1. NC TASC Bridging Systems for Effective
Care Management of Persons with SA/MH Problems Involved in the Criminal Justice System
North Carolina TASC 1

2. NC Problem Statement Limited Treatment Resources Complex Clients:
challenging behavioral health needs
serious consequences of failure
Recidivism & Relapse are Common
Need for CJ Specific EBP
Need options to improve access to & retention in treatment, while preserving public safety
North Carolina TASC 2

3. Balancing Control & Tx One Offender One Case Plan One Team
Common Goal: Safely manage high-risk, high-need offenders in the community
Balances Intervention Opportunities provided thru DMHDDSAS & Supervision provided thru DCC & AOC
North Carolina TASC 3

4. DHHS-DPS-AOC MOA
North Carolina TASC 4

5. NIC’s The Principles of Effective Interventions
Assess Actuarial Risk/Needs
Enhance Intrinsic Motivation
Target Interventions
Risk Principle
Need Principle
Responsivity Principle
Dosage
Treatment Principle
Skill Train with Directed Practice
Increase Positive Reinforcement
Engage Ongoing Support in Natural Communities
Measure Relevant Processes/Practices
Provide Measurement Feedback
Research supports several principles for effective offender interventions. NIC highlights 8 principles.
Assess Actuarial Risk/Needs - Assessing offenders' risk & needs (focusing on dynamic & static risk factors & criminogenic needs) at the individual & aggregate levels is essential for implementing the principles
Enhance Intrinsic Motivation - Research strongly suggests that "motivational interviewing" techniques, rather than persuasion tactics, effectively enhance motivation for initiating & maintaining behavior changes
Target Interventions
Risk Principle - Prioritize supervision & treatment resources for higher risk offenders
Need Principle - Target interventions to criminogenic needs
Responsivity Principle - Be responsive to temperament, learning style, motivation, gender, & culture when assigning to programs
Dosage - Structure 40% to 70% of high-risk offenders' time for 3 to 9 months
Treatment Principle - Integrate treatment into sentence/sanctions requirements
Skill Train with Directed Practice - Provide evidence-based programming that emphasizes cognitive-behavior strategies & is delivered by well-trained staff
Increase Positive Reinforcement - Apply 4 positive reinforcements for every 1 negative reinforcement for optimal behavior change results
Engage Ongoing Support in Natural Communities - Realign & actively engage pro-social support for offenders in their communities for positive reinforcement of desired new behaviors
Measure Relevant Processes/Practices - Accurate & detailed documentation of case information & staff performance, along with a formal & valid mechanism for measuring outcomes
Provide Measurement Feedback - Providing feedback builds accountability & maintains integrity, ultimately improving outcomes 5

6. NIDA Principles for CJ Pops
Treatment principles & research findings particularly relevant to the criminal justice community & treatment professionals working with persons with substance use disorders and criminal justice system involvement.
Drug addiction is a brain disease that affects behavior.
Recovery from drug addiction requires effective treatment, followed by management of the problem over time.
Treatment must last long enough to produce stable behavioral changes.
Assessment is the first step in treatment.
Tailoring services to fit the needs of the individual is an important part of effective drug abuse treatment for criminal justice populations.
Drug use during treatment should be carefully monitored.
Treatment should target factors that are associated with criminal behavior.
Criminal justice supervision should incorporate treatment planning for drug abusing offenders, & treatment providers should be aware of correctional supervision requirements.
Continuity of care is essential for drug abusers re-entering the community.
A balance of rewards & sanctions encourages prosocial behavior & treatment participation.
Offenders with co-occurring drug abuse & mental health problems often require an integrated treatment approach.
Medications are an important part of treatment for many drug abusing offenders.
Treatment planning for drug abusing offenders who are living in or re-entering the community should include strategies to prevent & treat serious, chronic medical conditions, such as HIV/AIDS, hepatitis B & C, & tuberculosis.

7. What is TASC?
A model that bridges two separate systems: justice & treatment
Links treatment & justice goals of reduced drug use & criminal activity
Uses processes that improve treatment access, engagement & retention
North Carolina TASC 7

8. TASC Services Screening & Assessment Referral & Placement
Care Planning, Coordination & Management
Reporting Progress to Justice System
North Carolina TASC 8

9. TASC Eligibility
involvement in the CJS or DPS releasee who completed a prison substance abuse program
voluntary consent to participate
evidence of a history or potential substance abuse and/or mental health issue, including drug-related charges

10. TASC in NC 1978 First TASC Programs in NC
Programs in 20 Counties
1994 Structured Sentencing Act
Programs in 43 Counties
2000 SOP; DHHS-DOC MOA
2001 TASC Training Institute
2002 Services available in all 100 Counties
2005 AOC joined MOA
,000+ Persons Served
,000+ Persons Served (FY1314)
North Carolina TASC 10

11. North Carolina TASC Network
Region 1 – Jennifer Saphara
609 Shipyard Blvd.
Wilmington, NC
Region 3 – Michael Gray
516 N. Trade St.
Winston-Salem, NC
Region 2 – Andy Miller
412 West Russell
Fayetteville, NC
Region 4 – Carlene Wood
370 N.Louisiana Ave, Ste. E-3
Asheville, NC
Region 3
Region 2
Region 1 23
Ashe
Alleghany 23 1
Gates
Surry
17 B
Caswell
9 A 9
Vance 9
Warren
Stokes
17 B
Northampton
6 B
Rockingham
17 A
Person 9
Currituck 9
Granville
6 B
Hertford
Camden
Region 4 24
Watauga
6 A
Halifax
Perquimans
Wilkes 23
Yadkin 23
Forsyth
21 A-B-C-
& D
Alamance
15 A
6 B
Bertie
Pasquotank
Mitchell 24
Avery 24
Guilford
18 A-B-C-D-E
Orange
15 B
Durham A-B 9
Franklin
7 A
Nash
Chowan
Alexander 22
Davie 22
7 B
Edgecombe
Yancey 24
Caldwell
25 A 2
Martin
Madison 24
Wake
10 A-B-C-D 2
Washington
Iredell 22
Davidson 22 2
Tyrrell
Chatham
15 B
Dare 1
Burke
25 A
McDowell 29
Catawba
25 B
Randolph
19 B
Wilson
7 C
Rowan
19 C
3 A
Pitt 2
Beaufort
Haywood
30 B
Buncombe 28
8 A
Greene
Swain
30 A
Lincoln 27 B
Lee 11
Johnston 11 2
Hyde
30 A
Graham
Rutherford 29
19 B
Montgomery
8 B
Wayne
Jackson
30 B
Henderson 29
Polk 29
27 B
Cleveland
Cabarrus
19 A
Harnett 11
27 A
Gaston
26 A-B-C
Mecklenburg
Stanly
20 B
Moore
20 A
8 A
Lenoir
Transylvania 29
3 B
Craven
3 B
Pamlico
Cherokee
30 A
Macon
30 A
4 A
Jones
Clay 30A
12 A-B-C
Cumberland
Union
20 B
Anson
20 A
Richmond
20 A
Hoke
16 A
Sampson
4 A
Duplin
4 A
16 A
Scotland
4 B
Onslow
3B Carteret
Robeson
16 B 13
Bladen
Pender 5
TASC is organized into 4 regions which reflect the state’s 4 judicial divisions, consistent with the unified court & statewide probation systems
New
Hanover 5 13
Columbus
TASC Training Institute
Dale Willetts
613 Shipyard Blvd.
Wilmington, NC 13
Brunswick
North Carolina TASC 11

12. TASC Quality Points National TASC Critical Elements
NC TASC Standard Operating Procedures
Statewide Availability for Equity
Regional Management for Economies of Scale
Funding contingent on DHHS-DPS-AOC MOA compliance
Local Memoranda of Agreement
All staff registered, certified or licensed w/ NCSAPPB
Addiction Severity Index (ASI-MV) / ASAM Criteria
NC TASC Training Institute
NC-TOPPS TASC CJM Measures
To ensure accountability
Audits
DHHS-DOC MOU as model
North Carolina TASC 12

13. Drugs & Crime
1 in 34 adults are under correctional supervision* *BJS Correctional Surveys, 2011
SA is disproportionately represented in correctional populations*
80% of parolees
80% of prison inmates
67% of probationers *Report of the Re-Entry Policy Council, CSG, 2005
59% of SA referrals from CJS

14. Drugs & Crime in NC 38,133 people in NC prisons*
30,506 need substance abuse services
Note: 97% will be released
103,890 people on probation, parole or post-release in NC*
69,606 need substance abuse services
* NCDOC Research & Planning, October 17, 2014 populations

15. The People TASC Serves 19,292 Admissions 76% Male 51% Non-White
31 Average Age
69% Never Married
32% No HS Diploma
41% Unemployed
Avg age 31, Median 28, from 16 to 81
NCTOPPS TASC FY1314 Intake Data
North Carolina TASC 15

16. Substance Use Diagnosis
TASC Facts
Substance Use Diagnosis
5 month Average Length of Stay
$1.36 cost per day
50% increase in persons served over the last 7 years
20% increase in Successful Completions over the last 7 years
42% Dedendence / 37% Abuse / 21% None
North Carolina TASC 16

17. TASC Benefits Increases Client Identification
Improving treatment outreach & access
Provides Independent Assessment of Need
Improves Treatment Engagement
orients clients to tx, reduces “no shows”; increasing tx staff productivity
Improves Treatment Retention & Compliance
improving tx outcomes
Provides Support & Continuity during Tx & CJ Transitions

18. TASC Benefits Maintains clear Roles & Responsibilities
Tx providers focus on client care
Probation officers focus on supervision
Balances Control & Treatment
Improves Communication among Systems, appropriately managing client confidentiality
Provides addt’l information for Treatment, Judicial & Correctional Decision-Making

19. Second Chance Reentry Program
$600, years – funded by the Bureau of Justice Assistance
Individuals involved incarcerated in NHC with Co- occurring disorders
Priority population is women
Providing:
Assessment
Treatment
Residential Placement
Case Management linkages
NEW HANOVER COUNTY

20. FOR MORE INFORMATION DALE WILLETTS KAREN CHAPPLE
NC TASC Training Institute of Coastal Horizons Center
KAREN CHAPPLE
Coastal Horizons Center – Wilmington Office
North Carolina TASC