proximal
Focus consequences on treatment
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Specialized Track
(Diversion emphasis)
Noncompliance calendar
Prevention services
Focus consequences on abstinence
High Risk/ High Need
(Standard Drug Court Track)
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Scheduled Status Hearing with the Judge
Intensive Outpatient Treatment with FSGNO
Consequences for treatment and supervision
Compliance is a proximal goal
Graduation Sanction/restrictive consequences
Prescribed Medication allowed
Generally Substance Dependent
Possess antisocial personality features
Prior failures in treatment
Early onset of Substance Use
Unable to be a good parent, hold a job, or attend school
Will need vocational skills training’
Treatment and Supervision attendance are proximal goals (short term)
Sanctions should be immediate for missing treatment or supervision
Before sanctioning for new drug use they need time to be in treatment
Response to positive drug tests should be treatment oriented
High Risk/Low Need
(Emphasis on Accountability)
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Scheduled Status Hearing with the Judge
Pro-Social Rehabilitation (People, Places & Things)
Prevention Services
Abstinence and Compliance are proximal
Need Social Skills Training and Accountability with close monitoring
Scheduled Status Hearings-Judge to monitor and sanction due to high risk of
noncompliance with monitoring
May not meet dependence criteria and Intensive treatment option may put them at
more risk for exposure to drug use
Psycho educational groups to provide education of negative effects of drugs and alcohol
Education to help re-enter society without drug and alcohol
Abstinence and Compliance are short term and attainable goals-sanctions needed for
missing treatment and supervision.
Low Risk/High Need
(Emphasis on Treatment)
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Status Hearings only for noncompliance
Intensive Outpatient Treatment with FSGNO
Consequences focused on treatment
Treatment is a proximal goal
Prescribed medication allowed
Substance Dependant
Mental Illness
Poor Coping Skills
Need Intensive Treatment and Supportive Intervention
Regular status hearings are not necessary because they may expose them to high risk behaviors
Quick and immediate sanctions are a must
Monthly Status Hearings are acceptable
Must be in separate groups from High Risk offenders
Need vocational and educational services
Poor attendance should get a immediate judicial sanction
Relapse is a distal goal (long term)-should get a treatment sanction
Low Risk/Low Need
 Status Hearing for noncompliance
 Prevention Services
 Consequences are focused on abstinence
Usually productive in life (work, school, parenting)
Combining them with HRHN (Drug Court) would expose them to antisocial behavior
No scheduled status hearings are necessary-only noncompliance
May not require Intensive Outpatient Groups
May need psycho educational groups or less intensive treatment
Abstinence is a proximal (short term) goal-immediate sanction
Treatment plan should include prevention
Who is Eligible???
DRUG COURT
VERSUS
INTENSIVE PROBATION
Eligibility
Drug Court
AND
Intensive Probation
 Current Drug Court
 Current IP clients
clients
 Substance Dependant
 Active Probation
 Minimum 3 years
probation
 May be substance
dependant
 May be recreational
user
 Dealers
 Active/Inactive
Probation
Program Outline
INTENSIVE PROBATION
BECOMES
DRUG COURT
Drug Court
Umbrella
Currently
Options
 Defendants sentenced to
 Defendants that need case
Drug Court receive ALL
of the afore mentioned
services inclusive of
individualized treatment.
 Defendants sentenced to
Intensive Probation
receive case management
and are NOT ELIGIBLE for
any of the afore mentioned
services available through
the SAMHSA Grant.
management would be sentenced
to Court Intervention Services
and screened for a treatment
track.
 Cases that would fall into the
traditional Drug Court track
(High Risk/High Need) will be
re-alloted to a felony Drug Court
Section and the High Risk/Low
Need track would be transferred
to Section C for supervision. All
others will remain in their
sentencing section to be
monitored by the Case manager
assigned to that track.