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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

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SBIRT AND THE CRIMINAL JUSTICE SYSTEM

PRESENTED BY: THE BIG Initiative, National SBIRT ATTC, NORC, and NAADAC

March 12, 2014

Webinar Facilitator

Tracy McPherson, PhD

Senior Research Scientist Substance Abuse, Mental Health and Criminal Justice Studies NORC at the University of Chicago 4350 East West Highway 8th Floor, Bethesda, MD 20814 esap1234@gmail.com

Produced in Partnership… 2014 SBIRT Webinar Series

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Archived - ACA and Addiction Treatment: Implications, Policy and Practice Issues

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Archived - Overview of SBIRT: A Nursing Response to the Full Spectrum of Substance Use

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Today - SBIRT in the Criminal Justice System

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4/9/14 - Reducing Opioid Risk with SBIRT

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5/14/14 - Treatment of Tobacco Dependence in the Healthcare Setting: Current Best Practices

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6/11/14 - Applying SBIRT to Depression, Prescription Medication Abuse, Tobacco Use, Trauma & Other Concerns

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7/9/14 - Training Integrated Behavioral Health in Social Work

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8/6/14 - Why Integrative Care?

¨ hospitalsbirt.webs.com/webinars.htm

Access Materials

¨ PowerPoint Slides ¨ Recording ¨ Resources ¨ Free CEs

hospitalsbirt.webs.com/criminaljusticesbirt.htm

CE Credit

¨ 1 free CE ¨ Complete free online CE quiz ¨ Approved by NAADAC, NASW, and NBCC,

accredited by the American Probation & Parole Association, and accepted by OASAS hospitalsbirt.webs.com/criminaljusticesbirt.htm

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Ask Questions

Ask questions through the “Questions” Pane Will be answered live at the end

Technical Facilitator

Misti Storie, MS, NCC

Director of Training & Professional Development NAADAC, the Association for Addiction Professionals misti@naadac.org

Presenters

Angela L. Ellis, BS, CARS

Supervisor Deferred Prosecution Programs Cook County (Illinois)

perations for TASC

AEllis@tasc-il.org

SBIRT AND THE CRIMINAL JUSTICE SYSTEM

Alicia Kusiak, Director TASC- Illinois

Learning Objectives

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.

The Problem: Multiple thousands of people sitting in jail with substance use issues

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The Criminal Justice System is the single largest referring source to substance abuse treatment

True or False ?

True

SBIRT - Concept and Design

¨ 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

and motivation for change.

Primary Goal

¨ The primary goal of SBIRT is not to identify those

who have a substance use disorder and need higher levels of care.

¨ The primary goal of SBIRT is to identify those who

are at moderate or high risk for psycho social or health care problems related to their substance use choices.

Screening Brief intervention and Referral to Treatment (SBIRT-II)

¨ Is a comprehensive, integrated, public health

approach to the delivery of early intervention and treatment services with substance use disorders;

¨ Is accessed in primary care centers, emergency

rooms, trauma centers and criminal justice settings to provide opportunities for early intervention with at risk substance users before more severe consequences occur.

Highlights of Illinois Model

¨ Federally funded 5 year grant ¨ 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.

Point of Interest

¨ No more than 15% of the expanded SBIRT services

are to be provided to adults involved in the criminal justice system within non correctional community settings located in the same geographic area.

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Need for SBIRT Services Among CJ Involved Persons

¨ The criminal justice system is a major catchment

area for people with high risk alcohol and drug use behaviors.

¨ DOJ data demonstrates more than 80% or

arrestees have used alcohol or illegal drugs within 3 days of arrest.

¨ More than 60 % of jail and prison inmates have

been found to meet dependence criteria.

Why SBIRT-II in Criminal Justice Settings?

¨ Prevalence of alcohol and other drug problems/

use in criminal justice

¨ Opportunity to identify risk and intervene early ¨ Relevant to rehabilitate & recidivism ¨ Screening as brief intervention

Illinois TASC Model

¨ 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

Tools Settings

SBIRT in Illinois operates in the following criminal justice settings:

¨ Courthouses (Urban and suburban settings) ¨ Felony and Misdeamenor Courtrooms ¨ A.M. and P.M. court calls ¨ 5 Courtrooms with rotating Judges

Staff operate within the courthouses in a private area.

Population

¨ Adult offenders with no previous felony convictions ¨ Charged with a specific non violent offense ¨ Majority male clients ¨ Age range 18-70 years old ¨ Mean age 23 years old ¨ Language - primary English

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Court Programs

Operate in two Diversion Programs:

¨ MDPP - Misdemeanor Deferred Prosecution

Program

¨ DPP - Deferred Prosecution Program

Common Charges

¨ Retail theft ¨ Theft ¨ Burglary ¨ Possession of a stolen vehicle ¨ Identity Theft

Goals of SBIRT in CJ System

¨ To provide effective early intervention to defendants ¨ To link people to treatment services based on individual

need(s).

¨ To educate the criminal justice system on the prevalence

f drug use/abuse/addiction within the courts.

¨ To assist Illinois in preparation for health care reform.

Advantages

¨ Screening quickly assesses the severity of substance use

and identifies the appropriate level of treatment

¨ Brief intervention focuses on increasing insight and

awareness regarding substance use and motivation toward behavior change

¨ Referrals to treatment provides those identified as

needing more treatment with access to specialty care.

Advantages (cont)

¨ Advocacy for client population ¨ Reduces stigma- medical model ¨ EBP (Judges and providers LIKE it) ¨ Brief and easily adaptable (Staff and clients LIKE it) ¨ Education and raised awareness of substance use in the

criminal justice system

¨ Education and raised awareness of community treatment

network

¨ Education about primary health issues and resources

Possibilities

¨ Expansion opportunities ¨ Increased referrals to build community capacity

working in conjunction with ACA

¨ Stigma Buster- makes addiction a public health issue

and treated in a mainstream manner

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Most Importantly

¨ 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.

The power to affect change is in your hands….

THANK YOU FOR YOUR ATTENTION DURING OUR PRESENTATION…

Contact Information

Angela Ellis- Supervisor 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

Ask questions through the “Questions” Pane Will be answered live at the end

In Our Last Few Moments…

¨ PowerPoint Slides ¨ CE Quiz ¨ Recording ¨ Free CEs ¨ Survey ¨ Follow-up Email

hospitalsbirt.webs.com/criminaljusticesbirt.htm

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2014 SBIRT Webinar Series

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