25
1 The California DUI Treatment System A Presentation for the California Behavioral Health Directors Association SAPT Committee September 28 2016
1
The CaliforniaDUI Treatment System
A Presentation for the California Behavioral Health Directors AssociationSAPT CommitteeSeptember 28 2016
2
Karla HendrixSafety Center, VP Alcohol & Drug Programs
CADTP Board of DirectorsChair, CADTP Quality of Care Committee
Your Presenters
Craig FrenchTwin Palms Recovery Center, Executive Director
Chair, CADTP Board of DirectorsDHCS DUI Advisory [email protected]
Todays Objectives DUI Programs System
Evaluating the System
System Recommendations
Collaboration
It’s No Accident
3
The DUI Program System
4
The DUI Program System DUI programs are licensed by the Department of Health Care
Services to provide a less intensive level of outpatient alcohol and other drug treatment services focused on improving public health and safety by reducing and/or eliminating additional DUI offenses.
These services consist of education classes (prevention); individual and group counseling sessions (intervention); and in some counties individual client involvement in self-help programs to facilitate ongoing recovery from the abuse of alcohol and/or drugs.
Consistent with state regulations DUI treatment is provided by alcohol and other drug counselors certified under Chapter 8, Division 4, Title 9, California Code of Regulations.
5
The DUI Program System
DUI treatment programs collaborate with the County SUD Administrators, Courts, and the Department of Motor Vehicles to ensure client compliance with summary or formal probation requirements and prepare clients to regain their to drivers license by successfully completing their DUI treatment program.
While program services are focused on refraining from operating an automobile [or any mode of transportation] while under-the-influence, DUI services also provide clients with a new understanding of their individual responsibility to themselves, their families, and their community, and a healthy new approach to their use of alcohol and drugs.
6
7
Evaluating the System
Evaluating the System
Over 24 years the California Department of Motor Vehicles [DMV] has conducted annual outcome studies on the effectiveness of the California DUI system in reducing recidivism.
The DMV Report consistently shows that the most effective approach to reducing recidivism is the combination of Drivers License sanctions and DUI Program provision.
The DMV Annual DUI MIS Reports can be found at: http://www.dmv.ca.gov/portal/dmv/detail/about/profile/rd/toc
8
9
Evaluating the System
Source: A Descriptive Analysis of California DUI Programs Final Report
Submitted to California Department of Alcohol and Drug Programs Driving-Under-the-Influence Program Branch
Prepared by Sheldon Zhang, Project Director
San Diego State University Department of Sociology
10
DUI System Recommendations
11
Recommendations From: A Descriptive Analysis of California DUI Programs
Sheldon Zhang, Project Director, San Diego State University, Department of Sociology
D.1. DUI Program Providers
Short-term measures: (1) establish performance benchmarks; (2) increase transparency in program fees and administrative fees; and (3) increase web presence for all DUI programs.
Long-term measures: (1) establish a mechanism for outcome assessment.
D.2. ADP Oversight (DHCS)
Short-term measures: (1) achieve greater consistency in curriculum development; (2) compile and disseminate vital statistics for statewide DUI programs; (3) compile and publish DUI program fees; (4) assemble and publish an online spreadsheet containing standard programmatic information for all DUI programs.
Long-term measures: (1) establish a more rational fee review and approval procedure; (2) create a rating system using monitoring results to encourage self-improvement through an open and transparent grading system; (3) increase ADP oversight through an updated data tracking system; (4) realign programs that are rarely used and have low completion rates; and (5) invest in research and evaluation of DUI program services.
D.3. County Alcohol and Drug Services
Greater involvement from county alcohol and drug services is needed to mediate emerging or on-going issues between DUI program providers and the state oversight agency.
12
2016 County Survey – DUI ProgramProvided to: California Department of Health Care ServicesBy: Sheldon Zhang, PhD, San Diego State UniversityThis survey was intended to collect information from each county to:▪ determine the degree of county involvement in DUI
program efforts ▪ examine areas in which DHCS may potentially provide
further assistance to improve outcomes for the statewide DUI system▪ 49 out of 58 administrators responded
▪ 24 AODs, 24 DUI coordinators, 1 unknown
Key Findings From County Study
13
▪ Many counties expressed a strong desire for more standardization of practices.
▪ The majority of counties are monitoring DUI providers at some level. ▪ Any efforts to evaluate program success will require greater consistency
of data collection across providers and storage of data in a ‘merge-able’ data format.
▪ Many counties expressed interest in increased training opportunities, specifically:▪ increased technical assistance▪ auditing guidelines, and ▪ more standardization of curricula, referral practices, and paperwork.
▪ Many counties expressed interest in improving continuum of care for clients via participating in the 1115 Waiver.
14
California DUI Program Providers Survey,2011
Presented to:California Department of Alcohol and Drug Programs
By:Sheldon X. Zhang, Project Director
Department of SociologySan Diego State University
Email: [email protected]
This report describes the results of a survey of 136 Program Managers representing 125 Driving under the Influence (DUI) programs across the State of California.
15
Main Education Curriculum ComponentsRespondents mentioned a wide variety of curriculum topics covered in their education, including:
• Physiological and social effects of alcohol and drugs,
• Addiction, • Choices and consequences, • Community resources, • Alcohol and the family, • Denial, • The disease concept, • DUI policies, • Tools for living, • Relapse prevention, • Recovery.
Source: California DUI Program Providers SurveySheldon Zhang, Project Director
San Diego State University Department of Sociology
California DUI Program Providers Survey,2011
16
CADTP Best Practice DocumentThe best practice document was a collaboration of DUI program representatives who each took a section and the committee agreed upon content to ensure generic enough for implementation.
The intent of this document is to present a set of suggested best practices for licensed DUI Treatment Programs to follow in order to provide quality services and regulatory compliance, resulting in safer communities and healthier individuals at no cost to the tax-payer.
17
Best Practices for DUIP Education – Reducing Risk
A Presentation for the DHCS SUD
Statewide Conference August 2016C
AD
TP p
rese
nts
at th
e D
HC
S C
onfe
renc
e
Todays Objectives Review CADTP Best Practices for California DUIP Providers
Education section
Explore the ethics and responsibility the DUI program has in the creation and execution of its educational curriculum
Review the CCR Title 9 requirements and expand upon the regulation subjects
Review and explore educators styles
Review and explore generally accepted teaching tools
Explore the most important aspect of program responsibility; Quality Assurance
Assessing the Educator
Assessing the validly of the curriculum by measuring an increase in client knowledge
18
CA
DTP
pre
sent
s at
the
DH
CS
Con
fere
nce
DUIP Education
Orientation to DUI laws, Alcohol & Drug Impairment and the DUI Program
Patterns Of Consumption, Chemical Dependency And Assessment Medical Aspects Of Alcohol And Other Drugs Social Aspects Of Alcohol And Other Drugs Addiction And The Family Recovery, Resources And Options For Change
Instructors are certified counselors who must have 2 years of experience providing Alcohol and Other Drugs Education.
All AOD Treatment Programs have an Educational Component and so do DUI Treatment Programs
19
20
21
22
DUI Programs take a proactive stance in helping those with alcohol and/or drug dependency problems make life-affirming changes.
DUI Programs recognize that substance use behavior exists along a continuum, ranging from non pathological use at one end, to problematic or substance abuse in the middle to chronic substance dependence on the other.
DUI services are designed to address this continuum of use through the education, group counseling and individual case management sessions.
DUI Program Philosophy of Services
Research shows that Health and Safety Code sanctioned DUI programs are effective in
reducing the problem of drinking and driving. (Strategic Highway Safety Plan, 2014)
“The re-offense rate of a DUI offender assigned to the
<DUI> program is 20.6% lower than the re-offense rate
of those not assigned to the program”
(DMV Annual Report of the California DUI Management Information System, 2015)
23
The Wheel of Collaboration
How Can CADTP Assist the County Administrator
24
CADTP is pleased with our collaborative relationship, we feel we have addressed many of the concerns that the County’s expressed and we continue to find new and innovative ways to reach the DUI Providers, whether they are CADTP Members or not, to assure the best possible outcomes for the DUI Program client.
CADTP will continue it’s commitment to develop and foster symbiotic relationships with a wide and diverse population of stakeholders, collaborators and experts who share our collective mission of reducing recidivism, increasing public safety, and positive outcomes for the DUI client and the community at large.
It’s No Accident
25
HIGHLIGHTS OF YEAR 2015 CALIFORNIA DUI-MIS REPORT• Alcohol-involved crash
fatalities increased by 2.4% in 2013, following an increase of 7.3% in 2012.
• Drug-involved crash fatalities increased by 9.0% in 2013, after an increase of 15.4% in 2012.The number of this type of fatal crash has increased by 13.8% in the past decade.
