{"id":2018,"date":"2012-11-30T17:29:11","date_gmt":"2012-12-01T00:29:11","guid":{"rendered":"http:\/\/alcoholmonitoring.com\/blog\/?p=2018"},"modified":"2021-08-26T12:06:46","modified_gmt":"2021-08-26T18:06:46","slug":"slipping-through-the-cracks-fox-news-oped-hits-on-mental-health-crime","status":"publish","type":"post","link":"https:\/\/www.scramsystems.com\/blog\/2012\/11\/slipping-through-the-cracks-fox-news-oped-hits-on-mental-health-crime\/","title":{"rendered":"Slipping Through the Cracks: Fox News Op\/Ed Hits on Mental Health,&#160;Crime"},"content":{"rendered":"<p>Earlier today, Fox\u00a0News Medical Team member <a href=\"http:\/\/www.foxnews.com\/opinion\/2012\/11\/30\/should-lindsay-lohan-be-monitored-for-next-decade-for-her-own-good\/?intcmp=features\" target=\"_blank\" rel=\"noopener noreferrer\">Dr. Keith Ablow published an op\/ed piece on Foxnews.com\u00a0 <\/a>addressing the issue of what he calls &#8220;aggressive psychiatric intervention&#8221; for certain criminal offenders. Basing his article on the newest charges against actress\u00a0Lindsay Lohan, Ablow uses the troubled actress as a cautionary tale about what he sees as the classic signs of alcohol and substance abuse, co-occurring with psychiatric issues, that are driving repeat, dangerous, criminal&#160;choices.<\/p>\n<p>In his piece, Ablow offers that jail, treatment, or short-term stints of testing and\u00a0monitoring are not going to alter the path of an individual unwilling or unable to regain control. And he balances the needs for community safety, the safety of the offender, and even the burden of the taxpayer in his&#160;approach.<\/p>\n<p>Instead, Ablow says the program should be comprehensive, lasting for years and as much as a decade, in an effort to truly change&#160;behavior.<\/p>\n<p>While to some that might sound unreasonable, there is actually research that supports his contention. But what is notably absent in Ablow&#8217;s story is mention of\u00a0the nationwide network of Specialty Courts that base their dockets on a &#8220;psychiatric&#8221; approach, focusing on the mental health and addiction issues that are known to be the true core of repeat, criminal\u00a0&#160;behavior.<\/p>\n<p>Ablow&#8217;s approach is spot on and proven, albeit generally\u00a0for shorter sentences than the 10 years he proposes for a Lohan-level repeat offender. So the question&#160;becomes:<\/p>\n<blockquote><p>How can an individual, repeatedly in the system for drug and alcohol-fueled offenses of varying types and degrees and in multiple states, be in and out of courts, probation, jails, and treatment for years, yet never end up in a Drug, DUI, or Mental Health&#160;court?<\/p><\/blockquote>\n<p>The reasons are varied and common. First, Specialty Courts have limited docket space and thus strict criteria for acceptance. Oftentimes, other less intensive options such as standard probation\u00a0are a better alternative for less motivated offenders. Courts save the space for those truly motivated to&#160;change.<\/p>\n<p>It is entirely possible that other factors such as low impulse control, attention deficit disorders, depression, or co-occurring mental health issues also play a role with poly substance abuse. That means that proper, thorough assessment becomes a key determinant of what opportunities become&#160;available.<\/p>\n<p>Lastly, acceptance into a Specialty Court docket is generally a type of\u00a0privilege, and with that privilege comes tougher requirements, longer periods of supervision, higher expectations, and stricter and swifter consequences for violations. Not at the top of the list of wants for someone who struggles with substance abuse and, as Ablow says, &#8220;&#8230;demonstrates an inability or unwillingness to take control of his or her life&#8230;&#160;.&#8221;<\/p>\n<p>When offenders do get into such a program, the statistics, provided by the\u00a0<a href=\"http:\/\/www.nadcp.org\/learn\/facts-and-figures\" target=\"_blank\" rel=\"noopener noreferrer\">National Association\u00a0of Drug Court Professionals<\/a>, support a powerful&#160;picture:<\/p>\n<h3>Drug Courts Reduce&#160;Crime<\/h3>\n<ul>\n<li>FACT: Nationwide, 75% of Drug Court graduates remain arrest-free at least two years after leaving the&#160;program.<\/li>\n<li>FACT: Rigorous studies examining long-term outcomes of individual Drug Courts have found that reductions in crime last at least 3 years and can endure for over 14&#160;years.<\/li>\n<li>FACT: The most rigorous and conservative scientific \u201cmeta-analyses\u201d have all concluded that Drug Courts significantly reduce crime as much as 45% more than other sentencing&#160;options.<\/li>\n<\/ul>\n<p>Ablow says that an aggressive psychiatric protocol\u00a0could reduce recidivism by as much as 50%, saving taxpayers billions. Again, NADCP research supports his&#160;estimates:<\/p>\n<ul>\n<li>FACT: Nationwide, for every $1.00 invested in Drug Court, taxpayers save as much as $3.36 in avoided criminal justice costs&#160;alone.<\/li>\n<li>FACT: When considering other cost offsets such as savings from reduced victimization and healthcare service utilization, studies have shown benefits range up to $27 for every $1&#160;invested.<\/li>\n<li>FACT: Drug Courts produce cost savings ranging from $3,000 to $13,000 per client. These cost savings reflect reduced prison costs, reduced revolving-door arrests and trials, and reduced&#160;victimization.<\/li>\n<li>FACT: In 2007, for every Federal dollar invested in Drug Court, $9.00 was leveraged in state&#160;funding.<\/li>\n<\/ul>\n<p>And as for Ablow&#8217;s suggestion that a combination of Vivitrol, regular drug testing, and <a href=\"http:\/\/www.alcoholmonitoring.com\" target=\"_blank\" rel=\"noopener noreferrer\">Continuous Alcohol Monitoring <\/a>should be required for the duration of supervision to ensure compliance, as well as provide a mechanism to identify violations and promptly apply sanctions? Yup, that&#8217;s right.\u00a0NADCP statistics, as well as their formal position on the importance of drug testing and <a href=\"http:\/\/www.nadcp.org\/sites\/default\/files\/nadcp\/NADCP%20Board%20Position%20Statement%20-%20Alcohol%20Detection%20and%20Technology.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">technology such as Continuous Alcohol Monitoring<\/a>, support his&#160;analysis.<\/p>\n<h3>Drug Courts Ensure&#160;Compliance<\/h3>\n<ul>\n<li>FACT: Unless substance abusing\/addicted offenders are regularly supervised by a judge and held accountable, 70% drop out of treatment&#160;prematurely.<\/li>\n<li>FACT: Drug Courts provide more comprehensive and closer supervision than other community-based supervision&#160;programs.<\/li>\n<li>FACT: Drug Courts are six times more likely to keep offenders in treatment long enough for them to get&#160;better.<\/li>\n<\/ul>\n<p>Lohan indeed serves as a high profile example of the loopholes that allow thousands of individuals each year to continue to be repeat offenders in the system, despite completing (albeit at a minimum level) supervision requirements. And indeed, the consequences for violations must be swift and appropriate to truly impart change. Lohan may be high profile, but she is by no means unique in the&#160;system.<\/p>\n<p>What do you think? Should the Specialty Court model include intensive psychiatric interventions that last as long as 10 years? Are some offenders too entrenched in their addiction to respond to the shorter term programs currently available across the&#160;country?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Earlier today, Fox\u00a0News Medical Team member Dr. Keith Ablow published an op\/ed piece on Foxnews.com\u00a0 addressing the issue of what he calls &#8220;aggressive psychiatric intervention&#8221; for certain criminal offenders. Basing his article on the newest charges against actress\u00a0Lindsay Lohan, Ablow uses the troubled actress as a cautionary tale about what he sees as the classic [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,4,5,6],"tags":[43,141,185,214,233,250,296,310,311,429,458,481,488,582,646,669],"class_list":["post-2018","post","type-post","status-publish","format-standard","hentry","category-alcohol-addiction","category-community-corrections","category-drunk-driving","category-specialty-courts","tag-addiction","tag-cam","tag-continuous-alcohol-monitoring","tag-dr-keith-ablow","tag-drug-courts","tag-dui-courts","tag-feature","tag-fox-news","tag-fox-news-medical-a-team","tag-lindsay-lohan","tag-mental-health","tag-nadcp","tag-national-association-of-drug-court-professionals","tag-recidivism","tag-specialty-courts-2","tag-taxdollars"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Slipping Through the Cracks: Fox News Op\/Ed Hits on Mental Health, Crime | Sobering Up<\/title>\n<meta name=\"description\" content=\"Earlier today, Fox\u00a0News Medical Team member Dr. Keith Ablow published an op\/ed piece on Foxnews.com\u00a0 addressing the issue of what he calls &quot;aggressive\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.scramsystems.com\/blog\/2012\/11\/slipping-through-the-cracks-fox-news-oped-hits-on-mental-health-crime\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Slipping Through the Cracks: Fox News Op\/Ed Hits on Mental Health, Crime | Sobering Up\" \/>\n<meta property=\"og:description\" content=\"Earlier today, Fox\u00a0News Medical Team member Dr. Keith Ablow published an op\/ed piece on Foxnews.com\u00a0 addressing the issue of what he calls &quot;aggressive\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.scramsystems.com\/blog\/2012\/11\/slipping-through-the-cracks-fox-news-oped-hits-on-mental-health-crime\/\" \/>\n<meta property=\"og:site_name\" content=\"Sobering Up\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/SCRAMx\" \/>\n<meta property=\"article:published_time\" content=\"2012-12-01T00:29:11+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-08-26T18:06:46+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.scramsystems.com\/blog\/wp-content\/uploads\/man-binge-drinking.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1170\" \/>\n\t<meta property=\"og:image:height\" content=\"700\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Sobering Up Administrator\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@scramsystems\" \/>\n<meta name=\"twitter:site\" content=\"@scramsystems\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Sobering Up Administrator\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.scramsystems.com\/blog\/2012\/11\/slipping-through-the-cracks-fox-news-oped-hits-on-mental-health-crime\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.scramsystems.com\/blog\/2012\/11\/slipping-through-the-cracks-fox-news-oped-hits-on-mental-health-crime\/\"},\"author\":{\"name\":\"Sobering Up Administrator\",\"@id\":\"https:\/\/www.scramsystems.com\/blog\/#\/schema\/person\/d81eb856e7b30e26591614b66cb58512\"},\"headline\":\"Slipping Through the Cracks: Fox News Op\/Ed Hits on Mental Health,&#160;Crime\",\"datePublished\":\"2012-12-01T00:29:11+00:00\",\"dateModified\":\"2021-08-26T18:06:46+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.scramsystems.com\/blog\/2012\/11\/slipping-through-the-cracks-fox-news-oped-hits-on-mental-health-crime\/\"},\"wordCount\":893,\"commentCount\":1,\"publisher\":{\"@id\":\"https:\/\/www.scramsystems.com\/blog\/#organization\"},\"keywords\":[\"addiction\",\"CAM\",\"continuous alcohol monitoring\",\"Dr. Keith Ablow\",\"Drug Courts\",\"DUI Courts\",\"feature\",\"Fox News\",\"Fox News Medical A-Team\",\"Lindsay Lohan\",\"mental health\",\"NADCP\",\"National Association of Drug Court Professionals\",\"recidivism\",\"specialty courts\",\"taxdollars\"],\"articleSection\":[\"Alcohol Misuse &amp; 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