implementing best practice - minnesota · a systems perspective •cff with support from ojjdp, in...
TRANSCRIPT
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1
Minnesota State Drug Court Conference
June 2015
Implementing Best Practice:
A Look at Family Drug Court Guidelines
Part I & II Jane Pfeifer, Children and Family Futures
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2
Minnesota State Drug Court Conference
June 2015
Breakout Session: Part 1
Implementing Best Practice:
A Look at Family Drug Court Guidelines Jane Pfeifer, Children and Family Futures
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1040
153
322346
1999 2001 2005 2010 2013
FDC Movement
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Drug Treatment
Court
Child Welfare
Common Vision-Extraordinary Effort
3Systems with multiple:
• Mandates• Training • Values
• Timing • Methods
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FDC Guidelines
2013
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Why?
6
The Need for Guidelines for family
drug courts
A Systems Perspective
• CFF with support from OJJDP, in partnership with Federal and State
stakeholders
• Crafted guidance document to States for developing FDC guidelines
• Based on research, previous publications, practice-based evidence, expert
advisers and existing State standards
• Resource tool for States to clarify FDC principles and develop State guidelines
reflecting local and unique needs
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• States first created FDCs in 1995; more than 300 FDCs are in
operation today.
• Significant training and technical assistance over the past 18
years
• Most states have not created Guidelines or Standards
specifically for FDCs
• Opportunity to address the needs and strengths of the entire
family
Guidance to States:
The Need for National FDC Guidelines
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TEN RECOMMENDATIONS
• Description
• Research findings
• Effective strategies
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Research – 3 Categories
• Supported by evidence from research conducted in an FDC setting
• Supported by evidence from research conducted in non-FDC settings (CWS,
AOD, Adult Drug Courts)
• Common in FDCs but are supported by little or no evidence; research and
evaluation is needed to determine effectiveness
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• A collaboration by a diverse group of subject matter experts from across
the country
• Expertise in the same disciplines as FDC teams:
• Substance abuse treatment and other services
• Child welfare
• Courts
• Quantitative and qualitative review by CFF of:
• 13 source documents that included state standards and guidelines
• 32 individual FDC research articles and evaluations
• Review by a broader group of stakeholders, including State Drug Court
Coordinators
10
Guidance to States:
The Process of Developing Recommendations
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Practice Guidelines vs. Key Components vs.
Best Practice Standards
Guidelines and Components
• Provide specific recommendations or benchmarks
• Parameters for developing effective drug court programs in different and unique
jurisdictions and contexts
• Offered when field is still developing and evolving
• Guidelines are designed to first be a tool for states to develop standards
• Guidelines speaks to what the research says (and doesn’t say)
Best Practice Standards
• Provide a certification or regulatory checklist
• Codify policies, procedures, and operations
• Based on established research
• Offered when field has matured
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Resources
10 Key Components (1997)http://www.ndci.org/sites/default/files/ndci/KeyComponents.pdf
Adult Drug Court Best Practice Standards –Volume 1 (2013)http://www.nadcp.org/sites/default/files/nadcp/AdultDrugCourtBestPracticeStandards.pdf
Family Drug Court Practice Guidelines (2013)http://www.cffutures.org/files/publications/FDC-Guidelines.pdf 12
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10 Key Components for Drug Courts
1. Integrate treatment services with justice system case processing
2. Using a non-adversarial approach
3. Early identification and immediate placement
4. Access to a continuum of treatment services
5. Drug testing
6. Responses to behavior
7. Judicial interaction
8. Monitoring and evaluation
9. Continuing interdisciplinary education
10. Forging partnerships
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10 Family Drug Court Recommendations 10 Key Components for
Drug Courts
1. Create a shared mission and vision KC 1, KC 2, KC 6
2. Develop interagency partnerships KC 1, KC 2, KC 10
3. Create effective communication protocols for sharing
information
KC 2, KC 6, KC 4, KC 7
4. Ensure cross-system knowledge KC 9
5. Develop a process for early identification KC 3
6. Address needs of parents KC 2, KC 4, KC 5
7. Address needs of children KC 2, KC 4
8. Garner community support KC 10
9. Implement funding and sustainability KC 9, KC 10
10. Evaluate shared outcomes and accountability KC 8
* Charles County (MD) Family Recovery Court Process Evaluation, NPC Research, September 2013
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A FRAMEWORK: BUILT ON A FOUNDATION OF SHARED MISSION AND
VISION, SUPPORTED BY CLIENT SERVICES AND AGENCY COLLABORATION,
ACHIEVED BY SHARED OUTCOMES
A Collaborative Framework
What?
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Shared Outcomes
• Interagency Partnerships• Information Sharing• Cross System Knowledge• Funding & Sustainability
• Early Identification & Assessment
• Needs of Adults• Needs of Children• Community Support
FDC Recommendations
Agency
Collaboration
Shared Mission & Vision
Client
Services
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Create a Shared Mission and Vision
• Identify core values and develop shared mission and vision
• Objectives – built on consensus on key issues
o Target population
o Eligibility criteria
o FDC model
• Revisit mission and vision; orientation and assimilation processes for new team members
• Develop policies and procedures to cover operation and policy issues
#1
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Q18
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Develop Interagency Partnerships
• Coordinate clinical services to address mental health and trauma
issues; comprehensive assessments and case plans
• Process for developing and maintaining partnerships
o Linkage agreements
o MOUs
o FDC Advisory Group
• Policies for sharing information with other providers;
coordination of services
#2
19
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Q20
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Create Effective Communication
Protocols for Information Sharing
• Data management
o Track, monitor, use information on both case and systems-level data
o Compare project data with system-wide data on CWS and AOD outcomes
• Protocols for sharing information
o Identify confidentiality regulations
o Share information to ensure effective monitoring of progress
o Conduct staffing prior to court hearings to exchange information
#3
21
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Q22
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Ensure Cross-Systems Knowledge
• All FDC team members receive training and knowledge on:
o Responsibilities and mandates of CWS and Court
• Develop ongoing joint training programs that address partner
mandates, constraints, and goals
• Joint training in methods to increase parent motivation (ie.
Stages of Change, Motivational Interviewing)
#4
23
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Q24
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Develop an Early Identification
and Assessment Process
AOD providers work with CWS staff to facilitate screening and
assessment (ie. co-location)
Use assessment results to create coordinated case plans
Ensure timely access to treatment and other services
Develop legal and clinical eligibility criteria for enrollment
#5
25
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Q26
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Considerations
Mission and Vision
Agency Partnerships
Communication and Information Sharing
Cross-Systems Knowledge
Early Identification and Assessment
• In which of the recommendations are you excelling? In what ways?
• Which of the recommendations needs the most attention? What are the greatest challenges?
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How?IMPLEMENTING BEST PRACTICE
STANDARDS AND FDC GUIDELINES28
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FAMILY DRUG COURT GUIDELINES
SELF-ASSESSMENT
• Designed to assist FDC Practitioners in assessing their own policies, procedures and operations based on the FDC Guidelines
• Please contact us: [email protected]
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Q&A and Discussion
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RESOURCES
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FDC Guidelines
http://www.cffutures.org/files/publications/FDC-Guidelines.pdf
To download a copy today visit our website:
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* New & Exciting Ahead!
Leading Change 2015
Family Drug Court Learning Academy Webinar Serieswww.cffutures.org/presentations/webinars/category/fdc-series
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March 12th Building Your FDC – Design or Default?
April 16th So Who Wants to Be an FDC Coordinator?
May 14th Case Managers in the FDC and Why You Need Them
June 12th Leading Change – Prevention and Family Recovery ProjectFor more info, visit – www.cffutures.org/pfr
Aug. 13th FDC Peer Learning Courts – TED TalksFor more info, visit – www.cffutures.org/plc
Sept. 10th Leading Change – State System Reform ProgramFor more info, visit – www.cffutures.org/ssrp
Leading Change - 2015
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FAMILY DRUG COURTPEER LEARNING COURT
PROGRAM
King County,
WA
Baltimore City,
MDJackson County,
MO
Chatham County,
GA
Pima County,
AZ
Wapello County,
IA
Miami-Dade, FL
Jefferson County,
AL
Dunklin County,
MO
CONTACT US FOR MORE INFORMATION:
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FDCresourcesWebinar recordings
FDC Learning Academy Blog
www.familydrugcourts.blogspot.com
Visit
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NCSACW
Online Tutorials
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: www.ncsacw.samhsa.gov/
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www.cffutures.org
www.ncsacw.samhsa.gov
Improving outcomes for children
and families affected by
substance use disorders
Jane Pfeifer, MPASenior Program Associate25371 Commercentre Drive, Suite 140Lake Forest, CA 92630(714) 505-3525 [email protected]
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39
Minnesota State Drug Court Conference
June 2015
Breakout Session: Part 2
Implementing Best Practice:
A Look at Family Drug Court Guidelines Jane Pfeifer, Children and Family Futures
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FDC Guidelines
2013
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Why?
41
The Need for Guidelines for family
drug courts
A Systems Perspective
• CFF with support from OJJDP, in partnership with Federal and State
stakeholders
• Crafted guidance document to States for developing FDC guidelines
• Based on research, previous publications, practice-based evidence, expert
advisers and existing State standards
• Resource tool for States to clarify FDC principles and develop State guidelines
reflecting local and unique needs
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Address Needs of Parents
• Use phase system with benchmarks for accomplishments that
define progress
• Implement integrated or coordinated case plans
• Use engagement strategies to encourage early entry
• Deliver responses to behavior
• Utilize drug testing effectively
• Utilize recovery coaches
#6
42
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Q43
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Address Needs of Children
• Access to interventions across developmental stages
• Provide comprehensive health assessments, neuro-
developmental screenings; assessments that address physical,
social-emotional, behavioral and psychological needs
• Develop linkages to high-quality developmental programs (ie.
school readiness and educational support)
• Access to continuum of services; address service gaps
#7
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Q45
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Garner Community Support
• Provide consumers opportunity to have active role in planning
and developing FDC program, and provide ongoing feedback
• Identify and provide referrals for support services; formal
agreement with providers for these services
• Link parents to continuing care services, including family income
support
• Plan to conduct community outreach and education regarding
FDC
#8
46
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Q47
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Implement Funding and
Sustainability Strategies
• FDC budget includes funds for:
o FDC infrastructure
o Services for adults
o Services for children
o Services for families
o Training
o Evaluation
• Share budget information with partners
• Joint funding strategies to maximize support opportunities
• Community outreach and education plan
#9
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Q49
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Evaluate Shared Outcomes to
Ensure Accountability
• Identify shared outcomes and use outcome evaluation results to
ensure accountability and success
• Use outcome data and evaluation results to modify policies,
procedures, and operations
• Agree how to share evaluation results with policy makers and
community and to use these results to leverage resources for
sustainability
• Identify comparison groups to make its evaluation results
credible
#10
50
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Q51
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Considerations
Parents’ Needs
Children’s Needs
Community Support
Sustainability
Shared Outcomes
• In which of the recommendations are you excelling? In what ways?
• Which of the recommendations needs the most attention? What are the greatest challenges?
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Which of
the 10 Recommendations?
All recommendations
are interrelated
Several themes apply
across
recommendations
Considerations:
• Resources available
• Target Population
• Strengths of providers
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How?IMPLEMENTING BEST PRACTICE
STANDARDS AND FDC GUIDELINES54
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FAMILY DRUG COURT GUIDELINES
SELF-ASSESSMENT
• Designed to assist FDC Practitioners in assessing their own policies, procedures and operations based on the FDC Guidelines
• Please contact us: [email protected]
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Q&A and Discussion
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RESOURCES
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FDC Guidelines
http://www.cffutures.org/files/publications/FDC-Guidelines.pdf
To download a copy today visit our website:
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* New & Exciting Ahead!
Leading Change 2015
Family Drug Court Learning Academy Webinar Serieswww.cffutures.org/presentations/webinars/category/fdc-series
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March 12th Building Your FDC – Design or Default?
April 16th So Who Wants to Be an FDC Coordinator?
May 14th Case Managers in the FDC and Why You Need Them
June 12th Leading Change – Prevention and Family Recovery ProjectFor more info, visit – www.cffutures.org/pfr
Aug. 13th FDC Peer Learning Courts – TED TalksFor more info, visit – www.cffutures.org/plc
Sept. 10th Leading Change – State System Reform ProgramFor more info, visit – www.cffutures.org/ssrp
Leading Change - 2015
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FAMILY DRUG COURTPEER LEARNING COURT
PROGRAM
King County,
WA
Baltimore City,
MDJackson County,
MO
Chatham County,
GA
Pima County,
AZ
Wapello County,
IA
Miami-Dade, FL
Jefferson County,
AL
Dunklin County,
MO
CONTACT US FOR MORE INFORMATION:
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FDCresourcesWebinar recordings
FDC Learning Academy Blog
www.familydrugcourts.blogspot.com
Visit
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NCSACW
Online Tutorials
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: www.ncsacw.samhsa.gov/
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www.cffutures.org
www.ncsacw.samhsa.gov
Improving outcomes for children
and families affected by
substance use disorders
Jane Pfeifer, MPASenior Program Associate25371 Commercentre Drive, Suite 140Lake Forest, CA 92630(714) 505-3525 [email protected]