1 DWI/Drg Corts: Defining a National Strategy Jdge Karen Freeman-Wilson (Ret.) Exective Director C. West Hddleston Director March 1999
2 DWI/Drg Corts: Defining a National Strategy Prepared by the National Drg Cort Institte, the edcation, research and scholarship affiliate of the National Association of Drg Cort Professionals. Copyright 1999, National Drg Cort Institte; reprinted May 2004 NATIONAL DRUG COURT INSTITUTE Jdge Karen Freeman-Wilson (Ret.), Exective Director C. West Hddleston, III, Director 4900 Seminary Road, Site 320 Alexandria, VA Tel. (703) Fax. (703) This docment was prepared in cooperation with the American Concil on Alcoholism; the National Commission Against Drnk Driving; the National Sheriffs Association; the Drg Corts Program Office, Office of Jstice Programs, U.S. Department of Jstice; and the National Association of Drg Cort Professionals. This docment was prepared nder Cooperative Agreement Nmber 1999-DC-VX-K001 from the Brea of Jstice Assistance, U.S. Department of Jstice, with the spport of the Office of National Drg Control Policy, Exective Office of the President. Points of view or opinions in this docment are those of the athors and do not necessarily represent the official position of the U.S. Department of Jstice or the Exective Office of the President. All rights reserved. No part of this pblication may be reprodced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, withot the prior written permission of the National Drg Cort Institte. Printed in the United States of America. Drg corts perform their dties withot manifestation, by word or condct, of bias or prejdice, inclding, bt not limited to, bias or prejdice based pon race, gender, national origin, disability, age, sexal orientation, langage or socioeconomic stats. ii
3 A CKNOWLEDGEMENTS Wide-scale implementation of corts offering a treatment-based approach to DUI cases cold be the next important step in a challenging series of initiatives that have broght abot remarkable redctions in both DUI arrests and alcohol-related traffic deaths in the last two decades. In 1987, nearly 24,000 people died in alcohol-related crashes. Ten years later, that nmber had dropped by a third. DUI/Drg Corts can help s achieve the U.S. Department of Transportation s goal of 11,000 by The National Drg Cort Institte and the DUI/Drg Cort Advisory Panel wish to acknowledge all those who have contribted to this important initiative. Special thanks to the organizations that worked in partnership with NDCI to convene the panel: the American Concil on Alcoholism, the National Commission Against Drnk Driving, the National Sheriffs Association, the Drg Corts Program Office, Office of Jstice Programs, U.S. Department of Jstice, and the National Association of Drg Cort Professionals. We also wish to express or gratitde to the jrisdictions who participated in this project, having the vision to lead this important movement: Bakersfield, California Bernalillo Conty, New Mexico Btte Conty, California Dona Ana Conty, New Mexico Hancock Conty, Indiana Maricopa Conty, Arizona Payne Conty, Oklahoma Finally, we extend or appreciation to the following organizations and individals for their participation and interest American Atomobile Association American Beverage Institte American Prosectors Research Institte Ms. Brenda Beach Center for Sbstance Abse Treatment Centry Concil Linda Connelly & Associates, Inc. Office of Jstice Programs, U.S. Department of Jstice The Distilled Spirits Concil of the United States The General District Cort and the City of Fredericksbrg, Virginia Mr. Pal Gavaghan Department of Emergency Medicine, George Washington University Medical Center Indian Health Service, U.S. Department of Health and Hman Services Health Commnications, Inc. Join Together Life Sciences Corporation MADD of Northern Virginia Mid-America Research Institte Mobil Corporation National Concil on Alcoholism and Drg Dependence National Criminal Jstice Association National Highway Traffic Safety Administration, U.S. Department of Transportation National Institte on Alcohol Abse and Alcoholism National Licensed Beverage Association National Traffic Law Center Rappahannock (Virginia) Regional Jail Rtgers University Center of Alcohol Stdies National Center for Alcohol Policies National Center for State Corts National Institte of Jstice Office of Demand Redction, Office of National Drg Control Policy State Jstice Institte Therapetic Commnities of America Office of Tribal Jstice, U.S. Department of Jstice Department of Veterans Affairs Virginia Alcohol Safety Action Program Rappahannock Area Washington Regional Alcohol Program. TABLE OF C ONTENTS
4 EXECUTIVE SUMMARY #ii DUI and Drg Cort Practice Compared Challenges of Establishing DUI/Drg Corts Recommendations DUI/DRUG C OURTS: D EFINING A N ATIONAL S TRATEGY A Nation Still at Risk 1 Drg Corts: A Model for DUI 4 The DUI/Drg Cort Mission 5 Comparison of DUI and Drg Cort Practice 6 Clearing a Path 10 DUI/Drg Cort National Strategy Framework 12 REFERENCES 13 A PPENDIX A: A DVISORY P ANEL J URISDICTIONS Bakersfield Mnicipal Cort 17 Bernalillo Conty Metropolitan Cort 20 Btte Conty Sperior Cort of California 23 Dona Ana Conty DWI Drg Cort 26 Sperior Cort No.2 of Hancock Conty 28 Payne Conty Drg Cort 30 A PPENDIX B: R EV IA P ROJECT The Btte Conty ReVia Project 31 A PPENDIX C: SWOT A NALYSIS O UTCOMES 41 E XECUTIVE SUMMARY
5 America s drg corts are working. Taking a rehabilitative approach to jstice that is based on intensive drg treatment, close spervision, and a demand for offender accontability, drg corts offload nonviolent drg offenders from traditional cort systems and place them in programs designed to get them off drgs, redce recidivism, save money, and slow the revolving door that has come to characterize the nation s criminal jstice system. The positive otcomes for drg corts beg the qestion: Can the drg cort model be applied with eqal effectiveness to other poplations? More specifically, can it work with drnk drivers? Stiff criminal penalties, a massive pblic awareness campaign, and other initiatives spanning nearly two decades have had an impact on drnk driving. In 1987, alcohol-related crashes acconted for 51 percent of all fatalities; a decade later, the percentage is down more than 12 points (Brea of Jstice Statistics, 1998). Arrests for driving while intoxicated or nder the inflence of alcohol are also on the decline, bt nfortnately, the impact of these initiatives has been disproportionately limited to social drinkers. Problem drinkers, i.e., serios, habital absers of alcohol, contine to kill people on the highways. Those who are addicted are ndeterred by pnishment; those who live in denial are nswayed by media campaigns. Some jrisdictions are already applying the drg cort model or portions of it to DUI cases. Some operate corts established solely to hear DUI cases. In other jrisdictions, drg cort programs have expanded to inclde DUI cases. In November 1998, practitioners from seven sch jrisdictions formed a DUI/Drg Cort Advisory Panel to explore and compare the needs of DUI and drg offenders and assess the applicability of the drg cort model to repeat DUI offenders. The panel convened at the invitation of the National Drg Cort Institte (NDCI), in partnership with the American Concil on Alcoholism, the National Commission Against Drnk Driving, the National Sheriffs Association, the Drg Corts Program Office, U.S. Department of Jstice, and the National Association of Drg Cort Professionals. The Advisory Panel began by reaching consenss on a draft mission statement for DUI/Drg Corts. It reads... to make offenders accontable for their actions, bringing abot a behavioral change that ends DUI recidivism, stops the abse of alcohol, and protects the pblic; to treat the victims of DUI offenders in a fair and jst way; and to edcate the pblic as to the benefits of DUI corts for the commnities they serve. DUI and Drg Cort Practice Compared The panel agreed that the typical mltiple DUI offender shares some common characteristics with the typical drg offender participating in a drg cort program today. Each has a serios sbstance abse problem, and each reqires treatment, a strong spport system, and the ability to come to terms with his or her problem before real change can occr. Some distinctions between the two offender grops also exist. DUI offenders tend to be male, employed, slightly older than drg offenders, and able to draw on emotional resorces (family, edcation, etc.) that are helpfl to recovery. They have a legal orientation (the sbstance they ingest is legal), and are often in denial abot their addiction. Freqently ot of work and nable to spport themselves, drg offenders have little financial or emotional spport. They have a more realistic perception of their addiction, and they recognize that their actions are illegal. They are nearly as likely to be female as male. In terms of goals and poplations served, a comparison of DUI corts and drg corts also yielded nmeros similarities. A comparison of the state of the practice in the two areas, however, revealed several distinctions. Some are to be expected, given differences in pblic opinion and poplations served. Others may be indicators of the benefits of collaboration between the DUI and drg cort commnities. The distinctions inclde the following:
6 While abot half of all drg corts have diversion programs, pblic perceptions and the natre of the DUI offense place limits on DUI pre-adjdication options. Drg corts operate in a nonadversarial, collaborative environment. Maintaining this environment poses a challenge to DUI offenders and their attorneys, who face the pressres of mandatory sentencing laws and pblic calls for severe penalties. Incentives draw drg offenders into drg cort programs. Becase the incentives that can be offered to DUI offenders are more limited, engaging DUI offenders in a DUI/Drg Cort program can be more challenging. Althogh access to treatment sites may be limited for DUI offenders who have lost driving privileges, these offenders have the advantage of an added i.e., victim-impact panels. rehabilitation service, Drg corts monitor participants more closely than other commnity-based treatment programs. DUI-offender monitoring calls for even greater coordination, more freqent testing, more innovative technologies, and a high level of personal commnication. Professional edcation opportnities, sch as those that are available to drg cort practitioners, are extremely limited in the DUI cort commnity. Gaining commnity spport for DUI corts calls for a higher level of organizational spport, different edcational approaches, and greater deference to social concerns. Challenges of Establishing DUI/Drg Corts The panel felt that even thogh offender characteristics and the realities of the law and circmstances clearly indicate a need to modify the drg cort model for application to DUI cases, drg corts do in fact hold promise for DUI offenders. In order to apply the drg cort model to DUI cases, a nmber of obstacles mst be overcome. They inclde the following: Edcation/Recritment. Limited nderstanding of what DUI corts can achieve and a perception that the DUI corts lack prestige make it difficlt to attract practitioners to the field. Fnding. Dollars are scarce, and competition for fnding prevents agencies from working together toward a common goal. The Soft on Crime Perception. Contering the perception that DUI/Drg Corts are soft on crime will reqire a concentrated, carefl, endring pblic edcation effort. The Scope of Need. The need for this model is vast. Any jrisdiction committing to a program will face major challenges in finding fnding and qalified practitioners to spport it and will have to make difficlt choices as to whom to serve. Existing DUI Corts. The vast majority of existing DUI corts are neither patterned after nor do they resemble the drg cort model. These programs need to be mapped and assessed. Need for a National Strategy. A national strategy mst be formlated to gide efforts to establish and instittionalize DUI/Drg Corts and convince the pblic that the model can work for DUI offenders.
7 Delay Syndrome. Delaying adjdication is a common defense tactic in traditional DUI corts. This tactic cold prevent defendants from entering a DUI/Drg cort program qickly and beginning treatment. Recommendations The Advisory Panel made two recommendations 1. Establish DUI corts that are based on the drg cort model, or widen the focs of existing drg corts to inclde DUI cases. 2. With NDCI as coordinator, develop a National DUI/Drg Cort Strategy that makes provision for: national standards of practice and an advisory board; practitioner edcation, pblications, and an information repository; DUI/Drg Cort mentor sites; and the establishment of one clear pblic voice to speak on behalf DUI/Drg corts. DUI/DRUG C OURTS: D EFINING A N ATIONAL STRATEGY A Nation Still at Risk In 1987, more than half of all people killed on or nation s roadways died in alcohol-related crashes. Of the 46,390 traffic deaths that year, almost 24,000 might have been avoided had someone not absed alcohol. Today, those nmbers are down. Despite increased traffic loads, fewer people are dying, and fewer deaths can be linked to alcohol. In 1997, alcohol-related fatalities declined to 16,189, or 38.6 percent of total traffic fatalities (NHTSA, 1998). DUI arrests are also on the decline. Police made 1,467,300 arrests in 1996, one for every 122 licensed drivers; that nmber is down considerably from an all-time high reached in 1983, when 1,921,100 arrests were made (one for every 80 licensed drivers) (Brea of Jstice Statistics, 1998). Or roads are safer today for a nmber of reasons, all of them stemming from an awakening of pblic and legislative consciosness to the deadly seriosness of drnk driving. Stirred by a massive pblic awareness campaign that began in the early 1980s, we have taken steps to crb DUI. Stiff penalties, inclding license sspension and incarceration, are often mandated by law. Enforcement has been stepped p, in the form of sobriety checkpoints and satration patrols. The minimm drinking age has been raised to 21 in every state. And a different way of thinking has led to a decrease in the per capita rate of alcohol consmption (Fell, 1998).
8 The sccess of the movement to stop drinkers from driving is notable, bt disproportionately limited to social drinkers and those who are too yong to by alcohol (Brea of Jstice Statistics, 1998). The progress achieved with repeat offenders and heavy drinkers is far less significant. Despite severe penalties, problem drinkers who go ntreated contine to drink and drive, tie p or cort systems, and kill people on or highways. Of the 38.6 percent of traffic deaths that were alcohol related in 1996, three-qarters involved someone who had a BAC (blood alcohol content) of 0.1 or higher.* To date it has largely been left to traditionally-styled corts and or prisons to deal with those arrested for DUI (driving nder the inflence of alcohol) or DWI (driving while intoxicated.)** It has become clear, however, that the traditional process is not working for repeat offenders and other problem drinkers. Pnishment, naccompanied by treatment, is an ineffective deterrent for addicted persons. The otcome for the addicted offender is contined dependence on alcohol; the otcome for the commnity is contined peril. The time has come to find a new approach to addressing this very old problem, and the drg cort model is a strong contender. In 1998, practitioners from seven jrisdictions in for states formed a DUI/Drg Cort Advisory Panel to consider application of drg cort-type programs in the DUI arena, weigh the costs and benefits of wide-scale implementation of DUI corts (or DUI/Drg Cort combinations), and lay a fondation for constrcting a viable National DUI/Drg Cort Strategy. Each jrisdiction represented on the panel is already applying the drg cort model in some form to DUI cases, and achieving promising otcomes Maricopa Conty (Phoenix), Arizona operates a federally-fnded cort that applies drg cort principles bt focses solely on DUI cases. Dona Ana Conty (Las Crces and Mesilla), New Mexico has established three DWI drg corts to hear both DUI and more traditional drg cort cases; the majority of defendants are charged with DUI offenses. The Bernalillo Conty, New Mexico DWI drg cort also works primarily with DUI offenders; 101 of 118 offenders accepted into the program since it began operating in Jly 1997 were DUI cases. Bakersfield, California operates a drg cort that has broadened its prview to inclde DUI cases. Payne Conty (Stillwater), Oklahoma does the same in both its adlt and jvenile drg corts. Hancock Conty, Indiana Sperior Cort remands all DUIs, all alcohol offenses, and most drg cases to the same cortroom. It applies drg cort- like principles to DUI cases, bt clearly disassociates its DUI and drg programs. Btte Conty, California also applies drg cort principles to DUI cases heard in Sperior Cort. Depending pon need, offenders can be assigned to any of a nmber of different treatment regimens, inclding an innovative Naltrexone test program that has been in place since The DUI/Drg Cort Advisory Panel met in November 1998 in Washington, D.C., at the invitation of the National Drg Cort Institte (NDCI), in partnership with the American Concil on Alcoholism, the National Commission Against Drnk Driving, the National Sheriffs Association, the Drg Corts Program Office, of the U.S. Department of Jstice, and the National Association of Drg Cort Professionals. For two days, the panelists participated in a series of concentrated exercises designed to draw comparisons between DUI and traditional drg cort cases and bild a National DUI/Drg Cort Strategy. Together, they considered a wide variety of isses and challenges, among them the state of the practice in each area; offender characteristics and treatment needs; pblic and jdicial perceptions; legally mandated incarceration; and the impact of treatment-based programs on pblic safety and commnity economics. Observing the panel s activities and providing inpt were representatives of federal and state government, research organizations, and advocacy grops. Among them were the Rtgers University Center of Alcohol Stdies, The Distilled
9 Spirits Concil of the United States, the American Atomobile Association, the National Highway Traffic Safety Administration (NHTSA), the American Prosectors Research Institte, the Center for Sbstance Abse Treatment, MADD of Northern Virginia, the National Institte of Jstice, and the National Center for State Corts. The panel emerged from the conference having Created a workable DUI/Drg Cort mission ; Made a detailed comparison of DUI and drg case needs formlated arond the ten key components of drg corts; and Identified challenges to overcome in establishing and maintaining sccessfl DUI/drg cort programs. These otcomes are presented on the following pages. The panel also emerged with recommendations to prse on a broad scale the establishment of new DUI corts based on the drg cort model and/or the expansion of existing drg corts to inclde DUI cases, and to prepare a national strategy for the implementation of DUI/Drg Corts. Recommendations for points to be considered in preparing a national strategy conclde this report. Drg Corts: A Model for DUI A qiet revoltion has taken place within or criminal jstice system. The first rond was fired in 1989, when the Nation s first drg cort was established. Today, some 550 drg corts are operating or being planned in commnities across the United States (American University, 1999). Drg cort programs vary from one jrisdiction to another depending pon the resorces and needs of the commnities they serve. The typical program participant is a nonviolent offender, charged with a drg-related crime. He or she agrees to ndergo comprehensive drg abse treatment, and is sbjected to close spervision and freqent drg testing. Sanctions and incentives are employed to keep the offender on track. They are imposed by the jdge of the cort, who becomes a constant fixtre in the life of the offender dring his or her stay in the program. Abot half of all drg corts are diversion programs. Those who do not gradate face prosection and sentencing for their original charges. Charges against those who sccessflly complete the program may be redced or dropped. Drg corts represent an innovative jdicial experiment in which offenders are held accontable for their actions bt afforded the tools they need to break the patterns of drg abse that so damage their lives and the commnities in which they live. Typical drg cort goals are to redce drg se and associated criminal behavior by engaging and retaining drginvolved offenders in programmatic and treatment services; to concentrate drg-case expertise into a single cortroom; to address other defendant needs throgh clinical assessment and effective case management; and to remove nonviolent drg offenders from traditional cortrooms and jails, freeing these instittions to focs on more serios crimes and criminals. Early indications are that drg corts are achieving their goals, and that they offer great hope for long-term redction in drg-related crime. In a critical review of 30 evalations of two dozen drg cort programs, the National Center on Addiction and Sbstance Abse at Colmbia University (CASA) conclded that drg corts lower recidivism, redce drg se, and redce both direct and indirect costs of investigating and adjdicating drg-related crime (Belenko, 1998). They scceed becase they manage to engage offenders, and keep them engaged, in their programs. In a 1996 srvey condcted by the
10 Drg Cort Clearinghose and Technical Assistance Project, six reporting jrisdictions reported retention rates from 62 percent to 90 percent (Drg Strategies, 1997). As monting evidence proves time and again that drg corts work, the drg cort model has been adapted to other criminal jstice poplations. Domestic violence corts, mental illness corts, and even deadbeat dad corts have patterned themselves after drg corts. Perhaps the most important spinoff is the application of drg cort principles to DUI cases. The DUI/Drg Cort Mission As a framework on which to bild their discssions, the DUI/Drg Cort Advisory Panel formlated a working mission for the nation s DUI/Drg Corts. The mission, which was formed by consenss, is to make offenders accontable for their actions, bringing abot a behavioral change that ends DUI recidivism, stops the abse of alcohol, and protects the pblic; to treat the victims of DUI offenders in a fair and jst way; and to edcate the pblic as to the benefits of DUI corts for the commnities they serve. The missions of a DUI cort, a drg cort, and a cort that hears both DUI and drg cases are nearly interchangeable. Offender accontability is key in every case, as are the goals to change offender behavior, eliminate sbstance abse, end recidivism, and treat victims with fairness and sensitivity. Distinctions do arise in a cople of areas. First, drg corts mst strive to give drg offenders the means to become prodctive members of society. DUI offenders, on the other hand, are often prodctive in spite of their alcohol abse. They already have jobs, families, and homes, and the goal becomes more one of providing the tools they need to keep what they have. Second, althogh both corts mst endeavor to edcate the pblic abot the benefits of these systems for the commnities they serve, proving their case can be a greater challenge for the DUI commnity. The pblic nderstands that a part of drg cort jstice is treatment, and many believe that treatment is an effective way to conter drg abse. Fewer people believe that treatment will solve the DUI problem. It is important to convince the pblic that the greatest danger today comes from repeat offenders, i.e., people with alcohol addictions who, like drg addicts, reqire treatment to change their behavior. Comparison of DUI and Drg Cort Practice The DUI/Drg Cort Advisory Panel qestioned whether drg corts, or separate DUI corts based on the drg cort model, can provide an effective mechanism for treating repeat offenders. In working towards a consenss on this qestion, the panel nearthed nmeros similarities between DUI and drg offenders, and some distinctions as well. A comparison of DUI and drg cort practice yielded similar reslts. It is both the similarities and the distinctions that provide the grondwork for beginning the process of adapting the drg cort model for se with DUI offenders.
11 Characteristics of the DUI and Drg Cort Poplations Redced to their common denominators, the poplation of a drg cort can be defined as persons who have a drg problem, are charged with a drg offense or another offense motivated by a drg problem, and are nonviolent. The DUI cort poplation can be defined as persons charged with a DUI offense and who have indicators of a serios alcohol problem (e.g., prior alcohol arrests or convictions, or high BAC at the time of arrest). Offenders in both grops share some commo n personal characteristics. Each offender has a sbstance abse problem that is taking control of his or her life. Each reqires comprehensive treatment, a strong spport system, and the ability to come to terms with his or her problem before real change can occr. The personal characteristics typical of the two classes of offender differ in some ways. DUI offenders tend to be employed, and to have emotional resorces that are helpfl to recovery, sch as family, edcation, or religion. Drg offenders are often ot of work and nable to spport themselves. With the exception of social assistance, they have little in the way of financial or emotional spport. DUI offenders have a legal orientation, and drg cort offenders an illegal orientation. That is, becase alcohol is legal, DUI offenders see themselves as being on the right side of the law, even thogh they se alcohol in an illegal way. Drg offenders ingest an illegal sbstance, and have few illsions abot the side of the law on which they stand. The DUI offender who is likely to be a candidate for a DUI cort program is a repeat offender arrested two, three, or more times for an alcohol-related traffic offense. Repeat offenders accont for abot one-third of the arrests made annally; they are considered good candidates in part becase limited resorces translate into a limited nmber of seats in DUI/Drg Cort, bt also becase serios DUI offenders are more likely to be in need of a DUI/Drg Cort program. Conversely, a typical drg cort defendant (charged with a drg-related offense) may not be facing his or her first offense, bt is less likely to be considered a serios offender. DUI offenders are predominantly male (78 percent) and tend to be slightly older (25-44) than drg offenders (18-44). In fact, while the DUI arrest rates for all age grops have declined in recent years, the declines for persons aged are mch smaller than those for other grops. For instance, from 1990 to 1996 DUI arrest rates declined 23.5 percent for drivers at age 23 and 18.5 percent for driver s age 50 or older. Rates for drivers in the and age grops went down only 7.6 percent and 6.7 percent respectively (Brea of Jstice Statistics, 1998). Finally, DUI offenders are often in a state of denial abot their sbstance abse. Their drg-sing conterparts, abot half of whom are male and half female, tend to have a more realistic perception of their addiction. DUI Corts Defined: The Key Components In 1997, the Drg Cort Standards Committee of the National Association of Drg Cort Professionals, with the spport of the Drg Corts Program Office, designated the ten key components of drg corts (NADCP, 1997) and established these components as benchmarks for performance describing the very best practices, designs, and operations of drg corts. In their effort to define DUI corts, the DUI/Drg Cort Advisory Panel explored the goals of DUI cort proponents and the state of DUI corts operating today, and compared them to drg corts in terms of the ten key components. They identified a nmber of similarities between DUI and drg corts in terms of goals and poplations served. Across the board, they also cited nmeros differences. In some cases, the differences are necessary responses to distinctions between the two poplations. In other cases, the differences point to needs of the DUI cort commnity that can be met by collaborating with the drg cort commnity. The principal findings follow. Drg Cort Component 1: Drg corts integrate alcohol and other drg treatment services with jstice system case processing.
12 Treatment is a critical factor in redcing recidivism among both drg and DUI offenders, and so is accontability for crimes committed. The diversion and post-plea programs fond in drg corts do not free offenders from taking responsibility for their actions, bt they do enable offenders to enter treatment programs with minimal delay. Sentencing laws and pblic perceptions make these programs workable for drg cases. Timely admission to a DUI/Drg Cort program for DUI offenders can be more of a challenge, where mandatory sentencing, a lack of pre-adjdication options, and pblic perceptions may prove to be obstacles. Drg Cort Component 2: Using a nonadversarial approach, prosection and defense consel promote pblic safety while protecting participants de process rights. All drg cort practitioners jdge, prosector, defense attorney, treatment specialist, probation officer work together toward the common goals of redcing recidivism and rehabilitating offenders. It is this collaborative environment that nderlies the sccess of drg cort programs. Maintaining a nonadversarial approach can be more challenging in DUI cases, where there is increased pressre to imprison offenders. Defense attorneys in DUI cases often resort to delay tactics in order to keep their clients ot of jail. One nfortnate otcome of this tactic is that they are also kept ot of treatment. Drg Cort Component 3: Eligible participants are identified early and promptly placed in the drg cort program. Prompt placement in a drg cort program and a qick start on treatment are key drg cort principles. Drg corts typically offer incentives to encorage offenders to enter a drg cort program, e.g., redced or sspended jail time. In many cases, the ability to make sch an offer to a DUI offender has been legislated ot of a jdge s hands (i.e., mandatory jail time). Incentives are available in DUI cases in some jrisdictions, however, inclding early driver s license reinstatement and presentence release from jail on the offender s own recognizance. Drg Cort Component 4: Drg corts provide access to a continm of alcohol, drg, and other related treatment and rehabilitation services. In many respects, access to a continm of treatment and related services is as available to DUI offenders as it is to drg offenders, althogh DUI offenders (who are accstomed to driving their own vehicles bt who have lost driving privileges) may find it more difficlt to get to treatment sites. In one respect, DUI offenders may have an advantage over drg cort offenders in that they have an additional rehabilitation service, i.e., the opportnity to listen to victim-impact panels and se what they hear to better nderstand the severity of their actions. Drg Cort Component 5: Abstinence is monitored by freqent alcohol and other drg testing. Urine testing is by no means a perfect technology, bt its relative simplicity and accracy give practitioners working with absers of drgs other than alcohol a clear advantage. Administered weekly or twice weekly, rine testing will often detect a drg relapse, bt where most drgs can remain in a ser s system for several days, alcohol can be ndetectable within a few hors after ingestion. Frthermore, the se of alcohol by a DUI offender poses a threat of immediate danger to the pblic. Therefore, the monitoring of DUI offenders calls for greater coordination, more freqent testing, more innovative technologies, and a high level of personal commnication. Testing technologies employed in DUI corts arond the contry inclde state-of-the-art voice recognition and testing (i.e., testing devices that can detect alcohol se via telephone), interlock devices on atomobiles, and hand-held testers. Testing is sally random and freqent; some jrisdictions reqire offenders to call in daily and to sbmit to testing on demand. The advantages of personal relationships between practitioners and offenders take on increased meaning when working with alcohol offenders, especially in low-poplation areas where residents tend to know each other by sight. Cort practitioners and law enforcement officers develop an awareness of who is in their programs; they visit with offenders often, and observe their activities both in their homes and arond town.
13 Drg Cort Component 6: A coordinated strategy governs drg cort responses to participants compliance. Even the best treatment programs take time to work, and drg corts recognize that an early relapse is only a slip it does not signify program failre. Nevertheless, contined se of alcohol or other drgs cannot be condoned, and drg corts tilize a system of sanctions and incentives to foster program compliance. The law and pblic opinion narrow the list of sanctions and incentives that can be sed in DUI cases and give a jdge less flexibility in imposing them. Qicker imposition and the se of more severe sanctions are often mandated by law or demanded by the commnity. Incentives are also limited. Case dismissal may not be an option, and close spervision and testing are essential for pblic safety. One effective incentive that can sometimes be tilized is the lessening of driver s license restrictions. Drg Cort Component 7: Ongoing jdicial interaction with each drg cort participant is essential. Jdicial interaction with offenders is eqally important to the sccess of both drg and DUI programs. In either program, the jdge is the focs in both the cortroom and the commnity, and a direct relationship between jdge and offender is central to program sccess. In some corts, the jdge may have less discretion in levying sanctions and incentives on DUI offenders than he or she wold have when working with drg cases. In other corts, the rles of the cort leave the jdge little discretion in these matters regardless of the offense. Drg Cort Component 8: Monitoring and evalation measre the achievement of program goals and gage effectiveness. Coordinated management, monitoring, and evalation systems are fndamental to the effective operation of drg corts, whether the cases before it are drg-related or DUI offenses. In either case, periodic evalation is necessary in order to validate a program s effectiveness and improve it over time. At this time, DUI corts patterned after or resembling the drg cort model toch only a fraction of all DUI cases. Most cases are heard in corts where comprehensive treatment and close spervision are not part of the program. Adeqate evalation systems and accrate docmentation of evalation efforts are necessary if the inflence of the drg cort model on DUI offenders is to be expanded. Drg Cort Component 9: Contining interdisciplinary edcation promotes effective drg cort planning, implementation, and operations. Professional edcation is as important to DUI cort practitioners as it is for those who work with drg offenders, bt the state of edcation for DUI corts is far less developed. No national training or national conference mechanism is in place. Pblications that disseminate information to the field do not exist, and cross-training is only in the beginning stages. In addition, no standards have been developed for the field. Drg Cort Component 10: Forging partnerships among drg corts, pblic agencies, and commnity-based organizations generates local spport and enhances drg cort program effectiveness. Drg corts are making significant inroads in engaging the commnity and gaining pblic spport. Becoming a commnity-based instittion is a goal of eqal importance to DUI corts, bt a greater challenge becase DUI cases can garner little pblic sympathy. In addition, a single DUI offender relapse cold reslt in a traffic crash and death (and disastros conseqences for a DUI program) while a drg offender s relapse will more likely go nnoticed. Gaining sbstantial commnity spport for DUI corts and for drg corts that hear DUI cases calls for a higher level of organizational spport, different edcational approaches, and greater deference to social concerns. Clearing a Path
14 The benefits of expanding the scope of drg corts to inclde DUI cases are clear. The traditional system is a setp for failre when it comes to adjdicating the cases of mltiple DUI offenders. When levied, pnishment can be severe, bt the adversarial process is conterprodctive and can limit the accontability of defendants. These defendants are left with inadeqate sanctions, limited (or no) treatment or rehabilitation, and little incentive to change. The practitioners in the cortroom derive little satisfaction from their jobs, and have limited opportnity to develop comprehensive expertise in the DUI field. The drg cort model, as applied to DUI cases, is an opportnity to take a proactive approach to jstice. It can free traditional corts to concentrate on other cases and close the revolving door of a criminal jstice system dominated by sbstance-absing repeat offenders. It offers practitioners the opportnity to reach more offenders with a program that combines accontability with the hope for change, and the chance to develop specialized knowledge in a specific area of the law. It can provide DUI defendants with the treatment and close spervision that chronic offenders need, and still hold them accontable for their actions. The need for a DUI/Drg Cort system is apparent, as are the advantages the system wold offer. Several obstacles, however, lie in the path that leads from the conventional DUI cort system to the DUI/Drg Cort model. Removal of these obstacles will reqire meeting challenges in several areas. Among them are the following: Edcation and Recritment. Little information and few edcational resorces are available to jdges and other practitioners on the sbject of DUI/Drg Corts, and sitting on the bench of any DUI cort, regardless of its strctre, is not perceived as either a prestige position or a career bilder. Attracting qalified practitioners to DUI cort on either side of the bench calls for 1) a solid edcation program and 2) raising the level of satisfaction that comes from being a part of the system. Fnding. As always, fnding is scarce, and competition for dollars can prevent agencies from working together toward a common goal. Some jrisdictions have been innovative in finding new fnding sorces; for instance, one jrisdiction imposed a tax on liqor to fnd its program. The offenders themselves are also a valid sorce of program financial spport. The Soft on Crime Perception. This perception is difficlt to fight, and will reqire a concentrated, carefl, and endring pblic edcation effort. The Scope of the Need. To date, specialized DUI corts toch only a tiny percentage of those offenders who cold benefit from the drg cort model. The scope of the need for this model is vast. Once a jrisdiction commits to a program, it will face major challenges to finding adeqate fnding and qalified practitioners to spport it. It will also need to make difficlt decisions abot who to help, and who to trn away. Existing DUI Corts. DUI corts already exist in nearly every jrisdiction in the nation. The vast majority, however, take a traffic cort approach to adjdication. Accontability is not necessarily a critical component of these corts, and they bear no resemblance to the drg cort model. A need exists to inventory and map all existing programs, to determine what is, and is not, working, and to set standards for accontability, effectiveness, and coordination among existing DUI corts. Need for a National Strategy. No DUI/Drg Cort national strategy exists today. Sch a strategy is needed in order to increase awareness and convince the pblic that the drg cort model can work for DUI offenders. Delay Syndrome. Delay tactics are commonly believed to inre to the benefit of a defendant in criminal cases. In DUI cases, however, delay tactics and an adversarial defense can reslt in a defendant not getting the qality of
15 treatment and spervision reqired for rehabilitation and real change. There is a need for consistency in DUI jstice and for incentives to proceed withot delay. DUI/Drg Cort National Strategy Framework The DUI/Drg Cort Advisory Panel made two recommendations. The first is to establish DUI corts that are based on the drg cort model, and/or to expand existing drg corts to inclde DUI cases. Second, noting the lack of a DUI policy that parallels or national drg cort policy, the participants recommended development of a National DUI/Drg Cort Strategy, and nanimosly approved a motion to move forward with development. In the interests of bilding on the fondation already in place and avoiding dplication of effort, the panel recommended that NADCP coordinate the formlation of a National DUI/Drg Cort Strategy. The following shold be considered key elements the National DUI/Drg Cort Strategy. Edcation. Targeted edcation opportnities for practitioners in the DUI cort field is important, and as yet ndeveloped. The National DUI/Drg Cort Strategy shold inclde a plan for developing ongoing edcational opportnities for the field. As a beginning, the National Association of Drg Cort Professionals will add a track on DUI Cort practice to its next Annal Training Conference, slated for Jne 1999 in Miami, Florida. Pblications. A need exists for a newsletter, a blletin, and/or other mechanisms for the periodic dissemination of news and information to practitioners in the DUI field. The strategy shold inclde a dissemination plan. This monograph is the first step of this dissemination effort. Standards. The DUI/Drg Cort Advisory Panel to work in concert with NDCI, the National Association of Drg Cort Professionals, the American Concil on Alcoholism, the National Commission Against Drnk Driving, the National Sheriffs Association, and the Drg Corts Program Office, U.S. Department of Jstice to begin the process of setting standards for DUI/Drg Corts. Advisory Board. An advisory board shold be established to gide development of a national strategy. Information Repository. A clearinghose for information on state-of-the-art techniqes of DUI Cort practice and treatment mst be established. NADCP may be the appropriate body to serve in that role. A Clear Pblic Voice. It is critical that the DUI/Drg Cort commnity speaks with a clear and nified voice when commnicating its needs, mission, and roles to the media and the pblic. It may be appropriate for NADCP to take the lead in pblic otreach efforts. R EFERENCES American University, AU Drg Cort Clearinghose and Technical Assistance Project.
16 Belenko, S., Research on Drg Corts: A Critical Review. New York: The National Center on Addiction and Sbstance Abse, Colmbia University. Pblished in the National Drg Cort Institte Review, I/1, Smmer Brea of Jstice Statistics, April Alcohol and Crime: An Analysis of National Data on the Prevalence of Alcohol Involvement in Crime. Prepared for the Assistance Attorney General s National Symposim on Alcohol Abse and Crime. Washington, D.C.: Office of Jstice Programs, Brea of Jstice Statistics, U.S. Department of Jstice. Pblication No. NCJ Drg Strategies, Ctting Crime: Drg Corts in Action. Washington, D.C.: Drg Strategies. Fell, James C., What s New in Alcohol, Drgs and Traffic Safety in the U.S. Shaffer Library of Drg Policy. (Internet: HYPERLINK # National Association of Drg Cort Professionals, Drg Cort Standards Committee, Janary Defining Drg Corts: The Key Components. Washington, DC: Drg Corts Program Office, Office of Jstice Programs, U.S. Department of Jstice. Grant No. 96-DC-MX-K001. National Highway Traffic Safety Administration, Traffic Safety Facts Washington, DC: U.S. Department of Transportation. Pb. DOT HS A PPENDIX A: A DVISORY P ANEL J URISDICTIONS The Advisory Panel is composed of practitioners from seven jrisdictions that are already applying the drg cort model to DUI cases in some way. Descriptions of the programs of each of these jrisdictions follow. Bakersfield Mnicipal Cort Bakersfield, California The Bakersfield Drg Cort has accepted mltiple drnk driving offenders since its inception in Jly The Bakersfield Drg Cort is a post-plea cort and has approximately 300 participants. It calls a calendar of approximately 70 participants for days each week. The drg cort sees the participants weekly for the first three months of the program, twice a month for the next three months, monthly for two to three months, and then weekly for the last month of the program.
17 After gradation, participants are reqired to attend once a month for three months. There are some variations based on individal need from this basic otline. The cort has many DUI (alcohol and/or drg) drivers. Once enrolled in drg cort, participants are assessed by drg cort staff (certified drg and alcohol abse specialists) and referred to varios commnity-based treatment providers based on individal needs. In addition to conseling, 12-step, or other self-help meetings, they are also reqired to sbmit to rine tests for alcohol and street drgs and to attend drg cort hearings. After gradation, the cort deletes the fine and works with participants to deal with mandatory minimm sentences. Typically, the cort will allow work release, electronic monitoring, or any other acceptable alternative to jail time. The recording of the conviction and state-mandated license restrictions imposed by the state department of motor vehicles (DMV) are not affected by participation in drg cort. To flly nderstand the process by which the Bakersfield Drg Cort handles DUI alcohol cases, it helps to have a basic nderstanding of California State law. If there is a grant of probation pon a first conviction for driving nder the inflence, state law mandates a minimm of 48 hors in jail (which is not normally done in actal cstody), a very large fine of approximately $1,400 and 12 weeks of alcohol awareness classes. The conviction is expensive, bt it actally involves no real jail time. There is almost always a driver s license sspension of from for to six months, which is imposed by the California DMV and not by the cort. A second conviction within seven years (if probation is granted) mandates a minimm of 96 hors in cstody (again sally not done in actal cstody), the same large fine, an 18-month license sspension (reqiring the offender to enroll in and complete a 12-month driving-nder-the-inflence school to have the license reinstated), and the installation of an interlock ignition device on the offender s vehicle. This conviction also involves little or no actal jail time. The mandatory loss of the driver s license for an extended period of time is the sanction most often complained of by the offenders. In the experience of the Bakersfield Drg Cort, first and second offenders seldom reqest drg cort. Once the reqirements of drg cort are explained and the offender has the opportnity to compare those reqirements with the standard sentence, they normally opt to be sentenced. It shold be noted that the Drg Cort has many first and second offenders, bt those persons normally have pled gilty to driving nder the inflence of a controlled sbstance, which reqires a mandatory minimm of 90 days in jail. A third conviction for DUI within seven years mandates a minimm for-month jail sentence, a three-year license sspension, the same fine, and other standard conditions of probation. A forth conviction is a felony in California. The Bakersfield Drg Cort, typically sees third offenders. The Cort is very aware that mltiple DUI offenders are of great concern to the commnity in that they are (with considerable jstification) perceived to be extremely dangeros. In addition, they tend to be in a mch greater state of denial than the typical drg cort client, a controlled-sbstance addict. It has been decided that anyone convicted of DUI with two or more priors mst serve 30 days in jail or in a legitimate 24-hor residential treatment facility, dring which time they will receive alcohol conseling prior to beginning the standard drg cort program. This reqired 30-day sentence reslts in the offender being away from alcohol for 30 days. The participant receives significant conseling dring that period and the period of confinement has significant affect pon thoght processes with regard to alcohol. Most persons convicted of this offense have never really been to jail (except possibly overnight). A 30-day commitment tends to give them time to think and realize that alcohol has a very real adverse effect on their lives. They tend to be mch more willing to accept that they have an alcohol problem and become more focsed pon recovery after the commitment. According to the Drg Cort Jdge, the likelihood of having a mltiple offender who is not an alcoholic is very remote. Upon release from cstody the DUI offenders go throgh the normal intake process for drg cort. They are made very aware that if they come to drg cort with an odor of alcohol abot their person, there is a strong chance they will be taken
18 into cstody on the spot. It is also pointed ot that they will be held absoltely accontable for all cort-ordered AA meetings, conseling, and any other orders the cort sees fit to impose. The rationale behind this is that the half-life of alcohol in the rine is only a few hors. As a reslt, the only way to monitor program performance is in areas other than rine testing. It is made clear that the cort has no choice except to deal with these offenders in a more strict fashion than the typical drg cort client. Dring the entire drg cort process the client is monitored closely, and if the drg cort specialist feels the participant is not progressing satisfactorily he or she is immediately referred to the probation officer. If there is any reason to sspect recent se of alcohol the client is also referred to the probation officer for a Breathalyzer test. In the event alcohol is detected, the drg cort team staffs the case to determine the corse of treatment or sanctions to impose. At that time the cort may take the client into cstody if it becomes necessary. On average these clients are reqired to be in drg cort two months longer than the typical client. Analysis of DUI With Priors Referred to Drg Cort From May 1, 1996 to April 30, 1998 Althogh defendants convicted of DUI with priors were referred to Bakersfield Drg Cort since December 1993, this analysis only covers cases referred to drg cort for May 1, 1996 to April 30, The tracking system that monitors drg cort activities was not implemented ntil Dring this time frame, 64 misdemeanor DUI and 1 felony DUI with prior were referred to Drg Cort. Of the cases referred (does not inclde active participants) 30 defendants (46 percent) completed the program. 5 defendants who completed the program (17 percent) were rearrested. 1 defendant was rearrested while in the program. The length of time defendants were in the program varied from a minimm of 6 months to 24 months. Of the defendants rearrested: 33 percent were in the program for 6 months. 19 percent were in the program from 7 months to 12 months. 17 percent were in the program from 13 months to 18 months. 0 percent were in the program from 19 months to 24 months. It appears that the longer defendants are in the program, the likelihood of rearrest diminishes. Bernalillo Conty Metropolitan Cort Bernalillo Conty, New Mexico Overview
19 The Bernalillo Conty Metropolitan DWI/Drg Cort is designed with one main goal in mind: to redce recidivism. The DWI/Drg Cort is a comprehensive, cort-spervised treatment program for alcohol and other drg dependent/addicted defendants. It is a volntary program, which incldes reglar contact with the Probation Officer as well as reglar cort appearances before the DWI/Drg Cort Jdge. Sbsidized treatment, which will be provided by Life Choices, incldes both individal and grop conseling, random drg and alcohol testing, acpnctre, and wellness edcation. Participants will also be provided with assistance in frthering their edcation, employment skills, and job placement. Program length will be determined by each participant s progress. With the contining problem of sbstance abse in Albqerqe and New Mexico, the DWI/Drg Cort possesses the necessary components to have a positive impact on both the victim and the offender throgh the redction in the rate of recidivism. Program Goals & Objectives In collaboration with local, state, and federal agencies, the Bernalillo Conty Metropolitan DWI/Drg Cort Program s primary focs is to promote the pblic safety and redce the recidivism rates for individals convicted of sbseqent DWI offenses as well as other nonviolent misdemeanants with sbstance abse problems. The reslts of addressing these problems inclde a redction in drg and alcohol related crimes as well as expensive incarceration costs while retrning a prodctive individal to the commnity. Program Strctre The Bernalillo Conty Metropolitan DWI/Drg Cort Program consists of three phases with the first phase being the most intensive and focsing on sbstance abse edcation and prevention. Participants are reqired to report in person to their probation officer twice per week, provide at least two random drg tests per week, attend treatment at least twice per week, and appear before the DWI/Drg Cort Jdge twice per month. Participants are also reqired to attend at least one 12-step meeting per week for the dration of the program. Upon entering the program, participants are reqired to complete 16 acpnctre sessions as well. The reqirements of Phase II are mch the same as Phase I with the exceptions of one less contact per week with the Probation Officer and the participant is reqired to appear before the DWI/Drg Cort Jdge once per month. Additional reqirements involved in this phase of the program inclde attending the victim impact panel and completing ten hors of commnity service. In Phase III of the program, the participant is reqired to appear monthly before the DWI/Drg Cort Jdge and meet with the Probation officer every other week. The participant is also reqired to complete 20 hors of commnity service. Commnity service hors are performed at a nonprofit agency selected by both the participant and the Probation Officer in an attempt to appropriately place the participant in a position of service which is not only going to help repay the commnity bt also to make the participant aware of individals who cold have possibly sffered as a direct reslt of the participant s crime. Participants fond to have violated conditions of the program will be sanctioned by the DWI/Drg Cort Jdge as soon as possible. Sanctions inclde a mandatory appearance before the DWI/Drg Cort Jdge, a redction in points and/or incarceration. Services Provided Intensive Spervision
20 Sbstance Abse Conseling Random drg testing at least twice per week Acpnctre Reglar attendance before the DWI/Drg Cort Jdge Edcational Programs Family and Parenting Skills Employment/Job Development Training Commnity Service Aftercare Program Mentorship Program Uniqe Aspects of the Program In response to the serios drg and alcohol problem or commnity faces, the Bernalillo Conty Metropolitan DWI/Drg Cort Program was implemented by Chief Jdge J. Michael Kavanagh in Jly of The Bernalillo Conty Metropolitan DWI/Drg Cort Program is a post-conviction, pre-sentence, volntary program that tilizes a mltifaceted approach. The three-phase program consists of intensive spervision of clients by probation officers, freqent appearances before the DWI/Drg Cort Jdge, mandatory drg and alcohol conseling, reglar attendance at selfhelp grops (AA, NA, or CA), and random drg testing. Upon program completion, the Program offers aftercare treatment and a mentorship program. Taking into consideration the nmber of alcohol-related offenses and the significant costs these violations case or commnity, the Bernalillo Conty Metropolitan DWI/Drg Cort Program has become primarily an alcohol based program. Individals with alcohol problems are reqired to meet the same strict reqirements of the drg cort model that other sbstance absers in the program are mandated to complete. In short, the Bernalillo Conty Metropolitan DWI/Drg Cort Program treats a drg as a drg and an addict as an addict, regardless of the drg of choice. Btte Conty Sperior Cort of California Btte Conty, California Btte Conty, California has jst over 200,000 citizens. It is located in the north central valley of California, approximately 70 miles north of the state capital, Sacramento. The area is predominantly rral. The economy is agricltrally based. The Conty has five major poplation areas, distribted in distinct areas of the conty. The largest poplation is fond in the Chico Urban Area (90,000). Chico is the home to California State University, Chico. The abse of alcohol, and specifically the risk presented by the drinking driver, has long been an isse faced by Btte Conty. The Cort takes a variety of approaches based pon the jdge s assessment of the offender s sitation to address this pblic safety isse. In assessing each Driving Under the Inflence (DUI) offender at the time of sentencing, the jdge considers the nmber of prior DUI conviction, the blood alcohol level, the pattern of alcohol se, and other alcohol-related offenses sch as minor in possession and pblic intoxication. Based pon these factors, the sentence wold then inclde mandatory attendance at Alcoholics Anonymos (AA) meetings, a test and search clase, freqent cort reviews, possible referral to the Conty s Alcohol and Drg Services program or residential treatment, and in some cases the ingestion of Antabse or Naltrexone. The Cort mandates AA logs be kept by the defendant and provided to the Cort at each review hearing. An intoxication analyzer (breath) is also freqently sed in cort dring review hearings if there is a qestion abot an offender s compliance. These orders may be made as part of a grant of either formal or informal probation, or as a condition of the defendant s release on his own recognizance.
DWI/Drg Corts: Defining a National Strategy Jdge Jeffrey Taber Exective Director C. West Hddleston Director March 1999 DWI/Drg Corts: Defining a National Strategy Prepared by the National Drg Cort Institte,
DES MOINES AREA COMMUNITY COLLEGE Crriclm development Competency-Based Edcation www.dmacc.ed Why does DMACC se competency-based edcation? DMACC tilizes competency-based edcation for a nmber of reasons.
Large Print or other format/medim are available on reqest please telephone 01545 574000 or Minicom 01545 574001 or Email firstname.lastname@example.org Contact Centre Office Hors: Monday Thrsday: 8.45
www.pwc.com Corporate performance: What do investors want to know? Innovate yor way to clearer financial reporting October 2014 PwC I Innovate yor way to clearer financial reporting t 1 Contents Introdction
Closer Look at ACOs A series of briefs designed to help advocates nderstand the basics of Accontable Care Organizations (ACOs) and their potential for improving patient care. From Families USA Janary 2012
Borrowing for College A gide to federal loans for higher edcation Table of contents Edcation loan basics 2 Applying for edcation loans 3 Repaying edcation loans 3 Controlling edcation loan debt 5 Glossary
Direct Loan Basics & Entrance Conseling Gide For Gradate and Professional Stdent Direct PLUS Loan Borrowers DIRECT LOAN BASICS & ENTRANCE COUNSELING GUIDE For Gradate and Professional Stdent Direct PLUS
8 Service Level Agreements Every organization of men, be it social or political, ltimately relies on man s capacity for making promises and keeping them. Hannah Arendt Key Findings Only abot 20 percent
The Good Governance Standard for Pblic Services The Independent Commission for Good Governance in Pblic Services The Independent Commission for Good Governance in Pblic Services, chaired by Sir Alan Langlands,
The Good Governance Standard for Pblic Services The Independent Commission on Good Governance in Pblic Services Good Governance Standard for Pblic Services OPM and CIPFA, 2004 OPM (Office for Pblic Management
CUTTING EDGE SERIES SCALING COMMUNITY COLLEGE INTERVENTIONS No. 2 Ctting Edge Series: Scaling Commnity College Interventions 1 Dear Colleages: Achieving the Dream is pleased to partner with Pblic Agenda
Exective Coaching to Activate the Renegade Leader Within Renegades Do What Others Won t To Get the Reslts that Others Don t Introdction Renegade Leaders are a niqe breed of leaders. The Renegade Leader
The Srgeon General s Call to Action To Prevent and Redce Underage Drinking What It Means to YOU A Gide to Action for Commnities Abot This Srgeon General s Call to Action The Srgeon General is the Nation
IT Help Desk in Higher Edcation ECAR Research Stdy 8, 2007 9 Setting a Corse: Goals for the Help Desk First say to yorself what yo wold be; and then do what yo have to do. Epictets Key Findings Majorities
An Analysis of Idaho s Kootenai County DUI Court AN ALCOHOL TREATMENT PROGRAM FOR PERSONS ARRESTED FOR THEIR SECOND DUI OFFENSE OR BAC OF 0.20% OR HIGHER Prepared for National Highway Traffic Safety Administration
Ceredigion Conty Concil Social Services Department The Role of the Commnity Occpational Therapist...taking care to make a difference Large Print or other format/medim are available on reqest please telephone
Make the College Connection A college planning gide for stdents and their parents Table of contents The compelling case for college 2 Selecting a college 3 Paying for college 5 Tips for meeting college
11 Sccess of the Help Desk: Assessing Otcomes I dread sccess... I like a state of continal becoming, with a goal in front and not behind. George Bernard Shaw Key Findings Respondents help desks tend to
Adopted Fall 2005 The Stats of Nrsing Edcation in the California Commnity Colleges T h e A c a d e m i c S e n a t e f o r C a l i f o r n i a C o m m n i t y C o l l e g e s Nrsing Task Force 2004-2005
Software Developer / Programmer Assessment Report 01/29/2015 www.resorceassociates.com To Improve Prodctivity Throgh People. Janary 29, 2015 01/29/2015 The following pages represent a report based on the
Rasterized 300 dpi Linking Data across Agencies: States That Are Making It Work Updated March 2010 By: Rebecca Carson and Elizabeth Laird, Data Qality Campaign; Elizabeth Gaines and Thaddes Ferber, The
Closer Look at ACOs A series of briefs designed to help advocates nderstand the basics of Accontable Care Organizations (ACOs) and their potential for improving patient care. From Families USA Janary 2012
GUIDELINE Gideline for the Selection of Engineering Services 1998 Mission Statement: To govern the engineering profession while enhancing engineering practice and enhancing engineering cltre Pblished by
NAPA TRAINING PROGRAMS FOR: Employees Otside Sales Store Managers Store Owners See NEW ecatalog Inside O V E R V I E W 2010_StoreTrainingBrochre_SinglePg.indd 1 5/25/10 12:39:32 PM Welcome 2010 Store Training
Yor gradate degree from Defiance College will give yo the knowledge and nderstanding necessary to meet yor professional goals and to provide leadership within yor chosen profession and yor commnity. Gradate
U.S. Department of Labor Employee Benefits Secrity Administration Room N5511 200 Constittion Avene, NW Washington, DC 20210 P-450 Form M-1 Report for Mltiple Employer Welfare Arrangements (MEWAs) and Certain
6 Fnding and Staffing the Central IT Help Desk Money may kindle, bt it cannot itself, or for very long, brn. Igor Stravinsky Key Findings At most instittions the central IT bdget is a major sorce of help
Bleprint to End Homelessness in Atlanta in Ten Years Table of Contents Letter to Mayor Shirley Franklin...1 Acknowledgements from the Chair...3 Exective Smmary...5 Backgrond...5 The Commission on Homelessness...5
personal income insrance prodct disclosre statement and policy Preparation date: 26/03/2004 personal income Insrer CGU Insrance Limited ABN 27 004 478 371 AFS Licence No. 238291 This is an important docment.
MSc and MA in Finance and Investment online Stdy an online awarded by UNINETTUNO and Geneva Bsiness School Awarded by Geneva Bsiness School Geneva Barcelona Moscow Class profile The connects yo with stdents
EdcationPartnerships May 2012 Project Seeks to Strengthen Commnity College-HBCU Ties to Bolster Stdent Sccess Foster Dean has served as a Marine, and has been a bsiness owner and a real estate agent. He
Social Work Brsary: Academic Year 2014/15 Application notes for stdents on postgradate corses These notes are for stdents who do not have a partner or any dependants. Please make sre yo complete the correct
7 Help Desk Tools Or Age of Anxiety is, in great part, the reslt of trying to do today s jobs with yesterday s tools. Marshall McLhan Key Findings Help desk atomation featres are common and are sally part
Motorola Reinvents its Spplier Negotiation Process Using Emptoris and Saves $600 Million An Emptoris Case Stdy Emptoris, Inc. www.emptoris.com VIII-03/3/05 Exective Smmary With the disastros telecommnication
Social Work Brsary: Academic year 2015/16 Application notes for stdents on ndergradate corses These notes are for ndergradate stdents who have previosly received a brsary. Please make sre yo complete the
The Intelligent Choice for Disability Income Protection provider Pls Keeping Income strong We prposeflly engineer or disability income prodct with featres that deliver benefits sooner and contine paying
New York State Department of Motor Vehicles PRE-LICENSING COURSE INSTRUCTOR S MANUAL A Syllabs Prepared by the New York State Department of Motor Vehicles MV-277 (10/14) TABLE OF CONTENTS Foreword..........................................................
3 Bilding Blocks Of Optimized Price & Promotion Strategies Boosting Brand Loyalty And Profits With Visal Analytics Sponsored by E-book Table of contents Introdction... 3 Consolidate And Analyze Data From
Accelerated Leadership Performance Program Astralia s premier accelerated leadership program for women managers Managers that engage flly in the program retrn to their workplace as decisive, highly competent
Kentcky Deferred Compensation (KDC) Program Smmary Smmary and Highlights of the Kentcky Deferred Compensation (KDC) Program Simple. Smart. For yo. For life. 457 Plan 401(k) Plan Roth 401(k) Deemed Roth
Introdction to HBase Schema Design Amandeep Khrana Amandeep Khrana is a Soltions Architect at Clodera and works on bilding soltions sing the Hadoop stack. He is also a co-athor of HBase in Action. Prior
Position paper smart city economics a mlti-sided approach to financing the smart city Yor bsiness technologists. Powering progress From idea to reality The hman race is becoming increasingly rbanised so
USA Fnds Life Skills Corse Smmaries Financial Aid and Paying for College 101 How Will I Pay for My Higher Edcation? Teaches stdents how to find resorces and fnds to finance their higher edcation by examining
BORICP01.doc - 1 Second Edition Edcational Psychology A Contemporary Approach Gary D. Borich The University of Texas at Astin Martin L. Tombari University of Denver (This pblication may be reprodced for
Self-Compliance Tool for Part 7 of ERISA: Health Care-Related Provisions INTRODUCTION This self-compliance tool is intended to help grop health plans, plan sponsors, plan administrators, health insrance
Teachable Moments for Personal Finance Edcation Best Practices for Implementing USA Fnds Life Skills and Other Financial Literacy Resorces Introdction Stdents who leave yor instittion eqipped with both
The South Dakota 24/7 Sobriety Project: A Summary Report 1 Judge General Larry Long a Stephen K. Talpins b Robert L. DuPont, M.D. c a Second Judicial Circuit of South Dakota; Former Attorney General of
CRM Cstomer Relationship Management Kenneth W. Thorson Tax Commissioner Virginia Department of Taxation Discssion Areas TAX/AMS Partnership Project Backgrond Cstomer Relationship Management Secre Messaging
The Intelligent Choice for Basic Disability Income Protection provider Pls Limited Keeping Income strong We prposeflly engineer or basic disability income prodct to provide benefit-rich featres delivering
Embracing Diversity: Toolkit for Creating Inclsive, Learning-Friendly Environments Specialized Booklet 2 Practical Tips for Teaching Large Classes A Teacher s Gide Practical Tips for Teaching Large Classes:
Opening the Door to Yor New Home A Gide to Bying and Financing. Contents Navigating Yor Way to Home Ownership...1 Getting Started...3 Finding Yor Home...9 Finalizing Yor Financing...12 Final Closing...13
Welcome to UnitedHealthcare Ideally, better health coverage shold cost less. In reality, now it can. The plan designed with both qality and affordability in mind. Consistent, qality care is vitally important.
The Intelligent Choice for Disability Income Insrance Prposeflly Engineered High-Performing Income Protection Keeping Income strong We engineer or disability income prodcts with featres that deliver benefits
The chart below otlines the lender contact information and the lender description of the fee strctre, interest rates, and borrower benefits associated with each lender s private loan prodct for loans disbrsed
A Gide to Sr viving Sexal Assalt H HA AN ND D BB O OO O KK FF O O RR SS U U RR V V II V VO O RR SS AFTER A SEXUAL ASSAULT Make sre yo are safe from frther harm. Call someone yo trst, sch as a friend, the
The Botiqe Premim Do Botiqe Investment Managers Create Vale? AMG White Paper Jne 2015 1 Exective Smmary Botiqe active investment managers have otperformed both non-botiqe peers and indices over the last
The Time is Now for Stronger EHR Interoperability and Usage in Healthcare Sponsored by Table of Contents 03 Stdy: Large Nmber of EHRs Do Not Meet Usability Standards 05 Black Book: EHR Satisfaction Growing
asia policy, nmber 8 (jly 2009), 73 96 http://asiapolicy.nbr.org policy analysis Developing India s Foreign Policy Software Daniel Markey daniel markey is Senior Fellow for India, Pakistan, and Soth Asia
Qality Connections OCTOBER 2010 Care Coordination EXECUTIVE SUMMARY Care coordination a fnction that helps ensre that the patient s needs and preferences for health services and information sharing across
East Sssex Drg & Alcohol Service ALCOHOL DETOXIFICATION WHAT YOU SHOULD KNOW CALL OUR 24-HOUR NUMBER: 0300 30 38 160 INTRODUCTION TO ALCOHOL DETOXIFICATION Detoxification from alcohol is a recognised medical
C H A P T E R 2 Designing and Deploying File Servers File servers rnning the Microsoft Windows Server 2003 operating system are ideal for providing access to files for sers in medim and large organizations.
CONDON-MEEK, INC. 1211 Cort Street Clearwater, FL 33756 email@example.com Phone: (727) 446-5051 Fax: (727) 449-1964 Enclosed yo will find a non-admitted n Profit Package qote for Clearwater Neighborhood
VIRTUS HERZFELD FUND Herzfeld s Otlook: Seasonal Factors Provide Opportnities in Closed-End Fnds When it comes to investing in closed-end fnds, a comprehensive nderstanding of the inefficiencies of the
Page 1 of 7 You and the Drinking Driving Laws WHY ARE PENALTIES FOR DRINKING AND DRIVING SO STRICT? Drinking and driving is a hazardous combination. CONSIDER THESE FACTS: One third of the fatalities in
C H A P T E R 9 Deploying Network Load Balancing After completing the design for the applications and services in yor Network Load Balancing clster, yo are ready to deploy the clster rnning the Microsoft
PHYSICAL ACTIVITY, AGEING AND HEALTH Research Brief Physical Activity, Ageing and Health 1 Research Briefing paper This research briefing paper represents the findings from a project fnded nder CARDI s
Having troble nderstanding some of the health insrance terms on this form? See definitions on page 3. Transition of Care/ Continity of Care Overview Transition of Care gives new UnitedHealthcare members
GUIDE Preparing yor heavy vehicle for brake test A best practice gide Saving lives, safer roads, ctting crime, protecting the environment Breaking the braking myth Some people believe that a locked wheel
C H A P T E R 1 4 Designing an Athentication Strategy Most organizations need to spport seamless access to the network for mltiple types of sers, sch as workers in offices, employees who are traveling,
Drunk Driving in the United States: A Roadmap for Progress J. H. Hedlund and A. T. McCartt Preusser Research Group, Trumbull, Connecticut, USA Abstract The study investigated why drunk driving in the United
WHAT IS THE ILLINOIS CENTER OF EXCELLENCE AND HOW DID IT START? MISSION STATEMENT The mission of the Illinois Center of Excellence for Behavioral Health and Justice is to equip communities to appropriately
The National Hardcore Drunk Driver Project ILLINOIS STATE PROFILE KEY HARDCORE DRUNK DRIVING LEGISLATION: Administrative License Revocation Yes High BAC Law (0.15 BAC or greater) Yes Enhanced Penalties