Presentation is loading. Please wait.

Presentation is loading. Please wait.

Douglas B. Marlowe, J.D., Ph.D. Treatment Research Institute at the University of Pennsylvania Evidence-Based Dispositions for Drug Offenders.

Published byEmory Simpson Modified over 9 years ago

Similar presentations

Presentation on theme: "Douglas B. Marlowe, J.D., Ph.D. Treatment Research Institute at the University of Pennsylvania Evidence-Based Dispositions for Drug Offenders."— Presentation transcript:

1 Douglas B. Marlowe, J.D., Ph.D. Treatment Research Institute at the University of Pennsylvania Evidence-Based Dispositions for Drug Offenders

2 Dispositions for Drug Offenders Pre-plea diversion (ARD) Incarceration Drug Courts Intermediate sanctions Psychosocial Functioning $$$$$$ Costs $$$$$$$$$ Public Safety Risks Disposition before judgment (Prop. 36)

3 Prognostic Risks Current age < 25 yearsCurrent age < 25 years Delinquent onset < 16 yearsDelinquent onset < 16 years Substance abuse onset < 14 yearsSubstance abuse onset < 14 years Prior rehabilitation failuresPrior rehabilitation failures History of violenceHistory of violence Antisocial Personality DisorderAntisocial Personality Disorder PsychopathyPsychopathy Familial history of crime or addictionFamilial history of crime or addiction Criminal or substance abuse associationsCriminal or substance abuse associations

4 Criminogenic Needs Substance Dependence or Addiction Substance Dependence or Addiction

5 Criminogenic Needs Substance Dependence or Addiction Substance Dependence or Addiction 1.Binge pattern 2.Cravings or compulsions 3.Withdrawal symptoms

6 Criminogenic Needs Substance Dependence or Addiction Substance Dependence or Addiction 1.Binge pattern 2.Cravings or compulsions 3.Withdrawal symptoms } Abstinence is a distal goal

7 Criminogenic Needs Substance Dependence or Addiction Substance Dependence or Addiction 1.Binge pattern 2.Cravings or compulsions 3.Withdrawal symptoms Substance Abuse } Abstinence is a distal goal

8 Criminogenic Needs Substance Dependence or Addiction Substance Dependence or Addiction 1.Binge pattern 2.Cravings or compulsions 3.Withdrawal symptoms Substance Abuse } Abstinence is a distal goal Abstinence is a proximal goal }

9 Criminogenic Needs Substance Dependence or Addiction Substance Dependence or Addiction 1.Binge pattern 2.Cravings or compulsions 3.Withdrawal symptoms Substance Abuse Collateral needs Collateral needs –Dual diagnosis –Chronic medical condition (e.g., HIV+, HCV, diabetes) –Homelessness, chronic unemployment } Abstinence is a distal goal Abstinence is a proximal goal }

10 Criminogenic Needs Substance Dependence or Addiction Substance Dependence or Addiction 1.Binge pattern 2.Cravings or compulsions 3.Withdrawal symptoms Substance Abuse Collateral needs Collateral needs –Dual diagnosis –Chronic medical condition (e.g., HIV+, HCV, diabetes) –Homelessness, chronic unemployment } Abstinence is a distal goal Abstinence is a proximal goal } } Regimen compliance is proximal

11 High Risk Low Risk HighNeeds LowNeeds Risk & Needs Matrix

12 High Risk Low Risk HighNeeds LowNeeds Accountability, Treatment & Habilitation

13 Risk & Needs Matrix High Risk Low Risk HighNeeds LowNeeds Treatment&Habilitation Accountability, Treatment & Habilitation

14 Risk & Needs Matrix High Risk Low Risk HighNeeds LowNeeds Accountability &Habilitation Treatment&Habilitation Accountability, Treatment & Habilitation

15 Risk & Needs Matrix High Risk Low Risk HighNeeds LowNeeds Prevention Accountability &Habilitation Treatment&Habilitation Accountability, Treatment & Habilitation

16 Practice Implications High Risk Low Risk HighNeeds LowNeeds Status hearings Treatment & habilitation Treatment & habilitation Compliance is proximal Compliance is proximal Restrictive consequences Restrictive consequences Positive reinforcement Positive reinforcement Agonist medication Agonist medication Noncompliance hearings Treatment & habilitation Treatment & habilitation Treatment is proximal Treatment is proximal Positive reinforcement Positive reinforcement Agonist medication Agonist medication v.o.p. / status calendar v.o.p. / status calendar Abstinence is proximal Abstinence is proximal Psychosocial habilitation Psychosocial habilitation Restrictive consequences Restrictive consequences No AA or MET No AA or MET Antagonist medication Antagonist medication Secondary prevention Secondary prevention Abstinence is proximal Abstinence is proximal No AA or MET No AA or MET Individual counseling Individual counseling or stratified groups or stratified groups

17 Dispositions for Drug Offenders Incarceration Drug Courts Intermediate sanctions Low risk Low needs Low risk High needs High risk High needs High risk Low needs Risk of Dangerousness Pre-plea diversion (ARD) Disposition before judgment (Prop. 36)

Download ppt "Douglas B. Marlowe, J.D., Ph.D. Treatment Research Institute at the University of Pennsylvania Evidence-Based Dispositions for Drug Offenders."

Similar presentations

Principles of Drug Addiction Treatment: What Works with Offenders?

Principles of Drug Addiction Treatment: What Works with Offenders?
Based on a Need to Know Fact Sheet by Doug Marlowe, J.D. Ph.D./NDCI

Based on a Need to Know Fact Sheet by Doug Marlowe, J.D. Ph.D./NDCI
Integrating Risk/Needs Assessment Into Drug Court

Integrating Risk/Needs Assessment Into Drug Court
Treatment of Substance Involved Offenders in Criminal Justice Settings – Challenges & Outcomes Igor Koutsenok, MD, MS Assistant Professor of Psychiatry,

Treatment of Substance Involved Offenders in Criminal Justice Settings – Challenges & Outcomes Igor Koutsenok, MD, MS Assistant Professor of Psychiatry,
INCENTIVES, and Sanctions How to help folks steer themselves in the right direction Based on the work of Judge Bill Meyer, Douglas Marlowe, Jane Pfeifer,

INCENTIVES, and Sanctions How to help folks steer themselves in the right direction Based on the work of Judge Bill Meyer, Douglas Marlowe, Jane Pfeifer,
Best Practices Standards Vol. I: An Overview. OBJECTIVES  Define Best Practices Standards  Identify the need for Best Practices Standards  Briefly.

Best Practices Standards Vol. I: An Overview. OBJECTIVES  Define Best Practices Standards  Identify the need for Best Practices Standards  Briefly.
Assessments and Targeting What a match!. What the heck is a Biopsychosocial assessment?? It addresses biological/medical status It addresses psychological.

Assessments and Targeting What a match!. What the heck is a Biopsychosocial assessment?? It addresses biological/medical status It addresses psychological.
Implementing Best Practice In Probation Casework Why And How Vincent J. Iaria MSW, MPA Chief Probation Officer San Diego.

Implementing Best Practice In Probation Casework Why And How Vincent J. Iaria MSW, MPA Chief Probation Officer San Diego.
Douglas B. Marlowe, J.D., Ph.D. Treatment Research Institute at the University of Pennsylvania TRI science addiction Effective Strategies for Drug-Abusing.

Douglas B. Marlowe, J.D., Ph.D. Treatment Research Institute at the University of Pennsylvania TRI science addiction Effective Strategies for Drug-Abusing.
Working with Young Adults years old

Working with Young Adults years old
Ethics in Addictions Counseling Leigh Falls, Ed.S., LPC, NCC.

Ethics in Addictions Counseling Leigh Falls, Ed.S., LPC, NCC.
Principles of Drug Addiction Treatment: What Works with Offenders? Rita Dries July 2006.

Principles of Drug Addiction Treatment: What Works with Offenders? Rita Dries July 2006.
NDCI: A Professional Services Division of NADCP National Drug Court Institute Drug Court Training Incentives and Sanctions Advanced Discussion Developed.

NDCI: A Professional Services Division of NADCP National Drug Court Institute Drug Court Training Incentives and Sanctions Advanced Discussion Developed.
Targeting Dispositions by Risk, Need, Responsivity Modeling If / Then Decisions Douglas B. Marlowe, J.D., Ph.D. National Association of Drug Court Professionals.

Targeting Dispositions by Risk, Need, Responsivity Modeling If / Then Decisions Douglas B. Marlowe, J.D., Ph.D. National Association of Drug Court Professionals.
Trends and Issues in Addiction Treatment CSD 5970.

Trends and Issues in Addiction Treatment CSD 5970.
Douglas B. Marlowe, J.D., Ph.D. Treatment Research Institute at the University of Pennsylvania Effective Use of Rewards & Sanctions.

Douglas B. Marlowe, J.D., Ph.D. Treatment Research Institute at the University of Pennsylvania Effective Use of Rewards & Sanctions.
Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by Center for Evidence Based Practices at Case/ Ohio Substance.

Co-Occurring Disorder Treatment with People Involved in the Criminal Justice System Presented by Center for Evidence Based Practices at Case/ Ohio Substance.
DIVISION OF JUVENILE JUSTICE: WHAT WE DO AND HOW WE’RE DOING. March 10, 2014 Anchorage Youth Development Coalition JPO Lee Post.

DIVISION OF JUVENILE JUSTICE: WHAT WE DO AND HOW WE’RE DOING. March 10, 2014 Anchorage Youth Development Coalition JPO Lee Post.
Glossary of Drug Abuse Terms Drug rehab drug rehabilitation programs Drug Addiction & Alcohol Treatment Directory Drug rehab drug rehabilitation programs.

Glossary of Drug Abuse Terms Drug rehab drug rehabilitation programs Drug Addiction & Alcohol Treatment Directory Drug rehab drug rehabilitation programs.
Douglas B. Marlowe, J.D., Ph.D. Treatment Research Institute at the University of Pennsylvania TRI science addiction Effective Use of Rewards & Sanctions.

Douglas B. Marlowe, J.D., Ph.D. Treatment Research Institute at the University of Pennsylvania TRI science addiction Effective Use of Rewards & Sanctions.

Similar presentations

Ads by Google