judge brian mackenzie (ret.) · drug screening random, regular screening for multiple drugs manage...

Judge Brian MacKenzie (ret.) justicespeakersinstitute.com

Sponsored by Thermo Fisher Scientific http://www.thermofisher.com

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Drug Court Standards and On-Site Testing: the Value of Automation

Key component #5 and how it influences drug court Objective nature of testing

The importance of immediate results Immediate results and sanctions

Fast and Effective: how automation ties the drug court functions together more effectively

As a result of this session you will be able to understand:

Drug Screening Random, regular screen ing for multiple drugs Manage data and client history Complete drug screening track results

Support Key area o f support; rehab or counseling p r o g r a m s , w o r k a n d e d u c a t i o n c o m p l e t i o n programs

Particpant

Judge

Support

Drug Screening

Intake

Judge/ Team Decision maker Review cl ient p r o g r a m e f f e c t i v e n e s s a n d c l i e n t p r o g r e s s Support funding for program

In-take A r r e s t , p r o c e s s i n g , holding Recidivism rate C o l l e c t i o n process

“Drug tests not only assist program staff in monitoring program compliance, but also communicate to clients that they are being watched.”

Madce Vol 4

Objective

What % of defendants

lie about use at program

entery?

Question

Madce Vol 4

Self report no use

Negative test

Positive test

905 639 266

30%

Drug testing

“That the drug court monitor abstinence through frequent alcohol and drug testing; “

Adult Drug Court Best Practice Standards Volume Ii

Key component #5

“The more frequently drug courts..….perform urine drug testing, the better their outcome.…”

Adult Drug Court Best Practice Standards Volume Ii

Key component #5

Why urine?

Thermo Scientific Indiko™ Plus Clinical and Specialty Chemistry System

Urine ➡ specimen of choice➡ readily available ➡ large quantities ➡ contains high drug

concentrations ➡ good analytical

specimen➡ provides recent and

past usage

Madce Executive SummaryThermo Scientific Indiko™ Plus Clinical And

Specialty Chemistry System

Benchmark

“With its long-standing history, urine is accepted as the gold standard for drug testing.”

The Drug Court Judicial BenchbookThermo Scientific Indiko™ Plus Clinical And

Specialty Chemistry System

Benchmark

Who is primarily responsible for testing at your court?

Madce Vol 3

Who?

Thermo Scientific Indiko™ Clinical And Specialty Chemistry System

52.5% of drug court staff conduct drug tests.

43.5% rely on their treatment partners to conduct drug tests

4% use a local drug laboratory

Madce Vol 3

Who?

Thermo Scientific Indiko™ Clinical And Specialty Chemistry System

Low cost test

On average, drug court participants received roughly $455 in drug tests

Madce Vol 4

Cost of testingdrug courts non drug courts

-38% +61%

Drug Court Review Volume Viii, Issue 1Best Practices In Drug Courts

2X

31 vs. 4 29% vs. 46 %

Madce Vol 4

More is even better

Thermo Scienific Indiko™ Clinical And Specialty Chemistry System

Madce Vol 4

Crimes6 months: 16 crimes less

18 months: 6 crimes less

low medium high

Madce Vol 4

Madce Vol 4

Drug use

6 months: 5 days less use

18 months: 4 day less use

6 months 18 months

What % of graduates use while in the program?

Madce Vol 4

Question?

50%

“The New York State Adult Drug Court Evaluation Center for Court Innovation 2003

Question?

Thermo Scientific™ Indiko™ Plus "Under the Hood" details

Madce Vol 4

“The severity of sanctions did not appear to reduce the number of crimes… the number of crimes and days of drug use…..were higher than for clients who did not

receive jail time sanctions..”

Don’t overreact

What should

you do?

60-70%

Ten Priceless Pearls For Successful Drug Testing.Pdf

Get it right

95 -98%

Https://Www.Thermofisher.Com/Us/En/Home/Clinical/Diagnostic-Testing/Clinical-Chemistry-Drug-Toxicology-Testing/Drugs-Abuse-Testing.Html

Get it right

Thermo Scientific Indiko™ Clinical And Specialty

Chemistry System

“Instant detection of drug use is essential to the goal of delivering swift

sanctions in response to violations.”

Managing Drug-Involved Offenders 2014

React

48 hours

Top 10 Drug Court Best Practices And More

-73%

48 hours

Top 10 Drug Court Best Practices And More

+68%

“On-site testing combined with data management and reporting eliminates manual, subjective testing methods to improve workflow and efficiency. Instant uploads of test results save time and prevent costly transcription errors.”

“Recovery starts witha drug test.” All Rise Spring 2012

Fast

Thermo Scientific Indiko™ Clinical and Specialty Chemistry System

➡Results automatically flagged for abnormal values, repeats, out-of-limit values

➡Reports that are available electronically and as printouts

➡Secure and traceable data handling with different levels of access

“Recovery starts witha drug test.” All Rise Spring 2012

Fast

Thermo Scientific Indiko™ Clinical and Specialty Chemistry System

Flexible and easy to use:➡ Multiple tests can be

analyzed from each sample.

➡ Different sample types can be analyzed at the same time.

“Recovery starts witha drug test.” All Rise Spring 2012

Fast

Thermo Scientific Indiko™ Clinical and Specialty Chemistry System

Intuitive user interface allows ease of use:➡ True walk away

capability.➡ Sophisticated dilution

management. ➡ Fluent and quick daily

start up and maintenance procedures.

“Recovery starts witha drug test.” All Rise Spring 2012

Fast

Thermo Scientific Indiko™ Clinical and Specialty Chemistry System

➡ Cost-effective, contamination free analysis

➡ Enables low reagent usage and low cost per test.

➡ Disposable cuvettes allow user-safe and contamination free analysis.

“Recovery starts witha drug test.” All Rise Spring 2012

Fast

Thermo Scientific Indiko™ Clinical and Specialty Chemistry System

Real time QC program assures reliable performance.

“Recovery starts witha drug test.” All Rise Spring 2012

Fast

Thermo Scientific Indiko™ Clinical and Specialty Chemistry System

Fast

“..bringing a participant in to the next available court hearing if they are not already scheduled for it, or administering the sanction before the next court hearing.”

Drug Court Review Volume Viii, Issue 1Special Issue

Best Practices In Drug Courts

Act

Thermo Scientific Indiko™ Plus Clinical

And Specialty Chemistry System

“If teams wait too long (two weeks or more) before applying a sanction, the

participants…may even have worked to improve their

behavior.… in which case they are receiving a sanction… as they are doing well, providing them with a message that is

unclear and may even be defeating.”

Drug Court Review Volume Viii, Issue 1Special Issue

Best Practices In Drug Courts

Act

“(A)n external laboratory to analyze urine samples and

report detected levels….can lead to significant reporting

delays (a week between specimen collection and

confirmed lab results is not uncommon).”

Managing Drug-Involved Offenders 2014

Don't delay

“…..outcomes do not improve.”

Drug Court Review Volume Viii, Issue 1Special Issue

Best Practices In Drug Courts

Act

+100%

Drug Court Review Volume Viii, Issue 1Best Practices In Drug Courts

Act

-32%

Drug Court Review Volume Viii, Issue 1Best Practices In Drug Courts

Act

Detection Prevention

change behaviors sanctions rewards fairness

Why

Thermo Scientific™ Indiko™ Plus "Under the Hood" details

Reward Sanction

Positive Negative

Reinforcement Punishment

4X

+164%

<90 days 90 days >90 days

Drug Court Best Practices: Putting Them into Practice

NPC Research

Success

Or you could use this lab

For further information:

judgemackenzie@justicepeakersinstitute.com www.JusticeSpeakersInstitute.com

or Thermo Fisher Scientific

http://www.thermofisher.com