1. Cleveland Municipal Drug Court: 2014-2017 SAMHSA CSAT Adult Treatment Drug Court Grant Dr. Margaret Baughman Madison Wheeler, BS Paul Tuschman, BA Begun Center 2-19-16

2. The Begun Center for Violence Prevention Research and Education The Dr. Semi J. and Ruth W. Begun Center is a research center at Case Western Reserve University. The Center’s staff of 25 social scientists in a wide range of disciplines: psychology, social work, sociology, anthropology, public administration, and criminal justice. Research areas include: exposure to violence, mental health, youth gangs, specialty courts, and criminal justice. These researchers have experience in county, state, and federally funded research and evaluation projects, including large-scale multi-state and multi-county designs.

3. Drug Court History…… Were created to fill the gap for drug-dependent offenders who were….. Not responding to existing correctional programs Not adhering to standard probation conditions Being re-arrested for new offenses soon after release from custody Repeatedly returning to court on new charges or technical violations Are high-risk & high-need individuals

4. Drug Court Evaluation Challenge What We Know…………….Drug Courts Work…………BUT What Drug Court Component is Working BEST Program Evaluation Service Scope To validate the client-level performance data Determine the effectiveness of the Drug Court services Extend the understanding of the impacts of the activities on the adoption of best practices

5. Drug Court Program Services Client Services SUD UrinalysisHEAT Court Hearings Case Mgt Services Ancillary Mental Health Probation MAT Peer Mentors Art Therapy

6. Drug Court Research Questions Outcome Questions Were participants more likely to complete substance use treatment? Were participants more likely to complete the Drug Court Program? Less criminal justice re-entry? Less use of substances? Improved a) educational success, b) employment skills, c) residential stability, d) access to medical care including physical, mental, and substance abuse treatment services?

7. Previous Cleveland Drug Court Federal Awards YearAgencyPopulationNumber Served 03-06Center for Substance Abuse and Treatment Severe Substance Use Disorder150 08-10Bureau of Justice AffairsHomeless Males participating in Drug Court 20 08-11Center for Substance Abuse and Treatment Age 18-25 Severe Cannabis Substance Use Disorder 150 11-14Center for Substance Abuse and Treatment Severe Substance Use Disorder and from Surrounding Suburban Municipalities 150 11-14Center for Substance Abuse and Treatment/Center for Mental Health Services Mental Health Disorder in Common Pleas Court or Municipal Court 97 14-16Bureau of Justice AffairsSevere Opioid Substance Use Disorder40 14-17Center for Substance Abuse and Treatment Severe Opioid Substance Use Disorder160

8. Drug Court Completion Rates Drug Court StatusNumberPercent Successfully Completed 1464 Terminated836 TOTAL22100 Currently Active32

9. 2014-2017 CSAT Drug Court Grant Federal funds (TI025119) were awarded to the Cleveland Municipal Drug Court to expand the number of individuals that could be served and allowed surrounding municipalities to ‘send’ their defendant to Cleveland Drug Court for court services 54 individuals have been enrolled to date 150 individuals are to be served by September 2017

10. 2014-2017 CSAT Drug Court Grant Has allowed for the expansion of the Drug Court docket for defendants presenting with substance use disorder diagnosis of opiate dependence (Severe or Moderate) and at risk of failing in less intensive or traditional models of supervision. The proposed intervention strategy includes a comprehensive screening and assessment process for substance use disorder, trauma, recidivism risk, readiness/motivation, HIV and Hepatitis status and Medicaid/ACA eligibility.

11. 2014-2017 CSAT Drug Court Grant Project goal is to establish a coordinated, multi- system approach designed to combine the sanctioning power of the Greater Cleveland Drug Court with evidence-based treatment approaches. Outcome: 1) reduce incidence of SUD relapse; 2) increase successful treatment completions; 3) reduce number of technical violations 4) increase successful program completions; 5) reduce number of new arrests; 6) increase education and employment status program end.

12. 2014-2017 CSAT Drug Court Data Results The following longitudinal data reports on the 18 individuals who received grant funded services since October 1, 2014, have completed their court experience (terminated or successfully completed) and have 3 waves of interviews. Interview Waves: – Baseline (T1), 6-month follow-up (T2), Discharge (T3 )

13. Demographics

14. Alcohol Use

15. Drug Use

16. Marijuana Use

17. Heroin Use

18. Recidivism

19. Recidivism: Substance Use Related

20. Average Number of Nights in Jail

21. Employment

22. Housing Status

23. Number of Self-Help Meetings

24. Health Status

25. HIV Testing

26. SUD Outpatient Services

27. Mental Health Outpatient Services

28. NOMs & Cleveland Drug Court Outcomes Program IndicatorPercentage Benchmark Cleveland Municipal Drug Court (n=18) Drug Court Completion 64 Treatment Completion 7177 Employed/Education 8967 Stable Housing 8394 No Substance Use 7489 No Re-Arrests 9483 No Social/Emotional/ Behavioral Consequences 9450

29. What Does This Mean…… Project infrastructure has established a coordinated, multi-system approach including a comprehensive screening and assessment for substance use disorder, trauma, recidivism risk, readiness to change, HIV and Hepatitis status and Medicaid/ACA eligibility. Project has been able to expand the number of individuals served and accept cases from surrounding municipalities.

30. What Does the Data Tell Us…… Less Alcohol Use Less Overall Drug Use Less Marijuana Use Less Heroin Use Less Recidivism Less Nights in Jail Increased Employment Increased Stable Housing Increased Self-Help Meetings (Social Connectedness)

31. What is Next…… Increase access to Mental Health/Trauma Treatment Increase HIV Testing Continue to enroll & follow Drug Court individuals throughout their court experience Continue to identify & eliminate gaps in the service continuum Continue to work with the surrounding municipalities to maintain access to Drug Court program services Continue to examine program data and report these data to the Drug Court team & Advisory Board

32. Questions….. Thank you Dr. Margaret Baughman Margaret.baughman@case.edu