Transcript CADTP - CA DUI Treatment System

The California
DUI Treatment System
A Presentation for the
California Behavioral Health
Directors Association
SAPT Committee
September 28 2016
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Your Presenters
Karla Hendrix
Safety Center, VP Alcohol & Drug Programs
CADTP Board of Directors
Chair, CADTP Quality of Care Committee
[email protected]
Craig French
Twin Palms Recovery Center, Executive Director
Chair, CADTP Board of Directors
DHCS DUI Advisory Group
[email protected]
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Todays Objectives

DUI Programs System

Evaluating the System

System Recommendations

Collaboration

It’s No Accident
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The DUI Program
System
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The DUI Program System

DUI programs are licensed by the Department of Health Care Services to
provide a less intensive level of outpatient alcohol and other drug treatment
services focused on improving public health and safety by reducing and/or
eliminating additional DUI offenses.

These services consist of education classes (prevention); individual and group
counseling sessions (intervention); and in some counties individual client
involvement in self-help programs to facilitate ongoing recovery from the
abuse of alcohol and/or drugs.

Consistent with state regulations DUI treatment is provided by alcohol and
other drug counselors certified under Chapter 8, Division 4, Title 9,
California Code of Regulations.
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The DUI Program System

DUI treatment programs collaborate with the County SUD Administrators,
Courts, and the Department of Motor Vehicles to ensure client compliance
with summary or formal probation requirements and prepare clients to
regain their to drivers license by successfully completing their DUI treatment
program.

While program services are focused on refraining from operating an
automobile [or any mode of transportation] while under-the-influence, DUI
services also provide clients with a new understanding of their individual
responsibility to themselves, their families, and their community, and a
healthy new approach to their use of alcohol and drugs.
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Evaluating the System
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Evaluating the System

Over 24 years the California Department of Motor Vehicles [DMV] has
conducted annual outcome studies on the effectiveness of the California DUI
system in reducing recidivism.

The DMV Report consistently shows that the most effective approach to
reducing recidivism is the combination of Drivers License sanctions and DUI
Program provision.

The DMV Annual DUI MIS Reports can be found at:
http://www.dmv.ca.gov/portal/dmv/detail/about/profile/rd/toc
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Evaluating the System
Source: A Descriptive Analysis of California DUI Programs
Final Report
Submitted to California Department of Alcohol and Drug Programs
Driving-Under-the-Influence Program Branch
Prepared by
Sheldon Zhang, Project Director
San Diego State University
Department of Sociology
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DUI System
Recommendations
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Recommendations From: A Descriptive Analysis of California DUI Programs
Sheldon Zhang, Project Director, San Diego State University, Department of Sociology
D.1. DUI Program Providers
Short-term measures: (1) establish performance benchmarks; (2) increase transparency in program fees
and administrative fees; and (3) increase web presence for all DUI programs.
Long-term measures: (1) establish a mechanism for outcome assessment.
D.2. ADP Oversight (DHCS)
Short-term measures: (1) achieve greater consistency in curriculum development; (2) compile and
disseminate vital statistics for statewide DUI programs; (3) compile and publish DUI program fees; (4)
assemble and publish an online spreadsheet containing standard programmatic information for all DUI
programs.
Long-term measures: (1) establish a more rational fee review and approval procedure; (2) create a rating
system using monitoring results to encourage self-improvement through an open and transparent grading
system; (3) increase ADP oversight through an updated data tracking system; (4) realign programs that
are rarely used and have low completion rates; and (5) invest in research and evaluation of DUI program
services.
D.3. County Alcohol and Drug Services
Greater involvement from county alcohol and drug services is needed to mediate emerging or on-going
issues between DUI program providers and the state oversight agency.
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2016 County Survey – DUI Program
Provided to: California Department of Health Care Services
By: Sheldon Zhang, PhD, San Diego State University
This survey was intended to collect information from each county to:
▪determine the degree of county involvement in DUI program efforts
▪examine areas in which DHCS may potentially provide further
assistance to improve outcomes for the statewide DUI system
▪
▪
49 out of 58 administrators responded
24 AODs, 24 DUI coordinators, 1 unknown
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Key Findings From County Study
▪ Many counties expressed a strong desire for more standardization of
practices.
▪ The majority of counties are monitoring DUI providers at some level.
▪ Any efforts to evaluate program success will require greater consistency
of data collection across providers and storage of data in a ‘merge-able’
data format.
▪ Many counties expressed interest in increased training opportunities,
specifically:
▪increased technical assistance
▪auditing guidelines, and
▪more standardization of curricula, referral practices, and paperwork.
▪ Many counties expressed interest in improving continuum of care for
clients via participating in the 1115 Waiver.
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California DUI Program Providers Survey,
2011
Presented to:
California Department of Alcohol and Drug Programs
By:
Sheldon X. Zhang, Project Director
Department of Sociology
San Diego State University
Email: [email protected]
This report describes the results of a survey of 136 Program Managers representing 125
Driving under the Influence (DUI) programs across the State of California.
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California DUI Program Providers Survey,
2011
Source: California DUI Program Providers Survey
Sheldon Zhang, Project Director
San Diego State University
Department of Sociology
Main Education Curriculum Components
Respondents mentioned a wide variety of
curriculum topics covered in their education,
including:
• Physiological and social effects of
alcohol and drugs,
• Addiction,
• Choices and consequences,
• Community resources,
• Alcohol and the family,
• Denial,
• The disease concept,
• DUI policies,
• Tools for living,
• Relapse prevention,
• Recovery.
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CADTP Best Practice Document
The best practice document was a
collaboration of DUI program
representatives who each took a
section and the committee agreed
upon content to ensure generic enough
for implementation.
The intent of this document is to
present a set of suggested best
practices for licensed DUI Treatment
Programs to follow in order to provide
quality services and regulatory
compliance, resulting in safer
communities and healthier individuals
at no cost to the tax-payer.
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CADTP presents at the DHCS Conference
Best Practices for DUIP
Education – Reducing Risk
A Presentation for the
DHCS SUD
Statewide Conference
August 2016
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CADTP presents at the DHCS Conference
Todays Objectives

Review CADTP Best Practices for California DUIP Providers
Education section

Explore the ethics and responsibility the DUI program has in the
creation and execution of its educational curriculum

Review the CCR Title 9 requirements and expand upon the
regulation subjects

Review and explore educators styles

Review and explore generally accepted teaching tools

Explore the most important aspect of program responsibility;
Quality Assurance

Assessing the Educator

Assessing the validly of the curriculum by measuring an increase in client
knowledge
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DUIP Education
All AOD Treatment Programs have an Educational Component and so do
DUI Treatment Programs

Orientation to DUI laws, Alcohol & Drug Impairment and the DUI Program

Patterns Of Consumption, Chemical Dependency And Assessment

Medical Aspects Of Alcohol And Other Drugs

Social Aspects Of Alcohol And Other Drugs

Addiction And The Family

Recovery, Resources And Options For Change
Instructors are certified counselors who must have 2 years of
experience providing Alcohol and Other Drugs Education.
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DUI Program Philosophy of Services
DUI Programs take a proactive stance in helping those with alcohol and/or
drug dependency problems make life-affirming changes.
DUI Programs recognize that substance use behavior exists along a
continuum, ranging from non pathological use at one end, to problematic or
substance abuse in the middle to chronic substance dependence on the other.
DUI services are designed to address this continuum of use through the
education, group counseling and individual case management sessions.
Research shows that Health and Safety
Code sanctioned DUI programs are
effective in reducing the problem of
drinking and driving.
(Strategic Highway Safety Plan, 2014)
“The re-offense rate of a DUI
offender assigned to the
<DUI> program is 20.6%
lower than the re-offense rate
of those not assigned to the
program”
(DMV Annual Report of the California DUI
Management Information System, 2015)
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The Wheel of
Collaboration
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How Can CADTP Assist the County
Administrator
CADTP is pleased with our collaborative relationship, we feel we have
addressed many of the concerns that the County’s expressed and we continue
to find new and innovative ways to reach the DUI Providers, whether they are
CADTP Members or not, to assure the best possible outcomes for the DUI
Program client.
CADTP will continue it’s commitment to develop and foster symbiotic
relationships with a wide and diverse population of stakeholders, collaborators
and experts who share our collective mission of reducing recidivism, increasing
public safety, and positive outcomes for the DUI client and the community at
large.
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It’s No Accident
HIGHLIGHTS OF YEAR 2015
CALIFORNIA DUI-MIS
REPORT
• Alcohol-involved crash
fatalities increased by 2.4% in
2013, following an increase of
7.3% in 2012.
• Drug-involved crash fatalities
increased by 9.0% in 2013,
after an increase of 15.4% in
2012.The number of this type
of fatal crash has increased
by 13.8% in the past decade.
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