1. Key Moments in NADCP History J UVENILE D RUG C OURT G UIDELINES J UVENILE D RUG C OURT G UIDELINES “A P REVIEW ” T ERRENCE D. W ALTON, MSW, CSAC C HIEF O PERATING O FFICER N ATIONAL A SSOCIATION OF D RUG C OURT P ROFESSIONALS

2. Why Guidelines? Key Moments in NADCP History Juvenile Drug Court Guidelines Juvenile Drug Court Guidelines

3. Identifying guiding principles Identifying guiding principles Systematic research review Systematic research review Synthesizing and assessing research review findings Synthesizing and assessing research review findings Systematic policy and practice review Systematic policy and practice review Synthesizing and assessing policy and practice review Synthesizing and assessing policy and practice review Synthesizing the reviews into core elements of guidelines Synthesizing the reviews into core elements of guidelines Key Moments in NADCP History The Process The Process

4. 1.Meta analysis of research on JDC effectiveness 2.Systematic review and meta analysis of adolescent substance use treatment effectiveness 3.Systematic review of JDC process 4.Systematic review of factors the impact implementation quality in child welfare, public health, and education programs Key Moments in NADCP History Research Reviews Research Reviews

5. Comprehensive Comprehensive Reasonable and actionable Reasonable and actionable Understandable Understandable Measurable Measurable Key Moments in NADCP History Guiding Principles Guiding Principles

6. Target Population and Juveniles Key Moments in NADCP History Target Population

7. Which juvenile population is best served in a Drug Court and which is best served through the behavioral health system exclusively Target Population

8. Defining juvenile risk Defining juvenile need Substance use may not be the primary need Key Moments in NADCP History Target Population

9. Racial, Ethnic and other Disparity Key Moments in NADCP History Cultural Competence

10. Are Juvenile Drug Courts providing culturally competent services and are outcomes different for different groups. Key Moments in NADCP History Cultural Competence

11. Roles & Responsibilities of the Judge Key Moments in NADCP History Court Involvement

12. How important is judicial interaction and supervision in the juvenile drug court Key Moments in NADCP History Court Involvement

13. Incentives, Sanctions, & Therapeutic Adjustments Key Moments in NADCP History Incentives and Sanctions

14. Greater emphasis on incentives and less emphasis on sanction, especially detention sanctions Key Moments in NADCP History Cultural Competence I

15. Substance Abuse Treatment Key Moments in NADCP History Behavioral Healthcare

16. No differences were found between those receiving behavioral health care in juvenile drug court and those receiving care through other mechanisms. Key Moments in NADCP History Behavioral Healthcare

17. Good outcomes for behavioral healthcare in general Those within and outside of JDC utilizing the same providers Key Moments in NADCP History Behavioral Healthcare

18. Key Moments in NADCP History Family Engagement To what extent is family engagement in Juvenile Drug Court associated with better outcomes?

19. Key Moments in NADCP History Range of Services Responsivity Needs Early Criminogenic Needs Middle Maintenance Needs Late

20. Key Moments in NADCP History Drug & Alcohol Testing Drug and alcohol testing provides an accurate, timely, and comprehensive assessment of unauthorized substance use throughout participants’ enrollment in the Drug Court.

21. Drug and Alcohol Testing 1)Randomly test at least twice per week, including weekends and holidays and require participants to report within 8 hours of notification. 2)Continue testing randomly at least twice per week until participant is preparing for graduation in the final phase.

22. Key Moments in NADCP History Multidisciplinary Team A dedicated multidisciplinary team of professionals manages the day-to-day operations of the Juvenile Drug Court, including reviewing participant progress during pre-court staff meetings and status hearings, contributing observations and recommendations within team members’ respective areas of expertise, and delivering or overseeing the delivery of legal, treatment and supervision services.

23. Multidisciplinary Team 1)Judge considers perspectives of all team member before making decisions that impact participants’ welfare or liberty interests. 2)How does a juvenile drug court team differ from and adult team?

24. Key Moments in NADCP History Census and Caseloads The Juvenile Drug Court serves as many eligible individuals as practicable while maintaining continuous fidelity to best practice standards.

25. Key Moments in NADCP History Monitoring & Evaluation The Juvenile Drug Court routinely monitors its adherence to best practice standards and employs scientifically valid and reliable procedures to evaluate its effectiveness.

26. Monitoring and Evaluation 1)Analyze outcomes for all participants, including those who withdrew or were terminated early. 2)Staff members are required to record information regarding service provision within 48 hours.

27. Key Moments in NADCP History J UVENILE D RUG C OURT G UIDELINES J UVENILE D RUG C OURT G UIDELINES “A P REVIEW ” T ERRENCE D. W ALTON, MSW, CSAC C HIEF O PERATING O FFICER N ATIONAL A SSOCIATION OF D RUG C OURT P ROFESSIONALS