Performance Evaluation of Drug Courts Douglas B. Marlowe, J.D., Ph.D. Treatment Research Institute at the University of Pennsylvania TRI science addiction.

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Presentation transcript:

Performance Evaluation of Drug Courts Douglas B. Marlowe, J.D., Ph.D. Treatment Research Institute at the University of Pennsylvania TRI science addiction

TRI science addiction Client variables (or risk factors) Short-term outcomes Drug Court Logic Model

TRI science addiction Client variables (or risk factors) Short-term outcomes Longer-term outcomes Drug Court Logic Model

TRI science addiction Client variables (or risk factors) Short-term outcomes Longer-term outcomes Drug Court Logic Model Jurisdictional Characteristics stakeholders’ expectations eligibility criteria

TRI science addiction Client variables (or risk factors) Short-term outcomes Longer-term outcomes Supervision Logic Model Jurisdictional Characteristics stakeholders’ expectations eligibility criteria Treatment

TRI science addiction Client variables (or risk factors) Short-term outcomes Longer-term outcomes Logic Model Jurisdictional Characteristics stakeholders’ expectations eligibility criteria Supervision variables* Treatment

TRI science addiction Client variables (or risk factors) Short-term outcomes Longer-term outcomes Logic Model Jurisdictional Characteristics stakeholders’ expectations eligibility criteria Supervision variables* Treatment * Status hearings - # and % attended - # and % attended - density per month - density per month

TRI science addiction Client variables (or risk factors) Short-term outcomes Longer-term outcomes Logic Model Jurisdictional Characteristics stakeholders’ expectations eligibility criteria Supervision variables* Treatment * Status hearings - # and % attended - density per month * Alcohol & drug screens - # and % submitted - # and % submitted - density per month - density per month

TRI science addiction Client variables (or risk factors) Short-term outcomes Longer-term outcomes Logic Model Jurisdictional Characteristics stakeholders’ expectations eligibility criteria Supervision variables* Treatment * Sanctions & Incentives -Ratio to infractions & achievements -Ratio to infractions & achievements -Time delay -Time delay * Status hearings - # and % attended - density per month * Alcohol & drug screens - # and % submitted - density per month

TRI science addiction Client variables (or risk factors) Short-term outcomes Longer-term outcomes Logic Model Jurisdictional Characteristics stakeholders’ expectations eligibility criteria Supervision variables* Treatment * Sanctions & Incentives -Ratio to infractions & achievements -Time delay * Status hearings - # and % attended - density per month * Other surveillance (e.g., interlock devices) * Alcohol & drug screens - # and % submitted - density per month

TRI science addiction Client variables (or risk factors) Short-term outcomes Longer-term outcomes Logic Model Jurisdictional Characteristics stakeholders’ expectations eligibility criteria Supervision variables* Treatment

TRI science addiction Client variables (or risk factors) Short-term outcomes Longer-term outcomes Logic Model Jurisdictional Characteristics stakeholders’ expectations eligibility criteria Supervision variables Treatment variables*

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables* stakeholders’ expectations eligibility criteria Logic Model *Counseling attendance - # and % sessions - # and % sessions - density of services - density of services Short-term outcomes Longer-term outcomes

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables* stakeholders’ expectations eligibility criteria Logic Model *Counseling attendance - # and % sessions - # and % sessions - density of services - density of services *Length of stay Short-term outcomes Longer-term outcomes

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables* stakeholders’ expectations eligibility criteria Logic Model *Counseling attendance - # and % sessions - # and % sessions - density of services - density of services *Length of stay Short-term outcomes Longer-term outcomes *Adjunctive services - # and % sessions by type - # and % sessions by type - matched to needs - matched to needs

TRI science addiction Client variables (or risk factors) Short-term outcomes Longer-term outcomes Logic Model Jurisdictional Characteristics stakeholders’ expectations eligibility criteria Supervision variables Treatment variables*

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables stakeholders’ expectations eligibility criteria Logic Model Coordination* Short-term outcomes Longer-term outcomes

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables stakeholders’ expectations eligibility criteria Logic Model Coordination* Short-term outcomes Longer-term outcomes *Progress reports - completeness - completeness - timeliness - timeliness

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables stakeholders’ expectations eligibility criteria Logic Model Coordination* Short-term outcomes Longer-term outcomes *Progress reports - completeness - completeness - timeliness - timeliness *Court liaisons - attendance - attendance

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables stakeholders’ expectations eligibility criteria Logic Model Coordination* Short-term outcomes Longer-term outcomes *Progress reports - completeness - completeness - timeliness - timeliness *Court liaisons - attendance - attendance *Case reviews - timeliness - timeliness - attendance - attendance

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables stakeholders’ expectations eligibility criteria Logic Model Coordination* Short-term outcomes Longer-term outcomes

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables stakeholders’ expectations eligibility criteria Logic Model Coordination* Short-term outcomes* Longer-term outcomes

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables stakeholders’ expectations eligibility criteria Logic Model Coordination* Short-term outcomes* Longer-term outcomes *Completion status - % graduated - time to graduation - time to graduation

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables stakeholders’ expectations eligibility criteria Logic Model Coordination* Short-term outcomes* Longer-term outcomes *Alcohol & drug screens - # and % clean - # and % clean - plotted by week - plotted by week - unexcused missing = dirty - unexcused missing = dirty *Completion status - % graduated - time to graduation - time to graduation

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables stakeholders’ expectations eligibility criteria Logic Model Coordination* Short-term outcomes* Longer-term outcomes *Alcohol & drug screens - # and % clean - # and % clean - plotted by week - plotted by week - unexcused missing = dirty - unexcused missing = dirty *Completion status - % graduated - time to graduation - time to graduation *Problem days (self-report) - drugs / alcohol - medical - drugs / alcohol - medical - education - psychiatric - education - psychiatric - employment - family - employment - family - legal - legal

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables stakeholders’ expectations eligibility criteria Logic Model Coordination* Short-term outcomes* Longer-term outcomes *Completion status - % graduated - time to graduation - time to graduation *Alcohol & drug screens - # and % clean - # and % clean - plotted by week - plotted by week - unexcused missing = dirty - unexcused missing = dirty *Problem days (self-report) - drugs / alcohol - medical - drugs / alcohol - medical - education - psychiatric - education - psychiatric - employment - family - employment - family - legal - legal *Consumer satisfaction - cultural competency - cultural competency

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables stakeholders’ expectations eligibility criteria Logic Model Coordination* Short-term outcomes Longer-term outcomes

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables stakeholders’ expectations eligibility criteria Logic Model Coordination* Short-term outcomes Longer-termoutcomes*

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables stakeholders’ expectations eligibility criteria Logic Model Coordination* Short-term outcomes Longer-term outcomes* *Re-arrest rates

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables stakeholders’ expectations eligibility criteria Logic Model Coordination* Short-term outcomes Longer-term outcomes* *Re-arrest rates *Problem days (self-report) - drugs / alcohol - medical - drugs / alcohol - medical - education - psychiatric - education - psychiatric - employment - family - employment - family - legal - legal

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables stakeholders’ expectations eligibility criteria Logic Model Coordination* Short-term outcomes Longer-term outcomes* *Re-arrest rates *Problem days (self-report) - drugs / alcohol - medical - drugs / alcohol - medical - education - psychiatric - education - psychiatric - employment - family - employment - family - legal - legal *Alcohol & drug screens

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables stakeholders’ expectations eligibility criteria Logic Model Coordination* Short-term outcomes Longer-term outcomes

TRI science addiction Client variables (or risk factors) Jurisdictional Characteristics Supervision variables Treatment variables stakeholders’ expectations eligibility criteria Logic Model Coordination* Short-term outcomes Longer-term outcomes

Risk Factors (moderators) TRI science addiction Age (< 25 years)Age (< 25 years) Early onset substance use (< 14 years)Early onset substance use (< 14 years) Early onset crime (< 16 years)Early onset crime (< 16 years) Prior treatment failuresPrior treatment failures Substance-use severitySubstance-use severity Criminal historyCriminal history Antisocial Personality DisorderAntisocial Personality Disorder

Risk Factors (moderators) TRI science addiction Age (< 25 years) Age (< 25 years) Early onset substance use (< 14 years)Early onset substance use (< 14 years) Early onset crime (< 16 years)Early onset crime (< 16 years) Prior treatment failures Prior treatment failures Substance-use severitySubstance-use severity Criminal history Criminal history Antisocial Personality Disorder Antisocial Personality Disorder