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Sanctions and Incentives
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Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Jan 02, 2016

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Madison Riley
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Page 1: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Sanctions and Incentives

Page 2: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

• Length of time is important: The longer a patient stays in treatment, the better they do.

• Coerced patients tended to stay longer because there are consequences for leaving.

Page 3: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

The purpose of drug court is to keep participants engaged in

treatment

Page 4: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

What Does Basic Behavioral

Research Tell Us About Punishment?

Page 5: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Punishment is not the Goal in the Imposing Sanctions; Changing Behavior is.

Page 6: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Drug court responses to participant behavior

Page 7: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Sanctions

Incentives

Treatment Responses

Page 8: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Sanctions

The imposition of negative consequences in response to

undesirable behaviors

Page 9: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Sanctions Are in the Eye of the Participant

Page 10: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Undesirable Behavior

Must be reliably detected

Reports on client progress in treatment must

be regularly given to the Judge by Treatment

Page 11: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Sanctions Must Be Predictable

Program PhasesClient Handbooks

Contracts

Page 12: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Sanctions Must Be Consistent

Page 13: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Sanctions Should be Immediate

Page 14: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Smart Sanctions

The imposition of the minimal amount of punishment necessary to achieve program compliance.

Page 15: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Graduated Sanctions

The intensity of sanctions increases with the number and seriousness of

program non-compliance.

Page 16: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Sanctions Might Include:

• Warnings and admonishment from the bench in open court

• Increased frequency of testing and court appearances• Confinement in the courtroom or jury box• Increased monitoring and/or treatment intensity• Fines• Required community service for client and parents• Escalating periods of jail confinement (However, drug

court participants remanded to jail should receive AOD treatment services while confined) and

• Termination from the program and reinstatement of regular court processing

Page 17: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Inadequate Compliance with Court Order

Less serious violations of a court order; lying, missing treatment sessions, missing ancillary groups etc., call for sanctions that start with the intensification of supervision and/or drug

testing. Jail terms may be appropriate, starting with a single day’s incarceration, increasing incrementally with continued

violations.

Page 18: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Absconding, Failure to Appear

Substantial period of incarceration (at least one week) to detox the offender as well as deter future

program failure and/or drug usage.

The court may wish to limit the number of times a person may be

reinstated in the program.

Page 19: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Drug Courts Make Final Failure and Expulsion From the Program Difficult for the Participant to Achieve.

Page 20: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Incentives

“A positive consequence that is the direct result of and is a reward for the offender’s

positive behavior.”

Page 21: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Positive Reinforcement

“Rewards the client in his/her natural social environment to ‘capture’ positive

behavior, i.e. payment vouchers.”

“Most of today’s clinical textbooks conclude that positive reinforcement is far preferable for changing behavior

[than punishment] (Marlowe, 1999).

Page 22: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Responses to Compliance Might Include:

• Encouragement and praise from the bench• Ceremonies and tokens of progress, including

advancement to the next treatment phase• Reduced supervision• Decreased frequency of court appearances• Reduced fines or fees• Reduced or suspended incarceration• Graduation• Dismissed in reduction in criminal charges

Page 23: Sanctions and Incentives Length of time is important: The longer a patient stays in treatment, the better they do. Coerced patients tended to stay longer.

Treatment Responses

The intensification of supervision,drug testing, and/or treatment requirements

Ultimately culminating in residential treatment

Reduction in services