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4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations in Practice Across 18 Drug Courts Shannon Carey, Ph.D. Mike Finigan, Ph.D. NEADCP October 21, 2008

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Page 1: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

4380 SW Macadam Ave., Ste. 530Portland, OR 97239503.243.2436

Informing policy, improving programs

Implementation of the Ten Key Components: Variations in Practice

Across 18 Drug CourtsShannon Carey, Ph.D.

Mike Finigan, Ph.D.NEADCP

October 21, 2008

Page 2: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Research Team

• Dr. Shannon Carey• Dr. Michael Finigan • Dr. Kimberly Pukstas• Sarah Martin• Rich Mackin

Funding provided by the

National Institute of Justice (NIJ).

Page 3: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Project Inception• Between 1996– 2008, NPC Research

has conducted over 75 drug court evaluations.

• Evaluations include process, outcome and cost measures.

• Courts represent geographic diversity.• NIJ and NPC Research partner together

to look for larger trends.

Page 4: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Research Questions• How do drug courts implement the

ten key components?• Which practices are consistently

implemented across sites?• Which practices vary?

• Can we link variations in practice to outcomes and costs????

Page 5: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Drug Court Ten Key Components

• National Association of Drug Court Professionals, 1997

• List of ten operational practices that help define a drug court

• Widely accepted by drug court administrators

• Provide guidelines – not a manual

Page 6: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Methods• Select courts for

review (n = 18)• Qualitative data

coding• Organize measures by

component• Standardize reporting

• Identify gaps and collect additional data when appropriate

• Analyze data• Identify significant

variation (75% rule)

Page 7: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations
Page 8: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #1:Similarities• Group Counseling

(100%)• Individual counseling

(78%)• Support group

attendance (95%)• Tx rep on team (89%)

• Tx members provides written progress reports to court (79%)

• Tx member participates in steering/oversight committee (78%)

Page 9: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #1:

Differences• 61.5% of drug courts offered more than one

tx agency to drug court participants • 66.7% of drug courts required the treatment

rep is required to attend drug court sessions

Page 10: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations
Page 11: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #2:

Similarities• A reduction/elimination of potential jail

time is an incentive for participation (100%).

• Prosecution & defense present a united front in court sessions (86%).

• Defense attorney attends all sessions (82%).

Page 12: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #2: Differences• Allows non-drug related

charges (56%)• Allows both felony and

misdemeanors (53%)• Admits participates

post-plea/conviction (68%)

• Unsuccessful clients receive original sentence (29%)

• Prosecution/defense often disagree outside courtroom (27%)

• Prosecution attends all team mtgs (64%)

• Prosecution attends all court sessions (61%)

• Defense retains traditional role (51%)

Page 13: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations
Page 14: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #3:Similarities

• A central intake is used to pace clients in program (100%)

• Eligibility requirements have been agreed upon and are written down (94%)

Page 15: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #3:Differences• Use substance use screening tool

(71%)• Use mental health screen (35%)• No more than 30 days pass from arrest

to drug court entry (61%)• Caseload fewer than 100 (59%)• Waitlist (41%)

Page 16: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations
Page 17: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #4:Similarities

• Offer treatment in phases (100%)

• Completion in 3-4 phases (89%)

• Offer education/employment services (78%)

• Offer additional wraparound services (83%)

Page 18: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #4:Differences

• Completion takes 1 yr or longer (72%)

• Aftercare is offered (59%)

• Guidelines on the frequency of group counseling (66%)

• Guidelines on the frequency of individual counseling (30%)

Page 19: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations
Page 20: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #5:

Similarities

• Random schedule (100%)

• Urinalysis (100%)

• Breath tests (83%)

• Bracelet monitoring (24%)

• Hair tests (19%)

• Blood tests (6%)

Page 21: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #5:Differences• In phase 1, tests are collected at least 2

per week (71%)• Tx agency collects tests (39%)• Call-in system for clients (61%)• Results avail within 48 hrs (53%)• 90 days clean before graduation (47%)

Page 22: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations
Page 23: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #6:

Similarities

• Incarceration used as sanction (100%)

• Graduated sanctions (94%)

• Small gifts/rewards (83%)

• Policies are written (83%)

• Policies shared with client (85%)

Page 24: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #6:

Differences• Sanctions occur in advance of

scheduled hearing (72%)• Support groups used as sanction (50%)• Tx sessions decreased as reward (61%)• Testing decreased as reward (28%)• Judge is sole provider of rewards (50%)

and sanctions (44%)

Page 25: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations
Page 26: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #7:Similarities• Judge attends all sessions (100%)• Judge attends all team mtgs (100%)• Judge attends all policy mtgs (100%)• Judge receives written progress

reports on clients (77%)

Page 27: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #7:

Differences

• Judge assigned to court indefinitely (50%)

• In first phase, clients appear before judge 1 per week (39%)

• In final phase, clients appear before judge at least 1 per month (50%)

Page 28: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations
Page 29: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #8:Similarities• DC staff routinely collect and report

program stats (100%)• DC has been evaluated by an

independent evaluator (100%)• Maintain electronic database (94%)• Database used for case mgt (81%)

Page 30: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #8:

Differences

• Critical data for evaluation maintained in paper files (68%)

• Evaluation results have been used to modify drug court procedures (54%)

• Participated in more than 1 evaluation (33%)

Page 31: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations
Page 32: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #9

Similarities

• Members of drug court team receive routine training (100%)

• Trainings are offered to team members at least once per year (89%)

Page 33: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #9

Differences• All new hires complete a formal training

or orientation (69%)• All members on the received drug court

training (50%)• Prior to the court’s implementation,

team members received training (64%)

Page 34: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations
Page 35: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #10

Similarities• Team includes: Judge (100%)

Coordinator (94%) Public Defender (89%) District Attorney (83%) Treatment Rep (89%) Community Rep (17%)

Page 36: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Component #10

Differences• Team includes Probation (72%)• Team includes Law Enforcement (41%)• Steering Committee includes Community

Representatives (58%)

Page 37: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Conclusion• Drug courts still have a lot of

discretion in how they implement the ten key components

• Results suggest reasons why some courts cost more to operate

• Results suggest reasons why some courts have better outcomes

Page 38: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Next Steps

• Link process findings to cost and outcome data

• Continue to add new courts to sample

• Look for interactions related process, outcome, cost

Page 39: 4380 SW Macadam Ave., Ste. 530 Portland, OR 97239 503.243.2436 Informing policy, improving programs Implementation of the Ten Key Components: Variations

Questions?• NPC Research:

http://www.npcresearch.com

• National Institute of Justice:

http://www.ojp.usdoj.gov/nij/

• Contact Dr. Kimberly Pukstas:

Phone: 207-626-5013

Email: [email protected]