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Drug courts are problem-solving courts that take a public health approach to criminal offending using a specialized model in which the judiciary, prosecution, defense bar, probation, law enforcement, mental health, social service, and treatment communities work together to help addicted offenders into long-term recovery. Instead of punishment, their purpose is to address one of the underlying drivers of crime and, in the process, reduce the use of imprisonment, potentially leading to substantial cost-savings. Drug courts aim to do this by incentivizing or mandating offenders into addiction treatment combined with frequent drug testing and regular monitoring by the judge.
In 1997, the National Association of Drug Court Professionals in the United States published Defining Drug Courts: The Key Components. They named these as key components:
How effective drug courts are largely depends on how well they adhere to the ten key components described above.[ citation needed ] The United States has more drug courts than any other country in the world, so most studies of their effectiveness are based on results in the USA. Out of thousands of drug courts operating in the US, 40% of states which have them do not have a management information system, required by the key components, which would enable their performance to be monitored properly. [2]
Another factor which affects how successful a drug court appears to be is the length of the follow-up period after participants have finished treatment. The longer the follow-up (sometimes as much as four years), the more likely participants are to relapse and reoffend. Results almost always look better if the follow-up period is only 12 months, while participants are often still engaged in the treatment program ordered by the court.
As a result of these methodological issues, meta-studies which have been conducted over the years describe quite variable results. Few studies have found drug courts which reduce reoffending by more than 20%. Studies which have found more positive results may not have taken confounding issues into account which undermine the reliability of their conclusions. For instance, the Government Accountability Office (GAO) study from 2005, which assessed 27 different drug courts, found that 24 of them reduced recidivism by between 1% and 13%. But one court in this study reported a reduction of 35%, [3] which appeared to make it one of the best performing drug courts in the United States. However, this result was based on a follow-up period of only 12 months. [4]
Another study which suggested a better result than 20% was the GAO analysis from 2011. This described reductions in recidivism from 32 different US drug courts, one of which achieved a reduction in the re-arrest rate of 26%. This was the Kings County Drug Treatment Alternative to Prison Program (DTAP) in New York which is “recognized as one of the nation’s most successful diversion programmes”. [5] However, the reason this result appears better than all the others is because it refers solely to reduced offending by graduates – those who completed the programme. The other drug courts in this analysis appear less successful because their results include defendants who dropped out of treatment and reoffended.
A meta-study in the Journal of Criminal Justice looked at 154 independent drug court evaluations. It claimed that participation in one of these courts led to "a drop in recidivism" between 38% and 50%. However, these studies used a variety of different measures for recidivism (such as re-arrest, reconviction, or re-imprisonment) which tends to confound the results. And the claimed reductions in recidivism were all based on a 12-month follow-up period which mostly overlapped with the period that participants were still in treatment in the court. Recidivism rates generally increase significantly after completing treatment when the level of supervision falls away. [6]
Evaluations of individual drug courts where compliance with the ten key components is monitored, tend to show better results. One such study of a mature drug court which has been operating for over ten years found that over the entire period, the re-arrest rate declined by nearly 30%. This was the Multnomah County Drug Court in Portland, Oregon, which is the second oldest drug court in the country. One finding was that the longer drug court judges worked with addicts, and the more experience they had in the court (key component #7), the better the success rates were for participants. The authors of the study concluded that "this model provides clear support that drug court does reduce criminal recidivism". [7]
Another important factor in determining a drug court's effectiveness is the retention and graduation rate. For instance, the King's County DTAP programme attributes its 35% reduction in re-arrests to its excellent retention rate of 71% in the first 12 months of the programme. But over the following four years, its graduation rate falls to 41%. [8]
A review conducted in 2001 for the National Drug Court Institute Program found that graduation rates nationally were around 47% (in the first 12 months). The authors noted that "the research on long-term outcomes was less definitive". [9]
Another way of measuring the effectiveness of drug courts is to compare them with 'business as usual' or a variety of counterfactuals. One counterfactual is that drug addicted offenders would likely be sent to prison if a drug court was not available. Recidivism rates vary from one country to another depending on a variety of factors. In the U.S. nearly 44% of prisoners return to prison within 12 months of release. [10] The rate varies from state to state. In any given state, the re-incarceration rate would need to compared with the re-incarceration rate of drug court participants in that state - which is different from the re-arrest rate usually reported in drug court evaluations.
The availability of rehabilitation programs also varies from state to state. So another counterfactual is to compare reoffending rates of drug court participants in a given state with prisoners who attended addiction treatment while in prison in that state.
In Australia, drug courts operate in various jurisdictions, although their formation, process and procedures differ. The main aim of the Australian courts is to divert illicit drug users from incarceration into treatment programs for their addiction. [11] Drug courts have been established in New South Wales, Queensland, South Australia, Victoria, and Western Australia. People appearing in Australian drug courts often fall outside the parameters for other pre-court services
Drug treatment courts (DTCs) are a recent phenomenon in the Canadian criminal justice system. The first Canadian DTC commenced in Toronto in 1998. The Federal Government currently supports Edmonton (December 2005), Winnipeg (January 2006), Ottawa (March 2006), Regina (October 2006), Toronto (1998), and Vancouver (2001). Hamilton, Calgary and Durham have also recently initiated DTCs. [12]
A five-year pilot Alcohol and Other Drug Treatment Court was opened in Auckland, New Zealand, in 2012, the first of its type for the country. [13] Since the pilot was established, 46% of participants have graduated. [14] According to the New Zealand Drug Foundation, this rate is six times higher than that achieved by most ‘voluntary’ rehabilitation programmes. [15] Graduates were 62% less likely to reoffend and 71% less likely to return to prison in the first 12 months after treatment. [16] When non-graduates were included in the analysis, 54% (of participants overall) were less likely to reoffend and 58% less likely to go back to prison in the following 12 months.
In the UK, drug courts are currently being tested in various places. [17] In December 2005, the United Kingdom began a pilot scheme of dedicated drug courts. [18] Family Drug and Alcohol Court are in operation in various locations throughout the country, including London, Gloucestershire and Milton Keynes where the service is run by the Tavistock and Portman NHS Foundation Trust. [19] In February 2015 it was announced that more would open in East Sussex, Kent and Medway, Plymouth, Torbay and Exeter, and West Yorkshire. [20]
The first drug court in the US took shape in Miami-Dade County, Florida in 1989 as a response to the growing crack cocaine problem plaguing the city. [21] Chief Judge Gerald Wetherington, Judge Herbert Klein, then State Attorney Janet Reno, and Public Defender Bennett Brummer designed the court for nonviolent offenders to receive treatment.[ citation needed ] In the United States, according to the National Association of Drug Court Professionals, as of December 31, 2014, there are 3,057 drug courts representing all 50 states, the District of Columbia, Guam, Puerto Rico, Northern Mariana Islands, and various tribal regions. [22]
There are many variations to drug courts and more recently some have opened up to deal specifically with women drug users. [23] Some even treat women who engage in prostitution because of their drug addiction. [24]
A research study has shown how addiction can be the results of mental illness derived from interpersonal violence. This shows that crime that results from drug addiction can be tied to trauma that is a result of interpersonal violence. This indicates a societal problem that must be dealt with treatment instead of incarceration. [25]
Drug courts also exist to treat juveniles with substance abuse issues. They work similarly to adult drug courts but are tailored to meet the needs of children. [26] One research study on juvenile drug courts stated that many previous research studies have inconsistent results due to different methodological problems making the results hard to generalize to the population. This research study done over ten randomized different jurisdictions shows promising results. The results show that juvenile drug courts reduced marijuana use rates, increased accessibility to resources, and overall reduced rearrest rates also known as recidivism. However, the positive effects observed were small to moderate. The effects in this study were discovered to be more beneficial for high-risk youth. [27]
Drug courts have had many successful graduates. [28] They have bi-partisan support in the political arena. [29]
Harm reduction, or harm minimization, refers to a range of intentional practices and public health policies designed to lessen the negative social and/or physical consequences associated with various human behaviors, both legal and illegal. Harm reduction is used to decrease negative consequences of recreational drug use and sexual activity without requiring abstinence, recognizing that those unable or unwilling to stop can still make positive change to protect themselves and others.
Restorative justice is an approach to justice that aims to repair the harm done to victims. In doing so, practitioners work to ensure that offenders take responsibility for their actions, to understand the harm they have caused, to give them an opportunity to redeem themselves, and to discourage them from causing further harm. For victims, the goal is to give them an active role in the process, and to reduce feelings of anxiety and powerlessness.
Criminal psychology, also referred to as criminological psychology, is the study of the views, thoughts, intentions, actions and reactions of criminals and suspects. It is a subfield of criminology and applied psychology.
Recidivism is the act of a person repeating an undesirable behavior after they have experienced negative consequences of that behavior, or have been trained to extinguish it. Recidivism is also used to refer to the percentage of former prisoners who are rearrested for a similar offense.
Boot camps are part of the correctional and penal system of some countries. Modeled after military recruit training camps, these programs are based on shock incarceration grounded on military techniques. The aggressive training used has resulted in deaths in a variety of circumstances. Boot camps are also criticized around the world for their lack of behavioral change and for the way extreme force can traumatize children and teenagers.
Deterrence in relation to criminal offending is the idea or theory that the threat of punishment will deter people from committing crime and reduce the probability and/or level of offending in society. It is one of five objectives that punishment is thought to achieve; the other four objectives are denunciation, incapacitation, retribution and rehabilitation.
Mental health courts link offenders who would ordinarily be prison-bound to long-term community-based treatment. They rely on mental health assessments, individualized treatment plans, and ongoing judicial monitoring to address both the mental health needs of offenders and public safety concerns of communities. Like other problem-solving courts such as drug courts, domestic violence courts, and community courts, mental health courts seek to address the underlying problems that contribute to criminal behavior.
Hawaii's Opportunity Probation with Enforcement (HOPE) is an intensive supervision program that aims to reduce crime and drug use while saving taxpayers' dollars spent on jail and prison costs. HOPE deals with offenders who have been identified as likely to violate the conditions of their probation or community supervision.
Circles of Support and Accountability (CoSA) are groups of volunteers with professional supervision to support sex offenders as they reintegrate into society after their release from incarceration. Evaluations of CoSA indicate that participation in a CoSA can result in statistically significant reductions in repeat sexual offenses in 70% of cases, relative to what would be predicted by risk assessment or matched comparison subjects. CoSA projects exist throughout Canada, the United Kingdom, and some regions of the United States.
The alternatives to imprisonment are types of punishment or treatment other than time in prison that can be given to a person who is convicted of committing a crime. Some of these are also known as alternative sanctions. Alternatives can take the form of fines, restorative justice, transformative justice or no punishment at all. Capital punishment, corporal punishment and electronic monitoring are also alternatives to imprisonment, but are not promoted by modern prison reform movements for decarceration due to them being carceral in nature.
In the United States, drug courts are specialized court docket programs that aim to help participants recover from substance use disorder to reduce future criminal activity. Drug courts are used as an alternative to incarceration and aim to reduce the costs of repeatedly processing low‐level, non‐violent offenders through courts, jails, and prisons. Drug courts are usually managed by a nonadversarial and multidisciplinary team including judges, prosecutors, defense attorneys, community corrections, social workers and treatment service professionals. Drug court participants include criminal defendants and offenders, juvenile offenders, and parents with pending child welfare cases.
Incarceration prevention refers to a variety of methods aimed at reducing prison populations and costs while fostering enhanced social structures. Due to the nature of incarceration in the United States today caused by issues leading to increased incarceration rates, there are methods aimed at preventing the incarceration of at-risk populations.
Gender responsive approach for girls in the juvenile justice system represents an emerging trend in communities and courts throughout the United States, Australia and Latin America, as an increasing number of girls are entering the juvenile justice system. A gender responsive approach within the juvenile justice system emphasizes considering the unique circumstances and needs of females when designing juvenile justice system structures, policies, and procedures.
Women in American prisons encounter numerous difficulties that often involve mental health problems, drug and alcohol issues, and trauma. These challenges not only make navigating the criminal justice system more difficult for women but also highlights broader societal issues such as, gender-based violence, economic inequalities, and lack of mental health support. People in prison are more likely than the general United States population to have received a mental disorder diagnosis, and women in prison have higher rates of mental illness and mental health treatment than do men in prison. Furthermore, women in prisons are three times more likely than the general population to report poor physical and mental health. Women are the fastest growing demographic of the United States prison population. As of 2019, there are about 222,500 women incarcerated in state and federal prisons in the United States. Women comprise roughly 8% of all inmates in the United States. This surge is largely attributed to the rising use of imprisonment for drug-related offenses rather than violent crimes. A considerable portion of incarcerated women are serving time for drug-related offenses, with the proportion increasing significantly between 1986 and 1991. Even among those in maximum security facilities, a majority are not imprisoned for violent felonies. The data also reveal that in states like New York, a substantial proportion of incarcerated women are serving time for drug-related offenses, with a smaller percentage incarcerated for violent crimes or property offenses.
Gender-specific prison programming in the United States are programs created to prepare incarcerated women for successful reentry, and minimize recidivism. Prison programming and how it is structured has changed significantly over the decades to fit the needs of women in gender-specific programming. Focus on gender-specific programming increased during the 1970s and 1980s, an era marked by a substantial increase in the female prison population. Traditional programming in female correctional facilities have been deemed ineffective since most were structured to fit men's needs. For example, women's pathways to prison typically involve drugs, while men are typically involved in violent crimes. Additionally, women are more likely to have experiences of sexual and/or physical abuse relative to men.
Prisoner reentry is the process by which prisoners who have been released return to the community. Many types of programs have been implemented with the goal of reducing recidivism and have been found to be effective for this purpose. Consideration for the conditions of the communities formerly incarcerated individuals are re-entering, which are often disadvantaged, is a fundamental part of successful re-entry.
Criminal justice reform seeks to address structural issues in criminal justice systems such as racial profiling, police brutality, overcriminalization, mass incarceration, and recidivism. Criminal justice reform can take place at any point where the criminal justice system intervenes in citizens’ lives, including lawmaking, policing, and sentencing.
Norway's criminal justice system focuses on the principles of restorative justice and the rehabilitation of prisoners. Correctional facilities in Norway focus on maintaining custody of the offender and attempting to make them functioning members of society. Norway's prison system is renowned as one of the most effective and humane in the world.
Decarceration in the United States involves government policies and community campaigns aimed at reducing the number of people held in custody or custodial supervision. Decarceration, the opposite of incarceration, also entails reducing the rate of imprisonment at the federal, state and municipal level. As of 2019, the US was home to 5% of the global population but 25% of its prisoners. Until the COVID-19 pandemic, the U.S. possessed the world's highest incarceration rate: 655 inmates for every 100,000 people, enough inmates to equal the populations of Philadelphia or Houston. The COVID-19 pandemic has reinvigorated the discussion surrounding decarceration as the spread of the virus poses a threat to the health of those incarcerated in prisons and detention centers where the ability to properly socially distance is limited. As a result of the push for decarceration in the wake of the pandemic, as of 2022, the incarceration rate in the United States declined to 505 per 100,000, resulting in the United States no longer having the highest incarceration rate in the world, but still remaining in the top five.
The Alcohol and Other Drug Treatment Court (AODTC) is a specialist court in New Zealand which targets criminal offending driven by alcohol and drug addiction. There are three such specialised courts, in Auckland, Waitākere and Hamilton. Their purpose is to reduce the use of imprisonment by offering offenders with addictions the opportunity to attend treatment in the community. To be admitted to the AODTC, defendants have to be formally assessed as substance dependent by a qualified clinician, be facing a prison sentence of up to three years, and plead guilty.
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