65
October 26, 2016| Billings, MT Montana Drug Court Conference Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II Phil Breitenbucher, MSW Director, Family Drug Court Programs Alexis Balkey, BA, RAS Program Manager, Family Drug Court Program

Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

  • Upload
    others

  • View
    0

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

October 26, 2016| Billings, MT

Montana Drug Court Conference

Inspiring Outcomes: Lessons Learned from

Family Drug CourtsPart II

Phil Breitenbucher, MSWDirector, Family Drug Court Programs

Alexis Balkey, BA, RASProgram Manager, Family Drug Court Program

Page 2: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Important Practices of FDCs

•System of identifying families• Timely access to assessment and treatment services

• Increased management of recovery services and compliance with treatment• Systematic response for participants – contingency management• Increased judicial oversight

Sources: 2002 Process Evaluation and Findings from 2015 CAM Evaluation

• Collaborative non-adversarial approach grounded in efficient communication across service systems and court

• Improved family-centered services and parent-child relationships

Page 3: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Key Family Drug Court Ingredients

Increased management of recovery services and compliance with treatment

Page 4: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

• More frequent review hearings• Judicial Oversight• Responses to behavior• Case Staffings• Drug testing

Monitoring Cases

Page 5: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Titles and Models• Recovery Support Specialist• Substance Abuse Specialist• Recovery Coach• Recovery Specialist• Parent Recovery Specialist

• Peer Mentor• Peer Specialist• Peer Providers• Parent Partner

What does our program and community need?YOU NEED TO ASK:

Experiential Knowledge, Expertise

Experiential Knowledge, Expertise Experiential Knowledge, Expertise

+ Specialized TrainingsExperiential Knowledge, Expertise

+ Specialized Trainings

Page 6: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

102

130151

200

0

50

100

150

200

250

No Parent SupportStrategy

Intensive CaseManagement Only

Intensive CaseManagement and

Peer/ Parent Mentors

Intensive CaseManagement andRecovery Coaches

Median in Days

Median Length of Stay in Most Recent Episode of Substance Abuse Treatment after RPG Entry

by Grantee Parent Support Strategy Combinations

Page 7: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

46% 46%

56%63%

0%

10%

20%

30%

40%

50%

60%

70%

No ParentSupport Strategy

Intensive CaseManagement

Only

Intensive CaseManagement and

Peer/ ParentMentors

Intensive CaseManagement andRecovery Coaches

Median in Days

Substance Abuse Treatment Completion Rate by Parent

Support Strategies

Page 8: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Drug Courts That Held Status Hearings Every 2 Weeks During Phase 1 Had

50% Greater Reductions in Recidivism

Note: Difference is significant at p<.1

0%

10%

20%

30%

40%

50%

Drug court hasreview hearingsevery two weeks

N=14

Drug court hasreview hearings

more or less oftenN=35

46%31%

Perc

ent R

educ

tion

in

Rec

idiv

ism

Page 9: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Drug Courts That Have Judges Stay Longer Than 2 Years Had 3 Times

Greater Cost Savings

Note: Difference is significant at p<.05

0%

10%

20%

30%

Judge is on bench at least 2yearsN=9

Judge is on bench LESS THAN2 years

N=3

25%

8%

Perc

ent i

ncre

ase

in c

ost

savi

ngs

Page 10: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Judges Who Spent at Least 3 Minutes Talking to Each Participant in Court Had More Than

Twice the Savings

Note: Difference is significant at p<.05

0%

10%

20%

30%

40%

50%

Judge spends at least 3 min.per participant

N=23

Judge spends LESS THAN 3min. per participant

N=12

43%

17%

Perc

ent r

educ

tion

in re

cidi

vism

Page 11: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Note 1: Difference is significant at p<.05

Drug Courts Where the Judge Spends an Average of 3 Minutes or Greater per Participant During Court

Hearings had 153% greater reductions in recidivism

Page 12: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Therapeutic Jurisprudence• Engage directly with parents vs. through

attorneys• Create collaborative and respectful

environments• Convene team members and parents

together vs. reinforcing adversarial nature of relationship

• Rely on empathy and support (vs. sanctions and threats) to motivate

Lens, V. Against the Grain: Therapeutic Judging in a Traditional Court. Law & Social Inquiry. American Bar Association. 2015

Page 13: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

The Judge Effect

• The judge was the single biggest influence on the outcome, with judicial praise, support and other positive attributes translating into fewer crimes and less use of drugs by participants (Rossman et al, 2011)

• Positive supportive comments by judge were correlated with few failed drug tests, while negative comments led to the opposite (Senjo and Leip, 2001)

• The ritual of appearing before a judge and receiving support and accolades, and “tough love” when warranted and reasonable, helped them stick with court-ordered treatment (Farole and Cissner, 2005, see also Satel 1998)

Page 14: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Note: Difference is significant at p<.10

Drug Courts Where Treatment Communicates withthe Court via Email had

119% greater reductions in recidivism

0

0.05

0.1

0.15

0.2

0.25

0.3

0.35

0.4

0.45

0.5

YesN=31

NoN=14

0.46

0.21

% re

duct

ion

in #

of r

earr

ests

Treatment communicates with court via email

Page 15: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

0%

10%

20%

30%

40%

Program usespaper files

N=8

Program haselectronic database

N=3

20%

33%

Perc

ent i

ncre

ase

in c

ost s

avin

gs

Drug Courts That Used Paper Files Rather Than Electronic

Databases Had 65% LESS Savings

Note: Difference is significant at p<.05

Page 16: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Drug Courts That Required All Team Members to Attend Staffings

Had 50% Greater Reductions in Recidivism and 20% Greater Savings

0%

10%

20%

30%

40%

50%

All team members attend staffingsN=31

All team does NOT attend staffingsN=28

42%28%

Perc

ent r

educ

tion

in

reci

divi

sm

Note 1: Difference is significant at p<.05Note 2: “Team Members” = Judge, Both Attorneys, Treatment Provider, Coordinator

Page 17: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Note: Difference is significant at p<.15 (Trend)

Drug Courts Where Drug Tests are Collected at Least Two Times per

Week in the First Phase Had a 61% Higher Cost Savings

0%

10%

20%

30%

40%

Participants drug tested atleast 2X per week

N=53

Participants tested LESS oftenthan 2X per week

N=12

29%18%

Perc

ent i

ncre

ase

in c

ost

savi

ngs

Page 18: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Note: Difference is significant at p<.05

0%

10%

20%

30%

40%

Drug tests are back within48 hours

N=21

Drug testsare back in

LONGER THAN48 hours…

32%19%

Perc

ent i

ncre

ase

in c

ost

savi

ngs

Drug Courts Where Drug Test Results are Back in 48 Hours or Less had

68% Higher Cost Savings

Page 19: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Improved family-centered services and parent-child relationshipsKey Family Drug Court Ingredients

Page 20: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Addiction affects the

whole family

Developmental impact

Psycho-social impact

Impact on parenting

Generational impact

Page 21: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

FDC Practice Improvements

Approaches to child well-being in FDCs need to change

Child-focused assessments and

services

In the context of parent’s recovery

Family-centered Treatmentincludes parent-child dyad

Page 22: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

True in adult, family, juvenile

Drug Courts That Offer Parenting Classes Had 68% Greater Reductions in Recidivism

and 52% Greater Cost Savings

Program provides parenting classesN=44

Program does NOT provide parentingclassesN=17

38%

23%

% R

educ

tion

in R

ecid

ivis

m

Page 23: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Drug Courts That Offer Family Counseling Had 65% Greater

Reductions in Recidivism

Offered Family CounselingN = 35

No Family CounselingN = 15

38%

23%

% R

educ

tion

in R

ecid

ivis

m

Page 24: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Sacramento County Family Drug Court Programming

Parent-child parenting intervention

FDC

CIF

Connections to community supports

Improved outcomes

•Dependency Drug Court (DDC)• Post-File

•Early Intervention Family Drug Court (EIFDC)

• Pre-FileDDC has served over 4,200 parents & 6,300 childrenEIFDC has served over 1,140 parents & 2,042 children CIF has served over 540 parents and 860 children

Page 25: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

54.1%61.5%

40.1%46.6%

35.5%

0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%

DDC Only DDC + CIF EIFDC Only EIFDC + CIF SacramentoCounty

DDC and EIFDC: p < 0.05

Treatment completion rates were higher for parents in DDC and EIFDC than the overall County rate. Parents provided CIF Enhancement were significantly more likely to successfully complete treatment.

Recovery Treatment Completion RatesNote: All treatment episodes represented here

Page 26: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

EIFDC: n.s. p > 0.05

Almost all children in EIFDC were able to stay in their parents care. Families provided the CIF Enhancement were on average more likely to have children stay home.

Remain at Home Percent of Children Remaining at Home

82.6% 84.3%

50.0%

60.0%

70.0%

80.0%

90.0%

EIFDC Only EIFDC + CIF

Page 27: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Re-occurrence of Maltreatment at 12 Months

4.4% 2.8% 4.3% 3.8%

14.3%

0.0%

5.0%

10.0%

15.0%

20.0%

DDC Only DDC + CIF EIFDC Only EIFDC + CIF SacramentoCounty

DDC and EIFDC: n.s. p > 0.05

Families in DDC or EIFDC were less likely than the larger Sacrament County population to experience reoccurrence of child abuse and/or neglect.

Re-occurrence

Page 28: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

DDC : n.s. p > 0.05

11.4% 10.3%

17.5%

0.0%

5.0%

10.0%

15.0%

20.0%

DDC Only DDC + CIF Sacramento County

Re-Entry Re-Entry into Foster Care 12 Months after Reunification

Families in DDC were less likely than the larger Sacramento County population to experience removals of children following reunification.

Page 29: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Other Service Enhancements

• Therapeutic-based parent-child interventions

• Trauma-focused interventions

• Developmental and behavioral interventions

• Quality visitation and family time

• Family functioning assessment tools – N. Carolina Family Assessment Scale (NCFAS)

Page 30: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Clark County: NCFAS Scores Improved Significantly from Entry to Exit

-3.0

-2.0

-1.0

0.0

1.0

2.0

-0.1

-1.1

-0.5-0.8

0.2

-0.2

-1.9

0.5

-0.2

-0.8

1.41.3

1.0

1.7

1.31.1

0.0

1.6 1.61.9

Entry Exit

Page 31: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

DISCUSSION

RECOMMENDATION 6-7: ADDRESS THE NEEDS OF PARENTS

ADDRESS THE NEEDS OF CHILDREN

5-10 MINUTES

Page 32: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Once served, how do we know we are making an impact?

The importance of monitoring cases and outcomes

1999 2016

Body of KnowledgeWe know a lot more now

FDC Movement

Page 33: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Key Family Drug Court Ingredients

Collaborative non-adversarial approach grounded in efficient communication across service systems and court

Page 34: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Administrative Level (macro)• Baselines and Dashboards• Outcomes• Sustainability

Front-line Level (micro)Front-line Level (micro)

• Case management• Reporting• Tracking

Two Levels of Information Sharing

Client Program

Page 35: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Who collects data, where is it stored, who uses it, who “owns” the data,

levels of access

Assess effectiveness of system in achieving its desired results or

outcomes

Monitoring Outcomes

Page 36: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

“Feel Good” ProgramFamily Drug Courts as a

Page 37: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

How do you know….. How will you…..

• How are families doing?• Doing good vs. harm?• What’s needed for families?

• Monitor and improve performance?• Demonstrate effectiveness?• Secure needed resources?

The importance of

Page 38: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Data Dashboard• What needles are you trying move?• What outcomes are the most important?• Is there shared accountability for “moving the needle” in a

measurable way, in FDC and larger systems?• Who are we comparing to?

Page 39: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Note: Difference is significant at p<.05

Program reviews their own statsN=20

Program does NOT review statsN=15

37%

16%

Perc

ent i

ncre

ase

in c

ost s

avin

gsDrug Courts Where Review of The Data and

Stats Has Led to Modifications in Drug Court Operations had a 131% Increase in

Cost Savings

Page 40: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Note: Difference is significant at p<.05

0%

10%

20%

30%

40%

50%

Used evaluation to makemodifications to program

N=18

Did NOT use evaluation to makemodifications

N=13

36%

18%

Perc

ent i

ncre

ase

in co

st sa

ving

sDrug Courts Where the Results of Program Evaluations Have Led to

Modifications in Drug Court Operations Had a 100% Increase in Cost Savings

Page 41: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Data-Driven & Problem-Focused: Identifying Opportunities for Change

Identify specific need,

concern or issue

Collect and examine data

Share data and

information to clarify problem

statement

Use data for discussion

and identify opportunities

for change

Monitor outcomes and

changesScenario:

Reunification & Re-Entry

Page 42: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

ScenarioWhat happens to children who are reunified through participation in FDC?

85% of children in substantiated abuse and neglect cases either stay home or go home

Page 43: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Identifying the Issue

One of the outcomes our FTC focused a lot of time and resources on was increasing our rate of reunification. As a

result of our hard work, our FTC program is doing a great job of reunifying kids with their parents.

Page 44: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

88.2% 85.4%

34.9%

70.3%63.0%

Grantee A Grantee B Grantee C Grantee D Cross Grantee

N = 165

Reunification

Page 45: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Re-Entry into Foster Care

26.7%

2.4%0.0%

11.5%7.7%

Grantee A Grantee B Grantee C Grantee D Cross Grantee

N = 104 reunifications

Page 46: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Implications for Case and Outcome Monitoring

• Monitor Cases – to focus on transitions and outcomes of treatment and CWS case plans

• Conduct Systems Walk-Through – to assess effectiveness of system in achieving its desired results or outcomes

• Conduct parent focus groups – to identify client experience and needs

• Conduct rapid change cycle – to test out Reunification Groups or use of Resource Specialist

Page 47: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

System Walk-Through Data and Info Walk-Through

Who collects data, where is it stored, who uses it, who “owns” the data,

levels of access

Assess effectiveness of system in achieving its desired results or

outcomes

Tools for Monitoring Outcomes

Page 48: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Drop-Off Points

Total number of cases that resulted in investigation and those with a screening

Number and percentage of parents referred for assessment

Number and percentage who received an assessment

Number and percentage referred to treatment and FDC

Number and percentage admitted (attended at least one session) to

treatment and to FDCNumber and

percentage in treatment for at least 90 days

Number and percentage completing treatment

Payoff – Number and percentage Reunified / Remained at home

Page 49: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Systems Walk-Through

Referral

Monitoring

Screening

Assessment

Page 50: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Importance of Leadership

• Leadership does not “just happen”• Needed at every level• Capable of systems thinking and has effective relations in larger system• Data-driven and problem-focused• Sees barriers as goals and targets for change• Opportunity to shape a policy environment to move towards expansion and institutionalization

Page 51: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Oversight/ExecutiveCommittee

Director Level

Quarterly

Ensure long-term sustainability and final

approval of practice, and policy changes

Steering Committee

Management Level

Monthly or Bi-Weekly

Remove barriers to ensure program success and achieve project’s

goals

FDC Team

Front-line staff

Weekly

Staff cases; ensuring client

success

Membership

Meets

Primary Functions

The Collaborative Structure for Leading Change

Information flow

Information flow

Page 52: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Note: Difference is significant at p<.05

Drug Courts That Provided Formal Training for ALL New Team Members

Had 54% Greater Reductions in Recidivism

0%

10%

20%

30%

40%

50%

All new teammembers have formal training

N=30

All team membersNOT formally trained

N=17

40%

26%

Page 53: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Note: Difference is significant at p<.05

Drug Courts That Received Training Prior to Implementation Had Almost

3.5 Times Higher Cost Savings

0%

10%

20%

30%

40%

Team trained BEFORE implementationN=12

Team members NOT trained beforeimplementation

N=5

27%

8%

Perc

ent i

ncre

ase

in c

ost s

avin

gs

Page 54: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Q&A and Discussion

Page 55: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Training and Technical Assistance Needs of FDCs

1999 2016

Body of KnowledgeWe know a lot more now

FDC Movement

Page 56: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

FDC Guidelines

http://www.cffutures.org/files/publications/FDC-Guidelines.pdf

To download a copy today visit our website:

Page 57: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

FDC Learning Academy

For more information please visit: http://www.cffutures.org/projects/family-drug-court-learning-academy

Page 58: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

• Webinar Recordings• FDC Podcasts • FDC Resources• FDC Video features• Webinar registration

information

FDC Learning Academy Blog

www.familydrugcourts.blogspot.com

Page 59: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Family Drug Court Online Tutorial

FDC 101 – will cover basic knowledge of the FDC model and operations

Page 60: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

FAMILY DRUG COURTPEER LEARNING COURT PROGRAM

King County, WA

Baltimore City, MD

Jackson County, MO

Chatham County, GAPima County, AZ

Wapello County, IA

Miami-Dade, FL

Jefferson County, AL

Dunklin County, MO

CONTACT US FOR MORE INFORMATION: [email protected]

Page 61: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

FDC Discipline Specific Orientation Materials

Child Welfare | AOD Treatment | Judges | Attorneys

Please visit: www.cffutures.org/fdc/

Resources

Page 62: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

1. Understanding Substance Abuse and Facilitating Recovery: A Guide for Child Welfare Workers

2. Understanding Child Welfare and the Dependency Court: A Guide for Substance Abuse Treatment Professionals

3. Understanding Substance Use Disorders, Treatment and Family Recovery: A Guide for Legal Professionals

Please visit: http://www.ncsacw.samhsa.gov/

NCSACW Online Tutorials

Resources

Page 63: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

2015 Special Issue

Includes four Family Drug Court specific articles presenting findings on:

• Findings from the Children Affected by Methamphetamine (CAM) FDC grant program

• FDC program compliance and child welfare outcomes

• Changes in adult, child, and family functioning amongst FDC participants

• Issues pertaining to rural FDCs

www.cwla.org

Page 64: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Research and Evaluation

Need help with your evaluation?CFF's Research and Evaluation Division has worked with child and family serving organizations in more than 30 Tribes and Tribal organizations and nearly 100 counties across the United States.

CFF’s Research and Evaluation staff offer comprehensive methodological expertise in applied research and evaluation including qualitative and quantitative design, data collection, analysis and reporting.

Our diverse content expertise includes work with: Family, adult, and juvenile drug courts Veterans programs and courts Child and family welfare Public health and substance use treatment programs Youth development programs

To learn more about how we can

help you design and implement

research and evaluation projects

that improve the lives of children

and families, visit or contact us at:

Email: [email protected]

Toll Free: (866) 493-2758

Expertise

Page 65: Inspiring Outcomes: Lessons Learned from Family Drug ... · Inspiring Outcomes: Lessons Learned from Family Drug Courts Part II ... American Bar Association. 2015. The Judge Effect

Improving Family

OutcomesStrengthening Partnerships

Contact Information

Phil Breitenbucher, MSWDirector, Family Drug Court ProgramsChildren and Family Futures(714) [email protected] Balkey, BA, RASProgram Manager, Family Drug Court ProgramChildren and Family Futures(714) [email protected]