slide1 l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
The Fundamentals of Family Drug Court PowerPoint Presentation
Download Presentation
The Fundamentals of Family Drug Court

Loading in 2 Seconds...

play fullscreen
1 / 48

The Fundamentals of Family Drug Court - PowerPoint PPT Presentation


  • 120 Views
  • Uploaded on

The Fundamentals of Family Drug Court. Presented by Meghan M. Wheeler, Project Director National Drug Court Institute (NDCI). 2007 Drug and DUI Court Conference Wyndham Peachtree Conference Center Peachtree, GA. The Family Disease of Drug and Alcohol Dependence.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'The Fundamentals of Family Drug Court' - saxon


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

The Fundamentals

of

Family Drug Court

Presented by

Meghan M. Wheeler, Project Director

National Drug Court Institute (NDCI)

2007 Drug and DUI Court Conference

Wyndham Peachtree Conference Center

Peachtree, GA

the family disease of drug and alcohol dependence
The Family Disease of Drug and Alcohol Dependence

Fetus/InfantFetal factors Intrauterine toxicityNeonatal toxicity / withdrawalIncreased muscle toneNeglect/abuse

  • ChildrenCOA RolesFamily Norms Neglect and abuseBiologic vulnerability

MotherDrug/alcohol dependence and codependenceCOA issuesPregnancy complications

Grandma/Extended FamilyDrug/alcohol dependence and codependence

FatherDrug/alcohol dependence and codependence; COA issues

slide3

“No Safe Haven”

“A devastating tornado of substance abuse and addiction is tearing through the nation’s child welfare and family court systems leaving a path of abused and neglected children, turning social welfare agencies and courts on their heads and uprooting the traditional disposition to keep children with their natural parents.”From “No Safe Haven” Report, 1999Joseph A. Califano, Jr., Chair and PresidentThe National Center on Addiction and Substance Abuse at Columbia University

substance abuse and addiction and child maltreatment
Substance Abuse and Addiction and Child Maltreatment
  • National Statistics:
    • 5 Million Children - 3 Million Reports – 1 Million Victims
      • 63% neglect; 19% physically abused; 10% sexually abused; and 5% emotionally or psychologically maltreated
      • 0-4
    • 542 K children in foster care & 126 K children awaiting adoption.
      • 33 months
      • 44 months
    • Poor School Performance / Behavior Problems / Delinquency
      • 30% of 12th graders, 26% of 10th graders and 14.1% of 8th graders binge drinking in the past month.
substance abuse and addiction and child maltreatment5
Substance Abuse and Addiction and Child Maltreatment

Children Whose Parents Abuse Drugs & Alcohol Have:

  • 2.7 greater chance of abuse
  • 4.2 greater chance of neglect
    • Lack of Essential Food
    • Lack of Hygienic Home & Care
    • Inappropriate Sleeping Conditions
    • Lack of Medical / Dental Treatment
    • Lack of Supervision
children under stress and exposed to violence
Children Under Stress and Exposed to Violence
  • Exposure to and involvement with socially unacceptable – and illegal - practices
  • Appearances of & standards of “normality” that differ from community norm; “tribal identity” issues
  • Coercive “belonging”
future implications for child victims
Future Implications for Child Victims

Short Term:

  • Re-occurrence of Victimization (2X)
  • Out of Home Placements
  • Poor School Performance / Behavior Problems
    • 30% of 12th graders, 26% of 10th graders and 14.1% of 8th graders binge drinking in the past month.

Long Term:

  • Re-occurrence of Victimization
  • Emotional and Behavioral Problems
  • Acute and Chronic Disease / Organ Damage
  • Homelessness – 30%
  • Delinquency, Crime, Prison (Violent Crimes)
the impact of child neglect child trauma academy www childtrauma org led by bruce d perry m d ph d
The Impact of Child NeglectChild Trauma Academy (www.ChildTrauma.org) led by Bruce D. Perry, M.D., Ph.D.
the connection
The Connection

70 percent of the child abuse cases during 2001 were methamphetamine-related. Children whose parents or guardians produce or abuse methamphetamine typically lack proper immunizations, medical care, dental care, and necessities such as food, water, and shelter

Riverside and San Bernardino Counties, California

ASFA mandates the safety, permanency and well-being of children within shorter timeframes and an approach to address the needs of children and families affected by substance abuse.

slide10
DRUG ADDICTION IS A COMPLEX ILLNESSBiologicalPsychologicalSociologicalAddiction Is No Longer Just a “Moral Problem”
co occurring issues of parents
Co-Occurring Issues of Parents
  • Medical
  • Psychological
  • Legal
  • Social
slide13
Does Treatment Work

in Combating Substance Abuse?

YES…but

Not if the addict or alcoholic

Isn’t there!

slide14
Perceived Need & Effort Made to Receive Specialty Treatment2004 National Survey on Drug Use and Health: National Findings
coercion
Coercion
  • Social Contracting
  • Exerting leverage:

From Loss of children, threat of job loss, being divorced, and being kicked out of the house to risk of jail all provide powerful incentives to start and stay in treatment.

  • Intervention
  • The choice of one contingency over another
  • Keeping a patient engaged in treatment
coercion in the justice system
Coercion in the Justice System
  • Institute of Medicine (1990)
    • “contrary to earlier fears among clinicians, justice pressure does not threaten treatment effectiveness, and it probably improves outcomes.
  • Coerced patients tended to stay longer.
    • This was in light of the finding that most of the legally coerced addicts had more crime and gang involvement, more drug use, and worse employment records than their non-coerced counterparts.
slide17

Expedites the time interval to get individuals into treatment and provide accountability measures before losing them to their addictions.

Keeps the addict engaged in treatment long enough to receive treatment benefits.

DRUG COURT

slide18

Over 1,600

drug courts

Drug Court Activity 1989-2004

12 drug courts

1 drug court:

Miami, FL

1989

1994

2005

slide19

Drug Court “Best Practices” Publications:

Adult Criminal Drug Courts

www.ojp.usdoj.gov/BJA/grant/DrugCourts/DefiningDC.pdf

Juvenile Delinquency Drug Courts

www.ncjrs.org/pdffiles1/bja/197866.pdf

DUI Drug Courts

Family Dependency Treatment Courts

www.ojp.usdoj.gov/BJA/pubs/FamDepMono.pdf

slide20

The Evolution of FDTC:

Lessons Learned from the Adult Criminal Drug Court Model

To create an opportunity for children to be safe and nurtured by a parent free from substances.

To expedite the time interval to get parents into treatment before losing them to their addictions.

To keep the family engaged in treatment long enough to receive treatment benefits.

fdtc characteristics
FDTC Characteristics
  • Focus on the permanency, safety and welfare of abused and neglected children as well as the needs of the parents.
  • Early intervention, assessment and facilitated access to services for parents and children in a holistic approach to strengthen family function.
  • Develop comprehensive service plans that address the needs of the entire family system.
fdtc characteristics24
FDTC Characteristics
  • Provide enhanced case management services to monitor progress & facilitate access to services.
  • Regularly scheduled staffings facilitate the exchange of information & coordinate services for the family.
  • Increased judicial supervision of children and families.
fdtc characteristics25
FDTC Characteristics
  • Individual & systems accountability.
  • Ensuring legal rights, advocacy and confidentiality for parents and children
  • Operate within the Federal mandates of the Adoption and Safe Families Act and Indian Child Welfare Act
fdtc characteristics26
FDTC Characteristics
  • Judicial leadership for both the planning and implementation of the court
  • Commitment to measuring outcomes of the FDTC program and plan for program sustainability
  • Working as a collaborative, non-adversarial team supported by cross-training
benefits of drug court
Benefits of Drug Court:

National, Statewide, and Local Evaluations

Process and Outcomes

participant response
Participant Response
  • To the Judge and the Court Hearings
    • The Judge is always respectful, it is my fault when I am in trouble, but I always feel respected.
    • You get to speak if you need to.
    • I believe I am respected and my opinion is heard.
    • It is not intimidating
    • Coming in and seeing other people making movement and having their kids with them.
    • I am treated as a human rather than an addict
  • To CPS
    • Got to know her and ending up liking her
    • She is honest and trustworthy
    • She is courteous, positive, respectful, encouraging, friendly
    • She's easy to contact, and is available if I have any questions
    • I feel that she works with me
national cross site evaluation
National Cross Site Evaluation
  • The relationship between drug court factors and outcomes
    • Parents who entered drug court more quickly following their petition also tended to enter treatment faster, achieve permanency faster, and have a shorter time to case closure than parents with longer time to drug court entry.
  • The relationship between treatment factors and outcomes
    • Parents who entered treatment services more quickly after their petition tended to have longer stays in treatment, more treatment completions, faster times to permanent placement, and shorter cases than parents with longer time to treatment entry.

NPC Research: Green, Worcel, Finigan, 2006

national cross site evaluation relationship of treatment experience to cw outcomes
National Cross Site Evaluation: Relationship of Treatment Experience to CW Outcomes
  • Parents entering TX faster:
    • Stay longer in treatment
    • More likely to complete treatment
    • Enter permanent placement more quickly & reach case closure more quickly
  • Parents remaining in TX longer:
    • More likely to complete treatment
    • Take longer to reach case closure.
  • Parent completing TX
    • More likely to graduate from FTDC
    • Take longer to reach permanency,
    • Have longer cases, BUT
    • Children are more likely to be reunified with parents.
slide31

Retrospective FDTC Evaluation

Young, N.K., 2003. Findings from the FDTC National Cross-Site Evaluation Retrospective Phase

  • Parent/Child Outcomes
  • FDTC parents have significantly less criminal recidivism
  • FDTC parents have significantly less CPS recidivism
  • Treatment Outcomes
  • Significantly more FDTC parents enter treatment
  • FDTC parents remain in treatment longer
  • Child Welfare Outcomes
  • FDTC Children are reunified in significantly fewer days
  • FDTC Children Reach Permanent Placement 3 Months Faster
  • FDTC Children Have Permanent Plan Ordered 5 Months Earlier
slide32

FDTC Children Reach Permanent Placement3 Months SoonerHave Permanent Plan Ordered 5 Months Earlier and CPS Case Closed 4 Months Sooner

Number of Months

Young, N.K., 2003. Findings from the FDTC National Cross-Site Evaluation Retrospective Phase

slide33

On Average, More FDTC Children Reunified/Remained with a Parent

% of Children

Young, N.K., 2003. Findings from the FDTC National Cross-Site Evaluation Retrospective Phase

slide34

Significantly Less Criminal & CPS Recidivism Among FDTC Parents

% of Parents

Young, N.K., 2003. Findings from the FDTC National Cross-Site Evaluation Retrospective Phase

san diego county ca
San Diego County, Ca

NPC Research: Green, Worcel, Finigan, 2006

yellowstone county mt
Yellowstone County, MT
  • Children spent 1,002 days less in out-of-home care than the children in the comparison group.
  • 71.5% of children achieved permanency compared 64% in the comparison group.
    • 49% of comparison group cases achieved permanency by having the parental rights terminated, compared to only 4.4% of the YCFDTC cases going to parental termination.
    • 30.8% of the cases in YCFDTC the parents relinquished their parental rights compared to 0% of the comparison group doing so.
drug courts save money
Drug Courts Save Money

“A state taxpayer’s return on the upfront investment in drug courts

is substantial.”

”a county’s investment in drug

court pays off.”

cost benefit of drug court analysis of foster care cost
Cost Benefit of Drug CourtAnalysis of Foster Care Cost

B.K. Roche, Ph.D. Yellowstone Family Treatment Court Program Evaluation. June 2005

*

Yellowstone County, MT:

$ $1,280,100 saved in foster care costs alone

cost benefit of drug court analysis of foster care cost45
Cost Benefit of Drug CourtAnalysis of Foster Care Cost

NPC Research, 2004. Findings from the FDTC National Cross-Site Evaluation Retrospective Study

San Diego, Ca:

$1.8 million saved in foster care costs alone

*

the promise of drug court
The Promise of Drug Court

We can capitalize on the consequences of a petition / charge to intervene earlier in child maltreatment and the parent’s “career” of substance abuse.

More substance abusers will enter treatment sooner and stay longer.

Highest level of accountability for the parent while ensuring the safety and well-being of children.

Increased reunification rates and shorter time to permanency.

Comprehensive and Unified Case Planning to address a family’s presenting problems and capitalize on their strengths.

slide48

For More Information

National Drug Court Institute

(NDCI)

703-575-9400

or

www.ndci.org

Mwheeler@ndci.org