Revisiting Phases in Adult & DWI Treatment Courts
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1 Revisiting Phases in Adult & DWI Treatment Courts Developed by: National Drug Court Institute NDCI, January, 2017 The following presentation may not be copied in whole or in part without the written permission of the author of the National Drug Court Institute. Written permission will generally be given upon request.
2 WHY HAVE PHASES? STRUCTURE RECOVERY PROCESS INCREMENTAL PROGRESS
3 TYPES OF PHASES
4 COURT REQUIREMENTS Comply with treatment Comply with supervision Recovery Support Meetings Community Service Employment Program Fees/Court Costs Phase Advancement Alumni/Continuing Care
5 COURT REQUIREMENTS Court Appearances Drug Tests Alcohol Tests - DWI Sobriety Time Curfew Ancillary Services Transportation/License - DWI Case Management Educational/Vocational Training/GED Drug-Free/Pro-Social Activities
6 SAMPLE PHASES
7 PRACTICAL IMPLICATIONS High Risk Low Risk High Needs (dependent) Low Needs (abuse) Status calendar Treatment Pro-social & adaptive habilit. Abstinence is distal Positive reinforcement Self-help/alumni groups ~ mos. (~200 hrs.) Status calendar Pro-social habilitation Abstinence is proximal Negative reinforcement ~ mos. (~100 hrs.) Noncompliance calendar Treatment (separate milieu) Adaptive habilitation Abstinence is distal Positive reinforcement Self-help/alumni groups ~ mos. (~150 hrs.) Noncompliance calendar Psycho-education Abstinence is proximal Individual/stratified groups ~ 3-6 mos. (~ hrs.)
8 HIGH RISK AND HIGH NEED
9 PHASE 1 ACUTE STABILIZATION 60 Days Court weekly Comply with treatment Comply with supervision Develop case plan Weekly office visit Monthly Home visits Weekly random drug testing (minimum of 2) Address housing Obtain medical assessment Change people, places and things Curfew 9 pm In Order to Advance: Regular attendance at treatment, office visits, BEING HONEST Clean time minimum of 14 consecutive days
10 PHASE 1 ACUTE STABILIZATION 60 Days Court weekly Engage with treatment Comply with supervision Develop case plan Weekly office visit Monthly Home visits Weekly random drug testing (minimum of 2) Daily Alcohol Testing Address Transportation Address housing Obtain medical assessment In Order to Advance: Regular attendance at treatment, office visits, BEING HONEST Sobriety time minimum of 14 consecutive days Maintain employment (to every extent possible) Address statutory-mandated jail Change people, places and things Curfew 9 pm
11 PHASE 2 CLINICAL STABILIZATION 90 Days Court bi-weekly Comply with treatment & supervision Continue addressing medical Continue changing people, places & things Review Case Plan Weekly office visit Monthly Home visits Weekly random drug testing (minimum of 2) End of phase begin to focus on Peer Support Groups In Order to Advance: Compliance with Treatment Compliance with Supervision Clean time minimum of 30 consecutive days Maintain Housing Addressing financial (budget assessment) Curfew 10 pm
12 PHASE 2 CLINICAL STABILIZATION 90 Days Court bi-monthly Comply with treatment & supervision Continue changing people, places & things Review Case Plan Weekly office visit Monthly Home visits Daily alcohol testing Weekly random drug testing (minimum of 2) Maintain employment End of phase begin to focus on Peer Recovery Groups Continue Address Transportation In Order to Advance: Compliance with Treatment Compliance with Supervision Sobriety time minimum of 30 consecutive days Maintain Housing Addressing financial (budget assessment) Curfew 10 pm
13 PHASE 3 PRO-SOCIAL HABILITATION 90 Days Court monthly Comply with treatment & supervision Continue addressing medical Continue changing people, places & things Review Case Plan Bi-weekly office visit Monthly Home visits Weekly random drug testing (minimum of 2) Begin Criminal Thinking Establish Sober Network Curfew 11 p.m. In Order to Advance: Compliance with Treatment Compliance with Supervision Began pro-social activity Began sober support network Clean time minimum of 45 consecutive days
14 PHASE 3 PRO-SOCIAL HABILITATION 90 Days Court monthly Comply with treatment & supervision Continue addressing ancillary services Continue changing people, places & things Review Case Plan Bi-monthly office visit Monthly Home visits Daily alcohol testing Weekly random drug testing (minimum of 2) Begin Criminal Thinking Establish Recovery Network In Order to Advance: Compliance with Treatment Compliance with Supervision Began pro-social activity Began recovery support network Sobriety time minimum of 45 consecutive days Establish Pro-Social Activities Curfew 11 p.m.
15 PHASE 4 ADAPTIVE HABILITATION Court monthly Comply with treatment & supervision Continue addressing medical Continue changing people, places & things Review Case Plan Monthly office visit Monthly Home visits Maintain Housing Weekly random drug testing (minimum of 2) Maintain Pro-Social Activity Maintain Sober Network Curfew 12 a.m. As need based upon assessment: Job Training Parenting/Family Support Vocational Training 90 Days In Order to Advance: Compliance with Treatment & Supervision Maintain pro-social activity Maintain sober support network Began/maintain other areas (employment etc.) Clean time minimum of 60 consecutive days
16 PHASE 4 ADAPTIVE HABILITATION Court monthly Comply with treatment & supervision Continue addressing medical Continue changing people, places & things Review Case Plan Bi-monthly office visit Monthly Home visits Maintain Housing Weekly random alcohol testing (minimum of 2) Maintain Pro-Social Activity & Recovery Network Curfew 12 a.m. As need based upon assessment: Job Training Parenting/Family Support Vocational Training 90 Days In Order to Advance: Compliance with Treatment & Supervision Maintain pro-social activity Maintain Recovery support network Began/maintain ancillary requirements Sobriety time minimum of 60 consecutive days
17 PHASE 5 CONTINUING CARE Court monthly Comply with treatment & supervision Continue addressing medical Continue changing people, places & things Review Case Plan Monthly office visit Monthly Home visits Maintain Housing Random drug testing Development of continuing care plan Maintain Pro-Social Activity Maintain Sober Network As need based upon assessment: Job Training Parenting/Family Support Vocational Training 90 Days In Order to Commence: Compliance with Treatment & Supervision Maintain pro-social activity Maintain sober support network Maintain other areas as needed (employment, parent/family support, vocational training, etc.) Clean time minimum of 90 consecutive days
18 PHASE 5 CONTINUING CARE Court monthly Comply with treatment & supervision Continue addressing medical Continue changing people, places & things Review Case Plan Monthly office visit Monthly Home visits Maintain Housing Random drug testing Development of continuing care plan Maintain Pro-Social Activity & Recovery Network As need based upon assessment: Job Training Parenting/Family Support Vocational Training 90 Days In Order to Commence: Compliance with Treatment & Supervision Maintain pro-social activity Maintain Recovery network Maintain areas as needed (employment, parent/family support, vocational training, etc.) Clean time minimum of 90 consecutive days
19 THERE S A LOT TO REMEMBER
20 SAMPLE WEEKLY SHEET Date/Day Time Activity Goal Initials Monday 06:00 am Take prescription meds with breakfast Monday 08:00 am Obtain picture I.D. Monday 2 4 pm Attend Thinking for Change Group Tuesday 1 4 pm Dialectical Behavioral Therapy (DBT) Group Wed. 1 4 pm Dialectical Behavioral Therapy (DBT) Group Thursday 1 4 pm Dialectical Behavioral Therapy (DBT) Group Friday 1 2 pm Individual Session
21 CONSIDERATIONS Population Accountability Resources Challenges Culture Realistic & Recovery Focus
22 CLIENT HANDBOOK / CONTRACT Simple Brief Culture
23 Strategic Planning Notebook Connect how the topic relates to recovery Write down these connections to recovery Share ideas how to incorporate the topic into your program
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