Best Practices 10 key Components of Drug Courts 16 Strategies of - - PDF document

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Best Practices 10 key Components of Drug Courts 16 Strategies of - - PDF document

5/9/2012 By: Jon Grossman and Derek Allen Best Practices 10 key Components of Drug Courts 16 Strategies of Juvenile Drug Courts Juvenile Drug Court Roles Evidence Based Treatment Important Components of Juvenile Drug Court


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By: Jon Grossman and Derek Allen

Best Practices

  • 10 key Components of Drug

Courts

  • 16 Strategies of Juvenile Drug

Courts

  • Juvenile Drug Court Roles
  • Evidence Based Treatment
  • Important Components of

Juvenile Drug Court

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Juvenile Drug Court Roles

  • Judge
  • Probation
  • Treatment
  • Youth
  • Family
  • actively listens,
  • is someone whom the youth believes

understands the problems of somebody their age,

  • and is able to effectively and actively

communicate to the youth that he has a genuine interest and knowledge in their life concerns (Chambers, 2011).

It’s all about the handshake

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Nothing matters more than… the quality of the interaction between the judge, the juvenile and the family

(Chambers, 2011).

Probation

Manage the intensive supervision, act as a liaison between treatment, court and community (National Council of

Juvenile and Family Court Judges ).

Coordinate activities and schedules for the juvenile.

The PO & SO are Key

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Treatment

Engages and motivates youth and families Provides the structure for change by using EBPs Reframes the past into hope for the present and the future Builds on strengths of youth & family Emphasizes responsibility for change

Treatment Components

Utilizing appropriate incentive/sanction ratio (4:1 ratio) (National Council of Juvenile and

Family Court Judges).

Treatment Dosage Linking to community resources Providing Trauma Based Therapy Focusing on strengths Providing home based therapy to engage family members Being responsive to cultural differences Providing gender appropriate treatment

(Belenko & Dembo, 2003).

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Youth

Be accountable Comply with Drug Court Reduce negative peer group association Increase exposure to pro-social peers, adults and activities

Family

By building alliances with families, recognizing their strengths, and helping them address possible barriers to change; we can significantly increase the youth’s chance for a positive outcome and successful graduation from Drug Court. (National Council of

Juvenile and Family Court Judges).

Youth can’t be successful without the commitment and support of the family.

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EBP

Motivational Interviewing Moral Reconation Therapy Motivational Enhancement Therapy/Cognitive Behavioral Therapy

Why Use EBPs

  • Allows all team members

to have same knowledge and expectations

  • Offers a structure that research

has validated program effectiveness

  • Optimizes learning thru an

integrated progression

  • Based on change and learning

theories (Danicourt & Harriott, 2005).

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Motivational Interviewing

  • A tool to promote behavioral change originating

in the client

  • Emphasizes genuine, respectful and concerned

rapport

  • Focuses on exploring and resolving

ambivalence

  • Concentrates on the client’s personal

motivations for change

  • Helps client explore, recognize and find their
  • wn resolution to change behavior they view as

a problem (The Mid-Atlantic Addiction Technology

Transfer Center , 1999).

Moral Theories & Principles

Engages youth to develop moral codes critical for healthy decision making

Makes the youth more intentional about their life choices and influence on others Young children base moral judgments on consequences Older children base moral judgments on intentions

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Kohlberg’s Stages of Moral Development

MRT

  • A CBT program that leads to enhanced moral

reasoning and better decision making

  • Designed to reduce recidivism
  • Rule Oriented (Little, 2004).

Evidence Based Program reviewed by SAMHSA Developed in 1985 by

  • Dr. Gregory Little and
  • Dr. Kenneth Robinson

Reconation: the process of making conscious decisions

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Implementation of MRT

  • Concentrated on 16 steps (only 12 used in

group; 4 are for aftercare)

  • Steps are based on Kohlberg’s stages
  • Structure allows progression/digression

among steps and moral development

  • Individualized and independent progress
  • Youth have to present in

group and can pass only

  • ne step at a time (Little, 2004).

Benefits of MRT

  • Easy to implement
  • Promotes compliance to rules and

accountability

  • Promotes higher moral reasoning
  • Eliminates excuses and justifications for

negative behavior

  • Success is easy to measure
  • Treatment is consistent and

transferrable

  • Allows for punishment and positive

reinforcement (Little, 2004).

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Public Service Hours

 Cannot be used to help friends/family  Connects youth to the community and to positive role models  Requires personal interaction and not just “work”  Focus is on developing empathy  Steps 6 and 9 each require 10 hours  Hours/activity must be for someone where the youth clearly gets nothing in return except credit for the time

(Little, 2004).

MRT Parent Program

Structured program of 12 sessions A cognitive behavioral educational approach designed to change thinking and behavior about parenting Designed to teach positive parenting skills and attitudes to parents

 Utilizes some of

the same exercises that the youth complete in their program (Little, 2004).

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MET/CBT5

Structured Sessions that focus

  • n “thirds”

 1/3 rapport and review of progress  1/3 Session task (introducing/teaching, in- session practice exercises)  1/3 Summarize and link to next session (assigning real-life practice between sessions)

  • MET is designed for individual counseling

(2 sessions)

  • CBT portion is designed for group therapy

sessions (3 sessions)

developed by CSAT and OJJDP and NDCI

MET-CBT5 Exercises

  • Personal Feedback Report
  • Personal Goal Worksheet
  • Knowledge is Power Form
  • Substance Refusal Skills
  • Enhancing One’s Social Support

Network

  • Engaging in Replacement Activities
  • Steps for Problem Solving
  • Planning for Emergencies and Coping

with Relapse/ Personal Emergency Plan

(Danicourt & Harriott, 2005).

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What we can do better

Recognizing positive behaviors Creative sanction brainstorming Accessing the community Engaging families and support persons Addressing trauma factors Providing a method to analyze recidivism and drop outs to determine how to do a better job

(Lipsey, Howell, Kelly, Chapman & Carver, 2010).

A Victim’s Story

I started using marijuana at 10 and drinking 40s

  • followed. I like the high. It calms me. It

makes me forget about my pain. Ever since we were little my mom has never been there for us. We’ve been going in and out of group homes since I was 5 and it hurts me a lot because I feel my mom doesn’t care and is just doing her own thing. It hurt me I lost my brother to gangs, drugs and

  • alcohol. He always watched over me and now he

can’t be there for me. I lost my cousin because she huffed airdust and froze her brain and it stopped her heart. She was like an older sister and now she is in the cemetery. I care about my grandma because she took care of me but I never really listened to her. I want to change that. My grandma tells me to stop using and keeps telling me. I want to stop.

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“Drug court has helped me stay

  • ut of DOC. It

has helped me stay clean so far, and maintain a sober lifestyle with my family. It is helping me learn to cope with my emotions.”

Graduation is the first step

To a healthy life and future

Drug Courts Work!

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Chambers, B. (2011, March 20). [Web log message]. Retrieved from http://www.reclaimingfutures.org/blog/juvenile- drug-courts-what-works-emerging-research-John-Roman Danicourt, W., & Harriott, C. U.S. Department of Justice, Office of Juvenile Delinquency and Prevention. (2005). Breif intervention and referral to treatment: Motivational enhancement therapy and cognitive behavioral therapy. Alexandria, VA: National Drug Court Institute Lipsey, M.W., Howell, J.C., Kelly, M.R., Chapman, G., & Carver, D. (2012, December). Improving the Effectiveness of Juvenile Justice Programs Retrieved on April 2, 2012, from http://cjjr.georgetown.edu/pdfs/ebp/ebppaper.pdf Little, G. L. (2004). Treating juvenile offenders and at-risk youth with mrt: Comprehensive review of outcome literature. Cognitive Treatment Review, 13(2), 1-4. Retrieved from http://www.moral-reconation-therapy.com/cbtrjournal.html National Council of Juvenile and Family Court Judges (n.d.). Family Engagement. NCJFCJ. Retrieved April 2, 2012, from http://www.ncjfcj.org/our-work/family-engagement

References Continued

National Council of Juvenile and Family court Judges (n.d.). Focus on Strengths. NCJFCJ. Retrieved April 2, 2012, from http://www.ncjfcj.org/our-work/focus-strengths National Council of Juvenile and Family Court Judges (n.d.). Gender-Appropriate Services. NCJFCJ. Retrieved April 2, 2012, from http://www.ncjfcj.org/our-work/gender-appropriate-services National Council of Juvenile and Family Court Judges (n.d.). Goal-oriented incentives and sanctions. NCJFCJ. Retrieved April 2, 2012, from Goal-oriented incentives and sanctions. (n.d.). Retrieved from http://www.ncjfcj.org/our-work/goal-oriented-incentives-and- sanctions National Council of Juvenile and Family Court Judges (n.d.). Judicial Involvement and Supervision. NCJFCJ. Retrieved April 2, 2012, from http://www.ncjfcj.org/our-work/judicial-involvement-and- supervision The Mid-Atlantic Addiction Technology Transfer Center (1999). An overview of motivational interviewing. Motivational

  • Interviewing. Retrieved April 2, 2012, from

http://www.motivationalinterview.org/Documents/1%20A%20MI%20 Definition%20Principles%20&%20Approach%20V4%20012911.pdf