Orleans Parish Drug Court Expansion Grant

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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. Access Availability eligibility screening assessment - PowerPoint PPT Presentation

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Orleans Parish Drug Court Expansion Grant

Risk and Need TracksSAMHSA 2013Orleans Parish Drug Court Expansion GrantOrleans Parish Outcomes could Change Drug Court Statute to include Individualized Treatment Goals and BenefitsIncrease and ImproveAccessAvailabilityeligibility screening assessmenttreatment typesgroup types, intervention typesmodalities programming for men and women

individualized treatmentprovide lower recidivism rateshigher retention rates promote public safetyindividual trauma counselingtransportation serviceschildcare vocational training

GOALS:

Benefits of Drug CourtTrack SystemIncreased 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 Implementation2 designated Screening and Intake Counselors

Added assessments to create individualized case management and treatment plansScreening and AssessmentScreeningCourt 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

AssessmentIntake completed in DCCM and GPRAMental Health ScreeningTrauma ScreeningTCU-Drug Abuse ScreeningAddiction 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 CounselingAnger ManagementParenting Groups (NOLA DADS)

High Risk/High NeedHigh Risk/Low NeedLow Risk/High NeedLow Risk/Low NeedRisk and Need TracksRISKNeedPrognostic RiskRe-OffendingCareer CriminalRevolving Door

Criminogenic NeedSubstance DependenceRehabilitationSobriety

Risk and Need

Risk and Need QuadrantsStandard Drug Court Track(10 Key Components)Status CalendarIntensive TreatmentCompliance is proximalRestrictive ConsequencesFocus consequences on treatment and supervisionSpecialized Track(Treatment emphasis)Noncompliance calendar Intensive treatmentTreatment is proximalFocus consequences on treatmentSpecialized Track(Accountability emphasis)Status CalendarPro-social rehabilitationPrevention ServicesAbstinence & compliance are proximalSpecialized Track(Diversion emphasis)Noncompliance calendarPrevention servicesFocus consequences on abstinenceHighLowHighLowHigh Risk/ High Need(Standard Drug Court Track)Scheduled Status Hearing with the JudgeIntensive Outpatient Treatment with FSGNOConsequences for treatment and supervisionCompliance is a proximal goalGraduation Sanction/restrictive consequencesPrescribed Medication allowed

Generally Substance DependentPossess antisocial personality featuresPrior failures in treatmentEarly onset of Substance UseUnable to be a good parent, hold a job, or attend schoolWill need vocational skills trainingTreatment and Supervision attendance are proximal goals (short term)Sanctions should be immediate for missing treatment or supervisionBefore 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 alcoholEducation 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 noncomplianceIntensive Outpatient Treatment with FSGNOConsequences focused on treatmentTreatment is a proximal goalPrescribed medication allowed

Substance DependantMental IllnessPoor Coping SkillsNeed Intensive Treatment and Supportive InterventionRegular status hearings are not necessary because they may expose them to high risk behaviorsQuick and immediate sanctions are a mustMonthly Status Hearings are acceptableMust be in separate groups from High Risk offendersNeed vocational and educational servicesPoor 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 abstinenceUsually productive in life (work, school, parenting)Combining them with HRHN (Drug Court) would expose them to antisocial behaviorNo scheduled status hearings are necessary-only noncomplianceMay not require Intensive Outpatient GroupsMay need psycho educational groups or less intensive treatmentAbstinence is a proximal (short term) goal-immediate sanctionTreatment plan should include prevention

Drug Court

Versus

Intensive Probation Who is Eligible??? Drug Court AND Intensive Probation Current Drug Court clientsSubstance DependantActive ProbationMinimum 3 years probation

Current IP clientsMay be substance dependant May be recreational userDealersActive/Inactive Probation

EligibilityIntensive Probation

Becomes

Drug Court

Program OutlineCurrentlyOptionsDefendants 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

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