House Bill hb0199

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    Florida House of Representatives - 2001                 HB 199

        By Representative Trovillion






  1                      A bill to be entitled

  2         An act relating to drug courts; providing a

  3         definition; creating drug courts in judicial

  4         circuits; providing goals; providing essential

  5         elements; providing for funding flexibility;

  6         providing for a governing body; specifying

  7         membership; providing for operation and

  8         meetings; providing for public access to

  9         records and meetings; providing for case

10         management and care management; providing

11         criteria; providing for consortia of providers;

12         providing primary objectives; providing for

13         rules of implementation; creating the Florida

14         Association of Drug Court Professionals;

15         providing for membership; authorizing the

16         Supreme Court to establish rules and procedures

17         for drug courts; providing an effective date.

18

19  Be It Enacted by the Legislature of the State of Florida:

20

21         Section 1.  (1)  DEFINITION.--For purposes of this act,

22  "client" means a child, adolescent, or adult within the

23  jurisdiction of a circuit or county court who is an alcohol or

24  controlled substance offender under the criminal justice

25  system of this state and has a serious substance abuse

26  problem.

27         (2)  CREATION.--There is created in the circuit courts

28  and county courts of each judicial circuit a system of

29  treatment-based drug courts for clients and their families. It

30  is the intent of the Legislature to encourage the Department

31  of Corrections, the Department of Children and Family

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  1  Services, the Agency for Health Care Administration, the

  2  Department of Education, the Department of Health, the

  3  Department of Juvenile Justice, local governments, law

  4  enforcement agencies, and any other interested public or

  5  private entity to enter into partnership agreements with such

  6  courts to provide a locally organized system of

  7  treatment-based outcomes as an alternative to punitive

  8  outcomes.  The system shall be provided for with existing

  9  funds, make full use of available federal funding, center on

10  the client and his or her family, promote the integration and

11  coordination of services, provide for accountable outcomes,

12  and emphasize the provision of services in the least

13  restrictive setting that is clinically appropriate to the

14  needs of the client.  Participation in the drug court does not

15  divest any public or private agency of its responsibility for

16  a client but allows such agencies to better meet agency needs

17  through shared resources.

18         (3)  GOALS.--The goal of the drug courts is to reduce

19  crime by reducing recidivism of clients and enhancing the

20  services available to at-risk clients and their families.

21  Each drug court shall design an effective interagency strategy

22  for delivering services to clients and their families. In

23  addition to the guiding principles specified in s. 394.491,

24  Florida Statutes, and the principles of the service planning

25  process specified in s. 394.496(2), Florida Statutes, the

26  goals of the drug courts are to:

27         (a)  Enhance and expedite case management and to reduce

28  court caseloads.

29         (b)  Improve interagency planning efforts through

30  greater collaboration between the courts and public and

31  private community-based agencies.

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  1         (c)  Test creative and flexible strategies for

  2  financing treatment alternatives for clients and their

  3  families.

  4         (d)  Share pertinent information about a client among

  5  appropriate community agencies. Except as otherwise specified,

  6  juvenile drug courts shall comply with the requirements of ss.

  7  394.490-394.497, Florida Statutes.

  8         (4)  ESSENTIAL ELEMENTS.--Treatment-based drug courts

  9  shall conform to the following standards recognized by the

10  Drug Court Program Office of the Office of Justice Programs of

11  the United States Department of Justice:

12         (a)  Drug courts shall integrate alcohol and other drug

13  treatment services with justice system case processing.

14         (b)  Using a nonadversarial approach, prosecution and

15  defense counsel shall promote public safety while protecting

16  participants' due process rights.

17         (c)  Eligible participants shall be identified early

18  and promptly placed in the drug court program.

19         (d)  Drug courts shall provide access to a continuum of

20  alcohol, drug, and other related treatment and rehabilitation

21  services.

22         (e)  Abstinence shall be monitored by frequent testing

23  for alcohol and other drugs.

24         (f)  A coordinated strategy shall govern drug court

25  responses to participants' compliance.

26         (g)  Judicial interaction with each drug court

27  participant shall be ongoing.

28         (h)  Monitoring and evaluation shall measure the

29  achievement of program goals and gauge program effectiveness.

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  1         (i)  The state shall provide continuing

  2  interdisciplinary education to promote effective drug court

  3  planning, implementation, and operations.

  4         (j)  Partnerships among drug courts, public agencies,

  5  and community-based organizations shall generate local support

  6  and enhance drug court effectiveness.

  7         (5)  FUNDING FLEXIBILITY.--The Legislature finds that

  8  clients and their families have particularly complex needs for

  9  services and that strict reimbursement categories do not

10  typically allow flexible funding for purchasing the formal and

11  informal services that are needed by them. Therefore, each

12  drug court shall be administered by a multiagency consortium

13  of state and county agencies and may use an integrated blend

14  of state, federal, and local funds to purchase individualized

15  treatment and support services for clients under the court's

16  jurisdiction and their families, based on client need rather

17  than on traditional services which are limited to narrowly

18  defined cost centers or appropriation categories.

19         (6)  DRUG COURT GOVERNING BODY.--The chief judge of

20  each judicial circuit shall establish a governing body for

21  treatment-based drug courts.  The governing body shall be the

22  responsible state agency assigned to recover funds

23  appropriated for drug court services.  The governing body may

24  enter into and administer contracts, apply for and recover

25  federal, state, and local grants, and enter into partial

26  agreements with other state agencies.

27         (a)1.  The governing body for the treatment-based drug

28  court of a judicial circuit shall consist of:

29         a.  The chief circuit judge, or another circuit judge

30  designated by the chief circuit judge.

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  1         b.  The state attorney, or an assistant state attorney

  2  designated by the state attorney, of the circuit.

  3         c.  The public defender, or an assistant public

  4  defender designated by the public defender, of the circuit.

  5         d.  Each circuit judge or county judge assigned to hear

  6  drug court cases in the circuit.

  7         e.  The chief correctional officer of each county in

  8  the circuit.

  9         f.  The sheriff of each county in the circuit.

10         g.  The chief of police of any municipality in the

11  circuit as appointed by the chief judge.

12         h.  The state probation circuit administrator.

13         i.  The chair of the board of county commissioners of

14  each county in the circuit, or another county commissioner as

15  designee.

16         j.  The director of any county probation or pretrial

17  intervention program, if the county has established such

18  program.

19         k.  The director of any substance abuse treatment

20  program contracting to accept drug court clients, or a member

21  designated by the director.

22         l.  Representatives from county and state jobs programs

23  and other community groups who work with substance abuse

24  offenders and victims, to be appointed by the chair of the

25  board of county commissioners.

26         m.  The district administrator of the Department of

27  Children and Family Services.

28         n.  The district administrator of the Department of

29  Corrections.

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  1         o.  The chair of the school board of each county in the

  2  circuit, or another school board member or the superintendent

  3  as designee.

  4         2.  The chief judge or his or her designee shall serve

  5  as the chair of the governing body.

  6         3.  The drug court coordinator of each circuit shall

  7  serve as chief administrative officer of the governing body.

  8         (b)  The governing body for a circuit of two or more

  9  counties may operate by executive committees for each county,

10  consisting of the members from or serving in that county.

11         (c)  The governing body shall meet at least quarterly

12  at the call of the chair for the purpose of:

13         1.  Assessing the availability of pretrial intervention

14  or probation programs, work-release programs, substance abuse

15  programs, and the confinement status of the inmates housed

16  within each facility owned or contracted by the county or the

17  county consortium.

18         2.  Developing a mechanism for measuring compliance

19  with the goals of the drug courts, which mechanism shall

20  include qualitative and quantitative performance outcomes and

21  shall provide for reporting on compliance rates and conducting

22  quality improvement functions. At a minimum, the mechanism for

23  measuring compliance shall include the outcomes and measures

24  established in the General Appropriations Act and the outcomes

25  and measures that are unique to the drug courts.

26         (d)  All meetings of the governing body, as well as its

27  records, books, documents, and papers, shall be open and

28  available to the public in accordance with ss. 119.07 and

29  286.011, Florida Statutes.

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  1         (e)  The governing body shall develop a local strategic

  2  plan for future needs. The plan shall cover at least a 5-year

  3  period and shall provide for:

  4         1.  Managing the funds of the drug court within budget

  5  allocations. The administrative costs associated with the

  6  operation of the models shall be itemized in the entity's

  7  operating budget.

  8         2.  Purchasing individual services in a timely manner.

  9         3.  Identifying a network of providers that meet the

10  requirements of subsection (7).

11         (7)(a)  CASE MANAGEMENT.--The fundamental activities of

12  drug court case management include engaging the client in the

13  treatment process, assessing the client's needs, developing a

14  service plan, linking the client with appropriate services,

15  monitoring client progress, intervening with sanctions when

16  necessary, and advocating for the client as needed.  Case

17  management within a criminal justice context requires the case

18  manager to take on additional tasks beyond those assumed by

19  traditional social service case managers.  The criminal

20  justice case manager may function as a member of a team that

21  creates and implements a service plan for a client or as one

22  of several case managers independently creating service plans

23  for a client. The primary goal of successful case management

24  for criminal justice clients shall be a reduction in

25  recidivism. A team of case managers, each with a different

26  responsibility, may coordinate services delivery and

27  achievement of drug court goals.  A probation officer or drug

28  court officer may act as the client's service broker, court

29  liaison, and monitor, while secondary case managers in

30  intervention and substance abuse programs may provide

31  counseling and treatment, as well as referrals to other social

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  1  services. Case managers in intervention and treatment programs

  2  may also advocate on the client's behalf before the courts if

  3  their assessment of the client's progress or compliance

  4  differs from that of the probation officer or drug court

  5  officer. A criminal justice case manager may undertake the

  6  following additional tasks beyond the traditional "service

  7  broker" model:

  8         1.  Intake, which may involve crisis intervention,

  9  establishing a rapport with the client, providing orientation,

10  and discussing sanctions for failures to comply. Whenever

11  possible, intake shall be performed face-to-face, as soon as

12  possible, following the incident.

13         2.  Classification, which may be based on criteria

14  eligibility and risk assessments derived from the offender's

15  criminal history.  More complicated cases may include the

16  written assessments of mental health experts, social workers,

17  or additional specialists.  Based on classification, offenders

18  may be assigned to particular levels within the drug court

19  program.

20         3.  Assessment, which involves interviews and history

21  taking and may include substance abuse evaluation or

22  specialized psychological evaluation, home visits, and

23  contacts with the family members, employers, and other

24  agencies with which the client has been involved.  When

25  specialized assessments are necessary, the case manager shall

26  arrange for or approve the provider.

27         4.  Referral, which may take many forms, depending on

28  the status and needs of the offender. Case managers may refer

29  offenders to community and governmental agencies that can

30  assist with substance abuse treatment, residential treatment,

31  halfway house placement, employment training and placement,

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  1  mental health counseling, educational and vocational training,

  2  public assistance, and assistance with developmental

  3  disabilities, HIV/AIDS, or other serious health problems.

  4         5.  Intervention, under which the case manager matches

  5  available resources and services to the client's identified

  6  needs.  The client shall be responsible for cooperating with

  7  program requirements and changing his or her behavior.

  8         6.  Monitoring, which may include or incorporate

  9  graduated, court-ordered sanctions, such as frequent court

10  reviews or short incarcerations, to encourage offender

11  cooperation with case management goals.  Monitoring shall

12  include frequent drug or alcohol testing, weekly or even daily

13  phone or personal contact between the case manager and the

14  client, and frequent communication with service providers to

15  track the client's compliance with the court-ordered

16  conditions or program requirements. The need for intensive

17  client monitoring should decrease over time, shifting from a

18  highly structured intervention with extreme external controls

19  on relapse or reoffense to a less structured monitoring system

20  that places greater emphasis on personal responsibility and,

21  eventually, a return of all control and responsibility for

22  avoiding relapse or recidivism to the client.

23         7.  Evaluation, under which the case manager shall

24  determine if the client has received the services outlined in

25  the case management plan and whether the client has benefited

26  from those services.  Case managers may use the following

27  measures of behavioral change to gauge response to the

28  intervention of the drug court: data provided by the client,

29  urine drug screening, program attendance and compliance

30  reports, and information from victims, family members,

31  employers, or other agencies. Evaluations of case management

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  1  programs shall consider such factors as overall efficiency of

  2  service delivery, cost-effectiveness, and any systematic

  3  obstacles to service delivery.

  4         8.  Advocacy, which shall be provided by case managers

  5  in a criminal justice setting.  The case manger may testify or

  6  make recommendations in court on the client's behalf,

  7  negotiate services for clients, or secure priority placements

  8  at programs with waiting lists.  The case manager may also

  9  mediate difficult situations for the client, such as arranging

10  visitation with children no longer in the client's custody.

11         (b)  CARE MANAGEMENT.--It is the intent of the

12  Legislature that the drug court treatment system be designed

13  to provide a full continuum of treatment services, including

14  detoxification and residential, outpatient, and aftercare

15  services.  All programs shall comply with regulatory

16  requirements as well as individualized required accreditation

17  requirements. The model shall provide for:

18         1.  Review of the completed client assessment

19  information and completion of additional assessments that are

20  needed, including an assessment of the strengths of the client

21  and his or her family.

22         2.  Organization of a client-family team to develop a

23  single, unified services plan for the client, in accordance

24  with ss. 394.490-394.497, Florida Statutes. The team shall

25  include the parents, if the client is a child or adolescent,

26  and other family members of the client, friends and

27  community-based supporters of the client, and appropriate

28  service providers who are familiar with the problems and needs

29  of the client and his or her family. The plan shall include a

30  statement concerning the strengths of the client and his or

31  her family, and must identify the natural supports in the

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  1  family and the community that might be used in addressing the

  2  service needs of the client. A copy of the completed service

  3  plan shall be provided to the parents of the client if the

  4  client is a child or adolescent.

  5         3.  Implementation of a case management system that

  6  concentrates on the strengths of the client and his or her

  7  family and uses these strengths in case planning and

  8  implementation activities. The case manager is primarily

  9  responsible for developing the services plan and shall report

10  to the care management entity. The case manager shall monitor

11  and oversee the services provided by the network of providers.

12  If the client is a child or adolescent, the client's parents

13  shall be informed about contacting the care management entity

14  or comparable entity to address concerns of the parents.

15

16  Each person or organization that performs any of the care

17  management responsibilities specified in this paragraph is

18  responsible only to the care management entity. However, such

19  care management responsibilities do not preclude the person or

20  organization from performing other responsibilities for

21  another agency or provider.

22         (8)  CONSORTIUM OF PROVIDERS.--

23         (a)  A consortium of providers shall be established,

24  the primary objectives of which shall be to:

25         1.  Identify providers within the area of the drug

26  court which are currently funded by the state agencies

27  included in the drug court and identify additional providers

28  that are needed to provide additional services for the target

29  population. The network of providers may include:

30         a.  Licensed mental health professionals, as defined in

31  s. 394.455(2), (4), (21), (23), and (24), Florida Statutes.

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  1         b.  Professionals licensed under chapter 491, Florida

  2  Statutes.

  3         c.  Teachers certified under s. 231.17, Florida

  4  Statutes.

  5         d.  Facilities licensed under chapter 395, Florida

  6  Statutes, as a hospital; s. 394.875, Florida Statutes, as a

  7  crisis stabilization unit or short-term residential facility;

  8  or s. 409.175, Florida Statutes, as a residential child-caring

  9  agency.

10         e.  Other principal treatment providers or agencies in

11  the community who can provide supervision, counseling,

12  vocational training, education, job placement, and other

13  services to clients and their families.

14         2.  Develop a uniform case file and management

15  information case-tracking system to monitor clients.

16         3.  Define methods to measure the collective

17  performance outcomes of services provided by providers and

18  state agencies, measure the performance of individual

19  agencies, and implement a quality improvement process

20  throughout the provider network.

21         4.  Train all providers with respect to the principles

22  of care outlined in this act, including effective techniques

23  of cooperation, the wraparound process and strengths-based

24  assessment, the development of service plans, and techniques

25  of case management.

26         5.  Conduct ongoing program assessment and refinement,

27  as needed.  Provider operations and client treatment needs and

28  sanctions imposed shall be monitored continuously to identify

29  problems in program policies, procedures, or resources as they

30  arise, recommend required changes, and provide periodic

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  1  reports on the efficiency of the program to all agencies

  2  involved.

  3         (b)  Notwithstanding chapter 216, Florida Statutes, the

  4  organized system of care implemented through the drug court

  5  may expend funds for services without any categorical

  6  restraints and shall provide for budget and program

  7  accountability and for fiscal management using generally

  8  accepted business practices pursuant to the direction of the

  9  governing body. Funds shall be allocated so as to allow the

10  local purchasing entity to provide the most appropriate care

11  and treatment to the client, including a range of traditional

12  and nontraditional services in the least restrictive setting

13  that is clinically appropriate to the needs of the client. The

14  consortium of purchasers shall assure that funds appropriated

15  in the General Appropriations Act for services for the target

16  population are not used for any other purpose than direct

17  services to clients and their families.

18         (c)  A local consortium of purchasers which chooses to

19  participate in the drug court may reinvest cost savings in the

20  community-based drug court treatment and support system. A

21  purchaser that participates in the consortium is exempt from

22  administrative procedures otherwise required with respect to

23  budgeting and expending state and federal program funds. The

24  local consortium of purchasers are responsible for designing a

25  well-defined care management system and network of experienced

26  mental health providers in order to achieve delineated client

27  outcomes.

28         (d)  Each agency that participates in the consortium

29  shall enter into a written interagency agreement that defines

30  each agency's responsibilities.

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  1         (9)  RULES FOR IMPLEMENTATION.--Each participating

  2  state agency shall adopt rules for implementing its

  3  participation in drug court partnership agreements. Such rules

  4  shall be developed in cooperation with other appropriate state

  5  agencies for implementation within 90 days after obtaining any

  6  necessary federal waivers. The Medicaid program within the

  7  Agency for Health Care Administration may obtain any federal

  8  waivers that are necessary for implemention. Each drug court

  9  must comply with the requirements for maintaining the

10  confidentiality of clinical records, as specified in s.

11  394.4615, Florida Statutes.

12         (10)  ASSOCIATION.--The Florida Association of Drug

13  Court Professionals is hereby created.  Membership in the

14  association shall be open to any judge of this state, any

15  attorney licensed to practice in this state, any professional

16  licensed by the Department of Business and Professional

17  Regulation, and any federal, state, or county employee.  Each

18  member of a drug court governing body, attorney practicing in

19  a drug court, and at least one management level employee of

20  any treatment provider shall be members of the association.

21  All drug court practitioners are encouraged to join the

22  association. State agencies are authorized to budget for

23  payment of an employee's annual association dues, pursuant to

24  s. 26.55, Florida Statutes. The Supreme Court of this state is

25  authorized and empowered to collaborate with any state agency

26  to establish, not later than 1 year after the effective date

27  of this act, rules governing the practice and procedure of

28  drug courts and rules governing the professional conduct of

29  members of the association and other drug court practitioners.

30         Section 2.  This act shall take effect upon becoming a

31  law.

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  1            *****************************************

  2                          HOUSE SUMMARY

  3
      Creates drug courts in judicial circuits of this state to
  4    provide for treatment-based outcomes rather than punitive
      outcomes for offenders who have serious substance abuse
  5    problems. Provides goals and essential elements of drug
      courts. Provides for funding. Provides for a governing
  6    body of each drug court. Provides for case management and
      care management of clients. Provides for consortia of
  7    providers for client services in drug court programs.
      Creates the Florida Association of Drug Court
  8    Professionals. Authorizes the Florida Supreme Court to
      establish rules and procedures for drug courts. See bill
  9    for details.

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