MORE TREATMENT, BETTER TREATMENT AND THE RIGHT TREATMENT
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1 County of Santa Cruz Alcohol & Drug Program March 6, MORE TREATMENT, BETTER TREATMENT AND THE RIGHT TREATMENT Using Data to Drive Evidence Based Probation and System Response Fernando Giraldo, MSW, Chief Probation Officer
2 County of Santa Cruz Alcohol & Drug Program March 6, Opportunities through Public Safety Realignment AB 109: Preparing for and Responding to Realignment- Local Control Justice Reinvestment Initiative Findings-2010,2011 Substance use and key impact in jail Recommendations and Local Response: Community Corrections Partnership Treatment and Interventions Services New Initiatives-System Improvement Risk and Responsivity Tool, Results First, COCHS
3 County of Santa Cruz Alcohol & Drug Program March 6, AB st Year Data First year data indicated the preponderant role of substance use disorders in recidivism among the AB109 population Recidivism among chronic substance abuse results in high rates of property crime, justice system cost, and repeat treatment costs. AB109 offenders, in particular, appear to have a high need for treatment and a history of treatment failures.
4 County of Santa Cruz Alcohol & Drug Program March 6, Impact on Jail: Key System Cost Drivers Justice Reinvestment Initiative Drug use and possession, DUI and ordinance violations represent over 50 percent of jail bookings from 2007 to 2010 Local ordinance violations, particularly disorderly conduct and alcohol and drug-related offenses, are the most common offenses in the county. The frequency and repetitive bookings for these offenses consume significant law enforcement resources and impact the quality of life in the county.
5 County of Santa Cruz Alcohol & Drug Program March 6, We now use jail for less serious offenders Dependency on Jail 30% Lower level /Drug Offenses in 1983 Public Order 20.6% Property 38.6% Drug Offenses 9.3% Violent 30.7% 50% Lower level /Drug Offenses in 2002 Public Order 24.9% Property 24.4% Drug Offenses 24.6% Violent 25.4% Source: Justice Policy Institute: Jailing Communities 2008
6 Annual Cost Per Person County of Santa Cruz Alcohol & Drug Program March 6, Counties Can Save Thousands of Dollars on each offender through community based alternatives $25,000 $21,403 $20,000 $15,000 $10,000 $5,000 $2,198 $3,296 $0 Community-Based Substance Abuse Treatment Surveillance- Oriented Intensive Supervision Jail Incarceration
7 County of Santa Cruz Alcohol & Drug Program March 6, Treatment Vs Incarceration Increased admissions to drug treatment are associated with reduced incarceration rates. Substance abuse treatment prior to contact with the justice system yields public safety benefits early on. Substance abuse treatment helps in the transition from the criminal justice system to the community. Substance abuse treatment is more cost-effective than prison or other punitive measures. Justice Policy Institute-Substance Abuse Treatment and Public Safety January 2008
8 County of Santa Cruz Alcohol & Drug Program March 6, Crime and Justice Institute JRI Findings and Recommendations Improve Drug Offender Outcomes The justice system relies on referrals to local substance abuse treatment providers, but has no systematic method for treatment matching little input regarding program quality and responsivity and; no guidelines for the development of a service array that meets the needs of offenders.
9 County of Santa Cruz Alcohol & Drug Program March 6, Most Common Needs of Probationers % of CAIS Assessed Clients with Need Mental Health 16 Vocational Inadequacy 41.1 Social Inadequacy 33.8 Relationships 8.7 Emotional Factors 67.6 Criminal Orientation 47.3 Basic Living Need 10.9 Substance Abuse
10 County of Santa Cruz Alcohol & Drug Program March 6, More Treatment AB109 Intervention Service Funding By Area, FY % 9% 41% 8% 8% Substance Abuse Treatment Reentry Planning and Aftercare Mental Health Care Benefits Assistance Housing Cognitive Behavioral Programs Education Employment Services Restorative Justice & Community 7% 3% 5% 7%
11 1 1 County of Santa Cruz Alcohol & Drug Program March 6, So we have more treatment, but how do we make it better.what does a Responsive Jurisdiction look like? Screening and assessment Identify risk and primary criminogenic needs Link assessment info to specific case plans Treatment matching High-quality, evidence-based programming Sound implementation Enough dosage to make change Capacity to address population needs Alignment between needs and services Collaboration between CJ and Tx
12 County of Santa Cruz Alcohol & Drug Program March 6, Better Treatment Risk Need Responsivity (RNR) Tool-GMU All AB109 service providers completed the RNR Program Tool and developed program improvement plans. Local data will be imported into the Simulation Tool to allow for treatment matching and jurisdictional assessment of the service array.
13 County of Santa Cruz Alcohol & Drug Program March 6, CJ RISK Criminogenic Needs Substance Tolerance for Hard Drugs 3+ Criminal Lifestyle attitudes, family, peers, personality, substance abuse Stabilizers Supportive Family Stable Employment Education > HS Diploma Stable Housing Location in non-hot Spots Gender & Age Destabilizers Alcohol Abuse Drug Abuse Family Dysfunction Poor Mental Health Status Employment-Related Issues Literacy Related Problems Housing Instability Location in Hot Spots
14 County of Santa Cruz Alcohol & Drug Program March 6, Program Improvement Plans-The Right Treatment Area Risk Assessment Plans Probation Share with Risk Assessment Develop Tx Matching Criteria Needs Assessment Redefine Program Targets Assist Programs to Link to other Programs to meet needs of offenders Responsivity Adjust Assignment for Offenders Literacy Level Add Employment Component Add Housing Supports 14
15 County of Santa Cruz Alcohol & Drug Program March 6, Program Improvement Plans Area Dosage Implement Programs Restrictions Plans Add hours to program Add continuum of care Include more CBT programming Sponsor CBT training for providers Peer Review Process Staffing issues across the programs Training of Staff Improve Tracking of Offenders Post Release Explore an Evaluator Quality Feedback to Providers Work closer to Probation Share information with Probation & Treatment
16 County of Santa Cruz Alcohol & Drug Program March 6, Results First: Cost Benefit Analysis Analysis of all the available research on what criminal justice interventions work to reduce crime and recidivism; Prediction of impacts that each policy change or program will have; calculation of potential return on investments; ranking of programs passed on costs, benefits and risks; identification of programs to be eliminated; assessment of policy options; making findings available for policy makers and the public.
17 County of Santa Cruz Alcohol & Drug Program March 6, County of Santa Cruz Alcohol & Drug Program A Community Conversation March 6, 2014 To request a copy of the comprehensive review of the research on this topic, contact: Bill Manov, Ph.D., Director, Santa Cruz County Alcohol and Drug Program bill.manov@santacruzcounty.us Or Fernando Giraldo at Fernando.Giraldo@santacruzcounty.us
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