Treatment Track: Treatment as Part of the Community

1. Treatment Track:
Treatment as Part of
the Community
Presenters:
• Susan Alameda, MSW, State Coordinator, Arizona Supreme
Court, AOC Adult Probation Services
• Krista Forster, MA, Program Specialist, Arizona Supreme Court’s
Adult Probation Supervision Division
• Harry Earle, Chief of Police, Gloucester Township, NJ
Moderator: Dan Smoot, Director of Drug Prevention and Education,
Appalachia High Intensity Drug Trafficking Area (HIDTA)

2. Disclosures
• Susan Alameda, MSW, has disclosed no relevant, real, or apparent
personal or professional financial relationships with proprietary
entities that produce healthcare goods and services.
• Krista Forster, MA, has disclosed no relevant, real, or apparent
personal or professional financial relationships with proprietary
entities that produce healthcare goods and services.
• Harry Earle has disclosed no relevant, real, or apparent personal or
professional financial relationships with proprietary entities that
produce healthcare goods and services.
• Dan Smoot has disclosed no relevant, real, or apparent personal or
professional financial relationships with proprietary entities that
produce healthcare goods and services.

3. Disclosures
• All planners/managers hereby state that they or their
spouse/life partner do not have any financial
relationships or relationships to products or devices
with any commercial interest related to the content of
this activity of any amount during the past 12 months.
• The following planners/managers have the following to
disclose:
– Kelly Clark – Employment: Publicis Touchpoint Solutions;
Consultant: Grunenthal US
– Robert DuPont – Employment: Bensinger, DuPont &
Associates-Prescription Drug Research Center
– Carla Saunders – Speaker’s bureau: Abbott Nutrition

4. Learning Objectives
1. Advocate the use of community-based strategies
to increase access to treatment.
2. Explain how Arizona agencies are using
evidence-based practices in determining
appropriate treatment for probationers with
behavioral health issues.
3. Describe a police department program that
employs professional counselors to assist those
at risk of substance abuse and provides certified
drug and alcohol counselors in the municipal
court room.

5. Treatment Mapping:
Using Collaboration to Maximize
Community Based Treatment for
Offenders
Susan Alameda, TREATMENT SPECIALIST
Krista Forster, PROGRAMS SPECIALIST
ARIZONA SUPREME COURT
ADMINISTRATIVE OFFICE OF THE COURTS
ADULT PROBATION SERVICES DIVISION

6. Disclosure Statement
Susan Alameda, MSW and Krista Forster, MA,
have disclosed no relevant, real or apparent
personal or professional financial
relationships with proprietary entities that
produce health care goods and services.

8. Rural Healthcare
• In many rural areas, low population is combined
with a lack of health services, poverty,
underserved areas and geographic isolation.
• Transportation issues such as distance,
topography, and lack of mass transit

9. Urban Healthcare
• In many urban areas, there are too many
choices.
• Standard of Care
• “Favorites”
• Difficulty finding the most appropriate
treatment

10. Common Funding Sources in AZ
• Federal Gov’t
• Center for
Medicaid/Medicare
Services
• SAMHSA
• AHCCCS
• State Funding
• County, City, Other
State Agencies
• Non-TXIX
• Crisis Services
• Supportive Housing
ADHS
RBHA
Local Provider Network

11. Administrative Office of the Courts
18%
16%
18%
48%
AOC Treatment budget for probation
departments-FY14
TOTAL - $5,402,033
CPP
DRUG COURT
CJEF
DTEF
$973,435
$854,472
$1,004,525
$2,569,601

12. Treatment Mapping Purpose
 What is the purpose:
• What’s out there?
• Are there gaps in service?
• Are services being provided that meet the needs of specific
counties?
• Are providers using EBP?
• What are the Barriers to treatment
• How can probation departments find the right provider?
• Appropriate funding sources
• Assumptions

13. On the Road Again
Travel to the counties
 Meet with RHBA & Probation staff
 Chiefs, Treatment Coordinators, Line Officers
 See what the county physically looks like
 Observe Problem Solving Courts
 Meet with Local Providers
 Those who provide direct services to
probationers and work with probation staff
 Observe modalities

14. Life is Like a Box of Chocolates
What We Found
 Each county is unique
 Issues with transportation
 Cultural issues affecting treatment needs
and responses to treatment options
(language barriers, family involvement)
 Training for staff (emerging drug issues, new
technology)

15. Life is Like a Box of Chocolates
Communication gaps
Interagency
Coordination of Care
Other agencies (ie. jail, providers, DES)
Staffing of problem cases
Providing referral information (presentence
reports, monthly progress reports)
Adherence to Best Practices/Evidence Based
Practices

16. Life is Like a Box of Chocolates
Service gaps
 Consistency (staff, funding, participants)
 Limited funding
 Lack of treatment programs (IOP, residential,
detox, in-patient acute care facility)
 Access to treatment/Geographical challenges
 Specialty services (ie. DV, DUI, Sex Offender)
oStatutorily mandated services
 Emergency Housing/Homeless Shelters
 Sober Living, Transitional Housing
 Sober Support/12 step meetings

17. Life is Like a Box of Chocolates
Service Gaps (con’t)
 CBT/Aftercare/Relapse Prevention
 Veteran’s Services
 Automation for data tracking and reporting
 Mental Health (medication, transitional
services, transportation)
 Dental Care

18. The Administrative Office of the Courts and
Regional Behavioral Health Authorities have
partnered to:
 Bridge gaps in treatment services
 Define roles and responsibilities of each agency
 Improve communication and information sharing
 Maximize limited resources
 Increase resource sharing
 Improve quality of care to our shared populations
 Improve lives in our communities
Solution: Partnerships

19. Communication is Key

20. Solution Outcomes
Better Communication
 All parties engage in cross-system education/training
 All parties communicate concerns regarding providers
and/or services to each other
 Unified commitment to provide real time solutions
oPoint of contact
oProbation Protocols
 Clarification on funding protocols and limitations
oShare the wealth
oFunding agreements/expectations
 Contracts, MOUs, Agreements

21. Solution Outcomes
Better Communication (con’t)
 Probation and providers understand why they
should be talking
 Administration works to bridge gaps in services
 Administration understands need for further
training
 Administration gets a “big picture” understanding
of the challenges faced in each community
 Administration works to educate the Court

22. Solutions Outcomes
Assessment Driven (ASUS-R, OST/FROST)
 “Guts” are not evidence based
Partnerships
 Problem Solving Teams
 Non-traditional resources
 Community based alliances
 Sister agencies

23. Law Enforcement/
Probation
Treatment
Social Services
Family Therapy
Government Agencies/
Officials
Mentoring Programs Faith CommunityArts
Health
Housing
Literacy
Programs
Service Organizations
Schools/Colleges/
Universities
Recreational/
Libraries
Employment/
Job Training
Mental Health Services
Community Based
Organizations
Community
Foundations
Businesses
Community Map

24. Where Do We Go From Here
Probation Departments Responsibilities:
 Participate in training regarding assessments
 Provide complete referral packets (PSI, assessments)
 Attend staffings and/or invite providers to department
staff meetings
 Follow statute, ACJA and policies regarding placement of
probationers in treatment
 Explore and foster non-traditional resources (sober
groups, churches, non-profits, reentry sites,
employment agencies)
 Complete Program Plans outlining existing and needed
resources for treatment.

25. Where Do We Go From Here
RBHA’s (funding authority)Responsibilities:
 Make sure provider agencies follow protocols for
member choices
 Ensure providers balance need with resources
 Foster meetings with providers and probation
department
 Ensure providers are utilizing funding as needed for
treatment clients (ie. SAPT funds)
 Develop and train on protocols
 Ensure providers are utilizing current evidence based
modalities

26. Where Do We Go From Here
Provider Responsibilities:
 Collaborate with other providers
 Communicate with RBHA (advise of treatment
needs, funding concerns, oversaturation of
providers/programs, need for training)
 Communicate with probation departments
o Provide monthly progress reports
oNotify probation of violations
o Request more information from departments (PSI,
assessments, any information related to offense and
reason for being referred to treatment)

27. Where Do We Go From Here
AOC’s Responsibilities:
 Report licensing/certification issues
 Gather data regarding assessments related to treatment needs
 Foster collaboration with other departments/providers
 Ensure providers following ACJA code and EBP
 Provide general support to counties
 Advocate for resources
 Provide training opportunities
 Evaluate need for and use of problem solving courts

28. Where Do We/You Go From Here
Get Out of Your Cubicle
 Know your partners
 Communicate
 Collaborate
 Explore
 Develop Relationships
 Know the Affordable Care Act (ACA) and its impact on your
community

29. System Partners
• Think about your system partners
• Ask: Who is part of your system now?
• Ask: What do your partnerships look like now?

30. Long is the road from conception to
completion.
Moliere

31. Treatment as Part of the Community

32. DISCLOSURE

33. GOALS
Advocate the use of community-based
strategies to increase access to treatment.
Describe a police department program that
employs professional counselors to assist
those at risk of substance abuse and provides
certified drug and alcohol counselors in the
municipal court room.

34. THE COMMUNITY OF GLOUCESTER TOWNSHIP

35. PEOPLE ARE DYING – AND NOT JUST FROM CRASHES
Year Deaths
2010 6
2011 9
2012 5
2013 9
2014 14
CAMDEN COUNTY –
2014/37 2013/31
GLOUCESTER TWP – 2014/2 2013/1

36. AN EPIDEMIC

37. PROTECT AND SERVE - TRADITIONS IN POLICING
METROPOLITAN
POLICE ACT
1829
PEELIAN
PRINCIPLES

38. FACING YOUTH TODAY

39. WHEN I GROW UP…..I WANT TO BE…..

40. A BROKEN WINDOW THAT MUST BE REPAIRED

41. LAW ENFORCEMENT’S NEW VISION

42. COMMUNITY POLICING
Community policing is a
philosophy that promotes
organizational strategies,
which support the
systematic use of
partnerships and problem-
solving techniques, to
proactively address the
immediate conditions that
give rise to public safety
issues such as crime, social
disorder, and fear of
crime.
SOCIAL DISORDER

43. LAW ENFORCEMENTS NEW VISION

44. INSPIRING CHANGE

45. SAVING LIVES

46. SAVING LIVES
80 Units
April
2014

47. 130
126
97%
SAVING LIVES

48. LAW ENFORCEMENT DRUG ADVOCACY

49. WHEN I GROW UP I WANT TO BE A DRUG FUELED ROBBER

50. SAVE ADVOCATE
13 CLIENTS 8 CLIENTS
47%
REMAINING 20?

51. SAVE ADVOCATE – CASE STUDY
Discharged
9/18/14
CLIENT # 8

52. SAVE INITATIVES

53. SAVE - DRUG DISPOSAL

54. SAVE FOLLOW-UP

55. SAVE - BUILDING PARTNERSHIPS

56. FAMILY RESOURCE CENTER

57. IT’S JUST A RUNAWAY
http://archives.drugabuse.gov/NIDA_Notes/NNVol12N3/Runaway.html2

58. SILENCE

59. THE RETURN OF THE JUVENILE – CASE OVER?

60. BRING IT ALL TOGETHER

61. COMPREHENSIVE APPROACH
JU HUDDLE
Commanders
Intelligence Unit
Every Missing
Person/Juvenile
Contact
Comprehensive Review

62. PROJECT CASEY - SUCCESS
2008-2011
30%
2011-2014
5%
Substance abuse and delinquency often share the
common factors of school and family problems,
negative peer groups, lack of neighborhood social
controls, and a history of sexual abuse.
Source: National Criminal Justice Reference Service: https://www.ncjrs.gov/html/ojjdp/jjbul9712-1/substan.html

63. GTPD AND THE COMMUNITY IN ACTION

64. REDIFINING PROTECT AND SERVE

65. QUESTIONS AND CONTACT INFORMATION

66. Treatment Track:
Treatment as Part of
the Community
Presenters:
• Susan Alameda, MSW, State Coordinator, Arizona Supreme
Court, AOC Adult Probation Services
• Krista Forster, MA, Program Specialist, Arizona Supreme Court’s
Adult Probation Supervision Division
• Harry Earle, Chief of Police, Gloucester Township, NJ
Moderator: Dan Smoot, Director of Drug Prevention and Education,
Appalachia High Intensity Drug Trafficking Area (HIDTA)