www.tadcptn.org (soon to be www.tarcp.org) Marie Crosson, Executive Director Materials for this presentation adapted from National Drug Court Institute presentations and/or materials found on their website www.ndci.org

WHAT HAVE WE LEARNED IN THE PAST 25+ YEARS? A GENERAL COMPARISON Nearly entirely consistent (thus far . . . ) Key Components State of knowledge as of 1997 Derived from professional experience Measurable performance benchmarks Emphasis on distinguishing characteristics Envisioned 10 of them Never intended as the final word Best Practice Standards State of knowledge as of 2013 and 2015 Derived from empirical threshold of ~50% to 100% improvement in outcomes; research in Commentaries Quantitative benchmarks All contributing elements Envision far more than 10

Evidence-based STandards Target Population based on empirical data Historically disadvantaged groups receive equal treatment DC Judge is well-trained, attends team meetings and interacts with participants Incentives, Sanctions, and Therapeutic Adjustments are fair, predictable, consistent, and predicated on evidence-based principles (i.e., more jail time does not equal more compliance) Substance Abuse Treatment is quality and evidence-based. Tx and social services are complimentary Drug Testing is accurate, timely, and frequent All members of the multidisciplinary team are important Case loads are maintained at best practice standards to provide quality services Program monitoring and evaluation

Key Component #1 Application Standards 2: Equity and Inclusion Drug Courts integrate alcohol and other drug treatment services Drug Courts integrate alcohol and other drug treatment services with justice system case processing. Application Standards 2: Equity and Inclusion 3: Roles and Responsibility of the Judge 4: Incentives, Sanctions, and Therapeutic Adjustments 5: Substance Use Disorder Treatment 8: Multidisciplinary Team 9: Census and Caseload Planning Documentation Speaker Notes: Planning to include criminal justice players, local treatment, funding agencies, and other local community key policy makers (including under-represented groups in your community) Document – write your eligibility criteria, operating procedures, performance measures to ensure they are collaboratively developed, reviewed and agreed upon. Separate and apart, neither treatment nor the justice system could solve the problem of drug abuse. Together, the drug courts are getting results as a result of this new partnership. These systems are not innately interwoven when discussing timelines, tasks, and deadlines. As professionals we must discuss how these systems can best work together to support and hold accountable offenders with addictions.

Key Component #2 Standards Application 2: Equity and Inclusion Using a non -adversarial approach, prosecution and defense counsel promote public safety while protecting participants' due process rights. Standards Application 2: Equity and Inclusion 3: Roles and Responsibility of the Judge 4: Incentives, Sanctions, and Therapeutic Adjustments 8: Multidisciplinary Team Prosecution Defense Attorney Speaker Notes: Planning to include criminal justice players, local treatment, funding agencies, and other local community key policy makers (including under-represented groups in your community) Document – write your eligibility criteria, operating procedures, performance measures to ensure they are collaboratively developed, reviewed and agreed upon. Separate and apart, neither treatment nor the justice system could solve the problem of drug abuse. Together, the drug courts are getting results as a result of this new partnership. These systems are not innately interwoven when discussing timelines, tasks, and deadlines. As professionals we must discuss how these systems can best work together to support and hold accountable offenders with addictions.

Key Component #3 Standards Application 1: Target Population Eligible participants are identified early and promptly placed in the drug court program. Standards Application 1: Target Population 2: Equity and Inclusion High risk and high need Access for all Speaker Notes: Planning to include criminal justice players, local treatment, funding agencies, and other local community key policy makers (including under-represented groups in your community) Document – write your eligibility criteria, operating procedures, performance measures to ensure they are collaboratively developed, reviewed and agreed upon. Separate and apart, neither treatment nor the justice system could solve the problem of drug abuse. Together, the drug courts are getting results as a result of this new partnership. These systems are not innately interwoven when discussing timelines, tasks, and deadlines. As professionals we must discuss how these systems can best work together to support and hold accountable offenders with addictions.

Key component #4 Standards Application 2: Equity and Inclusion Drug courts provide access to a continuum of alcohol, drug and other related treatment and rehabilitation services. Standards Application 2: Equity and Inclusion 4: Incentives, Sanctions, and Therapeutic Adjustments 5: Substance Use Disorder Treatment 8: Complementary Treatment and Social Services 9: Census and Caseload Case Management Clinical Case Management Mental Health Trauma Housing Transportation Medical and Dental Speaker Notes: Our clients have a host of issues that need to be addressed to assist them in the recovery process. We can’t just focus on getting them sober. We must address their mental health, trauma, housing, education, vocational, clothing, etc. needs.

Key component #5 Application Standards Abstinence is monitored by frequent alcohol and other drug testing. Standards Application 4: Incentives, Sanctions, and Therapeutic Adjustments 7: Drug Testing Random Observed Twice per week Speaker Notes: Our clients have a host of issues that need to be addressed to assist them in the recovery process. We can’t just focus on getting them sober. We must address their mental health, trauma, housing, education, vocational, clothing, etc. needs.

Key components #6 Standards Application 2: Equity and Inclusion A coordinated strategy governs drug court responses to participants compliance. Standards Application 2: Equity and Inclusion 4: Incentives, Sanctions, and Therapeutic Adjustments All team members participate Shared Decision Making Speaker Notes: Go to next slide and discuss staffing

Key component #7 Standards Application Ongoing judicial interaction with each drug court participant is essential. Standards Application 3: Role and Responsibility of the Judge 4: Incentives, Sanctions, and Therapeutic Adjustments 8: Multidisciplinary Team Someone in authority cares

Key component #8 Standards Application 2: Equity and Inclusion Monitoring and evaluation measure the achievement of program goals and gauge effectiveness. Standards Application 2: Equity and Inclusion 9: Census and Caseload 10: Monitoring and Evaluation 65% less savings when not using electronic databases 131% greater cost saving by programs that review data and stats to modify program (internal) 100% cost savings when program conduct and evaluation and modify programs (external) Speaker Notes: Collecting data on demographics, number of kids being served, number of families in drug court, combat veteran vs non-combat, conflicts, wars served, etc.

Key component #9 Standards Application On-going training Continuing interdisciplinary education promotes effective drug court planning, implementation, and operations. Standards Application 2: Equity and Inclusion 3: Roles and Responsibility of the Judge 5: Substance Use Disorder Treatment 8: Multidisciplinary Team On-going training Cross training Speaker Notes: Collecting data on demographics, number of kids being served, number of families in drug court, combat veteran vs non-combat, conflicts, wars served, etc.

Key component #10 Standards Applications Community Mapping Forging partnerships among drug courts, public agencies, and community -based organizations generates local support and enhances drug court effectiveness. Standards Applications 2: Equity and Inclusion 5: Substance Use Disorder Treatment 6: Complementary Treatment and Social Services Multidisciplinary Team Community Mapping Speaker Notes: Collecting data on demographics, number of kids being served, number of families in drug court, combat veteran vs non-combat, conflicts, wars served, etc.

Questions? 615.939.2872 Marie.Crosson@tadcptn.org Facebook: #TNDrugCourts Twitter: @tadcptn.org