1. Accountability Court Programs: Targeting the Right Participants as Part of a Community Continuum of Responses Georgia School of Addiction Studies Conference Savannah GA August 30, 2017
Stephen S. Goss, JUDGE, Superior Courts of Georgia
Albany , Georgia

2. Presentation includes PowerPoints slides from:
David A. D’Amora: Adults with Behavioral Health Needs under Correctional Supervision: A Shared Framework for Reducing Recidivism and Promoting Recovery Council of State Governments Justice Center

3. Key Components ( Drug Courts) Essential Elements ( MHC)
cations/improving-responses-to-people- with-mental-illnesses-the-essential- elements-of-a-mental-health-court/
more-publications/ten-key- components

4. Key Component # 4: Drug Courts provide access to a continuum of alcohol, drug and other related treatment and rehabilitation services
Co-Occurring Disorders Population
High Over-Representation in Criminal Justice System

5. TRANSINSTITUTIONALIZATION

6. Challenges with COD Population
Diverse and complex problems-not all legal, not all medical-many psychosocial issues
No one clinical approach “fits all”
Behavioral Health, Trauma and Substance Disorders
Personality disorders, learning disabilities and health issues impact treatment plans

7. New Business ?

8. Or Old Business. “They have been here Mr
Or Old Business? “They have been here Mr. Mulder” ( we deal with the same folks anyway)

9. Sequential Intercepts Model
Developed by Dr. Munetz and Dr. Griffin
GAINS Center for Co-Occurring Disorders in the Criminal Justice System
Policy Research Associates Inc.

10. http://gainscenter. samhsa

11. Key Component #6- Develop a coordinated strategy
Community mapping- where are our challenges vs. resources?
Left hand does not know there is a right hand- legal system and behavioral health/treatment professionals
Allies? Many times the accountability court becomes a pivot point in the community discussion.

12. Who needs to be in the room? (Who has “skin in the game”?)
State Hospital/Forensics Director for your area
Local MH/Addictive Disease clinic director
Local ER/medical community
Local shelters that work with homeless population
Sheriff/Jail Director
Local Advocacy/NAMI
The judge

13. Intercept 1- Field/Police

14. Crisis Intervention Teams-CIT
Evidence Based Practice
In 2015, 2719 programs nationally in 45 states
Developed by Memphis Police Department

15. CIT Reduce use of force situations through de-escalation
Reduce workers comp claims
Raise awareness in law enforcement- it is what they deal with daily
Change the culture in the local jail

16. Intercept 2- Diversion

17. Jail Diversion
rces/jail.asp
Pre-booking vs. Post-booking
Got to have a location
Meetings with court personnel, jail staff, community mental health director and local hospital administrator- EC issues/Crisis Unit

18. Intercept 3- Courts

19. Specialty Dockets/Accountability and Treatment Courts
Council of Accountability Court Judges of Georgia
Drug Courts: National Association of Drug Court Professionals(NADCP)
Mental Health Courts: Council of State Governments (CSG) Justice Center

21. Intercept 4- Re-Entry

22. Re-Entry Programs A natural fit with a specialty docket
Some of best outcomes because high utilizers of services
90-95% inmates return home at some point
4.9 million on probation/parole
Not waiting for the next bad outcome

23. CSG National Reentry Resource Center http://csgjusticecenter.org/nrrc

24. Intercept 5- Community Corrections

25. Probation/Parole Ready source of referrals
Many of their revocations have roots in unresolved MH/SA issues
A natural tie to intercepts 1, 3 & 4
Part of a multi-discipline approach

26. Key Component # 3: Eligible participants are identified early
Screenings
Assessments- possibly ongoing once fog clears
Criminogenic Risks/Needs-Target the correct “high risks/needs” population

28. CRIMINOGENIC RISKS/NEEDS/RESPONSIVITY FRAMEWORK- BJA/CSG Publication

29. Risk-Need-Responsivity Model as a Guide to Best Practices
RISK PRINCIPLE: Match the intensity of individual’s intervention to their risk of reoffending
NEEDS PRINCIPLE: Target criminogenic needs, such as antisocial behavior, substance abuse, antisocial attitudes, and criminogenic peers
RESPONSIVITY PRINCIPLE: Tailor the intervention to the learning style, motivation, culture, demographics, and abilities of the offender. Address the issues that affect responsivity (e.g., mental illnesses)
Focus on Risk – We know that the largest impact on recidivism takes place when one focus on those individuals with highest risk
AND that one can actually increase recidivism if LOW risk individuals are the focus of treatment and supervision
Target Criminogenic Needs – a strength of our corrections workforce. And the more criminogenic needs targeted, the larger the effect
Note that treatment works for criminogenic needs, and can do in stages
AND Responsivity – the connection between justice involved persons with MI and effective practice.
While mental illness itself is not a criminogenic risk, it can have a major impact on responsivity;
If I’m depressed, feeling hopeless, not sleeping, no energy, no ability to concentrate…..then I’m not likely to benefit from cognitive programs targeting needs.
SO, HOW CAN WEUSE RNR PRINCIPLES TO EFFECTIVELY RESPOND TO THE OVERREPRESENTATION??
Council of State Governments Justice Center

42. Stephen S. Goss E-mail: judgestevegoss@bellsouth.net
QUESTIONS?
Stephen S. Goss