Polk County

1. Polk County Family Drug Court The Honorable Karla Fultz Todd Beveridge, M.S.W., M.S.

2. Background • First Iowa Drug Court began in Polk County in 1996, followed by drug courts in four other counties • These courts target convicted or admitted felons or misdemeanants who are drug dependent with no history of violence or weapon use

3. Background • Iowa has one Family Drug Court (begun in November of 2002) and it is atypical of the drug court system • All of the participants have been referred to the Court following adjudication of the children to the Child in Need of Assistance (CINA) program • Not all participants are convicted or admitted felons and misdemeanants

4. Background • Some of the women choose to participate to prevent termination of parental rights and others are involved as an effort to obtain custody of the child removed through the CINA program • All of the women are court ordered after participation is mandated by provider

5. Background • Begun as a pilot program – The foundations of the program were the CINA children on the docket of Judge Karla Fultz (Polk County Juvenile Court) whose mothers resided in one of House of Mercy’s residential treatment programs. No federal or state funding was used.

6. Background • Current program participants include: • House of Mercy clients (outpatients & residential). • Polk County Juvenile Court • Assistant County Attorney • Department of Human Services Case Manager • Attorneys representing the mothers & other advocates • Clients of other treatment providers

7. Purpose • To foster and facilitate communication and collaboration between families, providers, and attorneys to aid parents in reunification with their children

8. Requirements • Parents with a Child in Need of Assistance Adjudication • History of drug or alcohol problems as determined by a substance abuse evaluation resulting in a recommendation for treatment services at a minimum outpatient level of care

9. Requirements • Child or children out of parental custody with reunification as the goal • Referrals made by: Department of Human Resources; Treatment Providers; Attorney for children and parents; and Juvenile Court Judges

10. The Process • The CINA system forms the basis of Family Drug Court and consists of the judge, county attorney, a guardian ad litem and attorney appointed for the child, the parents, an attorney for the parents, and child protective service worker with the Iowa Department of Human Services

11. The Process • A removal hearing to determine the safety of the child and the need for the removal from the home • An adjudication hearing where the state is required to prove that the child is in need of assistance within the meaning of one or more of the CINA statutory grounds

12. The Process • A disposition hearing when the judge determines what service should be provided to the parent(s) to help them overcome whatever problems let to the need for adjudication and what service should be provide to the child • A review hearing is held before the juvenile judge every six months so that the judge can review the progress of the parents, the condition of the child and the placement of the child (if the child was removed from the parents)

13. The Process • Family Drug Court review hearings are held every Wednesday from 9:00 to 11:00 • The purpose of the hearings is to facilitate the timely communication between the providers, families, attorneys, and the court • Outpatient and residential treatment participants initially attend weekly with the frequency decreasing as progress is made

14. The Process • The judge inquires into progress made and the need for additional and/or different services • Personnel from House of Mercy, other providers and DHS are present to give information • Attorneys for the children and parents are present and participate • All women are present during the time that has been allotted for the review hearings

15. Key Program Elements • Judicial oversight and coordination of services to promote accountability, communication, collaboration, and reduce duplication of effort • Intensive supervision of participants • Evidenced/Best Practice-Based substance abuse counseling services

16. Key Program Elements • Non-adversarial approach • Immediate response by the Court to the needs of the child and family • Alcohol and drug testing • Self-sufficiency emphasis and support • Intensive parenting services and assistance • Readily accessible child care support

17. Key Program Elements • Strength-Based treatment approach • Long term support with permanent housing option

18. Program capacity Duration 40 – 50 participants 12 – 24 months, focusing on recovery, parenting, education, job training & compliance with treatment provider & DHS court approved plans Program Specifics

19. Program Specifics • Drugs of Choice • Marijuana 18% • Alcohol 6% • Cocaine 11% • Methamphetamine 71% • (some participants abuse multiple drugs) • Average Education at admission is 10th grade. • Average age at admission is 28 years old.

20. Outcomes • Participation: • Total of 116 families have participated or are participating. • 32 families (27%) of color • 22 families currently involved • Reunification Rate: • 82%

21. Terminations have decreased: Clean & sober at program completion: Self-sufficiency involvement: Education Employment 50% 82% 95% 47% 48% Outcomes