first year update and plans for year two a community collaboration april 2011
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First Year Update and Plans for Year Two
A Community CollaborationApril 2011
Colloquium held September 2009 Willingness in London community Offers for partnership Several agencies began to meet Support and leadership from crowns and
defense Availability and interest from Judge
Rabley Following the energy of “yes” (Wheatley) Modelled after other successful courts
Toronto Drug Treatment Court
John Howard Society
St. Leonard’s Society
LPS Federal Crown Provincial Crown Defense Counsel Probation
ADSTV WOTCH LIHC OW CAMH MSL –
Streetscape N’Amerind UWO Research
Community
30 day Assessment Period Phases of Treatment Certificates for Completion of Phases Intensive Addiction Counselling and
Case ManagementGroup Individual
Education Sessions Criminogenic Thinking Anger Management Mandatory Drug Testing
Weekly Court Attendance System of Graduated Incentives and
Sanctions Incentives and Sanctions are immediate
and equitable Unsupervised Housing at WOTCH House Volunteerism Time Management Bail Supervision 30 day assessment bed at SLCS
(intermittent)
Housing WOTCH House SLCS – Gallagher House – 30 day assessment
Addiction Counselling and Education ADSTV
Health / Primary Care LIHC NP
Volunteering (40 hours) Food bank (initially) SLCS
UDS Gamma Dynacare
London Police ServicesCurfew checks, bail conditions
JHSGroups for family, criminogenic thinking,
anger managementSanctionable hoursBail supervision
CAMHEvaluation
Tuesdays Pre Court Court
Intake and screening to determine eligibility
Assessment using ADAT Tools Pre/Post Comparison of scores
Art Therapy Program Phases I-III (30 Day assessment) Graduation Criteria Based on honesty about drug use Rooted in harm reduction philosophy
Pain Management: a concern Physical Health: very poor health Trauma: is significant Self Management: difficulty handling
pain, stress, decision – making Safe housing – many homeless or
inadequately housed with family Instincts are to panic and run
Probation notes: increased attendance, reporting habits
and better organization Increased access to counselling > usual Previously unsuccessful and now
attending appointments Curfew checks more successful Reduction in drug use and apparent
compliance with programming Reduced recidivism
LDTC program Development and Implementation Is the program delivered in the manner in
which it was originally intendedCourt, Treatment, Working Group/Steering
Committee LDTC Participant Process
Does the program accomplish what it was intended to accomplish?
Data Collection PeriodLDTC Program
Development/Implementation – qualitative- Summer 2009-June 30, 2011
LDTC Participants-quantitative/qualitative June 2010-June 30, 2011
Year One ReportSeptember 30, 2011 – qualitative analysis,
descriptive quantitative analysis
Qualitative Timeline Analysis Initial meetings, colloquium, formation of
working group, implementation of the program Partnership Formation
Key court/treatment components (Judge, Crown, Duty Council, Probation, bail Supervision, UDS), supporting services (adjunct treatment, housing, volunteer placement)
Processes, Protocols, PracticesAdmission criteria, rewards/graduated
sanctions, graduation/discharge criteria, treatment program/plan
Baseline Intake socio-demographic/psychological
characteristics, legal involvement, substance use, family/social support systems
ProcessParticipant retention (rates, length of time in
program)Changes in socio-demographic/psychological
characteristics. Interpersonal / family relationships
Changes in substance use
Changes in legal involvementFactors associated with court / treatment
complianceAvailability / accessibility of community
services/resourcesParticipant perceptions, opinions, beliefs
and experiences of the program (qualitative)
Male Age range 19-44 Incarcerated for
theft, break & enter, shoplifting
Addictions to opiates, cannabinoids and or crack cocaine
Homeless or marginally housed (8)
Unemployed (9) Living in poverty (8)
Physical health issues – liver disease, MSK impairments, poor nutrition (9)
Mental health issues – childhood trauma and abuse, insomnia, depression, anxiety (9)
Developmental issues – learning disability, ADHD (4)
Strained or dysfunctional relationships (9)
Saved the criminal justice system over $600,000
Facilitated housing for all 9 participants
Provided approximately 150 individual addiction counselling sessions
Facilitated 112 group treatment sessions
Analyzed over 500 urine drug screens
Assisted 2 individuals to maintain sobriety
Overall reduction in substance abuse for all participants
Facilitated return to school (1)
Personal identification acquired (4)
14 participants admitted – 11 males, 3 females (June 30/10 – present)
2 participants expelled from program after incurring new charges
1 Male and 1 Female dropped out before or just after the 30 day mark
1 Female transferred to Therapeutic Court
Currently 8 active participants 2 participants attended withdrawal
management services and have completed short term residential treatment
8 clients appear to be the maximum caseload at this time for 1.0 FTE staff (usually caseloads are 35-50)
Day planners work Clients have multiple barriers Advocacy is key to overcoming barriers Health care is significant in early months Criminal thinking must be addressed Communication between partners essential We are learning about each other’s worlds
Legal learning about counselling and vice versa Our clients are hurting, afraid, in pain Change happens very slowly (trust)
Donations YMCA passes Programs at WOTCH House Person with Lived Experience – Security
Tenant at WOTCH House Community Service Opportunities Employment Opportunities
All partners carrying on for another year Seeking funding Sharing evaluation results Collaboration with other programs
nationally CADTC conference in Toronto in Nov
2011
Steering Committee – 4 x a year Operations Committee – 1 x month Regular Communication Planning on shared professional
development 2 retreats to date – annual plans Consensus Models for Decision Making
http://www.nadcp.org/learn/all-rise
Canadian / Ontario version needed
Questions? Discussion? Thank you!
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