Grays Harbor County Therapeutic Court Participant...

March 5, 2018

Grays Harbor County Therapeutic Court

Participant Handbook

THE OPPORTUNITY TO CHANGE AND MOVE FORWARD

IN A DIFFERENT DIRECTION

Increasing community safety, offender accountability and

restoring individuals and families through treatment and recovery.

March 5, 2018

What is Therapeutic Court?

Welcome to the Grays Harbor County Therapeutic Court. This handbook is designed to answer

your questions and provide you with information about the Therapeutic Court Program. As a

participant, you are expected to comply with all aspects of this handbook, the Therapeutic

Court Contract, as well as instructions from the Judge and Therapeutic Court Team. This

information is not intended to replace directions from team members, treatment providers

or Superior Judicial Officers.

The office of the Prosecuting Attorney will determine who may be considered for the

Therapeutic Court. All violent and sex offenses are disqualifying criteria. The Therapeutic Court

is a comprehensive program designed to utilize an evidence-based model combining the judicial

system with treatment and social services working together to help addicted offenders into long-

term recovery while ensuring community safety.

The program includes regular court appearances, meetings with a case manager along with

comprehensive chemical dependency treatment and other ancillary services as needed. Treatment

will include: individualized treatment plans, individual and group counseling sessions, cognitive

behavioral therapies (MRT), relapse prevention and individual needs workbooks. The program

requires regular attendance at Recovery Support Activities (Narcotics/ Alcoholics Anonymous),

and random urinalysis testing.

Why participate in the Therapeutic Court Program?

To get the support and accountability needed to live a healthy and substance-free life.

To build healthy, sober and positive relationships with family, community and friends.

To take responsibility for and repair the harm caused to victims and the community.

Completion of the Therapeutic Court Program will result in dismissal of

charges.

When you make your decision to enter the program and sign your Therapeutic Court

Contract, your life essentially becomes an “open book”. All aspects of your life, both in and

out of the program, will be shared with all members of the Therapeutic Court Team.

However, any information of a sensitive nature will NOT be discussed in court sessions

during your review.

March 5, 2018

Therapeutic Court Team Members

Therapeutic Court Judge

Oversees the Therapeutic Court program and presides over all Therapeutic Court hearings when

available. The Judge provides direction and focus for the program. The Judge builds a

relationship with the participants through their interactions in the courtroom. While in court

participants have the opportunity to share their successes, discuss any concerns they may have

and review any issues with the Judge.

Therapeutic Court Prosecutor

Represents Prosecutor’s Office at all court hearings and staffing. Works directly with

Therapeutic Justice Program Coordinator and other team members regarding client progress,

including admission, sanctions, termination and graduation.

Therapeutic Justice Program Coordinator

Manages the day to day operations of the Therapeutic Court Program. Works closely with all

team members to ensure the mission and goals of the program are being met. The coordinator

works with program participants to provide guidance regarding program requirements and

support them as they progress through the program.

Community Supervision Deputy

Provides supervision and direct services to program participants. Conducts field and home visits

to monitor participant compliance with the Therapeutic Court Program. Administers urinalysis

testing, coordinates with social service agencies and participates at team staffing and court

hearings.

Problem Solving Court Case Manager

Works closely with community partners and program participants to link services necessary for

recovery. These include but are not limited to behavioral health, housing, education and

employment. Develops Participant Case Management Goals and Action Plans and monitors

Progress.

Treatment Counselor

Works directly with Therapeutic Court participants to develop individualized treatment plans.

Provides both individual and group counseling to program participants. Attends all Therapeutic

Court staffing and reports participant’s treatment progress to the team.

Defense Attorney

Attends Therapeutic Court staffing and court hearings. Advises program participants while in

the Therapeutic Court Program.

March 5, 2018

Program Rules and Overview

1. Totally abstain from the use of alcohol, marijuana and all other drugs. Any

prescriptions or over-the-counter medications require a signed medication form and must

be reported to the Therapeutic Court Team.

2. Comply with all directives and recommendations of Therapeutic Court Team members.

3. Obtain a substance abuse evaluation and follow through with all treatment

recommendations.

4. Obey all Federal, State and local laws.

5. Live at an address approved by the Therapeutic Court Team. Maintain a current address

and phone number at all times and do not change residence without prior approval from

the team.

6. Do not associate with known drug users.

7. Immediately inform Case Manager of any contact with law enforcement.

8. Not own, use or possess any firearms.

9. Not enter any taverns/bars/lounges/casino or other establishment where the primary sale

is alcohol or marijuana.

10. Upon request by any law enforcement officer, Community Supervision Deputy or

Therapeutic Court team member you must submit to a search of your person, residence

and vehicle (see details following rules)

11. Cannot send correspondence or visit any inmate that is incarcerated in jail or prison.

12. Must obtain permission to travel or leave Grays Harbor County overnight at least one

week in advance through Case Manager.

13. Cannot enter into any Instant Meaningful Relationship with peers in Therapeutic Court.

14. Attend all required appointments, to include case management, court hearings and

counseling sessions.

15. Comply with all drug screening requirements (includes urine tests, saliva tests, hair

follicle testing when necessary).

16. Allow for program staff to have access to any online social media profile you maintain.

17. No gang affiliated or alcohol/drug related clothing or attire.

18. Remain current with treatment and Therapeutic Court financial obligations (details

outlines in phase requirements).

19. Be honest and respectful to all program staff and participants.

20. Make satisfactory progress in the program as measured by activities completed in each

phase.

21. Comply with all rules for Court Hearings, Treatment groups and Case Management as

outlined by program staff at Therapeutic Court Orientation.

March 5, 2018

Home Inspections and Search Requirements

As a participant in Therapeutic Court, searches of your person, as well as your home, any and all

curtilage and vehicle searches and assessments will be conducted by the Grays Harbor

Therapeutic Court Community Supervision Deputy and/or other members of law enforcement at

the request of any Therapeutic Court team member. If you are residing in a residence where you

are not the homeowner or listed on the rental or lease agreement, the legally responsible party

will be required to agree to the same searches as previously mentioned. If the homeowner or

renter does not agree to allow random searches, this will not be a residence approved by the

Therapeutic Court Team and you will be required to find alternative living arrangements.

Possession of any type of weapons is prohibited while participating in the Therapeutic Court

Program. Residing with someone else who owns or possesses weapons or firearms must be

discussed with the Therapeutic Court Coordinator and Community Supervision Deputy. The

Therapeutic Court team will determine if this living arrangement is acceptable. Prior approval is

required.

Drug paraphernalia of any kind is prohibited while participating in Therapeutic Court. This

includes but is not limited to pipes, bongs, rolling paper, whippet containers, stems, needles,

cookers, hookah pipes, air dusters and empty prescription bottles. If you are unsure about what

you are allowed to have, ask the Therapeutic Court Coordinator, your Case Manager and/or the

Community Supervision Deputy.

During home inspections you will be subject to an alcohol test (breathalyzer) and/or drug screen

(oral/saliva test). You will be notified of any positive result immediately by the Community

Supervision Deputy. All positive tests will be sent to the lab for confirmation. If there is an

admission of alcohol or drug use following a positive test you may have the opportunity to waive

the confirmation test and receive a lesser sanction. This will still be considered a positive test

and you will be sanctioned accordingly. Denial of use can result in additional sanctions for not

being honest in the program.

March 5, 2018

The Grays Harbor County Therapeutic Court Program is designed with four (4) highly structured

program phases. Each phase consists of clearly defined requirements for advancement to the

next phase. The program lasts a minimum of 12 months to a maximum of 24 months.

The Judge, with recommendations from the Therapeutic Court Team, determines when you have

sufficiently satisfied each of the phase requirements. However, completion of the requirements

alone does not automatically advance you to the next phase. Other factors are taken into

consideration such as the stability of your mental/emotional health, your living arrangements,

progress or lack thereof towards goals and any other circumstances or behaviors that may

compromise your sobriety and successful completion of the program.

Phase 1-Stabilize (Avg. length 3-4 months)

Primary Goals-Discontinue substance use, stabilize physical and mental health.

Court appearances weekly

Develop individualized substance abuse treatment plan and enter recommended services

Attend program orientation

Meet with case manager minimum 1x per week

Establish case management goals and action plan

Home visits minimum 2x per month

Random drug/alcohol testing

Attend 2 self-help meetings/groups per week

Complete Thinking for Good

Maintain compliance with treatment program

Maintain compliance with all contract obligations

Make plan with case manager to begin paying Therapeutic Court fees and restitution.

Follow all directives and ancillary recommendations of program and treatment staff

* To advance the following must occur

Must be in full compliance and have no violations for minimum 14 days

prior to advancement

Maintain stable living environment/address for 4 weeks prior to

Verifiable clean time of 60 consecutive days

Complete phase advance questions and turn into program staff

Phase Requirements

March 5, 2018

Phase 2-Structure (Avg. length 3-4 months)

Primary Goals-Remain substance free, establish structure, routine and direction.

Court appearances bi-weekly

Continue in recommended treatment services

Meet with case manager minimum 1x per week

Demonstrate progress towards case management goals and action plan



MRT How to Escape Your Prison

Pay court fees, $25 per week and restitution per financial plan with case manager.

Attend 2 self-help meetings/groups per week (AA/NA/etc.) and obtain a sponsor.

Provide proof of employment or verification of enrollment and attendance in:

-Life Skills Classes

-Education/GED/Job Readiness/ Vocational Training





Must be in full compliance and have no violations minimum 14 days prior to

advancement




March 5, 2018

Phase 3- Support (Avg. length 3-4 months)

Primary Goals- Remain substance free, develop skills, implement pro-social activities &

education to sustain long term recovery.

Court appearances monthly


Meet with case manager minimum bi-weekly



Complete MRT How to Escape Your Prison

Pay court fees, $25 per week and restitution per financial plan with case manager


Attend 3 self-help meetings/peer support groups or approved pro-social activities per

week

Provide proof of employment





Must be in full compliance for at least 30 days prior to advancement




March 5, 2018

Phase 4-Success (Avg. length 3-4 months)

Primary Goals- Remain substance free, maintain recovery supported lifestyle.

Court appearance monthly


Meet with case manager as needed



Complete Staying Quit


Attend 3 self-help meetings/peer support groups or approved pro-social activities per

week

Pay court fees, $25 per week and restitution per financial plan with case manager

Maintain education, employment, or community service 25 hours per week




*To graduate the following must occur

Must be in full compliance and have no violations minimum 45 days prior to

graduation

Maintain stable living environment/address for 45 days prior to


Complete all recommendations of treatment

Complete all recommended ancillary programs or services

Submit a copy of your Personal Recovery Plan for approval by team

Provide proof of HS Diploma or GED to case manager

Pay all program fees and restitution in full

Submit a letter to arresting officer and victim(s) if applicable

Fill out Graduation Application and meet with coordinator

March 5, 2018

Exiting the Program

Participants exit the Therapeutic Court Program in one of two ways

Graduation

Termination

There are no fixed criteria for termination from the Grays Harbor Therapeutic Court program.

Each case is carefully considered upon its own merit. The Therapeutic Court Team will consider

the following factors when determining termination of a participant.

Repeated violations of the Therapeutic Court requirements that demonstrate willful

noncompliance or lack of motivation to continue after already receiving imposition of

sanctions (incentive/sanction grid will be used as an aid).

Discharge from treatment or other recommended programs due to noncompliance or

amenability.

New criminal charges.

The ultimate decision of termination will be determined by the Superior Court Judge after careful

consideration of recommendations from the Therapeutic Court Team.

Sanctions and Incentives

Therapeutic Court uses a system of sanctions and incentives to address program violations and

progress. Sanctions are based on a pre-determined grid to create a fair and just process for

dealing with violations. The Therapeutic Court team will discuss recommendations during

staffing however the Therapeutic Court Judge maintains final decision making power and will

deliver the sanctions and incentives during court reviews.

March 5, 2018

Drug Testing

Grays Harbor County Therapeutic Court is an abstinence based program. Drug testing is an

essential part of the Therapeutic Court Program. Participants agree to submit to random drug

testing at any time. Drug test are frequent, random, and visually supervised. The urine drug

screen is a comprehensive toxicology panel that will test for a variety of substances including

alcohol and marijuana. It will also determine quantity of substances relative to compliance with

prescribed medications. Please be advised that you will need to know dose and frequency when

filling out your UA documentation. You will be responsible for any undisclosed information

that would affect the result of the toxicology. In addition to urine toxicology (UA’s) you may be

required to submit to breathalyzer, saliva and/or instant toxicology testing.

Once contracted into the program you will be required to call a UA hotline every day and report

as your code is called.

IF YOU MISS REPORTING FOR TOXICOLOGY, FAIL TO SUPPLY A SPECIMEN,

OR HAVE A DILUTE SPECIMEN, IT WILL BE TREATED AS A POSITIVE RESULT.

Urinalysis (UA) Cautions

Participants are responsible for reading product labels. Many products contain chemicals that can

cause a positive UA. Therefore participants should not use the following items:

Alcohol-based products such as mouthwashes, hand sanitizers, hair products, some energy

drinks, cough medications, etc.

Poppy seeds in any form (no poppy seed cake, bread, muffin, dressings, etc.)

Any prescription medication unless prescribed for the participant by a doctor or medical

professional; any prescription medication must be reported along with a physician letter (p.

20).

Any over the counter medications containing alcohol, codeine or pseudoephedrine. (Most

medications have etoh free alternatives) If recommended by a medical professional,

participant should have the physician document that recommendation on a Prescriber Letter

found on pg. 20.

“Natural” or herbal remedies or supplements such as those sold in health food stores,

without prior approval from the Case Manager and Treatment Counselor. This includes but is

not limited to items such as spice, salvia, kratom etc.

This is not intended to be a full comprehensive list and many other items not on this list may

cause positive UA results that will result in a violation to the court.

March 5, 2018

Katherine Svoboda Prosecutor

Grays Harbor County Prosecuting Attorney Bill Leraas

Grays Harbor Therapeutic Court

2109 Sumner Avenue Coordinator

Aberdeen, Washington 98520 Jamie Wintrip

Telephone: 360-500-4075

Case Manager

Ashley Irion

Dear Prescribing Professional:

Please be informed that this patient or prospective patient is a participant in the Grays Harbor County

Therapeutic Court. This program is designed for substance-abusing adult offenders. The Therapeutic Court

provides participants the opportunity to engage in an intensive community-based substance abuse support

program. It has stringent reporting requirements, including expectations of remaining substance free. We

understand that medical conditions exist that will need to be treated and we ask that you consider their

involvement when prescribing. We support our participants in addressing their healthcare needs and hope

that you will support their recovery. If a current participant is prescribed any potentially addictive

medication, we require that they have an honest discussion of their substance abuse/ addiction with you

the provider. It will be left to your discretion to determine if the medication is appropriate.

We ask that as the prescribing medical professional you sign this letter acknowledging the participant

discussed their substance use history. Also, please provide a list of any medication you prescribe so that we

can better monitor during toxicology.

If you have any questions do not hesitate to contact the GH Therapeutic Court at (360) 500-4075

Participant Name: ________________________________ Date: ______________

Medication Dose Duration Diagnosis/Condition

Prescriber Signature: __________________________________________ Date: _____________________

Therapeutic Court Participant: When prescribed medication it is your responsibility to turn this form and a copy of

the prescription in to your case manager within 48 hours of being prescribed. Failure to do so will result in

violation. All medication prescribed while participating in the Diversion Program are subject to a medication count

by Diversion Staff at any time.

Participant signature: __________________________________________ Date: _________________

Diversion Staff signature: __________________________________________ Date: ________________

March 5, 2018

CONFIDENTIALITY

Participants are required to sign a release of information (ROI) with all team members and

providers serving Therapeutic Court participants. The ROI allows all members of the team to

openly communicate in order to support the participant, share & verify information, report

compliance and work on case planning.

Privacy is respected in the Therapeutic Court and protected under federal law. Program staff will

make every effort to protect your identity by not publicly using names without permission or

knowledge. Staff meetings are currently closed to protect participant information. Court

appearances however are open to the public.

IN CLOSING

Participating in the Therapeutic Court is a personal choice.

It requires commitment from the participant and their support system.

While family, parent(s), guardians, friends, community members, and the Therapeutic

Court team provide help, support and encouragement…

FINAL RESPONSIBILITY BELONGS TO THE

PARTICIPANT.

March 5, 2018

Grays Harbor County Therapeutic Court Stephen E. Brown

102 W. Broadway RM 305 JUDGE

Montesano, WA 98563

Telephone: 360-500-4075 Jamie Wintrip

Coordinator

CONSENT FOR THE RELEASE OF CONFIDENTIAL INFORMATION

____________________________________ OF ____________________________________ (NAME OF CLIENT) (ADRESS OF CLIENT)

AUTHORIZE GRAYS HARBOR COUNTY THERAPEUTIC COURT TO DISCLOSE/ EXCHANGE THE FOLLOWING

INFORMATION: POLICE REPORTS, CRIMINAL HISTORY, CONDITIONS OF DIVERSION, UA RESULTS, PROOF OF

TREATMENT, TREATMENT RECOMMENDATIONS, EVALUATION RESULTS, PROGRESS OF PROGRAM,

TREATMENT PLAN, ATTENDANCE RECORDS, DISCHARGE SUMMARY,

_________________________________________________________________________________

WITH Choose an item.

FOR THE PURPOSE OF MONITORING COMPLIANCE WITH THE THERAPEUTIC COURT CONTRACT.

THIS RELEASE EXPIRES 90 DAYS AFTER DISCHARGE FROM THE PROGRAM

I UNDERSTAND THAT MY RECORDS ARE PROTECTED UNDER THE FEDERAL AND STATE CONFIDENTIALITY REGULATIONS AND CANNOT BE DISCLOSED WITHOUT MY

WRITTEN CONSENT UNLESS OTHERWISE SPECIFIED FOR IN THE REGULATIONS. I ALSO UNDERSTAND THAT I MAY REVOKE COSENT AT ANY TIME EXCEPT TO THE

EXTENT THAT ACTION HAS BEEN TAKEN ON RELIANCE ON IT (E.G. PROBATION) AND THAT IN ANY EVENT THIS CONSENT EXPIRES AUTOMATICALLY AS INDICATED

ABOVE. I FURTHER ACKNOWLEDGE THAT THE INFORMATION TO BE RELEASED WAS FULLY EXPLAINED TO ME AND THIS COSENT IS GIVEN OF MY OWN FREE WILL.

____________________________________ ___________________________________________________________

(DATE) (SIGNATURE)

____________________________________ ___________________________________________________________

(DATE OF BIRTH) (WITNESS)

I UNDERSTAND THAT MY RECORDS ARE PROTECTED UNDER THE FEDERAL REGULATIONS GOVERNING CONFIDENTIALITY OF ALCOHOL AND DRUG ABUSE PATIENT

RECORDS, 42 CFR PART 2 AND THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 (HIPPA) 45 CFT PTS 160 & 164, AND CANNOT BE DISCLOSED

WITHOUT MY WRITTEN CONSENT UNLESS OTHERWISE PROVIDED FOR BY REGULATIONS.

AND/OR

AND/OR

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