Download - Orleans Parish Drug Court Expansion Grant
RISK AND NEED TRACKSSAMHSA 2013
Orleans Parish Drug Court Expansion Grant
ORLEANS PARISH OUTCOMES COULD CHANGE DRUG COURT
STATUTE TO INCLUDE INDIVIDUALIZED TREATMENT
Goals and Benefits
Increase and Improve
• Access• Availability• eligibility screening• assessment• treatment types• group types, • intervention types• modalities • programming for men and
women
• individualized treatment• provide lower recidivism
rates• higher retention rates • promote public safety• individual trauma counseling• transportation services• childcare • vocational training
GOALS:
Benefits of Drug CourtTrack System
Increased retention and graduation ratesReduced recidivismSelf-efficacy EmpowermentSustainable employment Employment skillsIncrease in physical and mental health Access to health careEnhanced parenting skills Family relationshipsTrauma symptom reduction
No More One Size Fits All Treatment
Current Process vs Process after Grant Implementation
Current Process
Intake Screening
FormDAST
Intake/Accepted into Drug Court
Addiction Severity Index
Gender Specific
Treatment Groups
After Grant Implementation
Intake
Screening Form
TCUDS-II
Nursing Assessme
ntRANT
Specialized Risk/Need Treatment
Tracks
Four Question
PTSD Screener
PCL-C
SLESQ
Helping Women
Recover and Helping Men
Recover Curriculum
MHSF-III
Psychiatric Evaluation
Intake/Accepted
into Drug Court
Addiction Severity
IndexGender Specific
Tretment Groups
2 DESIGNATED SCREENING AND INTAKE
COUNSELORS
ADDED ASSESSMENTS TO CREATE INDIVIDUALIZED CASE MANAGEMENT AND
TREATMENT PLANS
Screening and Assessment
Screening
Court calls for screening prior to sentencingIntake counselor screens for eligibility Risk and Needs Assessment Triage (RANT)Screening completed in the DCCM
Outcome:Individualized Case Management Plan:GEDHousingMedicaid
Assessment
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)
HIGH RISK/HIGH NEEDHIGH RISK/LOW NEEDLOW RISK/HIGH NEEDLOW RISK/LOW NEED
Risk and Need Tracks
RISK Need
Prognostic RiskRe-OffendingCareer CriminalRevolving Door
Criminogenic NeedSubstance
DependenceRehabilitationSobriety
Risk and Need
Risk and Need Quadrants
Standard Drug Court Track(10 Key Components)
Status Calendar Intensive Treatment Compliance is proximal Restrictive Consequences Focus consequences on treatment and
supervision
Specialized Track(Treatment emphasis)
Noncompliance calendar Intensive treatment Treatment is proximal Focus consequences on treatment
Specialized Track(Accountability emphasis)
Status Calendar Pro-social rehabilitation Prevention Services Abstinence & compliance are proximal
Specialized Track(Diversion emphasis)
Noncompliance calendar Prevention services Focus consequences on abstinence
High Low
High
Low
High Risk/ High Need(Standard Drug Court Track)
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 DependentPossess antisocial personality features
Prior failures in treatmentEarly onset of Substance Use
Unable to be a good parent, hold a job, or attend schoolWill 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 treatmentResponse to positive drug tests should be treatment oriented
High Risk/Low Need(Emphasis on Accountability)
Scheduled Status Hearing with the JudgePro-Social Rehabilitation (People, Places & Things)Prevention ServicesAbstinence and Compliance are proximal
Need Social Skills Training and Accountability with close monitoringScheduled Status Hearings-Judge to monitor and sanction due to high risk of
noncompliance with monitoringMay not meet dependence criteria and Intensive treatment option may put them at
more risk for exposure to drug usePsycho educational groups to provide education of negative effects of drugs and alcohol
Education to help re-enter society without drug and alcoholAbstinence and Compliance are short term and attainable goals-sanctions needed for
missing treatment and supervision.
Low Risk/High Need(Emphasis on Treatment)
Status Hearings only for noncompliance Intensive Outpatient Treatment with FSGNO Consequences focused on treatment Treatment is a proximal goal Prescribed medication allowed
Substance DependantMental Illness
Poor Coping SkillsNeed Intensive Treatment and Supportive Intervention
Regular status hearings are not necessary because they may expose them to high risk behaviorsQuick and immediate sanctions are a mustMonthly Status Hearings are acceptable
Must be in separate groups from High Risk offendersNeed vocational and educational services
Poor attendance should get a immediate judicial sanctionRelapse is a distal goal (long term)-should get a treatment sanction
Low Risk/Low Need
Status Hearing for noncompliancePrevention ServicesConsequences are focused on abstinence
Usually productive in life (work, school, parenting)Combining them with HRHN (Drug Court) would expose them to antisocial
behaviorNo scheduled status hearings are necessary-only noncompliance
May not require Intensive Outpatient GroupsMay need psycho educational groups or less intensive treatmentAbstinence is a proximal (short term) goal-immediate sanction
Treatment plan should include prevention
DRUG COURT
VERSUS
INTENSIVE PROBATION
Who is Eligible???
Drug Court AND
Intensive Probation
Current Drug Court clients
Substance Dependant
Active ProbationMinimum 3 years
probation
Current IP clientsMay be substance
dependant May be recreational
userDealersActive/Inactive
Probation
Eligibility
INTENSIVE PROBATION
BECOMES
DRUG COURT
Program Outline
Currently Options
Defendants sentenced to 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.
Defendants that need case 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.
Drug Court Umbrella