NC TASC Effective Case Management for Improved Offender & System Outcomes September 30, 2004 Annapolis, Maryland.

NC TASC Effective Case

Management for Improved Offender &

System Outcomes

September 30, 2004Annapolis, Maryland

NC TASC Effective Case

Management for Improved Offender &

System Outcomes

September 30, 2004Annapolis, Maryland

Structured Sentencing ActTruthful & consistent sentencing that

projects resource needsEstablished 3 forms of punishmentEstablished statutory continuum of sanctionsEliminated discretionary parole Established model for matching sentences &

resources

SSA-related ExpansionsLargest Expansion of probation resources in

60 year history - 900+ positionsEnhanced TASC Expansion - 1.8 mil

established 13 new programs

TypeType of Punishmentof Punishment ImposedImposedTypeType of Punishmentof Punishment ImposedImposed

35%

47%

43%

28%

22%

26%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

Active Intermediate Community

Structured Sentencing*

Old Law**

35%

47%

43%

28%

22%

26%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

Active Intermediate Community

Structured Sentencing*

Old Law**

* SOURCE: NC Sentencing and Policy Advisory Commission* SOURCE: NC Sentencing and Policy Advisory Commission

** SOURCE: 1993 Pre-Structured Sentencing Data** SOURCE: 1993 Pre-Structured Sentencing Data

In 1993, Average Sentence served - 16 Months

Under SSA, Average Sentence served - 34 Months

Felonies

NC Problem Statement

NC Problem Statement

• Use of criminal justice & treatment resources

• Complex clients: challenging behavioral health needs & serious consequences of failure

• Recidivism & relapse are common

• Unmanaged cases, uncharted outcomes

• Service availability & effectiveness

• Prison pop offenders entering community in increasing numbers multiple unsuccessful tx & prison admissions

• Budget shortfalls & no expansions

• Use of criminal justice & treatment resources

• Complex clients: challenging behavioral health needs & serious consequences of failure

• Recidivism & relapse are common

• Unmanaged cases, uncharted outcomes

• Service availability & effectiveness

• Prison pop offenders entering community in increasing numbers multiple unsuccessful tx & prison admissions

• Budget shortfalls & no expansions

Need options to improve access to & retention in treatment, while preserving public safety

Evolving SolutionEvolving SolutionOur Common Goal: Safely manage high-risk,

high-need offenders in the community

– Treatment System Needs:• Less reliance on institutions• Better resource utilization & management• Increased community capacity• Effective treatment, interventions & case

management

– Justice System Needs:• Effective & available care

• Regular communication • Offender & treatment accountability

Our Common Goal: Safely manage high-risk, high-need offenders in the community

– Treatment System Needs:• Less reliance on institutions• Better resource utilization & management• Increased community capacity• Effective treatment, interventions & case

management

– Justice System Needs:• Effective & available care

• Regular communication • Offender & treatment accountability

OFFENDEROFFENDER

MANAGEMENTMANAGEMENT

MODELMODEL

ONE OFFENDER - ONE CASE PLAN - ONE TEAMONE OFFENDER - ONE CASE PLAN - ONE TEAM

DOCDOC DHHSDHHS

DCCDCC TASCTASC

Balances Intervention Opportunities provided thru DMHDDSAS & Controlled Supervision provided thru DCC

NC Offender Management Model

Target Population

I Punishment, C Punishments at-risk for Revocation, Post-Releasees who completed a prison tx program

Standard TASC Screening & Assessment

Individual Case Planning

by Probation & TASC

Control, Care & Service Management

Team staffings with shared decision-making between Probation & TASC

ArrestPre-TrialHearing

Pre-SentenceHearing

Trial/Sentencing

Div of Prisons/Post-Release

Div of CommunityCorrections

North Carolina Criminal Justice Planning Flow Chart

NC Offender Management Model (OMM)

Clinical Assessment

IndividualizedCase Plan

SubstanceAbuse Svcs

Employment

Medical ServicesHousing/Food/

Clothing

Education/Voc TrainingTransportation

Continuous Case Management and Case Staffing

Mental HealthServices

EXIT MODEL

Referred to OtherServices

Figure 1. NC Criminal Justice Flow Chart

CBI

SANCTIONS SUPERVISION TREATMENT TASC

NC Continuum of Sanctions, Supervision & Care

Cost & Intensity

Cost & Intensity

Cost & Intensity

Intermediate

•I Punishment

•Post-Release

•C Failures

•Sex Offenders

•Domestic Violence

•High Risk/High Need DWIs

Traditional Probation

Deferred Prosecution

Community

•C Punishment

•Unsupervised Failures

•Low Risk/Low Need DWIs

•PSIs & Targeting for Courts

Split Sentence

Community Detention

Drug Court

Enhanced Intensive

Intensive

Residential Tx

House Arrest

Day Reporting Center

Enhanced Traditional Probation

Contempt of Court (all supervision & tx levels)

No Tx

Therapeutic Community

Residential Tx

Intensive Outpatient

Tx

No Treatment

Outpatient Treatment

Education & Urinalysis

Level 1 Care Management w/

Tx Level 6 & Aftercare Services

Level 1, 2 or 3 Care Management w/ Tx Level 4 or 5

Level 1 or 2 Care Management w/ Tx Level 3

Level 1 Care Management w/ Tx Level 2

Treatment Matching

Assessment

Screening

Memorandum of Understandingbetween the

North Carolina Department of Health and Human Servicesand the

North Carolina Department of Correction

This Memorandum of Understanding (MOU) and Appendices are entered byand between the Department of Health and Human Services and theDepartment of Correction for the purpose of developing a comprehensiveoffender management model that ensures public safety while addressingthe needs of offenders. Currently, the Division of Community Corrections(DCC), the Criminal Justice Partnership Program (CJPP) and the TreatmentAlternatives to Street Crime (TASC) Network are the primary resourcesinvolved in community corrections. The Division of Alcoholism andChemical Dependency Programs (DACDP) and Division of Prisons (DOP)impact community corrections through the release of offenders who havereceived services while in custody. The purpose of a comprehensiveoffender management model is to create a seamless system built on theideals of integrated service delivery and coordination of resources thatprovide effective interventions for offenders.

With DCC, CJPP, and TASC available under the community correctionsumbrella and a structured link with DACDP and DOP for transitioningoffenders, the Offender Management Model (OMM), as described in theAppendices, presents a systemic model for screening and assessingoffenders, matching them to the appropriate intervention(s) and managingtheir case plans. Utilizing the principles of effective interventions, we canreasonably assert that the OMM will be successful in modifying offenderbehavior. The objectives of the OMM are:

To create a seamless system of care for the provision of services tooffenders;

To clarify roles in providing control and treatment; To reduce the rate of revocation for technical and drug violations; To combine efforts to guarantee the effective utilization of limited

resources and prevent duplication; To provide cognitive behavioral interventions; To develop an integrated information system; and To ensure Probation, CJPP, DACDP, DOP and TASC staff are trained to

implement the OMM.

Objectives of OMMObjectives of OMM Seamless system of care for the provision of services to

offenders, improving access to treatment for justice clients

Clarify roles & responsibilities in providing control & treatment, eliminating duplication

Target limited resources to the right clients: Combine efforts to guarantee effective utilization of limited resources

with a team approach & shared decision-making Emphasize quality over quantity

Develop coordinated information systems

Ensure staff are trained to implement the OMM

Reduce rates of revocation for technical & drug violations, while increasing accountability & community safety

Increase efficiency & improve client outcomes

Seamless system of care for the provision of services to offenders, improving access to treatment for justice clients

Clarify roles & responsibilities in providing control & treatment, eliminating duplication

Target limited resources to the right clients: Combine efforts to guarantee effective utilization of limited resources

with a team approach & shared decision-making Emphasize quality over quantity

Develop coordinated information systems

Ensure staff are trained to implement the OMM

Reduce rates of revocation for technical & drug violations, while increasing accountability & community safety

Increase efficiency & improve client outcomes

Philosophy & Principles

Processes & Policies & Protocols

Programs

Philosophy & Principles

Processes & Policies & Protocols

Programs

Developing & Maintaining an Integrated Approach

ELEMENTS OF SUCCESSFUL COLLABORATION

•Convergence of needs

•Commitment - mutual respect, understanding & trust

•Vision - shared mission; shared objectives & strategies

•Willingness to re-think policies/procedures

•Communication - communicate w/ & involve staff

•Resources - commitment of financial & human

•Regular meetings w/ diverse participation resulting in decisions (all key systems & the right people)

•Clearly defined roles & responsibilities

•Information & a common language

•On-going oversight w/ regular feedback to an advisory group

•Formal Service Agreements - protocols & MOUs

•Formalized system for conflict resolution

CHALLENGES TO SUCCESSFUL

COLLABORATION

CHALLENGES TO SUCCESSFUL

COLLABORATION• Separate Systems with Seemingly Disparate Goals

• Competitive Markets

• Lack of/Limited Communication

• Duplicative Services

• Revolving Door Treatment & Correctional Systems

• Inadequate Funding

• Limited Number of Service Providers

• Limited Service Capacity, including Limited Effective Services in practice

• Restricted Availability of certain Levels of Care & over abundance of other Levels of Care

• Limited Specialized Services

• Insufficient Aftercare & Transition Services

• Separate Systems with Seemingly Disparate Goals

• Competitive Markets

• Lack of/Limited Communication

• Duplicative Services

• Revolving Door Treatment & Correctional Systems

• Inadequate Funding

• Limited Number of Service Providers

• Limited Service Capacity, including Limited Effective Services in practice

• Restricted Availability of certain Levels of Care & over abundance of other Levels of Care

• Limited Specialized Services

• Insufficient Aftercare & Transition Services

The Bottom LineThe Bottom Line

• What do you want?

• What do your partners want?

• Identify resources to be shared

• Establish regular venues for communication & problem-solving

• What do you want?

• What do your partners want?

• Identify resources to be shared

• Establish regular venues for communication & problem-solving

A program model & methodology that bridges two separate systems: justice & treatment.

The justice system’s legal sanctions reflect community concerns for public safety, while treatment emphasizes therapeutic relationships as a means for changing behavior.

What is TASC?

TASC Core ServicesTASC Core Services

Screening & Clinical Assessment

Service Determination & Referral

Care Planning, Coordination & Management

Reporting to Justice System

Screening & Clinical Assessment

Service Determination & Referral

Care Planning, Coordination & Management

Reporting to Justice System

TASC Care Management ModelTASC Care Management Model

Comprehensive Clinical AssessmentComprehensive Clinical Assessment

Strategic Individualized Case PlanningStrategic Individualized Case Planning

TreatmentReferral

TreatmentReferral

OtherServices

OtherServices

OtherServices

OtherServices

MonitoringMonitoring

Reporting to Referral SourceReporting to Referral Source

TASC Person-Centered Client Flow

TASC Person-Centered Client Flow

Client Identification

TASCEligibility Determination

Service Screening

No Services NeededServices Refused

Non-TASC Services Needed

Low-Risk, Low-Need Client

Client referred out

Referral to interventionReferral to other services

TASC reporting

High-RiskHigh-Need

ClientAssessment

PersonCentered Planning

Referral toServices

TASC Care Management

Reporting,Monitoring

TASC Key ConceptsTASC Key Concepts• Facilitates communication between systems

• Based on clinical & support needs, not only medical necessity

• Develops & maintains linkages with a variety of community resources

• Incorporates justice system language & goals

• Balances control & treatment

• Active relationships - client, probation, treatment, community services

• Utilizes the influence of legal sanctions to engage & retain offenders in treatment

• Positive outcome-oriented for clients, as well as treatment & justice systems

• Facilitates communication between systems

• Based on clinical & support needs, not only medical necessity

• Develops & maintains linkages with a variety of community resources

• Incorporates justice system language & goals

• Balances control & treatment

• Active relationships - client, probation, treatment, community services

• Utilizes the influence of legal sanctions to engage & retain offenders in treatment

• Positive outcome-oriented for clients, as well as treatment & justice systems

TASC NationallyTASC Nationally

• 1962 - Robinson v. California - addiction is an illness, not a crime

• 1970s - Federal government develops model to interrupt drug-crime cycle - Treatment Alternatives to Street Crime

• 1972 - first TASC program in Wilmington, Delaware

• 2000 - Over 150 individual TASC programs in 32 states

• 1962 - Robinson v. California - addiction is an illness, not a crime

• 1970s - Federal government develops model to interrupt drug-crime cycle - Treatment Alternatives to Street Crime

• 1972 - first TASC program in Wilmington, Delaware

• 2000 - Over 150 individual TASC programs in 32 states

National TASC Critical Elements

National TASC Critical Elements

1) Process to coordinate justice, treatment & other systems

2) Procedures for providing information & cross-training to justice, treatment & other systems

1) Process to coordinate justice, treatment & other systems

2) Procedures for providing information & cross-training to justice, treatment & other systems

System Coordination Elements

Organizational ElementsOrganizational Elements

3 & 4) Broad bases of support from justice & treatment systems, with institutionalized systems for effective communication

5) Organizational integrity

6) Policies & procedures for regular staff training

7) MIS with a program evaluation design

3 & 4) Broad bases of support from justice & treatment systems, with institutionalized systems for effective communication

5) Organizational integrity

6) Policies & procedures for regular staff training

7) MIS with a program evaluation design

Operational ElementsOperational Elements

8) Clearly defined client eligibility

9) Client-centered case management

10) Screening procedures to identify justice system candidates

11) Assessment & referral procedures

12) Policies & procedures for monitoring drug & alcohol use through testing

13) Competency with diverse populations

8) Clearly defined client eligibility

9) Client-centered case management

10) Screening procedures to identify justice system candidates

11) Assessment & referral procedures

12) Policies & procedures for monitoring drug & alcohol use through testing

13) Competency with diverse populations

For more information about TASC nationally, visit the National TASC website at

For more information about TASC nationally, visit the National TASC website at

www.nationaltasc.org

In NC, TASC is administered by the Division of Mental Health, Developmental Disabilities & Substance Abuse Services, through private NPOs & public MH Centers.

NC TASC effectively & efficiently links treatment & justice goals of reduced drug use & criminal activity through processes that increase treatment access, engagement & retention.

TASC in North CarolinaTASC in North Carolina

1978 - First TASC Programs in NC

1993 - 10 Programs in 20 Counties

1994 - Enhanced TASC (SSA)

1998 - 23 Programs in 43 Counties

2002 - TASC services available in all 100 counties

2003 - TASC Training Institute

1978 - First TASC Programs in NC

1993 - 10 Programs in 20 Counties

1994 - Enhanced TASC (SSA)

1998 - 23 Programs in 43 Counties

2002 - TASC services available in all 100 counties

2003 - TASC Training Institute

Goal for NC TASC Goal for NC TASC

Equitable statewide access to a standard of TASC

services in the most cost-effective, timely &

organizationally efficient manner, consistent with the

unified court & statewide probation systems

NC TASC TasksNC TASC Tasks

• Developed standard clinical care management procedures (TASC SOP) w/ TASC staff

• Improved current aggregate data collection & analysis

• Developed financing plan, based on I Punishment offender pop

• Proposed regional management structure & statewide expansion plan

• Issued RFA

• Developed standard clinical care management procedures (TASC SOP) w/ TASC staff

• Improved current aggregate data collection & analysis

• Developed financing plan, based on I Punishment offender pop

• Proposed regional management structure & statewide expansion plan

• Issued RFA

NC TASC TasksNC TASC Tasks• Developed performance measures:

process & outcome

• Awarded 4 grants for infrastructure development & expansion

• Identified training needs & contracted for NC TASC Training Institute

• Implemented NC-TOPPS/TASC CJM - Performance Measures project

• Developing NTASC Critical Elements audit protocols

• Developing statewide MIS

• Developed performance measures: process & outcome

• Awarded 4 grants for infrastructure development & expansion

• Identified training needs & contracted for NC TASC Training Institute

• Implemented NC-TOPPS/TASC CJM - Performance Measures project

• Developing NTASC Critical Elements audit protocols

• Developing statewide MIS

Expansion & Regionalized Management

Expansion & Regionalized Management

TASC Services Regional Coordinating Entity (RCE)

TASC Service Expansion TASC Training Institute

Unified Statewide TASC System

Implementing Statewide Offender Care Management

Implementing Statewide Offender Care Management

• Committed, visionary leadership & identified key staff

• Build support with community leaders, legislators & stakeholders

• Design appropriate organizational structure & financing models

• Financing plan for development, implementation & continuation

• Committed, visionary leadership & identified key staff

• Build support with community leaders, legislators & stakeholders

• Design appropriate organizational structure & financing models

• Financing plan for development, implementation & continuation

NC TASC Training InstituteNC TASC Training Institute

The mission of the TASC Training The mission of the TASC Training Institute is to improve the quality of Institute is to improve the quality of services to the offender population services to the offender population

through workforce developmentthrough workforce development

•TASC Clinical Series

•TASC Continuing Education

•On-line training

•Drug Education Schools

•Staff Certification

The mission of the TASC Training The mission of the TASC Training Institute is to improve the quality of Institute is to improve the quality of services to the offender population services to the offender population

through workforce developmentthrough workforce development

•TASC Clinical Series

•TASC Continuing Education

•On-line training

•Drug Education Schools

•Staff Certification

How is this done?How is this done?

• 4 regional training coordinators & director review requests from the field to develop annual training plan

• The Institute negotiates contracts with contractors to develop curricula, deliver TOTs, trainings, etc.

• TASC Clinical Series is provided via TASC staff who’ve become TASC trainers

• 4 regional training coordinators & director review requests from the field to develop annual training plan

• The Institute negotiates contracts with contractors to develop curricula, deliver TOTs, trainings, etc.

• TASC Clinical Series is provided via TASC staff who’ve become TASC trainers

TASC Clinical SeriesTASC Clinical Series

32 hours training for new staff:

– Understanding TASC

– Confidentiality– HIV/BRI/Infectious Disease (on-line)

– Understanding Addiction

– Criminal Justice

– Clinical Skills - Care Planning & Management

32 hours training for new staff:

– Understanding TASC

– Confidentiality– HIV/BRI/Infectious Disease (on-line)

– Understanding Addiction

– Criminal Justice

– Clinical Skills - Care Planning & Management

TASC Continuing EducationTASC Continuing Education

• American Society of Addiction Medicine

• Motivational Interviewing & Enhancement

• Mental Health Screening

• Co-Occurring Disorders

• Effective Interventions for

TASC Clients

• The TASC Journey….

An Agency’s Response to Person

Centered Services

• American Society of Addiction Medicine

• Motivational Interviewing & Enhancement

• Mental Health Screening

• Co-Occurring Disorders

• Effective Interventions for

TASC Clients

• The TASC Journey….

An Agency’s Response to Person

Centered Services

• Training.nctasc.net

• Provides on-line courses of didactic materials prior to clinical series

• Research to Practice site

• Continuous communication with users & Center’s staff

• Training.nctasc.net

• Provides on-line courses of didactic materials prior to clinical series

• Research to Practice site

• Continuous communication with users & Center’s staff

Drug Education School

• Intervention for First-time Offenders

• 15 Hours of Standard Education

• One Time Opportunity for Expungement for persons under 21 years of age

• Self Supporting $150.00 Fee

• Statutory Authority: G.S. 90-96

Staff CertificationStaff Certification

Legislation to be introduced in 2005 legislative session to create

Certified Criminal Justice Addictions Credential

Legislation to be introduced in 2005 legislative session to create

Certified Criminal Justice Addictions Credential

TASC Training Institute FY04

•Delivered 4,199 hours of training to 315 TASC & 102 partner agency staff

•Provided 100 stipends for the NTASC conference hosted in Raleigh, NC

•Addt’l 2200+ hours were received thru NTASC Conference

All hours provided at no addt’l cost to participant or participant’s employing agency

NC TASC Training Institute Web Site

www.nctasc.net

Register for Classes

Read Important Announcements

View Your Total Training Hours

TASC Quality PointsTASC Quality Points

• Statewide Availability for Equity

• Regional Management for Economies of Scale

• TASC Training Institute

• TASC in MH Reform Legislation

• MH Commission promulgated TASC Rules

• NC TASC Standard Operating Procedures

• National TASC Critical Elements

• Local Memoranda of Agreement

• TASC CJM Performance Measures

• Funding contingent on DOC-DHHS MOU compliance

• Statewide Availability for Equity

• Regional Management for Economies of Scale

• TASC Training Institute

• TASC in MH Reform Legislation

• MH Commission promulgated TASC Rules

• NC TASC Standard Operating Procedures

• National TASC Critical Elements

• Local Memoranda of Agreement

• TASC CJM Performance Measures

• Funding contingent on DOC-DHHS MOU compliance

FY04 TASC Statistics FY04 TASC Statistics

• Offenders served: 9845 (53% increase from FY99)

• 70% Less than 36 years old (43% less than 26)

• 83% Not married

• 55% Did not complete high school

• 34% Unemployed at admit (24% in FY01)

• Primary Substance Used

•Marijuana 44% •Alcohol 28% •Cocaine 19%

• Length of Stay

•0-3 months 24% •4-6 months 35%

•7-12 months 31% •More than 1 year 10%

• Offenders served: 9845 (53% increase from FY99)

• 70% Less than 36 years old (43% less than 26)

• 83% Not married

• 55% Did not complete high school

• 34% Unemployed at admit (24% in FY01)

• Primary Substance Used

•Marijuana 44% •Alcohol 28% •Cocaine 19%

• Length of Stay

•0-3 months 24% •4-6 months 35%

•7-12 months 31% •More than 1 year 10%

TASC Costs & Benefits

TASC Costs & Benefits

• $1.79 per TASC client per day

• FY96-97 sample TASC client pop*:–85.9% had at least one previous

arrests (mean # 2.6)

–61.3% were NOT re-arrested within 2 years

* NC Sentencing & Policy Advisory Commission - Submitted to the 2000 Session of the North Carolina General Assembly

• $1.79 per TASC client per day

• FY96-97 sample TASC client pop*:–85.9% had at least one previous

arrests (mean # 2.6)

–61.3% were NOT re-arrested within 2 years

* NC Sentencing & Policy Advisory Commission - Submitted to the 2000 Session of the North Carolina General Assembly

DMHDDSAS ReorganizationDMHDDSAS Reorganization

Community Policy Management Section•MH, DD & SA public policy leadership & oversight

•collaboration w/ a wide base of customers, public & private partners

Community Policy Management Section•MH, DD & SA public policy leadership & oversight

•collaboration w/ a wide base of customers, public & private partners

•Single State Agency for Substance Abuse

•Office of Employee Assistance Programs

•State Methadone Authority

•Quality Management

•Best Practice & Community Innovations

•Local Management Entity Systems Performance

•Justice System Innovations

•Prevention & Early Intervention

Justice Systems Innovations Team, Community Policy Management Section

Justice Systems Innovations Team, Community Policy Management Section

•Policy re: adults & children with mental health, developmental disabilities & substance abuse problems involved in criminal & juvenile justice systems

•Multi-system coordination with state, county & local law enforcement, institutional & community corrections

•Best practices, promising approaches & innovations related to supports, services & treatments for individuals & improved

systems performance

•Policy re: adults & children with mental health, developmental disabilities & substance abuse problems involved in criminal & juvenile justice systems

•Multi-system coordination with state, county & local law enforcement, institutional & community corrections

•Best practices, promising approaches & innovations related to supports, services & treatments for individuals & improved

systems performance

Justice Systems InnovationsFor Adults:

TASC develops & manages comprehensive protocols for offender management, according to DHHS-DOC MOU Implementation of OMM, in partnership with DCC &

other stakeholders Implementation of “Going Home” initiative, according to

DOC, DHHS, Department of Commerce & NC Community College System MOU

Treatment & case management for Drug Treatment Courts, in cooperation with AOC & DCC

Review & programming for DOC residential substance abuse programs & mental health services

Protocols for DWI Drug Education School (GS90-96) diversion alternative Jail-based & police partnership diversion programs

For Adults: TASC develops & manages comprehensive protocols for

offender management, according to DHHS-DOC MOU Implementation of OMM, in partnership with DCC &

other stakeholders Implementation of “Going Home” initiative, according to

DOC, DHHS, Department of Commerce & NC Community College System MOU

Treatment & case management for Drug Treatment Courts, in cooperation with AOC & DCC

Review & programming for DOC residential substance abuse programs & mental health services

Protocols for DWI Drug Education School (GS90-96) diversion alternative Jail-based & police partnership diversion programs

Justice Systems InnovationsJustice Systems Innovations

For Children and Families:

•Coordination with DJJDP for a continuum of services & care

RWJF Resources for Recovery & Co-occurring Academy projectsEvidence-based treatment in DJJDP Detention Centers & Youth Development CentersEvidence-based protocols utilized in MAJORS program for juvenile offenders with substance abuse disorders

Evidence-based protocols for treatment & case management of individuals in juvenile courts, Youth & Family Treatment Court

For Children and Families:

•Coordination with DJJDP for a continuum of services & care

RWJF Resources for Recovery & Co-occurring Academy projectsEvidence-based treatment in DJJDP Detention Centers & Youth Development CentersEvidence-based protocols utilized in MAJORS program for juvenile offenders with substance abuse disorders

Evidence-based protocols for treatment & case management of individuals in juvenile courts, Youth & Family Treatment Court

MHDDSA Reform established...

MHDDSA Reform established...

DSM criteria for a substance-related disorder; and

Services approved by a TASC care manager; and

Voluntary consent to participate; and

Status as an Intermediate Punishment offender, a Department of Correction releasee who has completed an in-prison treatment program, or a Community Punishment violator at-risk for revocation

DSM criteria for a substance-related disorder; and

Services approved by a TASC care manager; and

Voluntary consent to participate; and

Status as an Intermediate Punishment offender, a Department of Correction releasee who has completed an in-prison treatment program, or a Community Punishment violator at-risk for revocation

Adult Substance Abusing Criminal Justice Offender Target Population to ensure access to treatment for individuals with a SA diagnosis who present the greatest risk to public safety.

Eligibility includes:

COMMUNITY CORRECTIONS: SOFT ON CRIME?

ABSOLUTELY NOT!The Strategy Must:

Balance the public’s expectation for protection, control & accountability with resources necessary to control & treat high-risk/high-need offenders

Strive for a balance between Control & Treatment based on offender risk & needs

•Manage risks by supervisory control•Manage needs through treatment collaboration

Prioritize resources based on offender risk & needs

Build partnerships with law enforcement, treatment

providers, schools, victims & the public

Effectiveness & Efficiency of Community Corrections ACTIVE

44% Recidivism$63.00 Per Day21% Population

32% Recidivism $10.00 Per Day 24% Population

INTERMEDIATE PUNISHMENTS (Highest Risk Supervision)

24% Recidivism $2.00 Per Day 42% Population

COMMUNITY PUNISHMENTS(Traditional Probation/Parole Supervision)

Crime & Punishment

U.S. prison, parole population sets record One in 32 Americans in jail or on parole in 2003

The Associated PressJuly 26, 2004WASHINGTON - A record 6.9 million adults were incarcerated or on probation or parole last year, nearly 131,000 more than in 2002, according to a Justice Department study.

Put another way, about 3.2 percent of the adult U.S. population, or 1 in 32 adults, were incarcerated or on probation or parole at the end of last year.

Why is Community Corrections Vital to the Criminal Justice

System? GOOD PUBLIC POLICY

PUBLIC SAFETY

PUBLIC HEALTH

SOUND ECONOMICS

THE RIGHT THING TO DO

Regardless of sentencing practices or laws, less than 1% of all incarcerated offenders will remain there for life.

Front end control & rational planning prior to release are essential for the 99% that remain in or return to our communities.

Why is TASC Care Management Vital to Community Corrections &

Treatment?

Why is TASC Care Management Vital to Community Corrections &

Treatment?• Maintains clear roles & responsibilities

– Probation officers focus on supervision & tx providers focus on client care

– TASC actively supports & integrates both, providing a framework & structure for managing CJ clients

• Engages clients at all points in CJ system

• Improves communication among systems re: & with client

• Advocates for & assists client in navigating multiple complex systems

• Maintains clear roles & responsibilities– Probation officers focus on supervision & tx

providers focus on client care

– TASC actively supports & integrates both, providing a framework & structure for managing CJ clients

• Engages clients at all points in CJ system

• Improves communication among systems re: & with client

• Advocates for & assists client in navigating multiple complex systems

• Appropriately manages client confidentiality rules & law

• Broadens range of sanctions available to CJ system & supports a system of graduated sanctions

• Offers tx in lieu of or in combination with punishment

• Provides added information to CJ system

• Provides basis for judicial & correctional decision-making

• Appropriately manages client confidentiality rules & law

• Broadens range of sanctions available to CJ system & supports a system of graduated sanctions

• Offers tx in lieu of or in combination with punishment

• Provides added information to CJ system

• Provides basis for judicial & correctional decision-making

• Extends power of the court to influence drug-using behaviors

• Reduces technical & drug violations

– improving probation recidivism rates & positive impact on prison pop

• Improves treatment outreach & access

• Provides independent assessments & makes appropriate referrals

• Improves treatment engagement

– orients clients to tx, reduces “no shows”, increases tx staff productivity

• Extends power of the court to influence drug-using behaviors

• Reduces technical & drug violations

– improving probation recidivism rates & positive impact on prison pop

• Improves treatment outreach & access

• Provides independent assessments & makes appropriate referrals

• Improves treatment engagement

– orients clients to tx, reduces “no shows”, increases tx staff productivity

• Improves treatment retention & supports tx compliance

– improving tx outcomes

• Provides support & continuity during CJ & tx transitions

• Facilitates access to addt’l services

• Compensates for service availability

• Utilizes resources more effectively

• Arranges goals & objectives of CJ, tx & the client

• Improves treatment retention & supports tx compliance

– improving tx outcomes

• Provides support & continuity during CJ & tx transitions

• Facilitates access to addt’l services

• Compensates for service availability

• Utilizes resources more effectively

• Arranges goals & objectives of CJ, tx & the client

TASC … a Task IndeedTASC … a Task IndeedDamn, why am I here, I know I’m not an addict, Yeah, I smoke a little weed, but it’s just a small habit;I’m not alcoholic, I drink to ease the pain, So what I popped a few pills, snorted lines of cocaine;Hell no I’m not addicted, I could stop if I want, But I don’t right now, I’m having too much fun;They say I have a disease, I only use because I choose,Drugs are harmless, what’s wrong with a blunt and a few booze;Yeah I stole from a few people, but they had enough to share,I knew that it was wrong, but drugs helped me not to care;I feel a lot more stable being clean now but I don’t like it much,I keep thinking about the past things I’ve done and people I’ve wrongly touched;On the other hand, I’m relieved I can finally love again, I can see much more clearly, I found who are my real friends;I’ve regained trust from my family, they’re no longer ashamed, Telling people I’ve changed, before they wouldn’t mention my name;Matter of fact I like being drug free, I feel like I’m really alive, And I owe all to God and Treatment Alternatives to Street Crime.

- Cumberland County, NC TASC Client

Damn, why am I here, I know I’m not an addict, Yeah, I smoke a little weed, but it’s just a small habit;I’m not alcoholic, I drink to ease the pain, So what I popped a few pills, snorted lines of cocaine;Hell no I’m not addicted, I could stop if I want, But I don’t right now, I’m having too much fun;They say I have a disease, I only use because I choose,Drugs are harmless, what’s wrong with a blunt and a few booze;Yeah I stole from a few people, but they had enough to share,I knew that it was wrong, but drugs helped me not to care;I feel a lot more stable being clean now but I don’t like it much,I keep thinking about the past things I’ve done and people I’ve wrongly touched;On the other hand, I’m relieved I can finally love again, I can see much more clearly, I found who are my real friends;I’ve regained trust from my family, they’re no longer ashamed, Telling people I’ve changed, before they wouldn’t mention my name;Matter of fact I like being drug free, I feel like I’m really alive, And I owe all to God and Treatment Alternatives to Street Crime.

- Cumberland County, NC TASC Client