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Rx16 vs nadcp_tues_800_1_walton
Drug treatment courts are specialized interventions aimed at assisting individuals with substance use and mental health disorders, promoting long-term recovery, family reunification, community protection, and cost savings. They provide evidence-based treatment, community supervision, and medication-assisted treatment to combat the opioid epidemic, demonstrating effectiveness in reducing drug use, recidivism, and improving family dynamics. The vision for these courts emphasizes accessible treatment for all participants, overdose prevention education, and the safe use of overdose reversal medications.
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Rx16 vs nadcp_tues_800_1_walton
- 1. DRUG TREATMENT COURTS HOW AMERICA’S MOSTTRUSTED ALTERNATIVE TO INCARCERATION IS PROVIDING HOPE IN THE MIDST OF THE RX DRUG ABUSE AND OPIATE EPIDEMIC TERRENCE D. WALTON CHIEF OPERATING OFFICER NATIONAL ASSOCIATION OF DRUG COURT PROFESSIONALS
- 2. WHAT DRUG COURTSARE Specialized problem-solving, multi-agency, multi- disciplinary interventions, led by a judge, magistrate or other judicial officer Adult and juvenile offenders/defendants with substance use and/or mental health disorders Parents with substance use disorders who have pending child welfare cases
- 3. WHY DRUG COURTSEXIST To assist justice sytem-involved individuals who have behavioral health conditions experience long term recovery ● Save lives ● Reunite Families ● Protect Communities ● Save Money
- 4. WHAT DRUG COURTSDO • Treat and Supervise High Risk, High Need Participants • Provide Evidence-Based Treatment & Social Services • Provide Community Supervision, Drug Testing, Case Management • Administer Incentives and Sanctions • Grant Favorable Criminal Justice Outcomes for Graduates • Abide by Adult Drug Court Best Practice Standards
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- 7. DRUG COURTS WORK •When matched to comparable offenders during a 2010 NIJ multi-site drug court evaluation, drug court participants were significantly less likely to relapse to drug use and those who did relapse used less and recovered more quickly • Drug court participants committed significantly fewer criminal acts after participating in program than the comparison group • Drug court participants experienced significantly less family conflict; were more likely to be enrolled in school; and needed less assistance with employment or financial issues
- 8. Drug Courts andthe Heroin/Pharmaceutical Opioid Epidemic
- 9. DRUG COURTS &THE EPIDEMIC • Drug Courts serving large urban areas have dealt successfully with heroin addiction since their inception • Baltimore, MD • Brooklyn, NY • Cleveland, OH • Combination of evidence-based cognitive behavioral therapy and medication-assisted treatment, most commonly methadone maintenance (more recently buprenorphine and naltrexone)
- 10. DRUG COURTS &THE EPIDEMIC • Expansion of Rx opiate and heroin use to non-urban areas has challenged these drug courts to increase their ability to provide effective treatment, including MAT • Heroin/Rx Opiates primary drug for: • 22% of urban drug courts • 31% of rural drug courts • 34% of suburban drug courts
- 11. THE DRUG COURTAPPROACH Court Monitorin g CBT MAT ODP Communit y Supervisio n & Drug Testing Incentives & Sanctions Clinical Case Manageme nt
- 12. MEDICATION-ASSISTED TREATMENT The use ofmedications, in combination with counseling and behavioral therapies, to provide a whole-patient approach to the treatment of substance use disorders.
- 13. DRUG COURTS ANDMAT • 2012 study reported the following percentages of drug courts offering MAT : • 76% of urban courts • 58% of suburban courts • 45% of rural courts • Cost and availability were the biggest barriers • A drug court participant is 10 times more likely to receive MAT than others on probation or parole • A drug court participant is 5 times more likely to receive MAT than a typical patient in substance use disorder treatment
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- 15. THE VISION • Evidence-basedtreatment, including MAT when needed, is readily available and accessible to every drug court participant regardless of income, geographic location, or other demographic variables • No one dies of overdose, while waiting to experience the empowering benefits of drug court treatment
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- 17. 1) Drug courteducates participants, family members, and close acquaintances about avoiding or reversing overdose 2) Drug court supports local efforts to teach Drug Court personnel, probation officers, law enforcement and other first responders to lawfully, safely, and correctly use overdose reversal medications like naloxone Overdose Prevention
- 18. OVERDOSE PREVENTION CARDCREATED BY A MINNESOTA DRUG COURT FOR PARTICIPANTS FOLLOWING A FATAL HEROIN OVERDOSE HEROIN OVERDOSE PREVENTION Heroin can be especially deadly for people who have had a period of sobriety and relapse. DO NOT USE HEROIN. Heroin risk factors include: Taking heroin or other opiates with other drugs, especially alcohol and benzodiazepines (Klonopin, Xanax, Ativan, Valium, etc.) can be deadly Using alone can be deadly An overdose plan can save someone’s life. Access to naloxone (marketed under the name NARCAN), can counteract the effects of a heroin overdose within minutes. Training in how to use NARCAN is available. If someone is overdosing on heroin, CALL 911. “Steve’s Law” provides limited immunity to people who call 911 in good faith to save a life. Steve’s Law also provides limited immunity to the person experiencing the overdose as well.
- 24. DRUG TREATMENT COURTS HOW AMERICA’S MOSTTRUSTED ALTERNATIVE TO INCARCERATION IS PROVIDING HOPE IN THE MIDST OF THE RX DRUG ABUSE AND OPIATE EPIDEMIC [email protected]
Editor's Notes
- #6 BJA Statistics
- #7 BJA Statistics
- #8 Link to Multi-Site Drug Court Evaluation: http://www.nij.gov/topics/courts/drug-courts/pages/madce.aspx
- #11 Based on the 2014 Painting the current picture survey Increases seen in the rural and suburban numbers especially.
- #12 CBT- cognitive behavioral therapy MAT-medication assisted treatment ODP- overdose prevention
- #14 Here is a link to the study: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3602216/
- #22 Dying To Be Free There’s A Treatment For Heroin Addiction That Actually Works. Why Aren’t We Using It? By Jason Cherkis January 28, 2015