Kiffer, J.J., Superior Court of Guam, Guam
Adult and juvenile drug courts have been gaining in popularity over the past decade in the United States. The Center for Disease Control surveys on Guam show cannabis use rates consistent with the mainland but stimulatant use, primarily crystal methamphetamine, at eight times the rate found on the mainland for juveniles. Guam's Superior Court has addressed the issues by implementing a Juvenile Drug Court (JDC) in February, 2002, based on a unique model designed to meet the challenges of limited treatment providers, an island environment, and cultural diversity The treatment core of the JDC is a four-phase program. Phase I, four to six weeks - orientation phase, includes psycho-educational groups, a complete strength-based psychological evaluation, and an individualized treatment plan. Phase II, 12 to 14 weeks - acquisition phase, introduces clinical groups based on a motivational practice model. The treatment model focuses on developmentally appropriate tasks modified for Guam's culture and subjects generally accepted as important in substance use populations as anger management, social skills, communication skills, and relapse prevention. Strong family involvement is required in the clinical model for treatment. Phase III, 12 to 14 weeks, - application phase, is the use of the clinical concepts gained from Phase II. Phase IV, 22 to 26 weeks, is the monitoring phase. Client contact is decreased in frequency over the course of the program. The JDC has developed a specific management information system and outcome evaluation plans.