SBIRT AND THE CRIMINAL JUSTICE Tracy McPherson, PhD Senior - PDF document

3/12/14 ¡ Webinar Facilitator SBIRT AND THE CRIMINAL JUSTICE Tracy McPherson, PhD Senior Research Scientist SYSTEM Substance Abuse, Mental Health and Criminal Justice Studies NORC at the University of Chicago PRESENTED BY: 4350 East West Highway 8th Floor, Bethesda, MD 20814 THE BIG Initiative, National SBIRT ATTC, esap1234@gmail.com NORC, and NAADAC March 12, 2014 Produced in Partnership… 2014 SBIRT Webinar Series Archived - ACA and Addiction Treatment: ¨ Implications, Policy and Practice Issues Archived - Overview of SBIRT: A Nursing Response ¨ to the Full Spectrum of Substance Use Today - SBIRT in the Criminal Justice System ¨ 4/9/14 - Reducing Opioid Risk with SBIRT ¨ 5/14/14 - Treatment of Tobacco Dependence in the ¨ Healthcare Setting: Current Best Practices 6/11/14 - Applying SBIRT to Depression, ¨ Prescription Medication Abuse, Tobacco Use, Trauma & Other Concerns 7/9/14 - Training Integrated Behavioral Health in ¨ Social Work 8/6/14 - Why Integrative Care? ¨ ¨ hospitalsbirt.webs.com/webinars.htm Access Materials CE Credit ¨ 1 free CE ¨ PowerPoint Slides ¨ Complete free online CE quiz ¨ Recording ¨ Resources ¨ Approved by NAADAC, NASW, and NBCC, ¨ Free CEs accredited by the American Probation & Parole Association, and accepted by OASAS hospitalsbirt.webs.com/criminaljusticesbirt.htm hospitalsbirt.webs.com/criminaljusticesbirt.htm 1 ¡

3/12/14 ¡ Ask Questions Technical Facilitator Misti Storie, MS, NCC Ask questions Director of Training & through the Professional Development “Questions” Pane NAADAC, the Association for Addiction Professionals misti@naadac.org Will be answered live at the end Presenters SBIRT AND THE CRIMINAL JUSTICE SYSTEM Angela L. Ellis, BS, CARS Supervisor Deferred Prosecution Programs Cook County (Illinois) operations for TASC AEllis@tasc-il.org Alicia Kusiak, Director ! TASC- Illinois The Problem: Multiple thousands of people Learning Objectives sitting in jail with substance use issues By participating in this webinar, you will gain: ¨ Basic understanding of the SBIRT model ¨ Descriptions and application of the tools ¨ Knowledge of the Cook County Model ¨ Determine whether this is a model that will work within your jurisdiction. 2 ¡

3/12/14 ¡ The Criminal Justice System is the single largest SBIRT - Concept and Design referring source to substance abuse treatment ¨ SBIRT uses a public health approach to universal screening for substance use problems. ¨ SBIRT provides: ¤ Immediate rule out of non problem users; ¤ Identification of levels of risk; ¤ Identification of patients who would benefit from brief advise; ¤ Identification of patients who would benefit from higher level of care, and; ¤ Progressive levels of clinical interventions based on need True or False ? True and motivation for change. Screening Brief intervention and Referral to Primary Goal Treatment (SBIRT-II) ¨ Is a comprehensive, integrated, public health ¨ The primary goal of SBIRT is not to identify those approach to the delivery of early intervention and who have a substance use disorder and need higher treatment services with substance use disorders; levels of care. ¨ Is accessed in primary care centers, emergency ¨ The primary goal of SBIRT is to identify those who rooms, trauma centers and criminal justice settings to are at moderate or high risk for psycho social or provide opportunities for early intervention with at health care problems related to their substance use risk substance users before more severe choices. consequences occur. Highlights of Illinois Model Point of Interest ¨ No more than 15% of the expanded SBIRT services are to be provided to adults involved in the criminal ¨ Federally funded 5 year grant justice system within non correctional community settings located in the same geographic area. ¨ Based in Illinois- Cook County ¨ Collaboration with Illinois DASA, TASC, Aunt Martha’s and ACCESS, Light House, State’s Attorney’s Office and Substance Abuse treatment providers. 3 ¡

3/12/14 ¡ Need for SBIRT Services Among Why SBIRT-II in Criminal Justice Settings? CJ Involved Persons ¨ The criminal justice system is a major catchment ¨ Prevalence of alcohol and other drug problems/ area for people with high risk alcohol and drug use in criminal justice use behaviors. ¨ Opportunity to identify risk and intervene early ¨ DOJ data demonstrates more than 80% or arrestees have used alcohol or illegal drugs within 3 days of arrest. ¨ Relevant to rehabilitate & recidivism ¨ More than 60 % of jail and prison inmates have ¨ Screening as brief intervention been found to meet dependence criteria. Illinois TASC Model Tools ¨ Targeted area in the CJ system where existing programs for service/linkages do not exist. ¨ Wanted to screen defendants who were getting no screening and/or assessment. ¨ Collaborated with the State’s Attorney office to set up model ¨ Collaborated with Pre-trial Services to set up process Settings Population SBIRT in Illinois operates in the following criminal ¨ Adult offenders with no previous felony convictions justice settings: ¨ Charged with a specific non violent offense ¨ Courthouses (Urban and suburban settings) ¨ Majority male clients ¨ Felony and Misdeamenor Courtrooms ¨ Age range 18-70 years old ¨ A.M. and P.M. court calls ¨ 5 Courtrooms with rotating Judges ¨ Mean age 23 years old Staff operate within the courthouses in a private area. ¨ Language - primary English 4 ¡

3/12/14 ¡ Court Programs Common Charges Operate in two Diversion Programs: ¨ Retail theft ¨ Theft ¨ MDPP - Misdemeanor Deferred Prosecution Program ¨ Burglary ¨ Possession of a stolen vehicle ¨ DPP - Deferred Prosecution Program ¨ Identity Theft Goals of SBIRT in CJ System Advantages ¨ Screening quickly assesses the severity of substance use ¨ To provide effective early intervention to defendants and identifies the appropriate level of treatment ¨ To link people to treatment services based on individual ¨ Brief intervention focuses on increasing insight and need(s). awareness regarding substance use and motivation toward behavior change ¨ To educate the criminal justice system on the prevalence of drug use/abuse/addiction within the courts. ¨ Referrals to treatment provides those identified as needing more treatment with access to specialty care. ¨ To assist Illinois in preparation for health care reform. Advantages (cont) Possibilities ¨ Advocacy for client population ¨ Reduces stigma- medical model ¨ Expansion opportunities ¨ EBP (Judges and providers LIKE it) ¨ Increased referrals to build community capacity ¨ Brief and easily adaptable (Staff and clients LIKE it) working in conjunction with ACA ¨ Education and raised awareness of substance use in the criminal justice system ¨ Stigma Buster- makes addiction a public health issue ¨ Education and raised awareness of community treatment and treated in a mainstream manner network ¨ Education about primary health issues and resources 5 ¡

3/12/14 ¡ The power to affect change is in your Most Importantly hands…. ¨ Identifying people who need assistance and link them to service(s) ¨ Educating clients about the resources that exist in their communities (treatment and primary health care) ¨ Continue to work with our partners to make a difference. Contact Information THANK YOU FOR YOUR ATTENTION DURING Angela Ellis- Supervisor OUR PRESENTATION… TASC- Cook County aellis@tasc-il.org (312) 573-8306 Alicia Kusiak- Director TASC- Cook County akusiak@tasc-il.org (312) 573-8371 Ask Questions In Our Last Few Moments… Ask ¨ PowerPoint Slides questions ¨ CE Quiz through the “Questions” ¨ Recording Pane ¨ Free CEs ¨ Survey Will be answered ¨ Follow-up Email live at the end hospitalsbirt.webs.com/criminaljusticesbirt.htm 6 ¡

3/12/14 ¡ 2014 SBIRT Webinar Series Thank You for Attending! Archived - ACA and Addiction Treatment: ¨ Implications, Policy and Practice Issues Archived - Overview of SBIRT: A Nursing Response ¨ to the Full Spectrum of Substance Use Today - SBIRT in the Criminal Justice System ¨ 4/9/14 - Reducing Opioid Risk with SBIRT ¨ www.norc.org hospitalsbirt.webs.com www.ireta.org/ATTC 5/14/14 - Treatment of Tobacco Dependence in the ¨ Healthcare Setting: Current Best Practices 6/11/14 - Applying SBIRT to Depression, ¨ Prescription Medication Abuse, Tobacco Use, Trauma & Other Concerns 7/9/14 - Training Integrated Behavioral Health in ¨ Social Work 8/6/14 - Why Integrative Care? ¨ www.naadac.org ¨ hospitalsbirt.webs.com/webinars.htm www.hospitalsbirt.webs.com/webinars.htm 7 ¡