Alcohol and Other Drug Treatment Court (AODTC) Pilot. Fiona Trevelyan Treatment Network Project Manager

Full text

(1)

Alcohol and Other

Drug Treatment Court

(AODTC) Pilot

Fiona Trevelyan

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Local Experience

O Waitakere and Auckland District Courts

• Judges have a ‘box seat’ position

• Offenders on a merry-go-round due to addiction • Chronic repeat drink-driving

• Behind statistics are people – • offenders, families and victims • AODTC Pilot = opportunity to do

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Why AODTCs?

• High recidivism rates

• Overwhelming court lists

• Loss of trust and confidence in the

criminal justice system

• Prison overcrowding

• Offenders weren’t any better off after

incarceration

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10 Key Components

• Integrate treatment in justice processing

• Non-adversarial approach

• Identify clients early

• Continuum of services

• Frequent testing to ensure

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10 Key Components cont.

• Coordinated strategy of responses

• Judicial interaction

• Program evaluation

• Continuing education

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Court Processes

• One Pilot – Two Courts – Auckland and Waitakere • 100 Participants per year

• Prospective participants will be identified through

Pre-Assessment Process in the District Courts

• Eligibility Criteria will apply

• Determination Hearing will be held to confirm

Eligibility

• Once on the Programme participants may be held for

up to 18 months pre-sentencing

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Eligibility Criteria

• High risk/high needs i.t.o reoffending and

risk to self, family & community

• Offending that is being driven by AOD

dependency

• Moderate-severe substance-related

dependence

• Not severe mental health issues • Medium / high RoC/RoI scores • Sentence up to 3 years

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Eligibility Criteria Cont.

• Guilty plea

• No other charges

• Willing to participate in the AODTC

programme

• 17 years and over

• NZ citizen or resident in District Court

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Who is involved in the AODT

Court?

• Judge

• Participants – 50 in each Court site

• Court Co-ordinator

• Police Prosecution

• Defence Counsel

• Court staff

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Alcohol and Other

Drug Treatment Court

(AODTC) Pilot

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The AOD Court Treatment

Provider Network

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The treatment provider

network (1)

O

Joint approach between treatment

providers

O

Odyssey House: contract

management & Case Management/

bed options

O

Salvation Army: Peer Support/ Beds &

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O

Higher Ground: pre admission

support, residential beds & continuing

care

O

Focus on ‘packages’ of flexible client

centred responses

O

Ability to access existing funded

services

The treatment provider

network (2)

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Harmony Trust Tupu services Man Alive Salvation Army Community Ministries Services: budgeting, Employment Plus, etc Partner contract

Flexi fund purchase Community services funded externally

Oasis gambling

treatment

Drug Court Treatment Provider Network Odyssey House

Residential beds (adult & co-existing disorder) Odyssey House Lead contract holder Higher Ground Residential beds Aftercare services &

accommodation Salvation Army Residential beds Aftercare services Day programme Management team Funded affiliated services, eg, literacy Specialist Māori AOD services CADS Mt Eden Intensive Te Atea Marino services Externally funded support

Steering Group: Salvation Army / Odyssey / Higher Ground/ Judiciary / CADS / Consumer Maori / Pacific representatives

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Network STRENGTHS

O

Experience in delivering AOD

services both in Auckland and

nationally

O

Pre-existing relationships justice

O

Collaboration

O

Consumer focus

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Network STRENGTHS

O

Continuing care

O

Flexibility

O

Contract management experience

O

Innovative

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HOW WE WORK

TOGETHER

O Role of the Management Group

- Contract oversight CEO/Director level - Over seeing the Statement of Intent - Resolving issues/disputes

O Role of the Steering Group

- Oversight and guidance to the clinical workings

O Day to day management via the project

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AOD Court Treatment Provider Network Suite of complementary intensive AOD

treatment options Partnerships with critical complementary AOD treatment and adjunctive service providers Co-located case mgmt/ peer support Multiple service sites to support accessibility Extensive internal/ external service networks: comprehensive range of adjunctive services Experience in effective use of peer support/case management Steering group management including Maori/Pacific /Consumer reps Cultural competence Commitment and willingness to work collaboratively with the MOH to

drive positive outcomes Collaboration of experienced providers with established relationships

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PROGRESS TO DATE

O Staff appointed

O Project Manager

O Case Managers

O Peer Support

O TSA Day programme

O Orientation completed

O Partnership agreements in place O AODTC opened 1November 2012

O First participants accepted 8 November O 30 to date

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Challenges

O No lead in time

O Understanding role function and scope

O Interface between Health and Justice

O High Risk/High Needs participants

O 85% Participants need residential

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Role of Case Manager

O Case Manager = facilitator & communicator

• Treatment Plan

• Detox

• Out-patient counselling • Support Groups (12-step) • Residential treatment

• Exit planning with continuing care

• Needs Assessment

• Co-existing issues, • Health issues

• Anger management,

• Employment related skills/training

requirements,

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Role of Peer Support Worker

O Peer Support Worker recovery-focussed practical

assistance

• Hope, sharing of stories and life experience

• Linking to services and supports

• Preparation for treatment

• Encouraging engagement

• Support to prevent relapse

• Peer support at individual or group level

• During, after & waiting to get into treatment

•It is not the role of the Peer Support Worker to cover

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Doing drugs and doing crime Was always a favourite pastime Doing the drugs was always fun

It was the detox part that wasn’t the one Now in alcohol and drug court

I’m finally getting some support

I’m finding out that I’m capable of living drug free I’m exploring real issues and discovering the real me I’m moving on from the monster I used to be

I’m now discovering my inner beauty In my future I see myself in a better place A life of happiness without any disgrace A responsible mother to my son

A beautiful daughter to my mum

A published book to share my life’s story To anyone who wants to hear

A person who hasn’t got a habit Without detox to fear

Figure

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