Tag: treatment court

Posted on

The Bureau of Justice Assistance (BJA) Turns 40

Last week, the Bureau of Justice Assistance (BJA) celebrated their 40th anniversary. Members of the Racial and Ethnic Disparities Initiative (REDI) team at American University (AU)–Matt Collinson, Preeti Menon, and I–travelled to the U.S. Department of Justice to share in this historic occasion. We were surrounded by staff, partners, and grantees who have been essential in executing BJA’s mission of making communities safer and creating a more equitable criminal justice system. Hearing about the successes BJA has had over the years was inspiring, such as advancements in training, guidelines, and practices for the areas of law enforcement, courts, and reducing violent crime. At the ceremony, there was a video presentation that highlighted many of BJA’s accomplishments, including the creation of the Drug Courts Program Office in 1995, which awarded jurisdictions and court systems funding to establish drug courts through the Drug Court Discretionary Grant Program.

Attending this event gave me the valuable opportunity to reflect on the decades-long partnership between BJA and AU. Over the past 30 years, AU has partnered with BJA on several initiatives such as Drug Treatment Courts, Right to Counsel, Criminal Courts Technical Assistance Project, Differentiated Case Management Program, Pandemic Influenza Preparedness for Courts, Project Safe Neighborhoods, and numerous justice roundtables.

Specifically, this anniversary brings to mind where my journey with AU and BJA started, and where it may take me next. I vividly remember that day in 2017 when I was invited to interview for a research position at the Justice Programs Office (currently Justice Initiatives) housed in the School of Public Affairs (SPA) at AU. I hopped in a car and drove from my home state of Delaware to the District of Columbia. During the interview, I learned about the National Drug Court Resource Center (NDCRC), which was a multi-year project funded by BJA. NDCRC’s deliverables involved hosting interactive webinars, producing podcast episodes, conducting trainings at conferences, publishing research in the Drug Court Review, and administering the national treatment court survey. Overall, the mission of NDCRC was to provide resources and research to help treatment courts run more effectively. After the meeting, I felt confident that this would be a great opportunity for me, as I would be joining a team that was passionate about making the justice system more equitable for all. Sure enough, a short time later I officially started working at AU as a member of the NDCRC team. Below are a few NDCRC project highlights:

On my second day at AU, I attended the Right to Counsel (R2C) National Consortium’s Third Annual Meeting. BJA sponsored the Right to Counsel National Campaign (a campaign designed to raise awareness about the importance of effective defense counsel representation, as an important factor in ensuring equity in the system). At this annual meeting, there was a fireside chat between AU’s Senior Policy Counsel, Zoe Root, and Tracey Sewell, a former client and a survivor of human trafficking. Zoe, a former public defender at the Bronx defenders, represented Tracey and filed a successful motion to vacate Tracey’s 31 convictions that she accrued at the hands of her traffickers. Tracey shared how having an effective public defender helped her get back on the right track in life, including having her criminal record expunged, so that she could obtain better employment opportunities. I was able to witness first-hand the necessity and power of the Sixth Amendment and R2C’s achievements, including:

The last BJA-funded project that will be spotlighted is the Racial and Ethnic Disparities Initiative (REDI). In the spring of 2022, I received a phone call from Preeti about the news of a BJA open solicitation called Field Initiated: Encouraging Innovation. After our chat, we knew this would be a perfect chance for us to scale up our RED work in treatment courts at a national level. We applied and waited several months to find out about a decision. In September of that year, Preeti and I were both on campus preparing for a documentary screening and a panel discussion about the Definition of Insanity and she checked her phone and received an email notifying us that we had been awarded the funding! Preeti and I were ecstatic that this grant would allow us to work with treatment courts to increase access, enhance retention, and improve overall program satisfaction for minoritized treatment court participants. Here are a few project milestones:

In a world that is always on the move, it is important to pause and soak in what has been accomplished. I am grateful for the opportunity to celebrate BJA’s 40th anniversary alongside the REDI team and reflect on the partnership BJA and AU have maintained over the years. I am looking forward to many more years of collaboration as we strive to create safer communities and a more equitable criminal justice system.   

To learn more about BJA’s 40th anniversary, visit here.

Posted on

From Data to Action: Tackling Racial Disparities with the RED Tool in Treatment Courts 

The Racial and Ethnic Disparities Initiative (REDI) at American University is proud to announce the publication of their article Maintaining fidelity to the treatment court model through evaluation: The racial and ethnic disparities (RED) program assessment tool, as featured in in the Journal of Human Behavior in the Social Environment. This study, which analyzed treatment courts nationwide, utilized the Racial and Ethnic Disparities (RED) Program Assessment Tool (RED tool). The web-based tool collects information on multiple aspects of treatment court programming where racial and ethnic disparities may exist. Additionally, based on the court’s responses, they receive scores on seven out of the eight sections on the tool and an overall score accompanied by recommendations that are generated for courts on how to alleviate racial and ethnic disparities in their program.  

The treatment court model has consistently been proven more effective at reducing recidivism than traditional approaches, such as incarceration or probation. However, treatment court outcomes have been disproportionately positive for white participants, compared to racial and ethnic minority participants. In a recent study with a sample of over 14,000 treatment court participants, African Americans and Hispanics/Latinos had a lower graduation rate than white participants.  

The current study, which was conducted from 2020 to 2022, was based upon the voluntary participation of treatment courts (n=151). The study collected data from nine states, utilizing targeted questions to analyze each court. The RED tool identified existing racial and ethnic disparities within each individual court and recommended steps to promote equity in outcomes.  

The objective of this study was to answer two research questions, which were as follows:  

  1. Do treatment courts have fidelity to the model by completing evaluation on a regular basis to assess program effectiveness?  
  1. Do racial and ethnic disparities exist in treatment court graduation rates? 

Participating treatment courts were scored in seven areas based on their responses to the RED tool: court background, intake criteria, assessments, court team, training, treatment and services, and evaluation and monitoring. The table below compiles the mean score in each category, with higher scores signifying better compliance with best practice standards. These scores are to be used as a baseline for courts to track their progress from their initial assessment to re-assessment after best practice recommendations are implemented.  

Regarding evaluation and monitoring, half of the participating treatment courts reported tracking outcomes in some capacity post-program. However, only 41% of the participating courts provided graduation outcomes based on race and ethnicity, suggesting the other 59% of courts lack the infrastructure to track or examine graduation outcomes based on race and ethnicity.  

The average score of treatment court best practice adherence across all categories for this study was 59.85%. REDI would like to emphasize that these results should not be viewed punitively, but as a testament to the importance of consistent evaluation and adherence to best practice standards with attention to disparities in outcomes and experiences that may exist for minoritized participants. 

The results of this study show evidence of racial and ethnic disparities in treatment court outcomes. Graduation rates were lower on average for minoritized participants (specifically African American and Hispanic participants) than for white participants. See the table below for more information. Furthermore, only 13% of responding treatment courts reported sometimes or always implementing policies to address racial and ethnic disparities in outcomes. 

The majority of the disparities in the sample identified with the RED tool can be rectified by following best practice standards. For example, completing regular and comprehensive evaluations for potential racial and ethnic disparities, as well as aligning with treatment providers that utilize individualized, evidence-based interventions. 

Treatment courts are an important sector of the recovery process for individuals struggling with substance use, connecting participants with resources and ensuring the path to recovery is accessible to all. This September marks the 35th annual National Recovery Month, according to SAMHSA. Established in 1989 to celebrate and destigmatize recovery from substance use and mental health conditions, National Recovery Month recognizes the millions of Americans that have struggled with substance use, and ensures that resources and support are accessible to all who need them.  

Thank you for supporting our work. For any questions or comments, please contact redtool@american.edu. 

Posted on

Who’s Missing from our Treatment Courts – Increasing Access and Equity 

In 2023’s edition of Painting the Current Picture, the National Treatment Court Resource Center reported that across the United States, over 140,000 people were served by treatment courts in 2019 & 2020. From humble beginnings in the late 1980s to over 3500 hundred programs currently operating in every state in union is a testament to the success of the treatment court model, and the thousands of dedicated staff and organizations who make treatment court happen day in, day out. The treatment court model is one of the most well-researched, well-funded, and empirically backed justice interventions ever created. Participants who complete treatment court programs are less likely to commit new crimes, show significant reductions in the symptoms of substance use disorder, and higher level of recovery capital, compared to those who fail to complete the program, or those who get standard responses such as jail or probation.  

As we enter National Treatment Court Month, in this 35-year anniversary of the treatment court model, it is important to acknowledge how far we’ve come, how many people we’ve helped, and, how much more we still must do. One of the biggest challenges facing the legal system, including treatment courts, is who is the program working for? At the most basic level, courts serving 140,000 people a year is a significant accomplishment, but, given that there are an estimated 8 million jail admittances each year, and that of those in jail, an estimated 70% have either a substance use disorder (SUD) or mental illness. There seems to be a huge pool of potential treatment court participants being missed.  

In addition, early scholarship suggested that treatment courts were failing to graduate Black and Latino participants at the same rates as their white counterparts, and while more recent data suggests that gap is narrowing, the fact remains that treatment courts are serving mostly white participants, in a legal system that disproportionately incarcerates and supervises Black and Brown individuals. Multiple recent studies have highlighted this disparity, generally, 70%+ of treatment court participants are white, compared to an average of about 40% of those in jails being white. Conversely, Black people make up almost 30% of the jail population, but less than 20% of the aggregate treatment court population. There are numerous reasons for this disparity, many outside the control of treatment court staff. Many decisions in the legal system also suffer from distributed responsibility, it’s rarely one decision that sets the course for an individual’s case processing, but many, small decisions by many different actors which cumulatively impact their experience, and racial disparities within the system. So how should treatment courts respond to these pre-existing disparities, and in compliance with the Adult Treatment Court Best Practice Standard (Standards) II, Equity and Inclusion, to ensure that their intake and eligibility policies and practices promote equity of access?  

At American University, we’ve been working with treatment courts on issues related to equity of access for decades, and we’ve found a few areas where courts can increase equity of access and ensure that courts are serving all eligible participants. Firstly, courts should ensure that they are setting their criteria using evidence, which the Standards require that treatment courts serve High Risk and High Need individuals, and that’s it. Too many courts we’ve worked layer subjective criteria on top of these evidence-based standards. Some refuse to accept those with previous or current violent charges. The limited evidence we have shows people with violent charges do just as well in treatment courts, and a growing body of evidence suggests that those who commit violent crimes are less likely to re-offend than those with drug, property, or public order convictions. Evidence also suggests that most of the disparities in jail admissions can be explained by those charged with violent crimes. For treatment courts, serving those with violent charges is likely to reduce disparities in access, and keep communities safe, while saving significant costs associated with incarceration.  

Treatment court should consider all the factors and not deny access to those who sell drugs. All the evidence we have suggests that almost all people who use drugs also sell some to support their habits. The decision to file a possession charge versus possession with intent to distribute, or other charges associated with drug sales, can derail someone’s access to treatment courts. Obviously, there is a significant difference between someone who is only selling for profit and who has no SUD (but they would likely not screen as High Need), and someone selling to support their habit, but blanket bans on those who sell or have sold drugs severely misrepresent the population of people who use, especially illicit, drugs.  

Finally, courts should avoid broad exclusions which may unintentionally harm Black, Indigenous, People of Color (BIPOC) participants, such as those without access to transportation, those without funds to pay program fees, those who have a “gang association” or those who “don’t seem motivated” etc. Part of the role of treatment court is to get people who have been struggling with addiction and its effect on their lives for a long time, back on their feet and re-integrated into their communities. For many, stopping using drugs is the primary need, and getting out of the gang, getting a job or financial security, access to a vehicle etc., are all goals that can be met after they stop using and start treatment.  

Treatment courts have been serving their communities effectively for 35 years, but to ensure we are reaching all those who are eligible for our services, we need to be sure we’re not excluding people based subjective, or worse, racially biased, character assessments or characteristics. Treatment courts exist to serve those who criminal behavior is driven by substance use and / or mental illness, and it’s important that we don’t add additional, unnecessary, barriers to access.  

Posted on

Court Chat: Enhancing Employment for Treatment Court Participants

Join advocate and 2014 treatment court graduate Carrie McCoy as she explores the benefits of enhancing employment opportunities for treatment court participants, and how employers can improve the hiring process to overcome systemic barriers to employment for individuals in recovery. This edition of Court Chat is proudly presented by the Racial and Ethnic Disparities Initiative (REDI) at American University, in Washington, DC.

Posted on

Veterans Treatment Courts: Uplifting Programs and Participants with the RED Tool

A VTC graduate is presented with a handmade quilt upon his program graduation in Buncombe County, North Carolina. Wright, Angeli. “The Frame: Buncombe County Veterans Treatment Court Graduation.” The Asheville Citizen Times, January 25, 2018.

As we reflect on the sacrifices of those who served in our armed forces, it is timely to bring awareness to the countless number of veterans across the country who struggle with mental illness and substance use disorders (SUDs), often stemming directly from their time in combat, which can cause those who served their country to find themselves in the crosshairs of the legal system and even incarceration. Since 2004, veteran treatment courts (VTCs) have used a multi-disciplinary team of professionals from courts, community corrections, treatment agencies, and social service organizations to address veterans’ SUDs and mental health issues, with the purpose of eliminating criminal behavior.

A recent report by the US Bureau of Justice Statistics, published in 2016, estimates that 107,400 veterans were incarcerated in state or federal prison at the time, and that about 8% of all state prisoners and 5% of federal prisoners were veterans. Furthermore, a 2017 study by the Social Psychiatry and Psychological Epidemiology Journal found that about a third of the United States’ 19 million veterans report having been incarcerated at least once.

Veterans are in a uniquely vulnerable position to developing SUDs, especially due to their susceptibility to post-traumatic stress disorder (PTSD), a psychiatric condition that can occur as a result of exposure to extreme trauma. PTSD has been shown to be a significant risk factor for veterans in terms of developing SUDs, with the US Department of Veterans Affairs reporting that more than a fifth of veterans with PTSD also experience SUD, while nearly a third of veterans seeking treatment for SUD experience PTSD. Symptoms of PTSD, which usually manifest within 3 months of a triggering event or series of events, are numerous, and can involve flashbacks, difficulty sleeping, avoidance of triggering thoughts, objects, or situations, depression, and memory loss. It is the intensity of these symptoms and a desire to mitigate them that often leads veterans to develop SUDs and therefore an increased risk of involvement in the criminal justice system, according to the National Institute of Mental Health.

The Racial and Ethnic Disparities Initiative (REDI) at American University (AU) is proud to work with VTCs across the country, using the Racial and Ethnic Disparities (RED) Program Assessment Tool (RED tool) to identify and rectify instances of RED in their programs. Between 2020 and 2023, 14 VTCs from Georgia, Ohio, Oregon, and Wisconsin completed the RED tool. These VTCs’ participation resulted in the accumulation of vital information about the operations of these VTCs, and the services they provide veteran participants. For example, 100% of the VTC respondents reported having at least one Veterans Justice Outreach (VJO) specialist on staff. This is a critical data point, as VJO specialists are instrumental in identifying veterans who could benefit from VTCs and connecting these veterans with the services they need. VJO specialists operate within communities, as an extension of the local justice system, to provide direct outreach and assessment services to veterans that have come in frequent contact with law enforcement, often called “justice-involved veterans.”

The results of the RED Program Assessment Tool also demonstrated that 100% of the VTC respondents reported having their eligibility requirements for program participation in writing. This may seem like a minor detail, but in fact having VTCs with written clear, objective eligibility requirements is critical to mitigating bias in the admissions process and improving participant access, particularly veterans from diverse racial and ethnic backgrounds. 

However, there is always room for improvement, and the results of the RED Program Assessment Tool demonstrated that VTCs are no exception. For example, even though 100% of  the VTC respondents reported having their eligibility requirements in writing, only 57% of those courts reported sharing a copy of those written eligibility requirements with all referral sources. Referrals can come from a variety of sources, such as judges, the VA, defense attorneys, VTC staff, and even friends and family of the veteran experiencing SUDs. If clear and objective written eligibility requirements are not distributed to all possible referral sources, outreach to potential VTC participants becomes difficult. It is crucial that all referral sources receive concrete guidance on who is eligible for VTC programs, which can then increase program referrals. By creating more accessible community resources such as flyers, updated websites, or maintaining a strong connection with the local VA, outreach of accurate and relevant information to these referral sources can be maximized.

By using the RED tool to identify where there are instances of RED in their programming and utilizing REDI’s educational resources for guidance on next steps, VTCs are empowered to ensure that their veterans from diverse racial and ethnic backgrounds are receiving the support they need. VTCs play a critical role in promoting the racial equity of their programming, which can be improved through many avenues such as: implementing culturally intuitive policies, promoting open dialogue, and emphasizing resources for mental health issues and SUDs are only a handful of examples of this.

This Veteran’s Day and every Veteran’s Day, it is important to recognize all of those who have served our country, especially those who are struggling with SUDs or mental health. Whether you are a veteran experiencing SUD or mental health issues, working with veterans, or simply a  community member invested in the rehabilitation process, learning more about VTCs can be an important first step in supporting the vital work they do. The REDI recognizes the importance of uplifting VTCs and their participants, and is committed to improving VTC programming by identifying and helping to eliminate instances of RED.

Be sure to check out the REDI’s website to learn more about the RED Program Assessment Tool and our mission.

Posted on

Revelations from a Research Article on Racial and Ethnic Disparities in Treatment Courts

I’m excited to announce the publication of the article Color in the Court: Using the Racial and Ethnic Disparities (RED) Program Assessment Tool to Promote Equitable and Inclusive Treatment Court Practice published in Alcoholism Treatment Quarterly. This study was conducted by a team from American University (AU) and Morgan State University (MSU). This commentary will provide a concise summary of the article’s key findings and implications for treatment courts. 

Instead of the typical punitive model in the criminal legal system, treatment courts address the root causes of substance use disorders (SUDs) and mental health disorders that often lead to incarceration or other forms of involvement in crime. Treatment courts have gained traction for their restorative and rehabilitative approaches. These courts reduce criminal recidivism rates, assist people on a path of recovery, and save communities money.

Nonetheless, it’s vital to acknowledge and address the racial and ethnic disparities that exist within the criminal legal system, including treatment courts. This is where the Racial and Ethnic Disparities Program Assessment tool (RED Tool)  plays a vital role in rectifying RED in treatment courts. The RED tool provides a comprehensive evaluation of RED in treatment courts to promote equity and inclusion within courts. The tool narrows in on distinct goals as part of its foundational design, which includes raising awareness about RED, highlighting existing inequities within courts, and offering recommendations on alleviating racial and ethnic inequities in programs. The tool sorts data into 8 different sections allowing for a thorough analysis of treatment court practices. 

The sample for this study consisted of about 13% of treatment courts in a Midwestern state. Below are several key findings from the study.

  • The completion rates reveal that minoritized participants, including African American, Biracial, and Hispanic participants had completion rates of less than 30%. In contrast to their White counterparts, who attained a completion rate of 64.9%.
  • Data from the study suggests that only 37% of courts have reviewed their graduation rates to examine disparities among different racial and ethnic groups. 
  • On the topic of mandatory training, only 6% of courts required staff to complete cultural competency training. 
  • Further data reveals that merely 47% of courts agreed with the statement, “our team is racially and ethnically diverse.”
  • Within this study, it’s important to note that none of the treatment courts mentioned racial equity within their mission statements.

For more findings, please read the full article here. 

There is no doubt that treatment courts work, however, there is always room for growth. When treatment courts complete the RED tool and implement its recommendations, they should see improvements in access, retention, and overall program satisfaction for minoritized participants, which should lead to participants finding their path to recovery. According to SAMHSA, National Recovery Month is celebrated each September to promote and support new evidence-based treatment and recovery practices. We want to thank the treatment court professionals involved in providing prevention and treatment. Lastly, we celebrate those who are moving forward on their recovery journey.

Posted on

Rectifying Racial and Ethnic Disparities (RED) in Treatment Courts  

Treatment courts are working and there’s evidence to support it. A drug treatment court is a judicially supervised court docket that provides a sentencing alternative to incarceration for people facing drug charges and who have substance use disorders. Treatment courts support clients through recovery using judicial oversight and evidence-based treatments, reduce the likelihood of participants committing new crimes, and save communities money. However, some treatment courts have experienced racial and ethnic disparities (RED), with minoritized individuals having differential access to programs, as well as completing programs at a lesser rate than their white counterparts.  

To assist treatment courts in understanding and examining disparities in their programs, faculty and staff at American University’s (AU) School of Publics Affairs (SPA) along with subject matter experts in the field developed the Racial and Ethnic Disparities (RED) Program Assessment Tool (RED tool). The RED tool is a web-based assessment designed to examine treatment courts’ policies and procedures to determine where racial and ethnic disparities (RED) may exist in programs. It’s been four years since the RED tool was launched. During this time, over 150 treatment courts have completed the assessment. 

After completing the RED tool, some treatment courts were trying to figure out the next steps for their court to address equity and inclusion issues. Hearing the need for next steps motivated a team at AU to apply for funding to do a deeper dive with courts on RED issues. In 2022, having heard the same calls from the field, the Bureau of Justice Assistance (BJA) opened a solicitation to fund exactly this type of innovation in programming. The team at AU led by Preeti Menon and Zephi Francis, along with partners at Florida State University, Morgan State University,  the University of Central Florida, and Aeon applied for the Field Initiated solicitation and received good news in the fall of 2022. 

BJA awarded the team a grant of $1 million over a period of three years to establish the Racial and Ethnic Disparities Initiative (REDI). Through research, policy development, and training and technical assistance (TTA), REDI will work with treatment courts to understand and reduce disparities in their programs.   

“When Preeti and I found out that we received the award, we were on campus for the first time together since COVID-19 struck. On that day, we were preparing for an in-person documentary screening and panel discussion on the intersection of substance use, mental health issues, and homelessness,” REDI’s Project Director Zephi Francis said. “We knew that this project was going to be a great opportunity for us to continue the work that we both are passionate about, while advancing BJA’s priority of racial equity.”  

With this funding, the REDI team will recruit treatment courts to complete the RED tool, analyze the data, and release guidance on best practices to assist treatment court professionals with decision-making. Another component of REDI entails offering intensive TTA to treatment courts. TTA involves courts participating in multiple virtual sessions with expert faculty to discuss topics identified by the court as priority areas to make their programs more racially and ethnically inclusive. Finally, the REDI team will create online modules for treatment court professionals to learn about best practices and innovative strategies regarding RED.  

May is National Treatment Court Month. It’s a time to celebrate all the good work that treatment courts are doing. The REDI team would also encourage treatment courts to use this month as an opportunity to learn more about the RED tool, and take proactive steps to address any disparities in their programs. 

 

Posted on

Dignity in the Court

If I’m home at 9:00 a.m. on a weekday, the television is most likely tuned to Judge Mathis.  Greg Mathis is humorous, but a no-nonsense judge who oversees small claims cases in Chicago.  Don’t tell any lawyer, but I feel like I’ve earned an honorary law degree after watching this show for many years.  For many people, television is their only knowledge of the court system.  Although entertaining, these shows aren’t an accurate representation of real courtroom proceedings.  To learn more about the operations of a court, a treatment court specifically, I visited a docket in a Mid-Atlantic state.  Here is what I learned.

Continue reading “Dignity in the Court”

Posted on

Sending Support for Our Soldiers

 “For the veteran, thank you for bravely doing what you’re called to do so we can safely do what we’re free to do.” – Unknown

VeteransMonthThis month as we celebrate our veterans, we take a moment as a nation to thank the soldiers for their service of ensuring our freedom and safety. We would also like to acknowledge and thank those who continue to support our veterans once they return home.

Our first shout out goes to the Veterans Affairs (VA). Veterans emerging back into civilian life may face several challenges, such as PTSD and substance misuse. VA’s National Center for PTSD created a series of short videos for patients and providers to help recognize the symptoms of PTSD (post traumatic stress disorder).   Continue reading “Sending Support for Our Soldiers”