4-C SAFPF RE-ENTRY COURT (4-C)

Transcription

1 4-C SAFPF RE-ENTRY COURT (4-C) Table of Contents Introduction.. 2 Mission Statement 2 4C Court Overview C Goals and Objectives 5 SOP Admission and Eligibility 6 SOP Screening and Intake Planning Process... 7 SOP Clinical and Risk Needs Assessment.. 9 SOP CSCD Orientation. 11 SOP Counseling Treatment Orientation 13 SOP Supervision Case Plans and Updates. 14 SOP Counseling Treatment Plans, Updates and Clinical Documentation SOP Level of Counseling Service. 18 SOP Counseling Treatment Delivery. 19 SOP Clinical Supervision, Observation, Reviews and Training 20 SOP Internal Audits and Control SOP Court Staff Team Meeting.. 23 SOP Continuum of Care and Discharges SOP Required Postings and Counseling Licensures 26 SUPERVISION SOP ATTACHMENTS 27 ATTACHMENT I Incentives and Sanction Matrix for CSCD 28 ATTACHMENT II Rating System for Weekly Progress Reports 32 ATTACHMENT III Supervision Intake Documentation ATTACHMENT IV Interdisciplinary Team. 52 TREATMENT DOCUMENTATION ATTACHMENTS 59 ATTACHMENT V Treatment Documentation.. 60 Dallas County 4-C Re-Entry Court Standard Operating Procedures 1

2 4-C SAFPF RE-ENTRY COURT (4-C) INTRODUCTION The Substance Abuse Felony Punishment Facility Community Corrections Continuum of Care (4-C) Court provides an effective and efficient means to reduce the adverse impact of repeat drug offenders in the Dallas County Criminal Justice system. The purpose of the program is to provide offenders with drug and alcohol intervention through a continuum of care. The 4-C SAFPF RE-ENTRY COURT began accepting probationers in March The Project Director and Presiding Judge is the Honorable Robert W. Francis. The 4-C Judge and Supervisory team members maintain open lines of communication with the Texas Legislature to provide continual updates and progress reports. These communiqués ensure that the Legislature has the information necessary to continue long term planning for drug courts and their role to reduce prison spending and promoting public safety in Texas. MISSION STATEMENT The Mission of the Dallas County 4-C SAFPF Re-Entry Court is to maximize the potential for successful re-entry and reintegration while promoting public safety, by returning SAFPF participants to the community as responsible and productive citizens who are educated, employed and free from addiction. Dallas County 4-C Re-Entry Court Standard Operating Procedures 2

3 4-C COURT OVERVIEW The 4-C Reentry Drug Court is a specialty drug court as designated by the Texas Legislature. The Court provides Community Supervision and Counseling Services to all of the Probationers under its' jurisdiction. 4-C's role in the criminal justice system is prescribed by statute and different than a regular Criminal District Court, but 4-C is at all times, "a court". The Court has jurisdiction over probationers who have completed the inpatient portion of SAFPF unit. The probationers are referred to as participants when discussing community supervision and as clients when discussing counseling, but to the Court they remain probationers. The probationers are returned to the court upon completion of SAFPF and are delivered by the Dallas Sheriff directly to the 4-C staff. An orientation is given to them and they are given reporting instructions. At the next available court setting they meet the Judge and are exposed to the court proceedings they will encounter for the next year. An assistant district attorney and an assistant public defender are present to meet the probationers and provide legal assistance throughout their stay at 4-C. The 4-C Courts purpose is to assist the probationer s re-entry to the community after inpatient treatment, working to ensure their lifelong success in avoiding a return to incarceration. The Court uses two separate but complimentary programs to achieve this, community supervision and counseling. Community Supervision Officers work with the participants to make sure the conditions of probation are understood and followed. This not only aids the participant in their recovery, but it ensures public safety. The CSO's work under the direct supervision of the court and provide the court with information and recommendations through various means, often in court staffing. When sanctions or revocations are part of the docket, the CSO may be require testifying or giving input to the Judge, but all final decisions are made by the Judge. Dallas County 4-C Re-Entry Court Standard Operating Procedures 3

4 4-C COURT OVERVIEW Counselors work with the clients through either, intensive or supportive outpatient group and individual meetings. The counselors are required to comply with all state and federal regulations, but since the counseling is court ordered, the information obtained through counseling belongs to the court. Counselors also provide information and feedback to the court during court staffing or other hearings. Records are kept by both the CSO s and Counselors regarding the progress or regress of each probationer on a daily, weekly and monthly basis. Due to Dallas County s emphasis on paper reduction, all records are kept electronically in accordance with county policy. All of these records are reviewable in one or more of the Dallas County computer systems. Dallas County 4-C Re-Entry Court Standard Operating Procedures 4

5 4-C GOALS AND OBJECTIVES The Dallas SAFPF 4-C Re-Entry Court adheres to the 10 Key Components of Drug Courts as set out in Sec of the Texas Health & Safety. 4-C is designed to provide effective aftercare treatment for probationers who have completed the inpatient portion of treatment in a Substance Abuse Felony Punishment Facility. The Courts programming includes; judicial intervention, CSCD supervision, rehabilitative services, individualized treatment plans, and additional therapeutic support for ten to twelve months, to include: 1. ReEntry Drug Court, Judicial and (court) treatment team supervision and intervention 2. Continued delivery of case management services to coordinate service plan implementation; 3. Quality outpatient substance abuse counseling services, that include cognitive skills, life skills and relapse prevention information 4. A network of pro-social, drug-free peers and role models to include support groups and a network of successful program graduates 5. Family intervention and counseling 6. Integrated community resource support services monitored through a SAFPF Coordinator or Community Supervision Officer (CSO) 7. A network of support from those involved in the treatment process encouraging successful completion of treatment objectives; and Dallas County 4-C Re-Entry Court Standard Operating Procedures 5

6 8. Instilling the belief that successful completion provides a crime and drug-free lifestyle leading to productive citizenship. SOP #: 4CRC Date: July 2011 Title: Admissions and Eligibility 4-C ADMISSIONS 4-C Target Population: The participants in 4-C are High Risk Criminogenic offenders with a substance dependence diagnosis who have been released from the inpatient portion of a SAFPF unit. ELIGIBILITY CRITERIA Consideration for admission to 4-C will be limited to those offenders who: 1. Have successfully completed treatment in a SAFPF Unit. 2. Have been identified by the SAFPF unit as appropriate candidates for 4-C.* *4-C is viewed as an incentive to encourage positive behavior while in the unit DISQUALIFICATION CRITERIA Offenders will be ineligible for participation in the program based on the following guidelines: 1. The offender does not complete SAFPF treatment on the unit. 2. The offender is assessed to be functioning at a cognitive level that would prohibit them from participating in all of the program components. Dallas County 4-C Re-Entry Court Standard Operating Procedures 6

7 SOP #: 4CRC Date: July 2011 Title: Screening and Intake Planning Process 4-C SAFPF Re-Entry Court Screening and Intake Planning Process A. The CSCD Supervisor of 4-C receives a list of potential unit graduates and their discharge dates from TDCJ. Participants are randomly selected that list, taking into consideration input from the units transition coordinator B. The SAFPF unit is then advised of those that have been selected to enter the 4-C SAFPF Re-Entry Court. C. Once unit graduates are selected and the SAFPF Units notified, TDCJ and CJAD are informed as well. D. The 4-C questionnaires are filled out by the potential unit graduates and are mailed or faxed back to the 4-C CSCD Supervisor. The 4-C questionnaires contain the potential graduate s drug history, medical history and addresses. E. A copy of the 4-C client questionnaire is made available to the counseling staff to determine treatment placement in the 4-C counseling program. F. For admission consideration, clients must provide a home plan that includes address of proposed residence, names of the persons and relationship that will be living in the residence and any history of substance abuse. After the information is reviewed, the packets are given to the 4-C Field Work Officer who will go out and verify the address and meet with the family members of each 4-C candidate. G. Prior to the new participants arrival at 4-C, each Court Officer s caseload is reviewed for placement. Dallas County 4-C Re-Entry Court Standard Operating Procedures 7

8 SOP #: 4CRC Date: July 2011 Title: Screening and Intake Planning Process H. Once the lists of new participants are selected from each unit, the Dallas Sheriff s Office is notified of the clients that need to be transported back to Dallas County. I. On the selected date the Dallas Sheriff s Deputies transport the clients back to Dallas County. J. When the client arrives to the 4-C Court, an orientation occurs and they are notified of living arrangements. K. Probationers are released to the custody of 4-C staff at the 4-C courtrooms. Counseling Supervisor: Prior to 4-C counseling intake/orientation the counseling supervisor reviews the risk/needs and clinical assessments which includes the following: a) Axis I & Axis II Mental Health and/or Substance Abuse/Dependence history and diagnosis. b) Criminogenic and responsivity indicators including motivation and readiness for change c) Formulation of the client s history and clinical presentation Counselor caseloads: Guidelines have been established to ensure effective, individualized treatment and rehabilitation based on CJAD and DHHS standards. Intensive outpatient counselors will maintain a caseload of participants, while supportive outpatient will be no more than 32. In addition, all 4-C groups do not exceed 16 probationers. Dallas County 4-C Re-Entry Court Standard Operating Procedures 8

9 SOP #: 4CRC Date: July 2011 Title: Clinical and Risk Needs Assessments Preliminary Clinical and Risk Needs Assessment* *The following two sections describe assessments and reports that occur prior to probationers being sent to in-patient treatment at a SAFPF unit. These assessments are usually conducted pursuant to a judge s order and are designed to assist the judge in the sentencing decision. The assessments are conducted while the probationer is in jail or on bond awaiting sentencing. The reports then serve as a source of information and background for the 4-C staff when new admits are being returned to the 4-C court. CSO s and counseling staff use the reports in making preliminary decisions in how each participant s needs will be addressed. Clinical Assessment Conducted Prior to Transfer to a SAFPF Unit: Dallas County CSCD s Comprehensive Assessment and Treatment Services (CATS) complete a full clinical assessment conducted by a masters or doctoral level clinician prior to a probationer being transferred to a SAFPF unit as a result of a court order. The clinical assessment provides information regarding the clients social history, mental health and/or substance abuse/dependence history and diagnoses, Axis II diagnoses or issues, a review of criminogenic needs, responsivity factors (including motivation and readiness for change), treatment needs, and recommended supervision strategies. (NOTE) If a client does not have a CATS clinical assessment available, the 4-C court team will request a CATS assessment to be completed within fourteen days of the client s admission to 4-C. The Clinical Assessment can be reviewed in the K drive Dallas County 4-C Re-Entry Court Standard Operating Procedures 9

10 Risk/Needs Assessment Conducted Prior to Transfer to a SAFPF Unit: Dallas County CSCD administers an empirically validated risk/needs assessment that classifies the offenders risk level and identifies the criminogenic factors that contribute to the offender s risk for recidivism prior to transfer to a SAFPF unit. SOP #: 4CRC Date: July 2011 Title: Clinical and Risk Needs Assessments Additionally an updated risk/needs assessment is completed within 14 days of return from the SAFPF unit to the 4-C court. The Clinical Assessment and the Risk/Needs Assessment are reviewed by 4-C CSO s and counseling staff to help develop an initial supervision & treatment plan. The Risk/Needs Assessment or Re-Assessment can be reviewed in the (CCMS) Corrections Case Management System. SOP Dual Diagnosis treatment groups use the SSC curriculum and in addition a referral to one of the community outpatient mental health clinics is given. These clinics provide excellent supplemental support through dual disorder education and medical services. Dual diagnosis groups will not exceed 12 participants. Clients in Dual Diagnosis group will be required to be in compliance with treatment by psychiatric providers, including taking their medication. Dallas County 4-C Re-Entry Court Standard Operating Procedures 10

11 SOP #: 4CRC Date: July 2011 Title: CSCD Orientation CSCD Orientation: Orientation is conducted by CSCD staff upon the participant s arrival at 4-C Court. It is done in an informal and relaxed setting designed to assure the participants that the 4-C staff is here to assist them in succeeding and not to revoke them. The participants receive an overview of the 4-C Participant Handbook which explains the expectations and responsibilities of the SAFPF Re-Entry program. All intake paper work is completed and signed by each participant. The Urine Analysis Testing Color-coded system is explained and each participant receives their assigned color, along with the phone number to the random UA Line. The participants are introduced to their Court Officer, given supervision reporting instructions, counseling intake appointment time and informed of their court dates, times and locations. Family members or transition housing vendors are notified that the client is ready for transportation. Clients on psychiatric medication or mood-altering medication are required to give the 4-C staff members a list of those medications, and to notify the staff of any change in their medication regimen. They are also required to sign a release of information allowing counselors to coordinate care with the medical or psychiatric providers. At the time of intake, clients receive a copy of the Drugs to Avoid list, and the 4-C Medical Exception Form. Each time a client seeks medical or mental health services, Dallas County 4-C Re-Entry Court Standard Operating Procedures 11

12 they are required to have the medical exception form signed by the prescribing physician, and return it to the staff. If clients are taking prescribed mood-altering medication such as Vicodin, Xanax, Oxycontin, Lortab, etc., they are informed of the CATS policy that they may not participate in treatment while using these medications. The client is informed that the use of these medications is counterproductive to treatment for substance abuse. Counselors are required to notify the medical provider (after receiving a signed release from the client) in writing of the client's involvement in a substance abuse treatment program; and cannot be eligible for services while taking medications with addictive SOP #: 4CRC Date: July 2011 Title: CSCD Orientation properties. If the physician determines the medication is necessary, the client will be referred to another outpatient program in the community. The Intake/Orientation can be reviewed in the (CCMS) Corrections Case Management System. Probation Officer (CSO) Review: Within 14 days of admission to 4-C, the participants Community Supervision Officer (CSO) will assess the probationer s criminogenic risk/needs ratings and enter the information in case narratives. Within 14 days after the initial assessment, the CSO will reassess the probationers progress to determine if any change in the supervision plan need to be made. This information is also available to determine supervision needs. 4-C Client Records: Conditions of Probation, Medical Waivers & Records, 4-C Rules and Regulations, Counseling Progress Reports and other Supervision Information are maintained in the 4-C program file kept by the CSO. All 4-C case plan narratives are kept in CCMS. Dallas County 4-C Re-Entry Court Standard Operating Procedures 12

13 SOP #: 4CRC Date: July 2011 Title: Counseling Treatment Orientation Counseling Treatment Orientation: Prior to determining client placement, the counseling supervisor reviews the SAFPF discharge packet, the most recent CATS clinical assessment and the 4-C pre-admit questionnaire. Group placement will be made following a review of these documents, as well as case narratives and the most recent criminogenic risk/needs assessment. If during the first month of counseling, the counselor believes the client needs a different level of care, they can change the clients service level within the 4-C counseling program. If the counselor believes the client needs other services, (i.e. residential treatment, mental health or medical resources) the case will be staffed with the counseling supervisor and the 4-C team to determine further action. At intake & orientation clients will complete a client admission & information packet which includes; counseling program description & rules consent to treatment consent to notify rights of participants client grievance procedure limits of confidentiality SSC participant workbook 12 Step meeting times and locations Dallas County 4-C Re-Entry Court Standard Operating Procedures 13

14 Counselors will assist clients in completing these forms to ensure their completeness and accuracy and sign where needed. Counselors will give the client copies of the counseling schedule, name and phone number of primary counselor, group location and start date, program rules and rights of participants. All clients must attend the Strategies for Self-Improvement and Change (SSC) orientation session prior to beginning treatment. The orientation is a two hour group review of SSC Sessions 1 and 2. During the orientation the counselor introduces the curriculum guidelines, on-going self assessment inventories, and begins client/provider collaboration on the development of the individualized relapse and recidivism continuing care plan. The orientation component sets the stage for the delivery of SSC in an open group format. SOP #: 4CRC Date: July 2011 Title: Supervision Case Plan and Updates CSCD Supervision & Counseling Initial Case plans Supervision Case Plan: The plan is completed by the CSO within 28 days as previously noted and reviewed with probationer continuously during their participation in 4-C. The case plan includes the following: negative behavior patterns, significant contributing factors, positive behavior objectives with timeframes for achievement. CSO s review all of the conditions of probation with the participants and assist them in prioritizing their actions. The plan is designed to assist the probationer in understanding what will be required of them by their CSO of the course of 4-C. Supervision levels are kept at a 1:40 CSO to probationer ratio. The supervision case plan is reviewed during 4-C team meetings. The Case plan can be reviewed in the Corrections Case Management System (CCMS). CSCD Supervision Updates: Participants are initially seen weekly by their CSO, generally for 6-8 weeks. Their supervision status is updated to bi-weekly visits if their progress is satisfactory. Factors considered by their CSO include compliance with, transition house rules, AA/NA attendance, job search documentation; UA tests results and satisfactory counseling reports. Progress in IOP & SOP is reviewed and AA/NA step work is reviewed and verified. It is discussed how the step work is affecting their progress and positive life changes. Conditions of Probation are reviewed and it is determined if the prioritized goals are Dallas County 4-C Re-Entry Court Standard Operating Procedures 14

15 being met. Any changes in housing or contact information are discussed and verified. Fee schedules and job placement are reviewed. For Dual Diagnosis participants; determination is made regarding their compliance with their health care providers recommendations. Medications are discussed and reviewed, as well as the side effects and symptoms due to the medications. Documentation is kept in the supervision files and discussed with the Court and 4-C team at each court staffing. SOP #: 4CRC Date: July 2011 Title: Supervision Case Plan and Updates Field Work Officer Duties: To provide the Court Staff with relevant verifiable contextual data regarding the probationer s progress or lack thereof in the field. This is accomplished in the following ways; FWO s make an initial visit to the proposed housing location. Using information from the questionnaire, FWO s visit the proposed housing location to determine whether it is an appropriate residence. All residents are vetted to ensure the probationer is moving into a safe and drug free environment. This information is used to assist the 4-C team in determining initial placement for each participant. Once the probationer has returned to non-transitional housing the FWO will do random inspections to confirm that the probationer is actually living there and who the other residents are. By visiting the actual residence the FWO is able to discover a vast amount of usable information that is used in the supervision of the individual. FWO s also visit work locations, AA/NA meetings and sites of other scheduled events to confirm that probationers are complying with the court ordered conditions of probation. FWO s are present at all court staffing and provide written and auditory information to the Judge. Dallas County 4-C Re-Entry Court Standard Operating Procedures 15

16 SOP #: 4CRC Date: July 2011 Title: Counseling Treatment Plans, Updates and Clinical Documentation Counseling Treatment Plans: Within the first ten days of admission to the counseling group the counselor reviews with the client the most recent CATS clinical assessment, and the 4-C questionnaire form, to develop the client s Individualized Treatment Plan (ITP) When reviewing the assessment the counselor will place their initials and date reviewed next to the problems identified in the report. In addition, the SAFPF discharge summary will be reviewed with client to determine their progress made in treatment, and issues needing to be addressed in the 4-C counseling program. The counselor discuss with the client s their responses to SSC worksheets 1-4. The counselor works with the client to determine the list of problems to be addressed in order of priority. Clients advancement to subsequent phases of treatment and completion of counseling is based on their achievement of goals and objectives in the initial treatment plan, the SSC curriculum, and the SSC Master Assessment Plan. The counseling treatment plan is reviewed during the 4-C team meetings. A clinical note is completed in Behavioral Health Integrated Provider System (BHIPS) indicating the prior assessment was reviewed with the client, the problems/goals identified on the treatment plan and client s response to the session. The client will sign the treatment plan and receive a copy. The counselor will provide the CSO a printed copy of the signed plan. Dallas County 4-C Re-Entry Court Standard Operating Procedures 16

17 Treatment Plan Updates: The initial Individualized Treatment Plan is reviewed with the client during each individual counseling session. The counselor and client initial the date that the plan was reviewed. Any progress achieved or revisions to the plan are identified, dated and initialed by counselor and client. The counselor documents the results of the review in BHIPS and the monthly progress report. A Counseling Supervisor and CSCD Supervisor conduct periodic audits to ensure the treatment plans are being reviewed with client on a consistent basis. SOP #: 4CRC Date: July 2011 Title: Counseling Treatment Plans, Updates and Clinical Documentation Each counseling file contains an audit form to note compliance with CJAD standards. The audit form is placed on the right side of the file in chronological order. Any concerns identified by the file audit will be forwarded to the Counseling Supervisor with the expectation that deficiencies will be corrected within 7 days of the audit. Clinical Documentation: Progress in treatment will be documented at each contact. Progress notes are entered into the BHIPS system no later than one week following the contact. A copy of all BHIPS progress notes are placed in the client s file. All collateral contacts with the probationer will be documented on progress notes including summaries of significant events that occur during treatment. Any discussions with CSO will be documented in the file. Significant events that impact the client s treatment goals and objectives will be revised and documented in the plan to reflect the appropriate adjustments needed to address the client s treatment needs. Group information sheets are submitted to a Counseling Supervisor by 3 pm every Friday. All counselors will maintain a record of each group sign-in sheet containing the date, time of session, counselor facilitating group, group topic & type, and participants signature. All client signatures must be signed in permanent ink. All original sign in sheets must be sent to the 4-C CSCD Assistant Supervisor each Friday to be kept in a binder at that location. Counselors will maintain photo-copies of the Dallas County 4-C Re-Entry Court Standard Operating Procedures 17

18 sign-in sheets for their records. CSO s will receive weekly, progress updates by 3 pm each Friday. Monthly progress reports will be submitted to the officers no later than the 10 th of the following month (i.e. by April 10 for the month of March.) CSO s will receive a copy of each client s initial treatment plan, when it has been completed. SOP #: 4CRC Date: July 2011 Title: Level of Counseling Service Level of Counseling Service The following outpatient counseling services are available for the 4-C participants as a part of the SSC curriculum: A. Phase I - Intensive Outpatient (IOP): is used as the preferred point of entry for new admits to the 4-C counseling program. Phase I of the SSC curriculum covers 20 sessions, delivered 3 times per week, two hours each session. It usually takes a client 6-8 weeks to complete Phase I. Clients must be able to pass the SSC Phase 1 Graduation Inventory in order to move to Phase 2 of the program. Clients receive one individual counseling session every two weeks while in IOP. If it is appropriate, clients may bring family members to these counseling sessions. B. Phase II & III - Supportive Outpatient (SOP): Once the client has completed Phase I of the SSC curriculum, they are transferred to SOP. Phase 2 & 3 of the SSC curriculum are combined and cover sessions SOP consists of two groups per week, two hours each session. Clients receive one individual and/or family therapy sessions each month across the 12 weeks of SOP. All clients will receive 6 to 10 Dallas County 4-C Re-Entry Court Standard Operating Procedures 18

19 individual and/or family therapy sessions across the 12 weeks of SOP. The frequency and number of individual and family sessions will be client driven. Clients who do not have supportive healthy families will be matched with mentors to provide ongoing support. SOP #: 4CRC Date: July 2011 Title: Counseling Treatment Delivery Counseling Treatment Delivery Treatment Curriculum: The 4-C counseling program uses the Criminal Conduct and Substance Abuse Treatment, Strategies for Self-Improvement and Change (SSC). This curriculum is an evidenced-based, 50 sessions, manual-guided, cognitive/behavioral treatment program. The program is specifically developed for adults ages 18 or older with a history of criminal conduct and alcohol and other drug abuse problems. All of the counselors are trained to deliver the SSC curriculum and possess the ability to integrate the therapeutic and correctional approach to facilitate change The following outpatient counseling services are available for the 4-C participants as part of the SSC curriculum: Group Sessions: Some variations on group structure include gender specific groups or special needs populations. 4-C offers two SOP women s issues groups that do not exceed more than 14 participants. The Female-Focused Strategies for Self- Dallas County 4-C Re-Entry Court Standard Operating Procedures 19

20 Improvement and Change, is used in conjunction with the curriculum to address many of the contextual issues that women experience in the criminal justice system. SOP Dual Diagnosis treatment groups use the SSC curriculum and in addition a referral to one of the community outpatient mental health clinics is given. These clinics provide excellent supplemental support through dual disorder education and medical services. Dual diagnosis groups will not exceed 12 participants. Clients in Dual Diagnosis group will be required to be in compliance with treatment by psychiatric providers, including taking their medication. General Information: The 4-C counseling component provides clinical interventions to probationers through groups and individual sessions, including work with families. Prior to SAFPF unit discharge, a Treatment Team Meeting occurs to ensure continuity in treatment and supervision during the transitional portion of the SAFPF program.. Participants in the meeting are a CSO, and SAFPF Unit counselor, the meeting is documented in the CCMS. SOP #: 4CRC Date: July 2011 Title: Clinical Supervision, Observations, Reviews and Training Clinical Supervision: Meetings occurs every Wednesday from 1-3 pm for the 4-C counselors and the Counseling Supervisor. The Counseling Supervisor and Counselors discuss individual cases, potential court sanction lists and policy & procedure updates. The counseling supervisor maintains a record of all group supervision sessions, with the date, location, and signatures of counselors and supervisor involved in the meeting. Any discussions between the primary counselor and other counselors or the supervising psychologist will be documented in the file. Additional staffing on individual cases may be held with the counseling supervisor as needed. Clinical Documentation Reviews: The counseling supervisor will review 10% of the treatment population files each month utilizing the counselor audit form to ensure the quality and timeliness of the clinical documentation. Group Observation: The supervising psychologist or a counseling supervisor will periodically observe CATS counselors in group using the SSC Program Supervision Inventory. This instrument is used as a guide for providing structured supervisory Dallas County 4-C Re-Entry Court Standard Operating Procedures 20

21 feedback to SSC providers and program administrators regarding fidelity to the SSC model. The supervision inventory assesses the facilitator s delivery of SSC since it is premised on a variety of assessment, teaching, counseling, correctional supervision and group facilitation skills. The inventory is reviewed with the counselor at the end of each group. Counselor Training: All new counselors will participate in two week training with the SSC curriculum, TDCJ/CJAD compliance standards and CATS policies and procedures. Each new counselor will be sent to various satellite locations to observe SSC facilitators who have extensive training with the curriculum. New counselors receive a copy of the SSC Provider Manual and the SSC Participant Handbook. Counselors in training are encouraged to take notes during the group observation and review with the facilitator after the group. Counselors in training are required to complete BHIPS group notes and present to the facilitator for review and feedback. SOP #: 4CRC Date: July 2011 Title: Clinical Supervision, Observations, Reviews and Training New counselors must be able to demonstrate substantial knowledge of the SSC goals and the TDCJ/CJAD standards. All new counselors will be given the opportunity to facilitate an SSC group under the observation of a trained facilitator. In addition the counseling supervisor or supervising psychologist will periodically observe new counselors conducting SSC groups during the first 90 days of their CSCD probation period. All of the 4-C counselors will be required to attend the SAFPF immersion training. Dallas County 4-C Re-Entry Court Standard Operating Procedures 21

22 SOP #: 4CRC Date: July 2011 Title: Internal Audit and Control Internal Audit and Control: Three days every third month of the year, 4-C shuts down counseling and reporting to the CSO s. Field Officers and the random UA line continue to function and supervise all probationers. All court sessions are run by the Judge, ADA and APD without requiring counselors or CSO s to be present. This allows the supervising officers and supervising counselors to conduct internal audits and to ensure quality control. Any issues that arise during these weeks are immediately addressed and corrected. During the Internal Audit and Control process treatment staff shall develop and alternative treatment schedule consisting of assignments to be shared during the next scheduled group session. Dallas County 4-C Re-Entry Court Standard Operating Procedures 22

23 SOP #: 4CRC Date: July 2011 Title: Court Staff Team Meeting Court Staff Team Meetings CSO s are assigned specific caseloads and each caseload has a particular court date. Tuesdays are specifically for dual diagnosis or special needs clients. CSO s are expected to prepare case staffing reports for the Judge for each client on each court setting. These reports include updates of the participants progress since the last court setting and recommendations in regards to participants on the sanctions list. The reports will also include the counselor s treatment response for each client on the sanction list. CSO s are expected to participate in all discussions of each of their probationer s progress or regress. Staffing reports will include counselor treatment recommendations in regard to clients on the sanction lists. These staffing reports are court records and as such are kept by the court. CSO s participate in all court staffing and provide information and answer questions for the Judge. Discussions of the participants progress or regress as well as phase Dallas County 4-C Re-Entry Court Standard Operating Procedures 23

24 advancements are discussed. Any problem a participant may have is resolved in the staffing. Counselors are assigned to specific staffing and court dates. The counselors participate in 4-C weekly Court Staffing to review client progress or concerns. In addition CSO s and counselors meet twice per month to review treatment plans, supervision case plans and, monthly progress updates. The primary counselor receives a copy of the weekly supervision staffing summary and notes any concerns or recommendations from the team. The staffing summary is kept in the client file on the right side in chronological order. The counselor will document any sanctions administered by the court that may result in a disruption in a client s treatment. When a client is sanctioned by the court, a clinician s note will be placed in client s file providing a brief explanation as to why the client was sanctioned, the teams decision, and treatment response from the primary counselor. The CSO reports all team decisions in the case narratives. All BHIPS clinician s notes will include information regarding how the participant will make up group sessions and assignments missed due to court sanctions. If necessary the counselor will meet with the client individually to review the material covered in missed sessions. SOP #: 4CRC Date: July 2011 Title: Continuum of Care and Discharges SUMMARIES AND ADDENDUMS Continuum of Care and Discharge: The only time a discharge summary is completed is when the client is discharged from the 4-C program. When a client has completed a 4-C counseling group the counselor will complete either a Satisfactory Completion Summary or an Unsuccessful Completion Addendum. If necessary the client will be referred to a TDCJ approved vendor for aftercare services. Satisfactory Discharge: a. Probationer has completed requirements of the program as dictated by his/her individual treatment plan as determined by the counselor. Dallas County 4-C Re-Entry Court Standard Operating Procedures 24

25 b. Probationer has completed community supervision and/or otherwise satisfied the court s requirement. Unsatisfactory Discharge: a. Client has demonstrated non-compliance with the program through documented program rules violations (excessive absences, undisclosed substance use, etc.). b. Client requires a more intensive level of care to disrupt pattern of active substance use. c. Probationer manifests a medical problem that prohibits participation and/or completion of program requirements. d. Probationer displays symptoms of a psychological disorder that prohibits participation and/or completion of program requirements. SOP #: 4CRC Date: July 2011 Title: Continuum of Care and Discharges Satisfactory Discharge Summary: to include the following components: clinical problems at the onset of treatment and original diagnosis; the problems or needs and strengths or weaknesses identified on the master treatment plan; the goals and objectives established; the course of treatment; and the outcomes achieved. The counselor will work with client and family member (if available) to complete a discharge plan. A hard copy of the discharge plan will be placed in the client s file. Unsatisfactory Discharge Summary: Counselors will staff all unsuccessful discharge decisions due to non-compliance with counseling supervisor or supervising psychologist before dismissing probationer. Unsuccessful discharge addendums will include the information identified above, but will also contain the following: reason Dallas County 4-C Re-Entry Court Standard Operating Procedures 25

26 for unsuccessful completion; other relevant information related to dismissal from the group; current DSM-IV diagnoses and GAF score; DSM-IV diagnoses deleted by the addendum report; current criminogenic need ratings, new treatment recommendations for substance abuse and criminal thinking/attitudes; and a Responsivity analysis and prognosis. Discharge Plan: Upon completing Phase II- SOP, the counselor and client will complete a Discharge Plan. The supervision officer will receive a copy of the discharge summary and the discharge plan within seven days of the discharge. The discharge summary will be documented in the notes located on the CCMS System by the Court Officer for Dallas County CSCD. SOP #: 4CRC Date: July 2011 Title: Required Postings and Counselor Licensure Required Postings/Counselor Licensure: Substance abuse counselors will be licensed professionals (i.e. LCDC, LPC, MSW etc.) or graduate-level professionals who are license eligible. If a counselor is not licensed, a licensed professional will supervise him. Professional staff that is not licensed is encouraged to pursue licensure within the first six months of hire. Professional staff should submit copies of their current licenses at renewal to the counseling supervisor to be kept in their training documentation files. This will provide an opportunity for counselors to have a full understanding of the client s experience in the SAFPF units. All credentialed counseling staff is required to post their license and current Commission s poster on reporting complaints and violations where services are Dallas County 4-C Re-Entry Court Standard Operating Procedures 26

27 provided. Commission postings for Client Rights and Grievance Procedures are posted at each location where counseling services are provided. Dallas County 4-C Re-Entry Court Standard Operating Procedures 27

28 4-C SAFPF RE-ENTRY COURT Supervision Attachments Dallas County 4-C Re-Entry Court Standard Operating Procedures 28

29 Date: July 2011 ATTACHMENT I 4-C SAFPF RE-ENTRY COURT INCENTIVE AND SANCTION MATRIX FOR CSCD Throughout the course of the SAFPF 4C Re-Entry Court Program, participants understand that there is an incentive and sanction matrix applicable to them. If the participants are successful in achieving certain goals they receive incentives. If they violate any of the rules of the SAFPF 4C Re-Entry Court Program, they are subject to certain sanctions. The goals and incentives, as well as the violations and sanctions are listed below: REWARDS AND INCENTIVES Each participant is given the opportunity to reduce the number of community service hours and/or fines and court costs by earning tokens. Tokens are received based upon level of participation and compliance. Each participant is responsible for maintaining their own individual tokens. Tokens can be redeemed in groups of three or more or a value of $100 or more. Attachment A is the court forms explaining the rating and scoring system Rating score of six = $25 token Rating score of seven or eight = $50 token Community Service Credit For each group, peer support, or individual meeting attended, participants earn one community service hour credit. Perfect attendance to aftercare each month earns $50 in tokens. Client Progress of the Quarter One participant is selected every quarter and rewarded with the Most Valuable Player award and earns $100 in tokens and 10 hours of community service credit. Dallas County 4-C Re-Entry Court Standard Operating Procedures 29

30 Date: July 2011 ATTACHMENT I VIOLATIONS AND SANCTIONS Level I Violations: 1. Tardiness - to court, appointments, groups, programs or meetings 2. Inappropriate dress or attire 3. Failure to participate or complete assignments Level II Violations: 1. Failure to appear - court, meetings, group, program or meetings 2. Missed appearance in compliance with court order or directive 3. Delinquent fees Level III Violations 1. First or second positive UA 2. First or second diluted UA, in accordance with UA policy 3. Misconduct - in court, groups, programs, meetings or community service restitution or with staff Level IV Violations 1. New offense 2. Absconding 3. Unsuccessful discharge from group or program 4. Positive or diluted UA two or more times, in accordance with UA policy Dallas County 4-C Re-Entry Court Standard Operating Procedures 30

31 Date: July 2011 ATTACHMENT I Level I Sanctions: 1. Verbal reprimand 2. Community service not to exceed 8 hours 3. Additional work assignments 4. Any combination of the above Each additional level I violation will count towards enhancement to a level II sanction. Three or more level I violations will result in a level II sanction. 90 days of sanction free time will bar the uses of the prior violation towards enhancement Level II Sanctions 1. All level I sanctions 2. Community service restitution of no less than 8 hours but no more than 24 hours 3. Additional reports or appearances to court, supervising officer, groups, outpatient programs or meetings 4. Any combination of the above Two or more level II violations will result in a level III sanction 90 days of sanction free time will bar the use of prior sanction towards enhancement Level III Sanctions: 1. All prior level I and level II sanctions 2. Community service restitution of no less than 24 hours and no more than 40 hours Dallas County 4-C Re-Entry Court Standard Operating Procedures 31

32 3. Incarceration for a period of no less than day and no more than 10 days Date: July 2011 ATTACHMENT I 4. In patient treatment including SAFPF Relapse, ISF Facility, JTC Wilmer, NEXUS, Homeward Bound or the Salvation Army 5. Any combination of the above Two or more level III violations will result in a level IV sanction 90 days of sanction free time will bar the use of prior violation towards enhancement Level IV Sanctions: 1. All level I, II, and III sanctions 2. Incarcerations of no less than 6 days up to the maximum exposure each participant faces if they are revoked 3. Administrative review with the possibility of unsuccessful discharge from the program. 4. Any combination of the above The Rewards/Sanctions can be reviewed in the (CCMS) Corrections Case Management System. 4-C Has Two Absolute Rules: Absconding or Lying will result in incarceration* *These are the Judges rules and are not negotiable by anyone but the Judge. Dallas County 4-C Re-Entry Court Standard Operating Procedures 32

33 Date: July 2011 ATTACHMENT II Rating System for Weekly Progress Report 8 = Progressed & Maintaining 7 = Progressing, action-oriented, non-resistant, invested 6 = Progressing, action-oriented non-resistant, invested (controlled setting) 5 = Progressing, good planning and preparation 4 = Progressing, but very slowly 3 = No progress, no commitment, some resistance, just going through the motions 2 = No progress, may be regressing 1 = No progress, unwilling/unable to change, may need termination 8 =PROGRESSED AND MAINTAINING Clients scored at this level of progress have successfully met all expectations of supervision and treatment. They have maintained acceptable employment; remained drug-free and law-abiding. Their behaviors and attitude reflect a positive and prosocial lifestyle change. Their behaviors are characterized by consistent practice of skills acquired and a persistent attitude that supports use and maintenance of all knowledge and skills learned. Maintenance at this level in conjunction with the acceptable amount of time in treatment and/or supervision qualifies these clients for successful discharge consideration. 7= PROGRESSING, ACTION-ORIENTED, NON-RESISTANT, INVESTED Clients scored at this level of progress have stopped resisting the behavioral changes advocated by treatment and supervision. They have embraced the knowledge and skills afforded them and have begun implementing the skills and strategies offered. Dallas County 4-C Re-Entry Court Standard Operating Procedures 33

34 Indicative characteristics of clients at this level are their positive talk about change and their tendency to take positive actions for themselves without being told to do so. Cognitive changes for the better are reflected in the quality of their decision- Date: July 2011 ATTACHMENT II making. Their total behavior suggests a real investment in recovery and sincere concern for acceptance in the community as employed and law-abiding citizens. This progress level is most appropriate when clients are not residing in a controlled environment. 6= PROGRESSING, ACTION-ORIENTED, NON-RESISTANT, INVESTED Clients scored at this level of progress are in a controlled environment and have stopped resisting the behavioral changes advocated by treatment and supervision. They have embraced the knowledge and skills afforded them and have begun implementing the skills and strategies offered. Indicative characteristics of clients at this level are their positive talk about change and their tendency to take positive actions for themselves without being told to do so. Cognitive changes for the better are reflected in the quality of their decision-making. Their total behavior suggests a real investment in recovery and sincere concern for acceptance in the community as employed and law-abiding citizens. This progress level is most appropriate when clients are still residing within a controlled environment. 5= PROGRESSING, GOOD PLANNING AND PREPARATION Clients scored at this level have accepted they have problems with drug use, unemployment and/or criminality and have intentions to change. They have accepted their lives will be better through change and prepare for it. They are on the verge of taking positive actions and becoming actively involved in the change process. They speak of change and are more open to suggestions and accepting of help. They make their intentions known and think aloud about specific steps they will take. Clients should be encouraged to fully plan out and review their options. They should be assisted in developing awareness of possible consequences before implementing their plan. They are primarily recognized by their focus on thought processes rather than actions and they should be encouraged to think plans through and not take action prematurely. Some prodding and encouragement is still necessary, as moving to action beyond planning is still difficult. Conversely, case management should watch for possible fixation on the safety of preparation and Dallas County 4-C Re-Entry Court Standard Operating Procedures 34

35 planning. That fixation can stifle the risk action that plan implementation requires for moving forward. Date: July 2011 ATTACHMENT II 5* = POTENTIAL REACHED, NO FURTHER PROGRESS EXPECTED Clients are scored at this level of progress due to their physical and/or mental limitations. Their limitations make it impossible or improbable for them to meet treatment or supervision requirements. Their potential for change has been reached and no further progress is expected. This progress level should be used only when it is supported by medical, psychological and/or other acceptable methods of assessment. (For internal team use only) 4 = PROGRESSING, BUT VERY SLOWLY Clients are scored at this level of progress when they actually contemplate and accept they have problems with drug use, unemployment and criminality and their behaviors support that acknowledgement. They seek to evaluate and understand their behaviors. They are often distressed at their findings and express desire to take control. They think about change, but have taken little action toward it. Often they are not prepared to do so anyway. They are more receptive to evaluation of the pro and cons of their behaviors. Overt resistance to change diminishes, but progress may still be slow. They will still be riding the fence in deciding what to do and will need continued positive support and prodding. Ambivalence dominates their thinking processes. They have contemplated or accepted they have problems, but are conflicted. They know better, but may still continue with their counterproductive behaviors. 3 = NO PROGRESS, NO COMMITMENT, SOME RESISTANCE, JUST GOING THRU THE MOTIONS Clients scored at this level understand instructions and expectations, but have made no commitment to internalize the intent of supervision or treatment. They may say they have problems with drug use or unemployment, but the admission is strategic rather than heartfelt. Their actions will not match their words. Overt or passive aggressive resistance will likely continue. They still have the mindset that continuing their current behaviors is better than alternatives offered. They are not convinced change is better. Drug use and concealing it is still a strong possibility. They may strategize to meet minimum compliance requirements with the intent of just getting by, but integration of positive change principles has not occurred. Dallas County 4-C Re-Entry Court Standard Operating Procedures 35

36 Date: July 2011 ATTACHMENT II 2 = NO PROGRESS, MAY BE REGRESSING Clients scored at this level have never stopped using or did stop and subsequently have been scored at levels, 3 through 7 or even 8, but have either slipped or relapsed. Any use while in the program is viewed as no progress or a regression from progress. If use was a slip, clients will quickly recover and makes the necessary adjustments that justify subsequent higher progress level scores. However, if use was an actual relapse, clients may continue with the same and/or additional behaviors counterproductive to supervision and treatment. Relapse always requires greater or more intensive intervention than a slip. Clients that lose employment due to their own behavior or commit a new offense may also be scored at this level even though they may be doing well in other areas. This emphasizes the importance of being law-abiding and maintaining employment while in the program. 1 = NO PROGRESS, UNWILLING OR UNABLE TO CHANGE, MAY NEED TERMINATION Clients scored at this level do not know, accept or even contemplate they have a problem with drugs, unemployment or criminal activity. Negative responses to treatment or supervision often are based on their feelings of being forced to do what they do not believe or that for which they see no need. They are resistant and unwilling to cooperate. They see no advantage to changing their lifestyle as it pertains to unemployment, being law-abiding and staying drug free. Often these clients are argumentative, disruptive and insensitive to counselors, caseworkers or other clients in groups. They can easily be characterized as obstinate and defensive. They are uncommitted or passive in treatment or supervision. Because they do not know, accept or even contemplate they have problems associated with unemployment, drug use, and illegal activity, such behaviors are apt to continue. Until clients accept they have such problems, casework must focus on getting them to accept that they do. Different motivational and consciousness-raising strategies must be tried. However, at some point and in consideration of resources available, if Dallas County 4-C Re-Entry Court Standard Operating Procedures 36

37 the different strategies applied fail to bring forth signs of progress or positive change, termination from the program may be in order. Date: July 2011 ATTACHMENT III Dallas County 4-C Re-Entry Court Standard Operating Procedures 37

38 ML NUMBER:.a.a rat r DATE: 03/22/10 NUMBER OF ADDRESS LAST 12 MONTHS PERCENTAGE OF TIME EMPLOYED IN LAST 12 MONTHS AGE AT FIRST ADJUDICATION OF 0 GUILT (Adult or Juvenile 2 include deferred) 4 NUMBER OF PRIOR PERIODS OF 0 PROBATION/PAROLE SUPERVISION 4 (Adult or Juvenile) NUMBER OF PRIOR PROBATION/ 0 PAROLE REVOCATIONS 4 (Adult or Juvenile) NUMBER OF PRIOR FELONY 0 ADJUDICATIONS OF GUILT{or Juv- 2 enile Commitments - incl. def.) 4 ADULT OR JUVENILE ADJUDICA- 0 TION FOR (Select applicable 2 and add for score. Include 3 current offense. Maximum: 5) 5 ADULT OR JUVENILE ADJUDICATION 0 FOR ASSAULTIVE OFFENSE WITHIN 8 LAST {FIVE} YEARS (An offense which is defined as assaultive or one which involves the use of a weapon, 2hysical force or the threat of force) None One Two or more 60% or more 40% - 59% Under 40% Not applicable \.03 Alcohol use unrelated to criminal activity ex,. no alcohol-related arrests, no evidence of use during offense Probable relationshi~ between alcohol use and crim1nal activity Definite relationship between alcohol use and criminal activityi ex., pattern of commiting offenses wh1le using alcohol No abuse of legal drugs; no indicators of illegal drug involvement; ex., use, possession, or abuse Probable relationshi~ between drug involvement and crim1nal activity Definite relationshi~ between drug involvement and crim1nal activity( ex., 2attern of committing offenses wh1le using drugs, sale or manufacture of illegal drugs Motivated to change; receptive to assist. Somewhat motivated out dependent or unwilling to accept responsibility Rational1zes behavior; negative; not motivated to change 24 or older or younger None One or more/ None One or more None One Two or more None Burglary, theft, auto theft or robbery Worthless checks or forgery Both No Yes Dallas County 4-C Re-Entry Court Standard Operating Procedures 38

39 DATE: 03/25/11 NUMBER OF ADDRESS CHANGES IN LAST 12 MONTHS AGE AT FIRST ADJUDICATION OF GUILT (Adult or Juvenile - include deferred) NUMBER OF PROBATION/pAROLE REVOCATIONS (Adult or Juvenile) NUMBER OF PRIOR FELONY ADJUDI- CATIONS OF GUILT (or Juvenile Commitments - include deferred) ADULT OR JUVENILE ADJUDICATIONS FOR (Select applicable and add for score. Include current offense. Maximum score: 3) 3 Both RATE THE FOLLOWING BASED ON PERIOD SINCE LAST CLASSIFICATION PERCENTAGE OF TIME EMPLOYED PROBLEMS IN INTERPERSONAL RELATIOr;rSHIPS (Living/Working Situations) RESPONSE TO COURT IMPOSED CONDITIONS ADULT OR JUVENILE ADJUDICATION FOR ASSAULTIVE OFFENSE WITHIN LAST TWO YEARS (An offense which is defined as assaultive, or one which involves the use of a weapon, physical force or the threat of force) 0 None 2 2 One 3 Two or more 0 24 or older or younger 0 None 2 2 One or more 0 None 1 1 One 3 Two or more 0 None 2 1 BUr~lary, theft, auto theft or robbery 2 Wor hless checks, forgery 0 60% or more 1 40%-59% 2 Under 40 % Not applicable No apparent difficulties 1 Moderate difficulties 3 Serious difficulties o No apparent difficulties 1 Moderate difficulties 3 Serious difficulties o None 1 Few 3 Moderate 5 Severe Mainly with ~ositive individuals Mainly with aelinquent individuals o 3 o 3 5 o o No 4 Yes No problems of consequence Moderate compliance problems Has been unw~lling to comply Not needed Productively Utilized Needed but not available Utilized but not beneficial Available but rejected Dallas County 4-C Re-Entry Court Standard Operating Procedures 39 \.63

40 Dallas County 4-C Re-Entry Court Standard Operating Procedures 40

41 SAFPF 4C/RE-ENTRY COURT CLIENT QUESTIONNAIRE NAME DATE OF BIRTH: AGE: DATE: RACE/ETHNICITY: JUDGE: SAFPF/SAFPF Relapse: SOCIAL HISTORY Where were you born? Who raised you? Described you childhood and your parents: While growing up, did you experience Physical abuse? Verbal abuse? Sexual abuse? How old were you when you left home? Have you ever been responsible for rent or mortgage? Marital Status (circle): Married Common Law Divorced Seperated Never Married Living Together Has there ever been abuse in the home? Any children? If yes, provide names and ages: Do these children live with you? If not, do you provide financial support? Have any of your family members had problems with drugs or alcohol? Have any of your family members had problems with the law? Have any of your family members had any mental health problems? Dallas During County the 4-C 6 months Re-Entry before Court Standard SAFPF did Operating your friends Procedures use drugs? 41

42 EDUCATIONAL HISTORY How far did you get in school? Do you have a GED? Were you placed in special education classes? Gifted classes? College hours/degree? WORK HISTORY How old were you when you held your first job? About how many jobs have you had as an adult? Have you ever been fired? Military service? If so, branch, rank, years of service, and type of discharge: Were you unemployed during the last six months before Jail/SAFPF? Name of prior employer: Type of work: How long at this job: Trades or Special skills: Are you currently receiving disability? If so, the monthly amount Is someone else receiving your monthly disability check since you are incarcerated? If so, who and your relationship to them? LEGAL HISTORY What is your current charge? Have you ever had probation or parole revoked? For what reason: How much total time have you spent in jail and prison in your life? How many times during your life have you been in prison? How many arrest as an adult? List prior charges: Dallas County 4-C Re-Entry Court Standard Operating Procedures 42

43 5. PSYCHIATRIC HISTORY Have you ever been treated for an emotional/mental health problems? Are you currently being treated for an emotional/mental health problem? How long? Where? Name of doctor or counselor? List current medications? Have you ever attempted suicide? Yes No If yes, How? When? How many times? MEDICAL HISTORY DRUG OF CHOICE DRUG/ALCOHOL HISTORY DRUG AGE WHEN FIRST USED AGE AT LAST USE USED WITHIN PAST 30 DAYS FREQUENCY OF USE ALCOHOL MARIJUANA COCAINE/CRACK METHAMPHETAMINE HEROIN/METHADONE INHALANTS LSD/HALLUC PCP NARCOTICS Dallas County 4-C Re-Entry Court Standard Operating Procedures 43

44 OTHER Dallas County 4-C Re-Entry Court Standard Operating Procedures 44

45 LIST PRIOR TREATMENT FOR SUBSTANCE ABUSE/EMOTIONAL PROBLEMS Date Place Inpatient/Outpatient # of Days Results Have you ever attended AA/NA? If so, where? Do you know what sponsorship means? Have you ever had a sponsor? REASON COURT ORDERED TO SAFPF FAMILY \SOCIAL SUPPORT _ Home Plan 1. Alternative living to TTC? a. Address b.name of person c. Relationship d. Phone number e. History of substance abuse? f. Were you married or living with a partner before Jail/SAFPF (this time)? Dallas County 4-C Re-Entry Court Standard Operating Procedures 45

46 Date: July 2011 ATTACHMENT III COLOR: 4C/SAFPF RE-ENTRY DRUG TESTING PROTOCOL UA test will be administered to determine program compliance and progress of the program participant regarding their ability to remain drug free. All positives urinalysis are to be reported to the court team. A copy of the drug testing policy that participants sign upon admission to the program will be filed the probation file. Any participant may be tested at any time, regardless of whether he or she is on the random list for that particular day. You may also be asked to submit other samples at the time the UA is observed. Random UA line is (214) : All participants are required to call the random UA line every day. The new message will be on the voice mail by 7:00am. All participants will be assigned a color upon entering the program. Participants must appear between the hours of 8:00am and 4:30 pm for testing. Designated hours to report for drug testing and submit to urinalysis if required Monday-Friday Saturday-Sunday Weekends-Holidays 8am-4:30pm 8am-12:30pm 8am-12:30pm Urinalysis samples must be provided Monday thru Friday no later than 4:30pm. On weekend and holidays samples must be provided by 12:30pm. Failure to submit a UA during that time frame will be considered a positive drug test. Failure to appear for a random drug test is considered a positive drug test. Participants, who failed to report for random urinalysis, must report to their case manager by 9am the next business day. Should be prepared to submit to a urinalysis. Failure to report by 9am the next business day will result in an additional 24 hours jail time added to your sanction. I have read the above information and am aware of my responsibilities in this matter. Client (Print Name) Client Signature Date CSO 46 Dallas County 4-C Re-Entry Court Standard Operating Procedures

47 DATE: SAFPF 4C Re-Entry Court Program PARTICIPANT S RESPONSIBILITIES Participants are required to dress appropriately and use appropriate language when reporting to the SAFPF Re-Entry Court Program. Dress Guidelines 1. No halter tops, tube tops, see-through shirts or blouses are permitted. 2. Shorts or cutoffs are not allowed. 3. Shirt must be tucked in at all times. 4. No head gear, caps, du-rags, or hats are to be worn in the building at anytime. 5. No grills or mouth piece are to be worn at anytime. Appropriate Court Behavior 1. Turn off all pagers and cell phones before you enter the court room. Failure to do so will result in it being taken away. 2. No food or drinks allowed in court. 3. No chewing gum. 4. Pay attention to the court proceedings. No reading, talking, sleeping or other distractions will be tolerated. 5. Be on time for court appearances. 6. Do not talk to case manager during court. 7. Any request should be made in writing to you case manager on a request form. Client (Print Name) Client Signature 47 Dallas County 4-C Re-Entry Court Standard Operating Procedures

48 Field Cod VOLUNTARY AUTHORIZATION AND WAIVER OF CONFIDENTIALITY I waive my rights of confidentiality and authorize any and all Dallas County Supervision and Corrections Department personnel to request and or receive information or records from any persons including myself, or any agency having information or records concerning my medical, psychological or psychiatric history and any information or records pertaining to diagnosis, condition or treatment of a medical, psychological or psychiatric nature including acquired immune deficiency syndrome, human immunological viral infection or any AIDS related complex. I further waive my right of confidentiality and authorize Dallas County Community Supervision and Corrections Department personnel to disclose any and all acquired information or records to the following: 1. The Judge having authority over my case and the personnel of that court. 2. Other Dallas County Supervision and Corrections Department personnel involved in the supervision and maintenance of the probation record. 3. Personnel of any department to which my case my be transferred for supervision. 4. Personnel of any residential facility or outpatient program in which I may be committed and / or confined. 5. Personnel of any institution to which I may be committed and / or confined. 6. Personnel from District Attorney s Office and any attorney of record representing me in these cases for which I am on probation. 7. This information may be used in the pre sentence report. This waiver is limited to communication made to and among the persons or agencies reference above and I do not waive my rights of confidentiality in regard to any other individual or agency not so included. I understand the purpose of this waiver is to facilitate the supervision of my case and I may revoke this waiver at any time. On this 8 th day of August 2011, I have read or had read to me the terms and conditions of this agreement and fully understand same, do herby freely agree to those terms and conditions. Signature of Probationer Signature of Witness Signature of Witness 48 Dallas County 4-C Re-Entry Court Standard Operating Procedures

49 DALLAS COUNTY SAFPF 4-C RE-ENTRY COURT PROGRAM I,, am a participant in a drug court. This program is a court monitored recovery program for addicts. As a result, I am subject to frequent and random drug testing. Therefore, I must report my visit today to the court using this form. As I am in recovery, I would respectfully request that you take this into consideration and offer non-narcotic medications, if possible, when drugs are necessary for my medical treatment. Date Physician (Name) Physician (Signature) Physician Contact Phone Number If you have any questions or concerns, please feel free to call the court field probation officers, Mark Faust at or Mr. Jordan at If this patient fails to present this form to the nurse and physician prior to receiving medication or a prescription for medication, please notify the court. Please list the medications prescribed today: ATTENDANCE RECORD FOR ALCOHOLICS ANONYMOUS AND/OR NARCOTICS ANONYMOUS 49 Dallas County 4-C Re-Entry Court Standard Operating Procedures

50 NAME: Probation Officer: SAFPF RE-ENTRY WEEK IS 3:00PM SUNDAY TO 3:00PM SUNDAY AA/NA Group Date Time Topic/Speaker Chairperson Reg. M 1: 2: 3: 4: 5: 6: 7: 8: 9: 10: 11: 12: 13: 14: 15: 16: 17: 18: 19: 20: 21: The above named individual is required by the Judge to attend Alcoholics Anonymous and/or Narcotic Anonymous meetings. The Court would appreciate a member of the group signing this record of attendance at the END of each meeting. The individual is expected to fill out all of the columns with the exception of the member signature column. Your cooperation is greatly appreciated. This form is to be returned to your Case Manager. Bring this log for review at all court appearances and reporting times. DALLAS AREA: Alcoholics Anonymous - Website - AA Hotline: (214) Narcotics Anonymous - Website - Hotline: (972) See Websites or call Hotlines for meeting locations and times. NA 50 Dallas County 4-C Re-Entry Court Standard Operating Procedures

51 4-C RE-ENTRY COURT EMPLOYMENT SEARCH SHEET NAME: Probation Officer: Employer Date Contact Number Contact Person Follow U 1: 2: 3: 4: 5: 6: 7: 8: 9: 10: 11: 12: 13: 14: 15: 16: 17: 18: 19: 20: 21: You must submit a minimum of three applications daily and submit this search list to your probation officer each office visit. 51 Dallas County 4-C Re-Entry Court Standard Operating Procedures

52 Weekly Court Schedule Monday Officers: Ms. Bennett Mrs. Sandles Regular Needs A-Z 2:00 p.m. Tuesday Officers: Mr. Olson Ms. Davis Special Needs A-Z 10:00 a.m. Thursday Officer: Mrs. Shanklin Regular Needs A-Z 10:00 a.m. I have been informed of my court date which is listed above: Print Name Signature Date 52 Dallas County 4-C Re-Entry Court Standard Operating Procedures

53 Date: July 2011 ATTACHMENT III 4-C SAFPF RE-ENTRY COURT Ten Key Components of Drug Courts 4-C SAFPF RE-ENTRY COURT operates in a manner to maintain the fidelity of the Drug Court Model. The National Association of Drug Court Professionals (NADCP) Standards Committee developed a manual on drug courts which sets forth ten key elements of successful drug courts. The Ten Key Components are as follows: 1. Integrate alcohol and other drug treatment services with justice system case processing. A team approach must be taken to stop drug abuse and related criminal activity. Courts can motivate offenders to enter treatment, but must work with treatment providers to ensure participants success. For instance, treatment providers report offenders treatment progress to courts in order to ensure collaborative use of sanctions and rewards. 2. Use a non-adversarial approach in which prosecution and defense counsel promote public safety while protecting participants due process rights. Prosecution and defense attorneys must work together as a team and focus on offenders recovery rather than the merits of the case. Prosecutors are responsible for identifying drug court candidates, and defense attorneys are obligated to protect offenders rights and inform them about the drug court process. 3. Identify eligible participants early for immediate referral to the program. Substance abuse problems may be easier to identify after offenders are arrested. When experiencing the crisis of arrest, offenders may be more open to pursuing treatment because the consequences of drug use are so obvious at that time. 4. Provide access to a continuum of alcohol, drug, and other related treatment and rehabilitation services. Only part of offenders treatment takes place in the courtroom or in formal treatment settings. Creating a therapeutic team ensures that secondary issues, such as health care, housing and unemployment are addressed. If these problems are ignored, successful substance abuse treatment will be compromised. Offenders need access to a full range of services as one size does not fit all. 5. Abstinence is monitored by frequent alcohol and other drug testing. Drug testing is the most reliable, objective way to detect recent alcohol/drug 53 Dallas County 4-C Re-Entry Court Standard Operating Procedures

54 Date: July 2011 ATTACHMENT III use. A drug testing system ensures individual accountability and helps gauge participant s progress and compliance. 6. Coordinate court and treatment program responses to participant s compliance or lack of compliance, including contracts that involve participants in their own sanctions and incentives. Rewards and Responses should promote ending alcohol/drug use. Graduated Responses are used in response to non-compliance with treatment. Rewards are given for progress or successes throughout the program. 7. Ongoing judicial interaction with each drug court participant is essential. Judicial supervision shows participants that someone in authority cares and increases the chances that participants will remain in the program. 8. Monitoring and evaluation measure the achievement of program goals and gauge effectiveness. The goals and objectives of drug court programs should be measurable. Objective outcome data provide accountability to funding agencies and policy makers; positive outcomes increase the likelihood of continued funding and community support for programs. 9. Continuing interdisciplinary education promotes effective drug court planning, implementation, and operations. Key drug court personnel, as well as those indirectly involved in the program, should continue to receive training and education. Continued education ensures that the drug court s goals and policies are understood and provides opportunities for ongoing interaction between personnel from different agencies. 10. Forging partnerships among drug courts, public agencies, and community-based organizations generates local support and enhances drug court program effectiveness. Drug courts create partnerships among organizations dedicated to rehabilitating substance abusing offenders. Multiple partnerships increase services available to participants during and after the program. 54 Dallas County 4-C Re-Entry Court Standard Operating Procedures

55 Date: July 2011 ATTACHMENT IV INTERDISCIPLINARY TEAM A. INTRODUCTION The purpose of the Interdisciplinary Team is to provide a medium for decision making regarding participants referred to the court. Team members will collectively make objective decisions about the participants admission to, progress and discharge from the 4-C SAFPF RE-ENTRY COURT. The team composition is such that all facets of the system will be available to provide input and recommendations to the 4-C SAFPF RE-ENTRY COURT Judge on a non-biased well informed level. Team Members will work together in making decisions regarding the dispositions of a participant s case. Other interested parties from the participating groups will provide input regarding programming and program progress. It should be noted that since this is a Court, all final decisions are made by the Judge. TEAM MEMBERS Team members include: Drug Court Judges Drug Court Coordinator Dallas County Assistant District Attorney Dallas County Public Defender Community Supervision Officers Program Counselors Clinical Assessment Specialist * The Team is not limited to the aforementioned members. MEMBERS RESPONSIBILITIES, TASKS, AND COMPENTENCIES In order to clearly establish the roles of each team members, specific descriptions regarding their responsibilities, tasks and competencies will be developed with a copy provided to each entity and their representatives. The competencies and tasks listed for each of the following positions descriptions are recommended by the National Drug Court Institute. 55 Dallas County 4-C Re-Entry Court Standard Operating Procedures

56 Date: July 2011 ATTACHMENT IV 4-C SAFPF RE-ENTRY COURT Position: Drug Court Judge DRUG COURT JUDGE CORE COMPETENCIES 1. Participates fully as a Drug court member, committing him or herself to the program mission, and goals, and works as a lead partner to ensure their success. 2. As part of the Drug court team, in appropriate non-court settings (i.e. staffing), the judge advocates for effective sanctions and incentives for program compliance or lack thereof. 3. Is knowledgeable of addiction, alcoholism and pharmacology generally and applies that knowledge to respond to compliance in a therapeutically appropriate manner. 4. Is knowledgeable of gender, age and cultural issues that may impact the offender s success. 5. Initiates the planning process by bringing together the necessary agencies and stakeholders to evaluate the current court processes and procedures and thereafter collaborates to coordinate innovative solutions. 6. Becomes a program advocate by utilizing his/her community leadership role to create interest and develop support for the program. 7. Effectively leads the team to develop all the protocols and procedures of the program. 8. Aware of the impact that substance abuse has on the court system, the lives of offenders and their families, and the community at large. 9. Develops a working relationship with the offender, monitors offender progress, and addresses personal and ancillary issues without losing the aura of judicial authority. 10. Leads the team to educate the community on program goals and standards and develops community resources to address participant s ancillary needs. DRUG COURT JUDGE SAMPLE TASKS Participates in regular operational meetings. Provides training to new or replacement judges. Participates in client staffing. Presides over court session. Participates in regular cross-training with treatment team. Provides training to team as to the traditional role of the judge in comparison to the Drug Court role. Focuses on strengths based approaches. Participates in regular cross training with professionals trained in cultural competency. Acts a mediator to develop resources and improve interagency linkages. Acts as a spokesperson. Participates in regular developmental meetings. Participates in regular cross-training of team with community representatives and treatment team. Presides over court session and maintains a therapeutic relationship with the offender. Participates in client staffing. Acts as spokesperson to community and peers. 56 Dallas County 4-C Re-Entry Court Standard Operating Procedures

57 Date: July 2011 ATTACHMENT IV Position: Reports to: Drug Court Coordinator Drug Court Judge DRUG COURT COORDINATOR CORE COMPETENCIES 1. Participates fully as a Drug court team member, committing him or herself to the program mission and goals, and works as a full partner to ensure their success. 2. As part of the Drug court team, in appropriate non-court settings (i.e. staffing), the coordinator reports on previous sanctions and incentives or lack thereof. 3. Is knowledgeable of gender, age and cultural issues that may impact the offender s success. DRUG COURT COORDINATOR SAMPLE TASKS Participates in regular operational meetings. Provides training to new or replacement Court Coordinators. Contributes to client staffing. Participates in regular cross-training with professionals trained in cultural competency. 4. Is knowledgeable of the offender s criminal history, drug of choice and prior treatment history. Keeps the client s information in a database that can be used for research purposes. Position: Reports to: Drug Court Prosecutor Criminal District Attorney The 4C SAFPF RE-ENTRY COURT Assistant District Attorney s reviews cases and ensures that the participant would not represent an unacceptable risk to the public and meets the eligibility/exclusionary criteria. The Prosecutor is a member of the 4C SAFPF RE-ENTRY COURT Team and participates in adversarial staffing as well as non-adversarial 4C SAFPF RE-ENTRY COURT sessions. The Prosecutor also constantly monitors participant s progress while in the program. Once a participant is set for a hearing, the prosecutor participates in normal adversarial court proceedings. The Prosecutor attends annual training pertaining to Drug Courts and educates the community regarding the Drug Court model. DRUG COURT PROSECUTOR CORE COMPETENCIES 1. Participates fully as Drug court member, committing him or herself to the program mission, and goals, and works as a full partner to ensure their success. 2. The prosecutor, while in Drug court, participates as a team member, operating in a nonadversarial manner, promoting a sense of a unified team presence. 3. As part of the Drug court team, in appropriate non-court settings (i.e. staffing), the prosecutor advocates for effective sanctions and incentives for program compliance or lack thereof. DRUG COURT PROSECUTOR SAMPLE TASKS Participates in client staffing. Participates in regular operational meetings. Provides training to new or replacement Prosecutor. Participates in non-adversarial court session. Participates in adversarial client staffing. 57 Dallas County 4-C Re-Entry Court Standard Operating Procedures

58 Date: July 2011 ATTACHMENT IV Position: Reports to: Defense Counsel Dallas County Chief Public Defender DRUG COURT PUBLIC DEFENDER CORE COMPETENCIES 1. Participates fully as a Drug court team member, committing him or herself to the program mission and goals, and works as a full partner to ensure their success. 2. Evaluates the offender s legal situation and ensures that the offender s legal rights are protected. 3. The Public Defender, while in Drug court, participates as a team-member, operating in a non-adversarial manner while in court, promoting a sense of a unified team presence. 4. Effectively advises the defendants on their legal rights, legal options, treatment options, program conditions, and sentencing outcomes while developing a relationship with the offender that promotes the offender s long term best interest. 5. Monitors client progress to support full participation and ensure the appropriate provision of treatment and other rehabilitative services. 6. As part of the Drug court team, in appropriate non-court settings (i.e. staffing), the public defender advocates for effective sanctions and incentives for program compliance or lack thereof. 7. Is knowledgeable of gender, age and cultural issues that may impact the offender s success. 8. Is knowledgeable about addiction, alcoholism, and pharmacology generally and applies that knowledge to respond to compliance in a therapeutically appropriate manner. 9. Contributes to the team s efforts in community education and local resource acquisition. 10. Contributes to education of peers, colleagues and judiciary in the efficacy of Drug courts. DRUG COURT PUBLIC DEFENDER SAMPLE TASKS Participates in client staffing. Participates in regular operational meetings. Provides training to new or replacement Public Defender. Will advocate for the defendant in the event that he/she violates the conditions of 4-C to the extent that he/she has a revocation hearing Participates in non-adversarial court session. Participates in entry process and maintains a therapeutic relationship with the participant. Participates in adversarial client staffing. Review treatment and supervision reports. Participates in adversarial client staffing. Participates in regular cross-training with professionals trained in cultural competency. Participates in regular cross-trainings. Focuses on strength based approaches. Spokesperson for program to community. Spokesperson for program to defense bar and community. 58 Dallas County 4-C Re-Entry Court Standard Operating Procedures

59 Date: July 2011 ATTACHMENT IV Position: Reports to: Drug Court Counselor Dallas County CSCD Counseling Supervisor 4-C SAFPF RE-ENTRY COURT in-house Counseling Services encompass the following services: Intensive Outpatient Supportive Outpatient Individual Counseling Family Counseling 4-C SAFPF RE-ENTRY COURT Counselors make recommendations and assist in treatment goal/plan for participants receiving service from outside treatment providers. DRUG COURT COUNSELOR CORE COMPETENCIES 1. Participates fully as a Drug court team member, committing him or herself to the program mission and goals, and works as a full partner to ensure their success. 2. Ensures that the participant receives the highest level of care available, at a reasonable cost, by all contracted and ancillary service providers. 3. Ensures that offenders are evaluated in a timely and competent process and that placement and transportation are effectuated in an expedited manner. 4. Provide team response to client behavior and treatment response. 5. Assists in providing advanced training in substance abuse, addiction and treatment methodologies so as to provide the team with a meaningful basis to implement sanctions and incentive systems and design program protocols and procedures. 6. As part of the Drug court team, in appropriate noncourt settings (i.e. staffing), the treatment provider advocates for effective sanctions and incentives for program compliance. 7. Is knowledgeable about addiction, alcoholism, pharmacology and therapeutic modalities and applies that knowledge to effectively treat the participant. 8. Is knowledgeable of gender, age and cultural issues that may impact the offender s success. 9. Contributes to the team s efforts in community education and local resource acquisition. DRUG COURT COUNSELOR SAMPLE TASKS Participates in regular operational meetings. Provides training to new or replacement treatment providers. Participates in client staffing by providing progress reports, making recommendations, and identifying continuum of care. Identifies time frames for initial assessments and reassessment of treatment plan. Provides progress reports prior to client staffing. Coordinates continuum of care through regular contact with community supervision officer. Provides training on assessment basis of substance abuse, the impact of treatment on the offender and the potential for relapse. Addresses therapeutic responses in client staffing. Provides regular cross-training for team. Participates in regular cross- training with professionals trained in cultural competency. Advocates for continuum of care beyond treatment continuum to be inclusive of other community-based services. 59 Dallas County 4-C Re-Entry Court Standard Operating Procedures

60 Date: July 2011 ATTACHMENT IV Position: Reports to: Drug Court Clinical Assessment Specialist Dallas County CSCD Counseling Supervisor 4-C SAFPF RE-ENTRY COURT SAFPF RE-ENTRY Clinical Assessment Specialist makes recommendations and assists in treatment goal/plan for participants receiving service from outside treatment providers. DRUG COURT CLINICAL ASSESSMENT SPECIALIST CORE COMPETENCIES 1. Participates fully as a Drug court team member, committing him or herself to the program mission and goals, and works as a full partner to ensure their success. 2. Ensures that the participant receives the highest level of care available, at a reasonable cost, by all contracted and ancillary service providers. 3. Ensures that offenders are evaluated in a timely and competent process and that placement and transportation are effectuated in an expedited manner. 4. Develops effective measures for drug/alcohol testing and treatment progress reporting that provide the team with sufficient and timely information to implement sanctions and incentive systems. 5. Assists in providing advanced training in substance abuse, addiction and treatment methodologies so as to provide the team with a meaningful basis to implement sanctions and incentive systems and design program protocols and procedures. 6. As part of the Drug court team, in appropriate non-court settings (i.e. staffing), the treatment provider advocates for effective sanctions and incentives for program compliance. 7. Is knowledgeable about addiction, alcoholism, pharmacology and therapeutic modalities and applies that knowledge to effectively treat the participant. 8. Is knowledgeable of gender, age and cultural issues that may impact the offender s success. 9. Contributes to the team s efforts in community education and local resource acquisition. DRUG COURT CLINICAL ASSESSMENT SPECIALIST SAMPLE TASKS Participates in regular operational meetings. Provides training to new or replacement treatment providers. Participates in client staffing by providing progress reports, making recommendations, and identifying continuum of care. Identifies time frames for initial assessments and reassessment of treatment plan. Provides progress reports prior to client staffing. Coordinates continuum of care through regular contact with community supervision officer. Provides training on assessment basis of substance abuse, the impact of treatment on the offender and the potential for relapse. Addresses therapeutic responses in client staffing. Provides regular cross-training for team. Participates in regular cross- training with professionals trained in cultural competency. Advocates for continuum of care beyond treatment continuum to be inclusive of other community-based services. 60 Dallas County 4-C Re-Entry Court Standard Operating Procedures

61 Date: July 2011 ATTACHMENT IV Position: Reports to: Court Supervision Officers Dallas County CSCD Supervisor 1. As part of the Drug court team, in appropriate non-court settings (i.e. staffing), the community supervision officer advocates effective responses to clients behavior. 2. Provides coordinated and comprehensive supervision so as to minimize participant manipulation and splitting of program staff. 3. Develops effective measures for drug testing and supervision compliance reporting that provide the team with sufficient and timely information to implement response to client behavior. 4. Coordinates the utilization of community-based services such as health and mental health services, victims services, housing, entitlements, transportation, education, vocational training, job skills training and placement to provide a strong foundation for recovery. 5. Is knowledgeable about addiction, alcoholism, and pharmacology generally and applies that knowledge to respond to compliance in a therapeutically appropriate manner. 6. Is knowledgeable of gender, age and cultural issues that may impact the offender s success. 7. Contributes to the team s efforts in the community education and local resource acquisition. 8. Contributes to education of peers, colleagues and judiciary in the efficacy of Drug courts. 9. Keep an electronic record all the documents that a produced by the SAFPF Units, Counseling and other agencies. Participates in client staffing by providing progress reports, making recommendations, and identifying supervision and ancillary service needs. Coordinates continuum of care through regular contact with treatment provider. Provides progress reports prior to client staffing. Coordinates continuum of care through regular contact with treatment provider. Participates in regular cross-trainings. Focuses on strengths based approaches. Participates in regular cross-training with professionals trained in cultural competency. Advocates for continuum of care beyond treatment continuum to be inclusive of other community-based sources. Acts as spokesperson to community and peers. Maintain and update electronic files on the CCMS System in the Dallas County CSCD 61 Dallas County 4-C Re-Entry Court Standard Operating Procedures

62 Date: July 2011 ATTACHMENT V 4-C SAFPF RE-ENTRY COURT Treatment Documentation Attachments 62 Dallas County 4-C Re-Entry Court Standard Operating Procedures

63 FORENSIC DUAL DIAGNOSIS EVALUATION Evaluation conducted by: [AFN] [ALN], [AT] CLIENT [FN] [LN] ML NUMBER [ML] DATE OF BIRTH [DOB] DATE OF EVALUATION [DOE] LOCATION [LOC] DATE OF REPORT [DOR] JUDGE Hon. [JDG] COURT [CRT] SUPERVISION OFFICER [PO] OFFICER LOCATION [SO] The factual information in this report was obtained by interviewing [MRMS] [LN] and reviewing available records. Its validity depends on the truthfulness of [HISHER] statements and the accuracy and completeness of records. All statements concerning personal history can be attributed to [MRMS] [LN], unless another source is stated. REASON FOR REFERRAL [MRMS] [LN] is a [AGE]-year-old [SEX] in jail on probation in the assessment center arrested for [CHARGE]. I evaluated [MRMS] [LN] for problems that might interfere with the successful completion of probation. At the start, I informed [MRMS] [LN] of the limits of confidentiality necessary to proceed. [HESHE] said that [HESHE] understood and there is a signed waiver of confidentiality. TREATMENT RECOMMENDATIONS If the court chooses to [place] [continue] [MRMS] [LN] on probation, the following recommendations are offered: 1. RESPONSIVITY ANALYSIS AND PROGNOSIS MENTAL STATUS/PRESENTATION DURING INTERVIEW [MRMS] [LN] was dressed appropriately for the interview and appeared [HISHER] stated age. [HESHE] was cooperative with the assessor. [HESHE] presented no obvious deficits in processing information that would limit the usefulness of [HISHER] responses. 63 Dallas County 4-C Re-Entry Court Standard Operating Procedures

64 SUMMARY OF RELEVANT LIFE EVENTS DSM IV DIAGNOSES Axis I Axis II Axis III Axis IV Axis V Mental health/ Substance abuse Personality disorders Mental retardation Medical Stressors Current GAF CRIMINOGENIC NEED RATINGS (Rating Scale: None, Low, Moderate, High) Area Mental Health (further evaluation, medication, skills training, psychotherapy) Substance Abuse (monitoring, treatment) Criminal Thinking and Attitudes (therapy, skills training) Problem Solving Skills (relationships, work) Rating CASE FORMULATION: HOW THE CLIENT GOT TO BE THE PERSON [HESHE] IS TODAY RELEVANT BACKGROUND INFORMATION FAMILY CIRCUMSTANCES: BIRTH THROUGH ADOLESCENCE PEER RELATIONSHIPS: BIRTH THROUGH ADOLESCENCE EDUCATION, TRAINING, AND EMPLOYMENT ADULT RELATIONSHIPS 64 Dallas County 4-C Re-Entry Court Standard Operating Procedures

65 CURRENT LIVING CIRCUMSTANCES AND FINANCIAL INTEGRITY PSYCHIATRIC HISTORY MEDICAL HISTORY [MRMS] [LN] reported no problematic medical issues. CRIMINAL HISTORY SUBSTANCE USE The following is the history reported by [MRMS] [LN] during this interview. [MRMS] [LN] reports that [HISHER] longest period of sobriety is months years. [HISHER] drug of choice is. First use (age) Last use (age or date) Pattern of use: Type of drug, frequency, money spent, etc. Recent Heaviest Days of use in the past 30 * Alcohol Marijuana Cocaine, powder Cocaine, crack Methamphetamine Stimulants Sedatives Anxiolytics Heroin, powder Heroin, cheese Heroin, IV Hydrocodone LSD 65 Dallas County 4-C Re-Entry Court Standard Operating Procedures

66 Ecstasy Mushrooms Inhalants Phencyclidine (PCP) * If incarcerated, refers to 30-day period prior to arrest UA HISTORY (PRIOR TWELVE MONTHS) UA TEST DATE Pos Neg Dilute Alcohol THC Cocaine Meth Opiates DSM-IV DEPENDENCE AND SUBSTANCE ABUSE CRITERIA Alcohol Marijuana Cocaine Meth Opiates DEPENDENCE (three or more) Tolerance Withdrawal Taking larger amounts than intended Unsuccessful at cutting down Great deal of time used to get the substance Important social, work, recreational time reduced due to substance Continued in spite of physical or psychological problems due to substance DEPENDENCE MODIFIERS 1-11 month remission >11 month remission 66 Dallas County 4-C Re-Entry Court Standard Operating Procedures

67 In a controlled environment Claimed by self-report Demonstrated by UA ABUSE (one or more) Social, recreational, work role impeded Used in physically hazardous situations Substance abuse-related legal problems Continued use in spite of persistent social or relational problems TREATMENT HISTORY Level of treatment When/Where Completed Strengths TRAITS Weaknesses [AFN] [ALN], [AT] [AJT] Dallas County Community Supervision and Corrections Department 67 Dallas County 4-C Re-Entry Court Standard Operating Procedures

68 Date: July 2011 ATTACHMENT V INDIVIDUAL TREATMENT PLAN CLIENT NAME: COUNSELOR: LOCATION: 4C-IOP SUBSTANCE ABUSE DIAGNOSIS: Opiod Dependence ML #: MENTAL HEALTH DIAGNOSIS: Not Applicable DATE: 03/22/11 Problem #1: Repeated use of substances to deal with uncomfortable feelings and emotions. Goal: Learn to use coping skills to deal with feelings and emotions without the use of substances. OBJECTIVES INTERVENTIONS REVIEWED COMPLETED 1) Complete workbook on Quitting Heroin and share with counselor Identify how the use of substances has had by: a negative impact on my life 2)Complete SSC Autobiography and share in group by: 4/22/11 Demonstrate understanding of how abstinence from further AOD use will improve the legal, social, family relationships and financial areas in my life 4)Review SSC pg 291 and identify the skills that will address each area identified above, share with counselor by: 5)Develop a written plan to make the improvement in those areas, share with counselor by: 6) Review SSC session 26, complete worksheets 56, 57, share in group Develop and implement plan to deal with problems without resorting to substance use and other destructive behaviors 7) Review SSC session 32 and share insights with group before completion of Phase 2. Problem #2: Pattern of impulsive thinking that has led to criminal conduct and maladaptive behavior. Goal: Secure a lifestyle free from criminal thinking and maladaptive behaviors. OBJECTIVES INTERVENTIONS REVIEWED COMPLETED 1) Practice CB Map weekly to learn how thoughts, feelings, and actions are related; share in group weekly (ongoing) Identify the thinking/behaviors that lead to legal consequences 2) Review SSC session 9 and complete worksheets (pgs ); share in group 3) List antisocial behaviors & attitudes, SSC workbook pg (86) discuss how I will change them to pro-social behaviors in group with peers on 4/13/11 68 Dallas County 4-C Re-Entry Court Standard Operating Procedures

69 Verbalize understanding of need to utilize prosocial attitudes and behaviors Develop recidivism prevention plan 4) Review SSC session 10 and complete worksheets (pgs ), share responses in group by 5) Complete worksheet 27 (pg. 94); share in group 6) Review SSC session 43,complete worksheet 83,share in group 7)Review SSC session 44,complete worksheet 84,85,share in group Problem #3: Clt recognizes triggers and understands role of dysfunctional thinking/behavior but unable to apply skills necessary to interrupt behaviors that place him at risk of relapse. Goal: Develop a plan to include the strategies to disrupt dysfunctional thinking/ behaviors before they lead to relapse OBJECTIVES INTERVENTIONS REVIEWED COMPLETED 1) Complete a Relapse Autopsy and share in group by: 2) Review SSC session 15, complete Demonstrate an understanding of worksheets and discuss in the thinking errors and destructive group. behaviors that led to previous 3) Review SSC Session 16, relapse complete SSC worksheets 41, 42 and share in group. Demonstrate application of skills to change destructive thinking/behaviors that increase risk of relapse 1) Review SSC session 25, complete worksheets 56,57 and share in group 2) Complete journal on 5 NA/AA meetings per week. Share insights around relapse prevention strategies during 1X1 sessions with counselor. Client: Counselor: Date: Date: 69 Dallas County 4-C Re-Entry Court Standard Operating Procedures

70 Dallas County Community Supervision and Corrections Department Comprehensive Assessment and Treatment Service SATISFACTORY DISCHARGE SUMMARY Date: 8/2/2011 To: Mark Olson RE: Richard Newman ML#: Identification: Mr. Newman is a 27 year old, Caucasian male referred to 4C-CATS relapse prevention intensive outpatient treatment program from SAFPF. Diagnosis: Polysubstance Dependence Reasons for successful discharge: Reported continued abstinence from all mood/mind altering substance. Negative UA s. Completion of all treatment plan goals and objectives. Demonstrates ability to use coping skills to deal with problems without using alcohol/drugs. Development of a 12-member support system including a sponsor and home group. Comments: Mr. Newman began treatment with CATS IOP on 4/5/2011. His IOP treatment plan included the following treatment problems; unable to apply skills necessary to interrupt behaviors leading to relapse, pattern of impulsive thinking that has led to criminal conduct and maladaptive behavior, engaged in negative behaviors to deal with negative emotions, and substance use/criminal behavior has had a negative impact on family relationships. Mr. Newman s treatment plan goals included: develop a plan to include the strategies to disrupt dysfunctional thinking/ behaviors before they lead to relapse, incorporate pro-social values and change antisocial and criminal thinking and behaviors, learn how to replace negative use patterns by engaging in healthy alternatives, and develop positive relationship skills and improve quality/satisfaction in relationships. Mr. Newman is in the action stage of change. He has demonstrated an ability to utilize Strategies for Self-Improvement and Change (SSC) to prevent relapse and recidivism and obtain responsible living. Mr. Newman approached treatment with a willingness to make improvement in his life so that he could be more responsible and be a better parent to his son. Mr. Newman demonstrated an understanding of the thinking errors and destructive behaviors that led to previous relapse. He developed and implemented a plan to deal with problems without resorting to substance use, criminal activities, and other destructive behaviors. He utilized the mental self-control skills outlined in Strategies for Self- Improvement and Change (SSC) curriculum to manage negative emotions and decrease impulsive decisions. Mr. Newman s treatment was extended to make up missed sessions and to complete treatment assignments. Mr. Newman s prognosis for continued recovery is fair. He needs to continue to challenge negative thinking and utilize the skills learned while in treatment to prevent relapse and/or recidivism. 70 Dallas County 4-C Re-Entry Court Standard Operating Procedures

71 Continuing Care Plan: Continue AA/NA attendance at least 3 time(s) per week month. Continue to contact a support team member at least 1 time(s) per day week. Continue to contact client s sponsor at least 1 time(s) per week month. Continue to remain abstinent from alcohol/drugs. Continue random drug urine-screens for remainder of probation. Community Referrals: (If needed) It is recommended client attend aftercare treatment with First Step Counseling. Employment assistance from DARS ( ) Other: APAA for employment and transportation assistance Liza Varghese, MA 4C SAFPF Re-Entry Counselor Dallas County Community Supervision and Corrections Department 71 Dallas County 4-C Re-Entry Court Standard Operating Procedures

72 Client ML Number Date of Birth COUNSELOR S UNSATISFACTORY DISCHARGE Type of Group Group counselor Date of Discharge Date of Addendum Supervision Officer Court Officer Location REASON FOR DISCHARGE Failure to attend group sessions as required Failure to comply with program rules or requirements Unacceptable behavior Incarcerated Transferred from Dallas County Continued use of drugs/ alcohol Undisclosed Use of Drugs/alcohol Failure to make progress in the program Other COMMENTS & OTHER RELEVANT INFORMATION CURRENT DSM IV SUBSTANCE ABUSE-RELATED DIAGNOSES Axis I Mental health V15.81 Noncompliance with treatment Substance abuse Alcohol dependence Alcohol abuse Methamphetamine dependence Methamphetamine abuse Cannabis dependence 72 Dallas County 4-C Re-Entry Court Standard Operating Procedures

73 Axis V Substance abuse Current GAF Alcohol dependence Alcohol abuse Methamphetamine dependence Methamphetamine abuse Cannabis dependence Cannabis abuse Cocaine dependence Cocaine abuse Phencyclidine (PCP) abuse Heroin Opioid Vicodin Hydrocodone Oxycontin Syrup dependence Heroin Opioid Vicodin Hydrocodone Oxycontin Syrup abuse Hallucinogen LSD Psilocybin Ecstasy abuse Hallucinogen LSD Psilocybin Ecstasy dependence Sedative Anxiolytic Xanax Valium abuse Sedative Anxiolytic dependence DSM IV DIAGNOSES DELETED BY THIS ADDENDUM Substance abuse Alcohol dependence Alcohol abuse Methamphetamine dependence Methamphetamine abuse Cannabis dependence Cannabis abuse Cocaine dependence Cocaine abuse Phencyclidine (PCP) abuse Heroin Opioid Vicodin Hydrocodone Oxycontin Syrup dependence Heroin Opioid Vicodin Hydrocodone Oxycontin Syrup abuse Hallucinogen LSD Psilocybin Ecstasy abuse Hallucinogen LSD Psilocybin Ecstasy dependence Sedative Anxiolytic Xanax Valium abuse Sedative Anxiolytic dependence 73 Dallas County 4-C Re-Entry Court Standard Operating Procedures

74 CURRENT CRIMINOGENIC NEED RATINGS Substance abuse (monitoring, treatment, 12-step) None Low Moderate High Criminal thinking and attitudes (therapy, skills training) None Low Moderate High NEW TREATMENT RECOMMENDATIONS SUBSTANCE ABUSE Repeat CATS treatment program beginning with Self-pay treatment program in community at the XXX level of treatment 14-day Residential treatment (Wilmer Intensive, Homeward Bound, Nexus) NorthSTAR funded I recommend SOP group through All American Research. IOP IOP Dual Diagnosis Group at the Crowley Courthouse North South East Buckner West Garland Jupiter Decker Office. He she should attend AA NA meetings at least two three four five times weekly until beginning treatment. I recommend residential treatment at Nexus Homeward Bound the Salvation Army the Judicial Treatment Center at Wilmer 180-day general program the Judicial Treatment Center at Wilmer 45-day intensive program the Dual Diagnosis Center at Wilmer ISF Burnet 90-day substance abuse track ISF Burnet 45-day substance abuse relapse track 74 Dallas County 4-C Re-Entry Court Standard Operating Procedures

75 SAFPF Special Needs SAFPF. When the court has written an order, please send an to CATSMAIL concerning the level of treatment ordered. If the order is for the Dual Diagnosis Center or Wilmer intensive program, the probationer must be in jail for transport to the facility. If the order is for the ISF Burnett program, the probationer must be in jail for transport to the facility. I recommend that a jail hold be placed on Mr. Ms. XXX pending treatment for the following reason: He She is likely to abscond, is psychiatrically unstable, is mentally retarded and release from the jail will probably interfere considerably with continuity of clinical care pose a significant danger to himself herself or others. Following return from this program, Ms. Mr. XXX will need to go to CATS IOP for aftercare. CRIMINAL THINKING AND ATTITUDES ISF Burnet 90-day criminal thinking track Thinking for a Change 75 Dallas County 4-C Re-Entry Court Standard Operating Procedures

76 Date: July 2011 ATTACHMENT V Comprehensive Assessment and Treatment Services Discharge Plan Name: CSO/Location: Counselor/Location: ML #: TDCJ #: Priority Need Area Substance Abuse Family Substance Abuse History: Age at First Use: Drug(s) of Choice: Number of Treatment Experiences Prior to this TC Experience: Outpatient: Inpatient: T Triggers for Relapse: Recommendations: Priority Need Area Previously Legally Employed: No Yes (Circle Employment/Vocational Appropriate) If Yes: Part Time or Full Time Longest Period of Employment: Years Months Employment Type: Retired : No Yes Employment Disability: No Yes If Yes, please explain: Job Training / Skills: Interests / Goals : Recommendations: Priority Need Area This section to be completed by Psychiatric Department, if Psychological applicable. Psychological Needs: Prior Treatment: No Yes Most Recent: Inpatient Date (mo/yr) : Outpatient Date (mo/yr): Current Prescribed Psychotropic Medication: Current Level of Functioning Psychological Social Intellectual 76 Dallas County 4-C Re-Entry Court Standard Operating Procedures

77 (For Special Needs Offenders) Unresolved Emotional Issues: Recommendations: Low Medium High Priority Need Area Highest Level Attained: (Circle Appropriate) Education College / Associate s Degree HS Diploma GED Last Grade Completed: Problem Areas (language comprehension, reading, writing): Recommendations: Priority Need Area (To be completed by Medical, when applicable) Medical / Dental Medical / Dental Needs: Physical Limitations: Current Prescribed Medication: Undiagnosed Medical Needs: Recommendations: Priority Need Area Current Offenses: Legal Prior Offenses: Outstanding Warrants or Detainers: Other Charges Pending: Recommendations: Priority Need Area Circle Applicable: Housing - Past Owned Rented Lived Independently Institutional Other Housing Future Live w/ Spouse Significant Other Family Member Alone Do people in proposed household have criminal or substance abuse history? No Yes If Yes, please explain: Recommendations: Priority Need Area Veteran Benefits: No Yes Child Support: No Yes Other CPS Involvement: No Yes Other Specific Needs Not Addressed or Identified Above (drivers license, transportation, SS #): 77 Dallas County 4-C Re-Entry Court Standard Operating Procedures

78 Recommendations: Client Signature Date Family/Other Date Primary Counselor Date Community Supervision Officer Date Distribution: Community Supervision Offender Community Supervision Officer Offender Treatment File 78 Dallas County 4-C Re-Entry Court Standard Operating Procedures

79 Date: July 2011 ATTACHMENT V Weekly Update Dallas County Community Supervision and Corrections Department Compressive Assessment and Treatment Services Date: 8/1/11 to 8/5/11 Officer: Client: ML#: Attended: 1 group sessions x 2 hours = 2 hours 1 individual session x 1 hour = 1 hour Ms. was present and on time for group this week. She identified patterns of substance use and listed triggers for relapse. She discussed coping skills that she plans to use to continue making healthy choices. She participated appropriately in group. In her individual session she identified triggers and listed treatment goals (get a job, live on her own, meet prosocial friends). She stated on 8/4 that she has attended four AA/NA meetings this week and spoke with her sponsor on 7/31. Thank you, MA. LPC-Intern 79 Dallas County 4-C Re-Entry Court Standard Operating Procedures

80 Date: July 2011 ATTACHMENT V CATS Monthly Progress Report Month/year: / Client: Officer: ML: Location: Treatment Program: Date Client Started Treatment: Month/Day/Year: Client s Current Stated Sobriety Date: Month/Day/Year: Restart Date: Month/Day/Year: Behavioral Contract: Group Sessions during the Month: Scheduled Attended Excused Unexcused Tardy Individual, Couples or Family Sessions Scheduled Attended Excused Unexcused Tardy Stage of Change: Attending Support Groups as required: NA/AA: Sponsor Contact: Contact with family & friends: Benefit from Support System: Current Motivational Level: Current Participation: Advancement through Phases of Treatment Program: OVERALL PROGRESS SINCE BEGINNING TREATMENT: Comments/concerns: Counselor Name, Credentials CATS IOP Counselor, CSCD Date Report Completed/Sent 80 Dallas County 4-C Re-Entry Court Standard Operating Procedures

81 Date: July 2011 ATTACHMENT V 4 C Counseling Violations / Response Matrix Violation # Times Treatment Response Late to Group Late to Individual Counseling Failure To Complete Treatment Assignments Missed Group (Unexcused Absence) No call/no show for group Missed Individual Counseling Inappropriate behavior in group disrespectful toward counselor Non-compliance w tx rules Disclosure of substance use Non-disclosed Positive UA Dilute UA 81 Dallas County 4-C Re-Entry Court Standard Operating Procedures 1 Guidance/counseling 2 Reprimand from Counselor 3 Unexcused Absence 1 Guidance/counseling 2 Reprimand from Counselor 3 Unexcused Absence 1 Guidance/counseling 2 Reprimand from Counselor 3 Discretionary Intervention 1 Guidance/counseling 2 Reprimand from Counselor 3 Meet with Counselor/CSO 1 Reprimand from Counselor 2 Meet with Counselor/CSO 3 Behavior Contract 1 Guidance/counseling 2 Reprimand from Counselor 3 Meet with Counselor/CSO 1 Guidance/counseling 2 Reprimand from Counselor 3 Discretionary Intervention 1 Guidance/counseling 2 Reprimand from Counselor 3 Discretionary Intervention 1 Guidance/counseling 2 Reprimand from Counselor 3 Meet with Counselor/CSO 1 Discretionary Intervention 2 Relapse Autopsy/Panel Review 3 Increase Level of Treatment 1 Discretionary Intervention 2 Behavior Contract 3 Increase Level of Treatment 1 Discretionary Intervention 2 Behavior Contract 3 Increase Level of Treatment Lying/Willful Deceit 1 Discretionary Intervention

82 Date: July 2011 ATTACHMENT V Comprehensive Assessment Treatment Services Counselor Audit Form Client Name ML# CSO/Location Counselor/Location IOP or SOP Start date (Phase I) (Phase II/III) Evaluation Date Orientation/Intake Date Restart/Transfer Date Discharge Date Type of Discharge Drug of Choice Diagnosis CATS File Structure: (see attached) Orientation/Intake *Paperwork signed and dated *Session 1 worksheets signed, dated and placed in file CATS Evaluation/ Addendum *Within a year of intake appt being given and correct recommendation *Progress note to reflect eval shared with client General Probation Release BHIPS Profile/Admission Individualized Treatment Plan *Completed within 10 working days of admission *Signed and dated by client and counselor *Copy to officer and the file *Formulated according to the problems identified at the beginning of treatment *Utilize assessments, evaluations, worksheets from orientation, narratives, and client report Date/Initials Date/Initials Reviewed Comments/Action Needed 82 Dallas County 4-C Re-Entry Court Standard Operating Procedures

83 *Problem statements should be developed based on assessment, are prioritized and ranked according to severity *Include the frequency of specific services and interventions *Objectives should be individualized, realistic, measurable and time specific *Identify goals that are based on client s problems and needs *Goals should be observable when accomplished *Progress note to reflect client s participation and completion Treatment Plan Review/Revision *No less than once per month *Document each revision and/or review and place note in file *Copy of each to officer Treatment Team Staffing Sheets *Chronological order right side *Document in BHIPS the outcome of court staffing on client s who are involved in specialty courts(clinician s note under case management) *Make reference to the staffing, participants and decisions that impact the client s treatment *Note the sanction and the reason client was sanctioned Weekly Updates *Completed by 8 am Monday, unless otherwise specified by your program *Copy to officer, cats group room, and the file *Note sessions that were covered *Awareness and insight gained and voiced by client *Clinical observations made over the week Monthly Progress Reports *Completed monthly progress reports for each month by the 83 Dallas County 4-C Re-Entry Court Standard Operating Procedures

84 10 th of the following month *Copy to officer, CATS group room, and the file. *Include treatment encounters that are on weekly updates *Include treatment plan revisions and updates *Summarize client s progress and clinical observations Document All Treatment Services *Document individual, group, phone calls, no show, etc., at the time of occurrence. *Include the date, nature and duration of contact *No less than once weekly documentation of all treatment services. *All notes should include counselor s signature and be placed in client s file *Notes should always include the clinical observation *All documentation should report the same information with no contradictions, i.e., time reflected on data collection forms, weekly updates and monthly reports *Create a note when client miss treatment, reason for missing treatment, when the client should return and how missed session will be made up Complete Discharge Addendum/Summary *Completed within 3 days *Send a signed copy to the officer and place a signed copy in the file. *Document when addendum/summary was sent to the officer. *Original diagnosis and clinical problems at the onset of treatment *Problems/Needs and strengths/weaknesses identified on the master treatment plan *Goals and objectives established *Course of treatment 84 Dallas County 4-C Re-Entry Court Standard Operating Procedures

85 *Outcomes achieved *Continuum of care/relapse plan for aftercare treatment *Send to Toniette Jones stating the recommendation Program Closure Inventory Completed *Copy of provider and client s inventory sent to Colleen and placed in the file Close File Out *Organize file with paperwork in chronological order *Please review the file structure Counselor Signature/Credentials Auditor Signature/Credentials Date Date 85 Dallas County 4-C Re-Entry Court Standard Operating Procedures