Criminals. Offenders. Participants. People.: The Role of Our Beliefs in the Work of Treatment Courts
- What thoughts arise when I think about people involved in the treatment court system?
- It may be helpful to consider your ideas about their motivation, wants, needs, behaviors, capacity for / interest in change, etc.
- What thoughts arise when I think about treatment courts?
- It may be helpful to consider your ideas about their purpose, design, utility, approach, effectiveness, etc.
- What thoughts arise when I think about my role in the treatment court system?
- It may be helpful to consider your ideas about your knowledge, skills, preparedness, attitude, motivation, capacity to provide support / make change, desire to help, resources, etc.
- What do we believe about people involved in the treatment court system?
- All people have strengths, gifts, and talents.
- People are not their circumstances, conditions, experiences, or choices. People are in circumstances, experience conditions, have experiences, and make choices.
- People have a complex life story we know only a fraction about. It may include but is not limited to their involvement in the justice system.
- People have needs and wants as well as hopes for their lives.
- People are complex, and understanding them takes time, energy, and interest.
- People can change.
- People deserve support in their efforts to change.
- People will naturally make mistakes in the process of attempting to change their lives.
- All people regardless of identity or circumstance deserve to be treated with dignity and respect.
- All people regardless of race, ethnicity, gender, sexual orientation, sexual identity, physical or mental disability, religion, or socioeconomic status deserve the same opportunities as other individuals to participate and succeed in treatment courts.
- What do we believe about treatment courts?
- The law can be leveraged to have a therapeutic effect, resulting in psychologically healthy outcomes.
- A collaborative, non-adversarial approach is most effective to supporting people to change their lives.
- Building relationships is necessary to positively impact treatment and court outcomes.
- The opportunity for alcohol and other drug treatment and mental health services can make a meaningful difference in peoples lives.
- What do we believe about practitioners roles in the treatment court system?
- The treatment court system works best with a connected, collaborative team.
- All members can learn from one another.
- All members of the multidisciplinary team bring a unique, necessary perspective and play an important role in participant outcomes.
- Transitioning to a team approach from an adversarial approach can take time, patience, and intention.
- Attention: intentional focus to the present moment:
- Noticing the labels of offender and criminal in your mind and conversations with colleagues
- Noticing judgmental thoughts about actions and choices of those involved in the treatment court system
- Noticing feelings of frustration, ambivalence, and an urge to disengage from helping
- Noticing sensations of agitation in the body
- Acceptance: recognition of the truth of what is happening in the mind and body (note: this is not resignation, simply acknowledging what is true at this time):
- This is just what is happening right now “ judgmental thoughts, frustrated feelings, and the urge to disengage.
- Allowance: making space for the full experience of what is happening without pushing it away (unless it is skillful in the moment to have such boundaries)
- giving permission for what is happening in the mind and to exist”taking a moment to breath and avoid busyness that is sometimes deigned to move us away from what is really happening
- Attitude: bringing qualities of curiosity, non-judgment, openness, and kindness to witnessing and holding the inner experience
- Its interesting Im having these thoughts; Its understandable to have these thoughts “ because Im feeling extra stressed today, and this is the language that I hear all the time in society, too. All emotions are normal to feel.
- Action: choosing deliberative responses (rather than automatic, habitual reactions) that are grounded in awareness of the present moment
- Reminding yourself that thoughts arent facts and do not have to be representative of your actual beliefs because they arose in your mind. Our beliefs are our choices.
- Reminding yourself that labels like offender and criminal are reductionistic, diminishing of someones humanity, and disconnecting; they are problematic because they label the entire person by a behavior and make us feel far and separate from that person (i.e., disconnected)
- Choosing to reframe that language in your mind in speech”maybe even by simply thinking about the person by their name, dropping the label altogether. (i.e., Sam experienced a substance use relapse versus An offender in the program relapsed.)
- Taking care of yourself in the best way for you in response to the frustration/agitation that is around and possibly connected to automaticity of labeling (e.g., talking with a supervisor about a challenging interaction with the person)
- Taking a step to reconnect to that person, even if only in your mind and body (e.g., think of one thing you have in common with that person)
May is National Drug Court Month!
In May, the treatment court community will once again come together to celebrate National Drug Court Month. As pandemic restrictions begin to ease in many places, we encourage you to plan safe activities to celebrate the lifesaving work you do, engage stakeholders, and inspire the community.
NADCP’s National Drug Court Month Toolkit has everything you need to make May a success. This year, we’re holding a special contest called the Art of Recovery, where treatment court participants and alumni can submit art in several categories and win prizes!
Inside the toolkit, youll find a wealth of information and samples to help guide and inspire, including:
- Art of Recovery contest
- Sample social media content
- A National Drug Court Month proclamation template
- Tools to write effective op-eds and media advisories
- Unique and safe event ideas
As always, NADCP is here to serve you. If you need assistance beyond what’s in the toolkit, just ask!
FY 2022 Justice and Mental Health Collaboration Program
Through this opportunity, the Bureau of Justice Assistance seeks applications for funding to support cross-system collaboration to improve public safety responses and outcomes for individuals with mental health disorders or co-occurring mental health and substance use disorders who come into contact with the justice system (implementation or enhancement of Mental Health Courts). This solicitation was posted April 1, 2022. Eligible applicants include city, county, special district, and state governments, Native American tribal governments (Federally recognized), state, nonprofit, or government mental health agency, or public and state controlled institutions of higher education.
Grants.gov Deadline: May 27, 2022, 8:59 pm Eastern
JustGrants Deadline: June 1, 2022, 8:59 pm Eastern
OJJDP FY 2022 Juvenile Drug Treatment Court Program
The Juvenile Drug Treatment Court Program seeks to build the capacity of states, state and local courts, units of local government, and federally recognized tribal governments to implement new and innovative approaches to enhance existing juvenile drug treatment courts and improve outcomes for youth with substance use or co-occurring mental health disorders, including histories of trauma. This solicitation was posted April 8, 2022.
Category 1: Juvenile Drug Treatment Court Statewide Program
Category 2: Juvenile Drug Treatment Court Enhancement Program
Join OJJDP for a webinar for this solicitation on May 9, 2022 2:00 – 3:30 PM EST.
Grants.gov Deadline: May 25, 2022, 11:59 pm Eastern
JustGrants Deadline: June 8, 2022, 8:59 pm Eastern
OJJDP FY 2022 Family Treatment Court Program
The OJJDP Family Treatment Court Program seeks to build the capacity of local courts, units of local government, and federally recognized Tribal governments to establish new family treatment courts or enhance existing family treatment courts. These courts increase collaboration with substance use treatment and child welfare systems to ensure the provision of treatment and other services for families, and improve child, parent, and family outcomes. This solicitation was posted on April 8, 2022.
Join OJJDP for a webinar for this solicitation on May 9, 2022 11:00 – 12:30 PM EST.
Grants.gov Deadline: May 25, 2022, 11:59 pm Eastern
JustGrants Deadline: June 8, 2022, 8:59 pm Eastern
NADCP Nominate Your Treatment Court Heroes for National Awards
Who is your unsung treatment court hero? Nominations are now open for national awardshonoring outstanding treatment court professionals and teams. These distinguished awards will be presented at RISE22 in Nashville!
Don’t delay: the deadline to submit all nominations is 5:00 p.m. ET on Thursday, May 5, 2022.
Stanley Goldstein Treatment Court Hall of Fame
Equity and Inclusion Award
DWI Court Leadership Award
Justice For Vets’ Hank Pirowski Award
Juvenile and Family Treatment Court Leadership Award
Presence is the Foundation of Connection
- Attention: intentional focus to the present moment
- Acceptance: recognition of the truth of what is happening in the mind and body (note: this is not resignation, simply acknowledging what is true at this time)
- Allowance: making space for the full experience of what is happening without pushing it away (unless it is skillful in the moment to have such boundaries)
- Attitude: bringing qualities of curiosity, non-judgment, openness, and kindness to witnessing and holding the inner experience
- Action: choosing deliberative responses (rather than automatic, habitual reactions) that are grounded in awareness of the present moment
- Mindfulness is about escaping, emptiness, zoning out, or “nothingness.” In actuality, mindfulness is about “falling awake” to the life that you are actually living, versus escaping, numbing, or erasing parts of it (Kabat-Zinn, 2018). Instead, mindfulness is the gentle noticing and befriending of all of the thoughts, feelings, and sensations that make up our inner world.
- Mindfulness is “woo-woo” and is only useful for certain people. Mindfulness is not woo-woo; it is a tradition that spans thousands of years and a variety of traditions. Over the past 40 years, a vast body of research has emerged and bares out the benefits of mindfulness-based interventions for wellbeing in a number of ways, including related to common experiences such anxiety, depression, and chronic pain (Khoury, Sharma, Rush, & Fournier, 2015). Mindfulness has been introduced in healthcare, clinical, educational, business, and legal settings to explore its usefulness; and research shows benefits for both clinical and non-clinical populations (Visted, Vøllestad, Nielsen, & Nielsen, 2015). The vast majority of people can potentially benefit from paying attention to their experience without judgement and with kindness, and the scientific community continues to explore mindfulness-based interventions.
- Mindfulness involves having a blank mind and no thoughts. The mind wanders, and this is completely natural—even during formal mindfulness practices like meditation. The practice of mindfulness is actually about the steady, consistent practice of bringing the attention back to the present moment when we’re lost in or overidentified with thinking. Overidentification is when we merge with our thinking in such a way that we don’t recognize thinking is happening. For example: “I am a terrible worker” is an example of being fused with a thought. A more mindful approach would be the observation “I am having the thought ‘I am a terrible worker.’” This observational stance can be incredibly helpful de-intensifying the impact of that thinking. Observation creates a pause that makes space for the awareness that thoughts aren’t facts.
- Mindfulness requires you to meditate. Formal meditation is the practice of concentrating on an “object;” examples can be the breath, sounds, thoughts, the body, or even the entire field of whatever arises in awareness. Formal meditation is an incredibly helpful approach to support your capacity to practice mindfulness in everyday moments of living. However, formal meditation is only one mindfulness practice. Any activity can actually be engaged in mindfully—driving a car, walking down the hallway, giving a friend a hug, or brushing your teeth. Bringing non-judgmental attention to any moment is a practice that is always available to us.
- Mindfulness will erase stress and discomfort. While it is true that the practice of mindfulness may at times result in less stress or discomfort, mindfulness is not centered around “arriving” to any particular state of being (e.g., calm, stress-free, happy), though arguably the practice does cultivate a greater overall sense of wellbeing over time. The practice is truly about being with whatever is here, which paradoxically can, in fact, help us experience the transient nature of all thoughts, feelings, and sensations. Yet, it is helpful to avoid beginning a mindfulness practice attached to particular outcomes; such an expectation to lead you to think you’re “doing it wrong,” if certain experiences are not different. Mindfulness will not erase stress and discomfort; mindfulness will support you having a different relationship with stress and discomfort.
- Mindfulness is a “cure-all.” Though the practice has become increasingly popular in various settings, it is important to note that mindfulness is not a panacea, and further research is needed to better understand where, how, and with whom it can be most helpful. While there is strong evidence to support its use, certain practices may be unhelpful or in need of modification if someone is experiencing certain symptomology (e.g., trauma symptoms). More research is needed about the mindfulness-based interventions and certain populations or mental health concerns (e.g., schizophrenia) in service of prioritizing safety and effectiveness with those with whom we are working. Facilitators of mindfulness-based interventions also do need to be trained in the intervention, and education about trauma-sensitive mindfulness practice is helpful regardless of the nature of the intervention (i.e., clinical or non-clinical).
- What does that mean for how much energy you have to create the life you want?
- What does that mean for your wellbeing?
- What does that mean for your relationships?
- What does that mean for how you engage in your work?
- What does that mean for staying in connection with those you serve in your work?
- Attention: intentional focus to the present moment:
- “I am having the thoughts that ‘He doesn’t event care. So disrespectful. Why do I even try? I’m tired of working harder than he is.’ I notice I feel frustrated. I can sense heat in my body and my heart rate rising.”
- Acceptance: recognition of the truth of what is happening in the mind and body (note: this is not resignation, simply acknowledging what is true at this time):
- I don’t like it, but judgement, frustration, and internal heat really is around for me right now.
- Allowance: making space for the full experience of what is happening without pushing it away (unless it is skillful in the moment to have such boundaries)
- giving permission for judgmental thoughts, the frustrated feeling, and the bodily sensations to exist; letting them be here instead of trying to push them away through distraction or busyness
- Attitude: bringing qualities of curiosity, non-judgment, openness, and kindness to witnessing and holding the inner experience
- “It’s interesting I’m having these thoughts;” remembering judgment, frustration, and an activated physiological response are all normal; noticing with as much kindness towards yourself as you can
- Action: choosing deliberative responses (rather than automatic, habitual reactions) that are grounded in awareness of the present moment
- deliberative responses such as taking a short walk before interacting with anyone, reminding yourself you do not have all of the information about the participant’s absences, reminding yourself of the participant’s strengths and the difficulty of the change process for all of us, active listening and asking questions to see understanding when meeting with the participant.
- When are you most mindful at work? What helps that to happen?
- When are you least mindful? What gets in the way?
- When in your day could you commit to pausing for a short meditation? (e.g., when you first sit down to your desk, when transitioning between meetings, before potentially stressful interactions)
- Connecting with yourself:
- Engage in 5 minutes of formal meditation per day. If you are new to meditation, guidance is very helpful. A wealth of free resources exist online, and you can also choose to explore guided meditations using apps (e.g., Waking Up, Headspace, Calm).
- Engage in an “everyday practice” of mindfulness per day. Choose an activity that you regularly do—brushing your teeth, walking the dog, washing the dishes, etc. As best you can, try to notice the experience of the activity (versus thinking about the activity), choosing to anchor your attention on physical sensations. When the mind wanders, as it will, gently escort your attention back to the body. Use your senses to connect to the raw, direct sensations of the experience.
- Connecting with others:
- Choose one conversation per day to practice mindfulness. You do not need to mention you’re practicing to the other person. As best you can, focus your attention on the other person—what is being said, their body language, the emotional tone of what is shared. Notice when thoughts arise (e.g., planning what you want to say), and gently bring your attention back to the speaker. When you notice a thought, you might practicing “noting;” that is, simply saying to yourself “thinking,” which helps to avoid getting lost in the narrative the mind if creating. After noting, return to listening when the other is talking. Practice pausing and considering your words carefully.
Connection: The Essential Practice for Therapeutic Jurisprudence in Treatment Courts
By design, the judicial system wields disconnection as a tool to gain compliance, police behavior, and execute punishment. Rules are standardized, personal histories often remain unconsidered, change is sought through punitive means, and people are, quite literally, numbers. Arguably, the dehumanization inherent in this approach perpetuates, at least in part, the very social problems it seeks to address.
- How can treatment court practitioners stay in connection with themselves to be able to engage with participants skillfully?
- How can treatment court practitioners stay in connection with participants?
- How can treatment court practitioners support participants to stay in connection with themselves?
- What does a connected treatment court team look like? How can connection be cultivated and reflected in practices, processes, and policies?
- What does a connected criminal justice system look like? How can connection be cultivated and reflected in practices, processes, and policies?
Trauma-Informed Spaces and Courtrooms
Trauma-informed Treatment Courts: Translating Knowledge into Action
Which clients in your treatment court have a history of trauma? How can you find out? Why does it matter? While the conversation about the prevalence and devastating effects of trauma has become increasingly open in justice settings, many treatment courts may be blind to it in their own programs or simply hope that good intentions will prevent further trauma. Perhaps now is the time to self-reflect as a treatment court and to take small, but meaningful actions right now.
According to SAMHSA, “Individual trauma results from an event, series of events, or a set of circumstances that is experienced by an individual as physically or emotionally harmful or life threatening and that has lasting adverse effects on the individual’s functioning and mental, physical, social, emotional, or spiritual well-being, (2014a, p. 7).” Trauma experiences can diminish the ability of treatment court participants to engage in programs and long-term recovery. So, what does it mean for organizations to be trauma-informed? First, in order for treatment court programs to fully embody a trauma-informed system of care, all program staff must:
1. Have a basic realization of the origins of trauma and the impact this can have on individuals, families, groups, and communities.
2. Be able to recognize the signs of trauma in individuals.
3. Continuously assess the ways in which policies, procedures, and practices should be revised in order to allow staff to respond to individuals appropriately.
4. Resist engaging in action(s) that may result in re-traumatization.
In addition, SAMHSA (2014a) identifies six key principles that should serve as the foundation for developing your trauma-informed systems of care.
1. Safety (this is #1 for a reason) – above all else, participants’ physical & emotional safety should be promoted in all settings & through all interactions. Individuals (i.e., staff and participants) who do not feel safe will not fully engage.
2. Trustworthiness & Transparency – treatment court operations should be transparent and conducted with an eye toward developing and maintaining mutual trust between and among stakeholders and participants.
3. Peer Support – incorporating peer recovery support specialists into your treatment court program is an effective way for individuals with lived experience to assist participants in their recovery.
4. Collaboration & Mutuality – recognizing and acknowledging that all treatment court team members and participants have unique roles/responsibilities is key to developing collaborative relationships based on mutuality and respect.
5. Empowerment, Voice, & Choice – treatment court team members look for opportunities to empower participants to make decisions and have a voice in their recovery.
6. Cultural, Historical, & Gender Issues – the treatment court program provides participants with access to clinical and recovery support services that are responsive to their cultural, racial/ethnic, and gender needs.
A good place to start moving toward being a trauma-informed treatment court is to screen participants for trauma exposure to determine which individuals are in need of a more thorough assessment and trauma-specific services. Several screening and assessment tools have been validated with justice-involved populations; a sample list is attached. This is by no means an exhaustive list, and note that separate tools have been developed for youth (Collaborative for Change, 2016) and adults (SAMHSA, 2015). Many of these tools are free, while some charge a nominal fee.
To conduct a screen sensitively that will yield valid responses, it is recommended that programs “take the time to prepare and explain the screening and assessment process to the client gives him or her a greater sense of control and safety over the assessment process.” (SAMHSA, 2014b, p. 94). Be prepared to reassess individuals as they grow more willing to disclose information over time.
In the coming months, Beyond the Field entries will periodically highlight literature on trauma-informed practices for different components of treatment courts, including drug testing, courtroom set-up and structure, team dynamics, use of language, and providing participants opportunities to have a voice and make choices.
Branding Your Treatment Court
Honoring Veterans in November
The Justice for Vets 2021 National Veterans Day Toolkit is full of guidance for respectfully recognizing the influence of this day on treatment court participants.
How do We Know if a Therapy is Culturally Relevant?
Evidence-Based Relationships: The Science of Relationships that Work
- To enhance the relational alliance, treatment court team members should frequently discuss participants’ personal values and motivations, and collaboratively review program and client expectations.
- While these relationships must remain professional, expressing genuine caring for participants can help form bonds that are healthy, respectful and meaningful.
- Directly asking clients for feedback about the program and their experiences provides opportunities to improve collaboration, to modify approaches as needed, and prevent premature termination.
- Confrontation has historically been a problem in the addictions field. Interactions that are infused with motivational enhancement elements, such as rolling with resistance, reflective responding and active listening serve as antidotes to these all-too-human, but toxic reactions.
- Individualized treatment plans that consider the individual’s unique and diverse identities are a hallmark of treatment court Best Practices, and the Task Force’s findings confirm this. “Fair treatment” does not equal “identical treatment.” It means tailoring the program and services to match the evolving needs of each individual.
US Treatment Court Count (2020) Now Available
As of December 31, 2020, a total of 3,848 treatment courts were in operation across the United States. The official 2020 count is available by state and court type for all US states and territories. These data were gathered by National Drug Court Resource Center (NDCRC) staff directly from state and territory coordinators between January and April 2021. They are also displayed on our interactive map of treatment courts. How many courts are in your state?