King County Drug Diversion Court

Developing a Young Adult TrackDetective David Doucett

Thomas P. Essex King County Drug Diversion Court

Treatment Manager

History2008 Landscape changed in King County Drug

Court

18-25 year old population increased dramatically

Approximately 1/3 of our current population is 18-25

Historically poor success rate with 18- 25 year olds

Demographics2010 Young Adult 2014 Young AdultDrug of choice

Marijuana

Referring charge Delivery & PWI

Race 82% of color 14% Caucasian

Drug of choice Heroin

Referring charge Property crime

Race 52% of color48% Caucasian

Characteristics2010 Young Adult 1014 Young AdultLow Frustration toleranceMinimal family supportDisproportionate contacts

with criminal justice system

Damaging peer influenceGang involvementHigh rates of trauma and

victimization Little motivation for

treatment

Low Frustration toleranceHigher rate of family

supportDisproportionate contacts

with criminal justice system

Damaging peer influenceHigh rates of trauma and

victimization Little motivation for

treatment

Young Adult in a Traditional Adult Model

Stalling during initial phases of treatment

Increased frequency of court ordered sanctions

Little motivation for treatment

Treatment does not match the need

Program developmentShorter Opt In phase 30 day targetTwo week return until proven stabilityOne agency for optimal treatment provisionWell trained staff devoted to the needs of the young adultResource Specialist to support ancillary needsRobust services including but not limited to; CD, MH,

COD,CBT/MRT, OMT, Transportation, Housing, Gender specific

Rapid Response calendarClear and timely documentationOpen communication between the clinical team at DC

and Treatment Program

Information gatheringRisk and Needs Screening

Global Appraisal of Individual Needs (GAIN)

Drug and Alcohol assessment

Mental health Assessment

Transitional Recovery Program60 day IOP treatment in custodyRemoval from detrimental environment Removal from damaging peer influenceImmediate detoxificationTimely treatment engagement Access to Opiate Replacement Therapy

RewardsVerbal praise from treatment, case manager,

attorneys, most of all the judge

Express to front of calendar

Round of applause from peers at express hearing

Tangible rewards at promotion

Fishbowl drawing for 100% compliance

Identifying Behavior as Proximal or Distol

Proximal behavior we can expect out of a person and therefore sanction at a higher magnitude for non-compliance. (admitting to use when confronted)

Distol behavior not yet within the participants ability (a goal) and therefore sanctioned at a lower magnitude. (Perfect attendance)

Response to Behaviors/ Sanctions

Identify as a team Proximal vs. Distol behaviors for each phase.

Employ different responses to noncompliance based on the infraction and the behavior.

Use Therapeutic Intervention (TI) for noncompliance related Distol behavior.

Use Court sanction response for noncompliance related to Proximal behavior.

Therapeutic InterventionsFix it Tickets!

Therapeutic Interventions (TI) provide the young adult an opportunity to “fix” the problem rather than make it worse. We want to empower the young adult.

The TI is assigned by the DCCM and has a time frame for completion.

A TI may result in the loss of accrued days of abstinence but avoid a court sanction.

The number of TI’s per reporting period diminishes as participants progress through the program.

TI’s may be restricted by the court for repetitive infractions.

Fix It TicketsGiving an oral presentation on step 3 of the MRT

Manual

Attending an orientation at the Recovery Café

Attending an information meeting with the guidance counselor at the local college

Providing a written schedule of your week

Providing the court with a daily affirmation for each day of the week

Court SanctionResponse from the court for behavior that can be

directly correlated to an increase in criminogenic risk.Court sanctions are presumptively punitive and

increase in magnitude as participant progresses in program.

Court Sanctions trigger the resetting of all accomplishments on a given phase.

Examples of behavior warranting a court sanction include but are not limited to; dishonesty, incomplete TI, missed UA, undisclosed positive UA, missed treatment apt, disrespectful behavior at treatment or in community, new charges.

Low Range SanctionsCase Manager check-ins

Accountability Panel / Peer to Peer opportunity

Writing Assignments- relapse triggers, thinking errors

Journaling- photo, mood, medication etc.

Increased sober support

Mid Range Sanctions1-4 days Community Work Crew (CWC)Attend 3 different meetings and write a summary

of each then identify one thing that spoke to you.Essay on thinking errors. Identify 4 thinking

errors and explain each of them in your own words.

Journal 1 positive thing and one challenge that you encountered each day for 1 week.

One day of CWC followed by attending the Recovery café orientation and then a paper on which one you found more interesting and why.

High Magnitude SanctionsJail 1-6 days depending on the infraction

Community Work Crew to match the infraction

Combination of Jail & CWC

Demotion to earlier phase

Combinations of Low, Medium, High Sanction (1 day jail, a writing assignment on honesty and seven meetings in seven days)

Phase requirementsThe Pie Chart below depicts the requirements of each Phase of the Pilot Program. Each of the phases

includes minimum requirements related to completion of components of the participant portfolio.

Achieve 3 STO's on Tx Plan(attend 1 cultural/community (CC) event)

Phase 2

Written/ Oral Life History

Phase 1

Phase 4 Phase 3

30 consecutive Days Abstinence

60 consecutive days sanc/charge free

WER 15 days minimum violation free

60 CSH or enrolled in ED/VocProgram (attend 1 CC event)

Accomplish 1 STO for each category of Tx Plan;

complete MRT

40 CSH or enrolled in ED / Voc Program

60 consecutive days abstinence(attend 1 CC event)

90 Consecutive days Sanc/ charge free

Accomplish 3 LTG on Tx Plan

150 consecutive days abstinence(Ph 3 & Ph 4 combined)

TRP 60 Days

Orientation Curriculum

Develop Action Plan

90 consecutive dayssanc/charge free

Thomas P. Essex

Treatment ManagerKing County Adult Drug Diversion Court

tom.essex@kingcounty.gov206-477-0784