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County of Santa Cruz Alcohol & Drug Program March 6, 2014 1
Using Data to Drive Evidence Based Probation and
System Response
Fernando Giraldo, MSW, Chief Probation Officer
MORE TREATMENT, BETTER
TREATMENT AND THE RIGHT
TREATMENT
County of Santa Cruz Alcohol & Drug Program March 6, 2014 2 County of Santa Cruz Alcohol & Drug Program March 6, 2014 2
Opportunities through Public Safety
Realignment • AB 109: Preparing for and Responding to Realignment-
Local Control
• Justice Reinvestment Initiative Findings-2010,2011
• Substance use and key impact in jail
• Recommendations and Local Response: Community Corrections
Partnership
• Treatment and Interventions Services
• New Initiatives-System Improvement
• Risk and Responsivity Tool, Results First, COCHS
County of Santa Cruz Alcohol & Drug Program March 6, 2014 3 County of Santa Cruz Alcohol & Drug Program March 6, 2014 3
AB 109-1st Year Data
• First year data indicated the preponderant role of
substance use disorders in recidivism among the AB109
population
• Recidivism among chronic substance abuse results in
high rates of property crime, justice system cost, and
repeat treatment costs.
• AB109 offenders, in particular, appear to have a high need for
treatment and a history of treatment failures.
County of Santa Cruz Alcohol & Drug Program March 6, 2014 4
Impact on Jail: Key System Cost Drivers
Justice Reinvestment Initiative
• Drug use and possession, DUI and ordinance violations
represent over 50 percent of jail bookings from 2007 to
2010
• Local ordinance violations, particularly disorderly conduct
and alcohol and drug-related offenses, are the most
common offenses in the county. The frequency and
repetitive bookings for these offenses consume significant
law enforcement resources and impact the quality of life in
the county.
County of Santa Cruz Alcohol & Drug Program March 6, 2014 5
We now use jail for less serious
offenders…Dependency on Jail
Drug
Offenses
9.3%Public Order
20.6%
Property
38.6%
Violent
30.7%
Drug
Offenses
24.6%
Public Order
24.9%
Property
24.4%
Violent
25.4%
Source: Justice Policy Institute: Jailing Communities 2008
30% Lower level
/Drug Offenses in
1983
50% Lower level
/Drug Offenses in
2002
County of Santa Cruz Alcohol & Drug Program March 6, 2014 6
Counties Can Save Thousands of Dollars on each
offender through community based alternatives…
$2,198$3,296
$21,403
$0
$5,000
$10,000
$15,000
$20,000
$25,000
Community-Based
Substance Abuse
Treatment
Surveillance-
Oriented Intensive
Supervision
Jail Incarceration
An
nu
al
Co
st P
er
Pers
on
County of Santa Cruz Alcohol & Drug Program March 6, 2014 7 County of Santa Cruz Alcohol & Drug Program March 6, 2014 7
Treatment Vs Incarceration
Increased admissions to drug treatment are
associated with reduced incarceration rates.
Substance abuse treatment prior to contact with the
justice system yields public safety benefits early on.
Substance abuse treatment helps in the transition
from the criminal justice system to the community.
Substance abuse treatment is more cost-effective
than prison or other punitive
measures.
Justice Policy Institute-Substance Abuse
Treatment and Public Safety January 2008
County of Santa Cruz Alcohol & Drug Program March 6, 2014 8 County of Santa Cruz Alcohol & Drug Program March 6, 2014 8
Crime and Justice Institute JRI Findings
and Recommendations Improve Drug Offender Outcomes The justice system relies on referrals to local substance
abuse treatment providers, but… • has no systematic method for treatment matching • little input regarding program quality and responsivity and; • no guidelines for the development of a service array that meets the needs of offenders.
County of Santa Cruz Alcohol & Drug Program March 6, 2014 9 County of Santa Cruz Alcohol & Drug Program March 6, 2014 9
Most Common Needs of Probationers
75.6
10.9
47.3
67.6
8.7
33.8
41.1
16
0 10 20 30 40 50 60 70 80
Substance Abuse
Basic Living Need
Criminal Orientation
Emotional Factors
Relationships
Social Inadequacy
Vocational Inadequacy
Mental Health
% of CAIS Assessed Clients with Need
County of Santa Cruz Alcohol & Drug Program March 6, 2014 10
41%
12%
9%
8%
8%
7%
7% 5% 3%
AB109 Intervention Service Funding By Area, FY2013-2014
Substance Abuse Treatment
Reentry Planning and Aftercare
Mental Health Care
Benefits Assistance
Housing
Cognitive Behavioral Programs
Education
Employment Services
Restorative Justice & Community
More
Treatment
County of Santa Cruz Alcohol & Drug Program March 6, 2014 11 County of Santa Cruz Alcohol & Drug Program March 6, 2014 11
So we have more treatment, but how do we make it
better….What does a “Responsive Jurisdiction” look
like? • Screening and assessment
▫ Identify risk and primary criminogenic needs
▫ Link assessment info to specific case plans
• Treatment matching
• High-quality, evidence-based programming
▫ Sound implementation
▫ Enough dosage to make change
• Capacity to address population needs
▫ Alignment between needs and services
▫ Collaboration between CJ and Tx
1
1
County of Santa Cruz Alcohol & Drug Program March 6, 2014 12 County of Santa Cruz Alcohol & Drug Program March 6, 2014 12
Better Treatment
• Risk Need Responsivity (RNR) Tool-GMU
• All AB109 service providers completed the RNR Program Tool and
developed program improvement plans.
• Local data will be imported into the Simulation Tool to allow for
treatment matching and jurisdictional assessment of the service
array.
County of Santa Cruz Alcohol & Drug Program March 6, 2014 13
Stabilizers
Supportive Family
Stable Employment
Education > HS Diploma
Stable Housing
Location in non-Hot Spots
Destabilizers
Alcohol Abuse
Drug Abuse
Family Dysfunction
Poor Mental Health Status
Employment-Related Issues
Literacy Related Problems
Housing Instability
Location in Hot Spots
CJ RISK Criminogenic Needs
Substance Tolerance for “Hard Drugs”
3+ Criminal Lifestyle—attitudes, family, peers, personality,
substance abuse
Gender & Age
County of Santa Cruz Alcohol & Drug Program March 6, 2014 14 County of Santa Cruz Alcohol & Drug Program March 6, 2014 14
Program Improvement Plans-The Right
Treatment
14
Area Plans
Risk Assessment Probation Share with Risk Assessment
Develop Tx Matching Criteria
Needs
Assessment
Redefine Program Targets
Assist Programs to Link to other Programs to
meet needs of offenders
Responsivity Adjust Assignment for Offenders Literacy
Level
Add Employment Component
Add Housing Supports
County of Santa Cruz Alcohol & Drug Program March 6, 2014 15 County of Santa Cruz Alcohol & Drug Program March 6, 2014 15
Program Improvement Plans
Area Plans
Dosage Add hours to program
Add continuum of care
Include more CBT programming
Implement
Programs
Sponsor CBT training for providers
Peer Review Process
Staffing issues across the programs
Training of Staff
Improve Tracking of Offenders Post Release
Explore an Evaluator
Quality Feedback to Providers
Restrictions Work closer to Probation
Share information with Probation & Treatment
County of Santa Cruz Alcohol & Drug Program March 6, 2014 16 County of Santa Cruz Alcohol & Drug Program March 6, 2014 16
Results First: Cost Benefit Analysis
• Analysis of all the available research on what criminal
justice interventions work to reduce crime and recidivism;
• Prediction of impacts that each policy change or program
will have;
• calculation of potential return on investments; ranking of
programs passed on costs, benefits and risks;
• identification of programs to be eliminated; assessment of
policy options;
• making findings available for policy makers and the
public.
County of Santa Cruz Alcohol & Drug Program March 6, 2014 17 County of Santa Cruz Alcohol & Drug Program March 6, 2014 17
County of Santa Cruz – Alcohol & Drug Program A Community Conversation – March 6, 2014
To request a copy of the comprehensive review
of the research on this topic, contact:
Bill Manov, Ph.D., Director, Santa Cruz County Alcohol and Drug Program
bill.manov@santacruzcounty.us
Or
Fernando Giraldo at Fernando.Giraldo@santacruzcounty.us
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