2017 JDTC On-Site Technical Assistance Delivery REQUEST FORM

Transcription

1 2017 JDTC On-Site Technical Assistance Delivery REQUEST FORM As part of the On-Site Technical Assistance request and planning process, we ask that your Juvenile Drug Treatment Court (JDTC) use this form to describe your current practices and priorities for technical assistance. When completed, please mail, FAX, or this form to Martha-Elin Blomquist, PhD, at NCJFCJ, P.O. Box 8970, Reno, NV 89507, FAX: (775) , If you have any questions while completing this form, please contact Dr. Blomquist by phone at (775) Date of Receipt INSTRUCTIONS: For the questions that follow, please type in your response or check the appropriate box. General Court & Community Information Please provide information about your court name, address, and contact information: Name of Court: Court Address: Name of Assigned Judge: Primary JDTC Team Member Contact: Primary JDTC Team Member Address: Primary JDTC Team Member Telephone: Primary JDTC Team Member Address: Year JDTC became operational: Type of community your JDTC serves: Rural Urban Suburban Briefly describe the nature of the adolescent substance use dependence problem(s) in your community: 1 P age

2 JDTC Participants and Performance Measures Please fill in the table with the appropriate numbers (actual or estimates): Number of JDTC program participants Current Year Last Year Overall (Since Program Inception) Number of JDTC graduates Number of JDTC terminations Number of JDTC participants completing treatment Graduation Percentage Rate (# of graduates divided by the number of total youth who were in the program ) Termination Percentage Rate (# of terminations divided by the number of total youth who were in the program.) Treatment Completion Percentage Rate (# of youth who have successfully completed their prescribed treatment program divided by total youth that were in the program ) % % % % % % Given your program resources, what is your optimal number of participants? Program Length and Graduation Requirements What is the average length of stay (in number of days) in the program? (days) Does your juvenile drug treatment court have a mandatory minimum time requirement for youth participation? Yes No If yes, please mark X in the space provided next to the applicable mandatory minimum time requirement: 6 months or less 9 months 12 months 18 months 24 months Over 24 months other Does your program require that the JDTC youth test clean from drugs/alcohol before graduation? Yes No If yes, how long must the youth be clean before graduation? (days) 2 P age

3 Target Population and Eligibility Criteria Who is your target population? Please indicate all of the applicable written eligibility criteria that your program uses for acceptance decisions: Age: Minimum-Maximum Range Gender: Females Only/Males Only/Both Genders Legal Status: Pre-adjudicated/Post-adjudicated/Both Probation Status: Must be on probation to be eligible for JDTC Current Offense: Felony/Misdemeanor/Both Previous involvement in juvenile justice system (at least one prior offense) Yes Yes No No Current offense: Qualifying offense is a nonviolent offense, a substance-related offense, OR a probation violation Yes No Current offense(s) is considered on a case-by-case basis Yes No Screening: A substance abuse screening tool has been administered and indicates need for substance use assessment Risk/Needs Assessment: A risk/needs assessment has been administered and the score indicates moderate to high in both the criminogenic risks and criminogenic and treatment needs sections Other (Please describe) Yes Yes No No Screening and Assessment Instruments Please indicate the screening instrument your JDTC uses to identify youths who likely have a substance use disorder and need further assessment for substance use and suitability for your JDTC: None GAIN MAYSI SASSI Other 3 P age

4 Please mark an X in the column JDTC Uses next to the criminogenic risk/criminogenic and treatment needs assessment instrument your JDTC uses to determine suitability and develop case management: Instrument Name JDTC Uses Positive Achievement Change Tool (PACT) Beck Youth Inventories Second Edition (BY-II) Behavior Assessment System for Children Second Edition (BASC-2) Early Assessment Risk List for Boys (EARL-20B) Early Assessment Risk List for Girls (EARL-21G) Risk Factor Profile Instrument (RFPI) Structured Assessment of Violence Risk in Youth (SAVRY) Youth Level of Service/Case Management Inventory (YLS/CMI) Social Skills Improvement System (SSIS) Youth Assessment and Screening Instrument (YASI) Other (please specify) Please mark an X in the column JDTC Uses next to the instrument your JDTC uses for substance use diagnosis and treatment planning: Instrument Name Global Appraisal of Individual Needs (GAIN-I) Adolescent Drug Abuse Diagnosis (ADAD) JDTC Uses Adolescent Diagnostic Interview (ADI) Adolescent Self-Assessment Profile (ASAP) Hison Adolescent Profile (HAP) Juvenile Automated Substance Abuse Evaluation (JASAE) Other (please specify) 4 P age

5 Referral Sources Please indicate which of the following professionals refer youth to your JDTC program and the frequency of their referrals: Judge Referral Source Frequency of Referrals Usually Sometimes Rarely Never JDTC Coordinator Probation Officer with a JDTC Caseload Probation Officer without a JDTC Caseload Treatment Provider Defense Attorney Prosecutor Social Services Personnel School Personnel Law Enforcement Personnel Other (please specify) Program Benefits and Buy-In From the prospective participant s perspective, what are the benefits to completing the program? How do you encourage prospective participants to buy in to the program? 5 P age

6 From the prospective caregiver s perspective, what are the benefits to completing the program? How do you encourage prospective caregivers to buy in to the program? Does your program charge fees to participants (youth or parents/caregivers)? Yes No If Yes, state the fees your program charges (amount and reason): JDTC Team, Pre-Court Staffing, and Court Sessions Team members and longevity: (Please include in a separate document, a list of the names, professional positions, and contact information for team members.) Team Member Member (Yes/No) How Long Has This Member Been On the Team? Prosecuting Attorney Yes No years months Defense Attorney Yes No years months Judicial Officer Yes No years months Probation Officer Yes No years months Coordinator Yes No years months Law Enforcement Liaison/School Resource Officer 6 P age Yes No years months School Representative Yes No years months Substance Abuse Treatment Provider Yes No years months

7 Mental Health Treatment Provider Yes No years months Evaluator Yes No years months Other (please specify) Yes No years months Participation in Pre-Court Staffing Please mark X in the column that best describes the frequency of each professional s attendance at the Pre-Court (Case) Staffing: Prosecuting Attorney Defense Attorney Judicial Officer Probation Officer Coordinator Law Enforcement Officer School Representative Substance Abuse Treatment Provider Mental Health Provider Other (please specify) Always Sometimes Rarely Never Not Applicable Pre-Court Staffing Meetings, Frequency and Length of Time On what weekday is your Pre-Court Staffing meeting held? Please mark X next to the applicable frequency of Pre-Court Staffing meetings: Held weekly Held twice per month Held monthly Other Court Sessions, Frequency and Length of Time Please mark X next to the applicable frequency of Juvenile Drug Treatment Court sessions: Held weekly Held twice per month Held monthly Other Phases How many phases does your JDTC program have? 7 P age

8 Please state the duration and goals of each phase: Phases Phase I Duration of Phase (minimummaximum) Goals Desired behavior changes that you want youth to work toward for phase advancement/graduation (Please do not list program requirements and conditions) Phase 2 Phase 3 Phase 4 Phase 5 Other Do you track phase-level completion for participants? Yes No Don t Know If yes, are participants required to meet specified benchmarks set within the program phase structure in order to advance (i.e., estimated time to complete phase one, two, three, or four)? Yes No Don t Know Substance Use Monitoring Type(s) of substance testing administered: (Please check all that apply.) Urinalysis Breathalyzer Other 8 P age

9 Frequency of testing by program phase: (Please check as applicable.) Number of times per week Phase Less than 1X 1X 2X 3X More than 3X Are drug tests given at random (random meaning that each day of the week has an equal chance of being chosen to give a drug test at any given time)? Yes No On which days are drug tests typically given: (Please check all that apply.) Weekdays Weeknights Weekends Location of testing: (Please check all that apply.) Court PO office Treatment office School Job Home Other Treatment and Support Services Treatment Services Offered: Please mark X in the column Available to Your JDTC/Youth Participant next to the treatments that are available: Treatment Type General outpatient group treatment Available to Your JDTC/Youth Participant 9 P age

10 General outpatient individual treatment Intensive outpatient Inpatient treatment Detox Other (Please specify) Manualized Treatment Programs: Please mark X in the column Available to Your JDTC/Youth/Family Participant next to the manualized treatment programs that are available: Manualized/Evidence-Based Treatment Programs Brief Strategic Family Therapy (BSFT) Teen Intervene Adolescent Community Reinforcement Approach (A- CRA) Matrix Model Moral Recognition Therapy (MRT) Motivational Enhancement Therapy (MET) & Motivational Interviewing (MI) Motivational Enhancement Therapy & Cognitive- Behavioral Therapy (MET/CBT 5 or 12) Multi-Systemic Therapy of Juvenile Offenders (MST- JO) Seeking Safety The Seven Challenges Program Other (please specify) Available to Your JDTC/Youth Participant Treatment and Sober Support Requirements: (Please check all that apply) JDTC youth must remain in treatment for the duration of the program (through all phases). Yes No The court mandates attendance at AA/NA or other type of support groups. Yes No If yes, number of times per week Are the sober support groups adolescent focused? Yes No 10 P age

11 Family-Based Treatment Programs: Please mark X in the column JDTC/Youth Participant/Family next to the family-based treatments that are available: Family-Based Treatment Family Support Network (FSN) Functional Family Therapy (FFT) Multi-Dimensional Family Therapy (MDFT) Multi-Dimensional Treatment Foster Care (MTFC) Other (please specify) JDTC/Youth Participant/Family Support Services Offered: Please mark X in the column Available to Your JDTC/Youth/Family Participant next to the support services that are available: Support Service Type Adolescent-focused sober support groups Traditional adult-focused sober support groups (AA/NA) Mental health counseling Parenting classes Anger management Life skills Tutoring Mentoring Other Available to Your JDTC/Youth/Family Participant Incentives and Sanctions Please list the three incentives that your JDTC most commonly uses: Please list the three sanctions that your JDTC most commonly uses: Page

12 Please mark X in the applicable column next to the practices the JDTC follows in developing and applying incentives and sanctions: JDTC Practice Always Frequency Some- Rarely times Never Youth complete a youth inventory or survey to provide feedback on what motivates them. If response above is always, sometimes, or rarely: The youth inventory or survey covers several domains and is completed with the youth and family. Youth know when they are going to earn a reward and why they earned the reward. Youth know when they are going to be sanctioned and why they are sanctioned (i.e., the youth knows before court that he/she will be asked to write an essay, do community service hours, or go to detention). Youth receive tangible rewards (e.g., gift card) for positive behavior. Youth receive incentives on a case-by-case basis. Youth receive intangible rewards (e.g., praise from judge/team) on a frequent basis. Youth receive more incentives than sanctions on a regular basis (i.e., 4 incentives to every 1 sanction). Youth are allowed to provide feedback to the team about the use of incentives and sanctions (e.g., through exit surveys or court user surveys). The team uses sustainable incentives (e.g., token economy, point reward system) as a way to motivate youth. The team uses structured behavior contracts to help youth achieve proximal goals. The team tracks incentives and sanctions given. If yes to above, This includes setting benchmarks to reduce the use of detention. If yes to above, This includes setting benchmarks to increase the number of incentives given. Data and Performance Measurement Does your JDTC team track recidivism (re-arrest) after a youth leaves (graduates or is terminated from) the program? Yes No If yes, does your JDTC track types of recidivism offenses: Substance use related offenses Yes No Other offenses: Yes No 12 Page

13 Does your JDTC team use performance measures (such as number of youth participants that achieved school grade advancement during the program)? Yes No If yes, please list the performance measures: Does your JDTC team review and analyze data for program monitoring purposes? (such as average number days that youth are in Phase I) Yes No If yes, please describe the data that the team reviews and analyzes: How often does the JDTC team review these data? Does your JDTC team review and analyze data for program evaluation purposes (such as the number of youth referred to the program who meet eligibility criteria; the number of youth who are accepted into the program)? Yes No If yes, please describe the data that the team reviews and analyzes: How often does the JDTC team review these data? Team Action Planning and Training Please provide the date when the entire JDTC team last met to form a strategic action plan and/or review policy: How often does this type of team meeting occur? Has your team developed a sustainability plan? Yes No Working on it 13 P age

14 Have any of your current JDTC team members attended workshops or trainings that focus on JDTC-related topics and issues? Yes No If yes, please list the topics that team members have received training on: Technical Assistance Priorities and Recommended Practice How familiar are team members with the following sources for recommended practice: Source Very Familiar Somewhat Familiar Not At All Familiar 16 Strategies for Juvenile Drug Courts OJJDP JDTC Guidelines Reclaiming Futures Your State s Drug Court Guidelines Has your JTDC program received grant funding in the past 2 years? Yes No If yes, does your JTDC team need assistance with achieving the goals of the grant? Yes No Not sure Please list the top 3 issues or practices that are the most challenging for your Juvenile Drug Court team that you would like training and/or technical assistance with: P age

15 Please place a check mark in the column/response that best reflects the current readiness of team members to receive TTA on recommended practices and to make program changes: The majority of team members seem Some team members seem ready. A few team members seem ready. I m not sure about the readiness of team members Some team members may resist Ready for. ready. for this. this. Receiving TTA on recommended practice Examining current practices for improvement Making plans to improve practices so they reflect more closely recommended practice Implementing plans to improve practices so they reflect more closely recommended practice How did you learn about NCJFCJ s Juvenile Drug Treatment Court On-Site Technical Assistance services? JDTC Strengths Please identify your team strengths: Please identify your program strengths: 15 P age

16 On-Site TA Planning On-site technical assistance visits include observation of court staffing and session, interviews with all team members, and an all-day team retreat. Typical on-site visits take two days. In each of your preferences below, please specify two consecutive dates for the site visit, with the first date of the set occurring on the day of the week that your team holds its case staffing and court session. PLEASE PROVIDE 2-3 SETS OF DATES CONVENIENT FOR DELIVERY OF ON-SITE TECHNICAL ASSISTANCE (Please look at dates days after submission of the TA Request Form). 1 s t Preference: 2 nd Preference: 3 rd Preference: Please also submit any written reports or materials relating to program evaluation, policies and procedures, and participant handbooks for your JDTC program. Thank you! 16 P age