Transcript Slide 1

Substance Abuse Services &
the Criminal Justice System
LME Directors Meeting 9/14/07
NC Division of Mental Health, Developmental Disabilities and
Substance Abuse Services
NC Department of Health and Human Services
Drugs & Crime
• 1 in 32 adults are under correctional
supervision
• SA is disproportionately represented in
correctional populations
– 80% of parolees
– 80% of prison inmates
– 67% of probationers
• 59% of SA Referrals from CJS
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015
Drugs & Crime in NC
• 38,423 people in prison
– 30,738 need substance abuse services
Note: 97% will be released
• 117,607 people on probation, parole
or post-release
– 79,347 need substance abuse services
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015
Felonies:
Type of Punishment Imposed
Active
Intermediate
Structured Sentencing*
26%
20%
43%
28%
25%
20%
15%
10%
5%
0%
Old Law**
47%
37%
50%
45%
40%
35%
30%
Community
* SOURCE: NC SPAC FY05-06 Report
** SOURCE:1993 Pre-Structured Sentencing Data
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015
NC Problem Statement
• Limited CJ & Tx resources
• Complex clients: challenging
behavioral health needs & serious
consequences of failure
• Recidivism & Relapse are common
• Service availability & effectiveness
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015
OMM:
Balancing Control & Tx
• One Offender
One Case Plan
One Team
• Common Goal:
Safely manage
high-risk, highneed offenders in
the community
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015
DHHS-DOC-AOC MOA
Memorandum of Agreement
between the
North Carolina Department of Health and Human Services
and the
North Carolina Department of Correction
and the
Administrative Office of the Courts
ii.
i.
This Memorandum of Agreement (MOA) and Appendices are entered by and
between the Department of Health and Human Services (DHHS), the Department of
Correction (DOC) and the Administrative Office of the Courts (AOC) for the purpose of
developing a comprehensive offender management model that ensures public safety
while addressing the needs of offenders. The Division of Community Corrections (DCC)
and the Division of Mental Health, Developmental Disabilities and Substance Abuse
Services (DMHDDSAS) are the primary resources involved in community corrections.
AOC manages the N.C. Drug Treatment Court Act Program and provides administrative
support to the local courts that operate Adult Drug Treatment Courts (DTC). The
Division of Alcoholism and Chemical Dependency Programs (DACDP) and Division of
Prisons (DOP) impact community corrections through the release of offenders who have
received services while in custody or while in a residential facility (DART-Cherry). The
purpose of a comprehensive offender management model is to create a seamless
system built on the ideals of integrated service delivery and coordination of resources
that provide effective interventions for offenders.
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015
What is TASC?
• A model that bridges two separate
systems: justice & treatment
• Links treatment & justice goals of
reduced drug use & criminal activity
• Uses processes that improve treatment
access, engagement & retention
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015
TASC:
Nationally & in NC
•
•
•
•
•
1978 First TASC Programs in NC
•
1993 10 Programs in 20 Counties
•
1994 Structured Sentencing Act
•
1998 23 Programs in 43 Counties
•
2000 SOP; DHHS-DOC MOA
•
2002 TASC services available in
all 100 counties
1972 first TASC program in
Wilmington, Delaware
•
2003 TASC Training Institute
•
2005 AOC joined MOA
2007 National TASC represents
over 200 programs
•
2007 15,000+ Offenders Served
1962 Robinson v. California addiction is an illness, not
a crime
1970s Federal government
develops model to
interrupt drug-crime cycle:
Treatment Alternatives to
Street Crime
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015
TASC Eligibility
• involved in the CJS or DOC releasee
who completed a prison substance
abuse program; &
• voluntary consent to participate; &
• evidence of a history or potential
substance abuse &/or mental health
issue, including drug-related charges
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015
TASC Core Services
• Screening & Assessment
• Referral & Placement
• Care Planning, Coordination &
Management
• Reporting Progress to Justice
System
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015
CJS Interface thru TASC
CJS = Probation Officer,
CJPP staff, Judge, DA,
PD/ Defense Atty,
DTC staff, DART staff
Referral from
CJS
TASC
Screening
Assessment
TASC monitors &
Referral to self-pay services
&/or other appropriate
community service provider
Low-Risk/Low-Need
Appropriate
Service?
No TASC service needed; or
No MHDDSAS service needed;
Or services refused
Referral back to CJS
or other appropriate
community service provider
High-Risk / High-Need
(A/CSCJO Target Pop)
Common Case Plan,
(coordinated w/ CJS)
CJS
TASC
LME
Enforcing Special
Conditions
& Supervision
Requirements
Organizing community-based
services & supports,
Urinalysis, Monitoring
progress in all services & supports,
Adjusting Common Case Plan,
Reporting to CJS
90801, Diagnostic Assessment,
Community Support, SAIOP,
SACOT, Detox, SA HH,
SA non-med residential,
SA med residential,
SA inpatient hospitalization
ASCJO & CSCJO
Adult & Child Substance Abusing Criminal Justice
Offender Target Population (ASCJO & CSCJO) to
ensure access to treatment for individuals with a
SA diagnosis who present the greatest risk to
public safety.
Eligibility includes:
 Diagnostic criteria for a substance-related disorder; and
 Services approved by a TASC care manager; and
 CJS Status as an Intermediate Punishment offender, a
Department of Correction releasee who has completed
an in-prison treatment program, or a Community
Punishment violator at-risk for revocation
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015
North Carolina TASC Network
Region 2 – Andy Miller
412 West Russell
Fayetteville, NC 28302
910.321.6796
Region 3 – Michael Gray
516 N. Trade St.
Winston-Salem, NC 27101
336.714.7080
Region 4 – Carlene Wood
370 N.Louisiana Ave, Ste. E-3
Asheville, NC 28806
828.210.0535
Region 3
Region 4
24
Watauga
Mitchell Avery
24 24
30 A
Graham
Cherokee
30 A
Clay 30A
Haywood
30 B
Jackson
30 B
Macon
30 A
Buncombe
28
Henderson
29
Transylvania
29
McDowell
29
Yadkin
23
Alexander
22
Caldwell
25 A
Yancey
24
Madison
24
Swain
30 A
Wilkes
23
Burke
25 A
Catawba
25 B
Stokes
17 B
Rockingham
17 A
Forsyth
21 A-B-C&D
Guilford
18 A-B-C-D-E
Davie
22
Davidson
22
Iredell
22
Polk
29
27 B
Cleveland
27 A
Gaston
Cabarrus
19 A
Stanly
26 A-B-C
20 B
Mecklenburg
Union
20 B
Montgomery
Orange
15 B
Anson
20 A
Moore
20 A
Richmond
20 A
Hoke
16 A
9
Warren
Northampton
6B
6A
Halifax
9
Franklin
7A
Nash
7B
Edgecombe
Wilson
7C
Johnston
11
Harnett
11
8B
Wayne
8A
Greene
2
Martin
3A
Pitt
8A
Lenoir
4A
Jones
12 A-B-C
Cumberland
Sampson
4A
Duplin
4A
6B
Hertford
1
Gates
6B
Bertie
Wake
10 A-B-C-D
16 A
Scotland
Robeson
16 B
TASC is organized into 4 regions
which reflect the state’s 4 judicial
divisions, consistent with the unified
court & statewide probation systems.
Region 1
Granville
Lee
11
19 B
9
Vance
9
19 C
Lincoln 27 B
Rutherford
29
Person
9
Chatham
15 B
Randolph
19 B
Rowan
Caswell
9A
Durham
14 A-B
23
Ashe
Region 2
Alamance
15 A
Alleghany
23
Surry
17 B
Region 1 - Wes Stewart
308 New Street
New Bern, NC 28560
252.638.3909
4B
Onslow
2
Washington
2
Beaufort
3B
Craven
2
Tyrrell
2
Hyde
3B
Pamlico
3B
Carteret
13
Bladen
Pender
5
New
Hanover
5
13
Columbus
13
Brunswick
TASC Training Institute
Dale Willetts
615 Shipyard Blvd.
Wilmington, NC 28412
910.202.5500
Dare
1
TASC Statistics
• 80% Male
• 48% Black 47% White
• 60% less than 31yo
– 20% 16-21yo
• 85% Not Married
• 52% No HS Diploma
• 32% Unemployed
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015
TASC Statistics
• Ave. length of stay:
8½ months
• $1.35 per client per day
• 2000 Recidivism
Report to the General
Assembly*
• 86% had at least 1
previous arrest (mean # 2.6)
• 61% were NOT re-arrested
within 2 years of discharge
* NC Sentencing & Policy Advisory Commission
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015
How TASC Benefits
Treatment
• Increases Client Identification
– Improving treatment outreach & access
• Provides Independent Assessment of Need
• Improves Treatment Engagement
– orients clients to tx; reduces “no shows”,
increasing tx staff productivity
• Improves Treatment Retention & Compliance
– improving tx outcomes
• Provides Support & Continuity during Tx & CJ
Transitions
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015
How TASC Benefits
Treatment
• Maintains clear Roles & Responsibilities
– Tx providers focus on client care & Probation
officers focus on supervision
• Balances Control & Treatment
– arranges goals & objectives of Tx, CJS & the client
• Improves Communication among Systems
about & with Client
• Provides addt’l information for Treatment,
Judicial & Correctional Decision-Making
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015
www.northcarolinatasc.org
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015
2007 Legislative Session:
Treatment Court Programs
Funding for services for existing
pre- & post-plea MH courts, DWI
courts & adult & family DTCs
Funds are expected to be
allocated to LMEs w/ Adult DTCs
based on the number of Active
Participants during CY05-06
In providing DTC services, LMEs
shall consult with the local DTC
team & select a tx provider that
meets all provider qualification
requirements & DTC needs.
A single tx provider may be chosen
for non-Medicaid-eligible
participants only. A single provider
may be chosen who can work with
all non-Medicaid-eligible DTC
participants in a single group.
During the 52-week DTC program,
participants shall receive an array
of tx & aftercare services that
meets the participant's level of
need, including step-down services
that support continued recovery.
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015
Adult
Drug Treatment Courts
Madison
24
30 A
Graham
Cherokee
30 A
Clay
30 A
Swain
30 A
Haywood
30 B
Jackson
30 B
Macon
30 A
Mitchell
24
Yancey
24
Buncombe
28
Henderson
29
Transylvania
29
Surry
17 B
Wilkes
23
Yadkin
23
Avery
24
Caldwell
25 A
McDowell
29
Burke
25 A
Rockingham
17 A
Forsyth
21 A-B-C&D
Caswell
9A
Guilford
18 A-B-C-D-E
Davidson
22
Iredell
22
Randolph
19 B
Rowan
Polk
29
27 B
Cleveland
27 A
Gaston
9
Orange
15 B
Union
20 B
Lee
11
19 B
Montgomery
Anson
20 A
Moore
20 A
Richmond
20 A
9
Warren
Hoke
16 A
Harnett
11
7B
Edgecombe
8A
Greene
8B
Wayne
4A
Jones
Sampson
4A
Duplin
4A
2
Martin
3A
Pitt
8A
Lenoir
12 A-B-C
Cumberland
6B
Hertford
6B
Bertie
Wilson
7C
16 A
Scotland
Robeson
16 B
7A
Nash
Wake
10 A-B-C-D
Johnston
11
1
Gates
Northampton
6B
6A
Halifax
9
Franklin
19 C
Cabarrus
19 A
Stanly
26 A-B-C
20 B
Mecklenburg
9
Vance
Granville
Chatham
15 B
Lincoln 27 B
Rutherford
29
Person
9
Davie
22
Alexander
22
Catawba
25 B
Stokes
17 B
Durham
14 A-B
24
Watauga
Alleghany
23
Alamance
15 A
23
Ashe
4B
Onslow
2
Washington
2
Beaufort
3B
Craven
2
Tyrrell
Dare
1
2
Hyde
3B
Pamlico
3B
Carteret
13
Bladen
Pender
5
13
Columbus
13
Brunswick
New
Hanover
5
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015
2007 Legislative Session:
LMEs & Jails
SECTION 10.49.(f) Within available
resources, LMEs shall work with county
public health depts & sheriffs to provide
medical assessments & medication for jail
inmates who are suicidal, hallucinating, or
delusional. LMEs shall also examine ways to
provide addt’l treatment to persons who are
determined to be psychotic, severely
depressed, suicidal, or who have substance
abuse disorders. To this end:
(1) DHHS shall work with LMEs, county
public health depts & sheriffs to develop
a statewide standardized evidencebased screening instrument to be
used when offenders are booked. The
screening tool shall be implemented by
January 1, 2008.
(2) LMEs & county sheriffs shall work
together to develop all of the following:
a. A designated LME employee
responsible for screening the daily
jail booking log for known mental
health consumers.
b. Protocols for effective communication between LME & jail staff
including collaborative development
of medication management
protocols between jail & mental
health providers.
c. Training to help detention officers
recognize signals of mental illness.
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015
2007 Legislative Session:
Crisis Intervention Teams
Provides funding to be used by:
• LMEs to develop CITs
• DMHDDSAS to develop
statewide training
capacity
DMHDDSAS will:
• Release an
application for LMEs
to request funding
for CITs
• Provide technical
assistance for
developing CITs
• Fund an annual
statewide CIT
conference
NC Division of Mental Health, Developmental Disabilities and Substance Abuse Services
7/7/2015