2019 Harm Reduction Summit April 9 2019 David

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2019 Harm Reduction Summit April 9, 2019 David A. Tapp Judge of the 28

2019 Harm Reduction Summit April 9, 2019 David A. Tapp Judge of the 28 th Circuit

Kentucky counties make up 10 of the 25 worst places to live in the

Kentucky counties make up 10 of the 25 worst places to live in the U. S. Published 2: 16 p. m. ET March 13, 2019

“Nobody will laugh long who deals much with opium, Its’ pleasures even are of

“Nobody will laugh long who deals much with opium, Its’ pleasures even are of a grave and solemn complexion. ”

“Their was a girl at the station that reminded me of myself the way

“Their was a girl at the station that reminded me of myself the way I use to be. She stumbled out of her car barely hold her head up & her eyes were almost closed. As she entered the station she went straight to the bathroom. I used to stop & do pills in the bathroom at gas stations. I am sure that is what she was doing. . I felt the need to thank God for being with me all the times that I drove all messed up like her. ”

Kentucky Court of Justice • • Opportunities Pre-trial Release; Pre-trial Diversion; Probation Supervision; Incarceration.

Kentucky Court of Justice • • Opportunities Pre-trial Release; Pre-trial Diversion; Probation Supervision; Incarceration. • • Modalities 12 Step Programs; Outpatient; Residential; Medication Assisted Treatment.

Kentucky Treatment Courts • 620 graduates and 75 drug free babies; • $516, 976

Kentucky Treatment Courts • 620 graduates and 75 drug free babies; • $516, 976 in child support and $542, 571 in paid other court ordered obligations; • 160, 928 hours of community service performed; • 50% lower recidivism than probation as usual; • For every dollar spent on Drug Court, $4. 14 saved in avoided costs.

Kentucky SMART Courts (28 th Judicial Circuit) • 124 completions with 60% early termination;

Kentucky SMART Courts (28 th Judicial Circuit) • 124 completions with 60% early termination; • 88% employment rate; • Probation “as usual” defendants significantly more likely than SMART defendants to test positive for illicit drugs (other than THC); • Pay their fines, fees and costs; • Far less likely to be re-arrested; and • Serve less jail time and save taxpayer dollars.

Medication Assisted Treatment • MAT available at all stages; • Courts utilize hearings to

Medication Assisted Treatment • MAT available at all stages; • Courts utilize hearings to confirm compliance with KAR and FDA requirements; • 28 th Circuit MAT program served as state and national model; • Naltrexone offers unique advantages.

“Today was kind of bittersweet, this morning I had a drug test and drug

“Today was kind of bittersweet, this morning I had a drug test and drug court. I wasn’t called until last in drug court. . Truthfully it made me nervous, although I know I’ve done nothing at all wrong. Turns out it was a good thing, I’ve never felt so good as I did to have my judge brag on me this way. I feel proud, it was a great morning. . ”

David A. Tapp Judge of the 28 th Circuit 50 Public Square Somerset, KY

David A. Tapp Judge of the 28 th Circuit 50 Public Square Somerset, KY 42501 davidtapp@kycourts. net

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