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Effective Drug Court Treatment: Methods, Modalities and More Terrence D Walton, MSW, ICADC

Effective Drug Court Treatment: Methods, Modalities and More Terrence D Walton, MSW, ICADC. The Big Picture. Drug Court Key Component 1. Integrate alcohol and other drug treatment services with justice system case processing. Ingredients of Integration.

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Effective Drug Court Treatment: Methods, Modalities and More Terrence D Walton, MSW, ICADC

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  1. Effective Drug Court Treatment: Methods, Modalities and More Terrence D Walton, MSW, ICADC

  2. The Big Picture

  3. Drug Court Key Component 1 Integrate alcohol and other drug treatment services with justice system case processing

  4. Ingredients of Integration • Treatment representatives attend and are actively involve in pre-court staffing decision making • Treatment representative present for Drug Court hearings • Law enforcement and supervision officers supporting abstinence goals when on patrol or during home visits

  5. Ingredients of Integration • Treatment providers supporting supervision goals during treatment sessions • Release conditions, probation/parole terms, and sentencing stipulations that support treatment participation • Mutual appreciation for the differing philosophy, perspective and priorities of treatment and criminal justice

  6. 4 C’s of Effective Integration

  7. Top Three Obstacles to Successful Integration?

  8. Drug Court Key Component 4 Drug Courts provide access to a continuum of alcohol, drug, and other related treatment rehabilitation services

  9. ASAM Continuum of Care

  10. ASAM Residential Options

  11. ASAM Medically-Related Options

  12. When You Fall Short • Combine IOP with halfway house, sober living facility, or transitional housing when residential is not available. • Utilize home confinement, curfews, and electronic monitoring in conjunction with IOP when residential is not available. • Combine outpatient services with frequent support group participation when IOP is not available.

  13. When You Fall Short • Fully engage the volunteer recovery community—e.g. sponsors, recovery coaches, on-line resources—to augment professional treatment services. www.myrecovery.com • Maximize internal resources to build expertise to deliver some treatment services in-house. • Limit your services to those who can be safely treated with your available resources

  14. When You Fall Short Don’t use punitive sanctions for those who fail to respond when treated at a level appreciably below the level they are assessed to require.

  15. Essential Elements of Effective Practice • Qualified practitioners • Intensity sufficient to treat safely with a reasonable likelihood of success • Accurate assessment • Realistic, real-time, relevant treatment planning

  16. Essential Elements of Effective Practice • Culturally-appropriate evidenced based treatment practices • Practitioners trained and coached in manual-guided delivery • Strong linkages with the community-based recovery networks • Quality assurance/control • Evaluation and impact assessment

  17. Effective Practices

  18. Sources of Information

  19. Sources of Information

  20. A Big Resource National Registry of Evidenced-based Programs and Practices: www.nrepp.samhsa.gov.

  21. 7 Ways to Fail • Deliver the same level, length, intensity, modality, and type of treatment to everyone. • Assume that my program or population is the exception to what research shows works for others • Use treatment as a sanction and be sure to describe it to participants that way. Also, use residential treatment to get “criminals off the street”.

  22. 7 Ways to Fail • Use incarceration to achieve clinical or social service objectives, such as to obtain access to detoxification services or sober living quarters. • Don’t worry about having treatment representatives on the Drug Court team as long as you get a thorough, written report from them.

  23. 7 Ways to Fail • Automatically exclude from your program any and all with co-occurring disorders or who needs medication-assisted treatment. • Use treatment practitioners without treatment credentials, or use those with treatment credentials who have no experience with offenders and defendants.

  24. And one more… Mandate 12 Step group participation without providing secular alternative to those who object to the religious or spiritual content.

  25. Effective Drug Court Treatment: Methods, Modalities and More Terrencewalton@aol.com

  26. Sponsor’s Note This project was supported by Grant No. 2012-DC-BX-K004 awarded by the Bureau of Justice Assistance. The Bureau of Justice Assistance is a component of the Office of Justice Programs, which also includes the Bureau of Justice Statistics, the National Institute of Justice, the Office of Juvenile Justice and Delinquency Prevention, the SMART Office, and the Office for Victims of Crime. Points of view or opinions in this document are those of the author and do not represent the official position or policies of the United States Department of Justice.

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