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!