The literature supporting the efficacy of drug courts continues to grow. Much attention and research has focused on recidivism rates for participants, and generally address the question of, do drug courts work? The current state of drug court practice is a process that relies heavily on the drug and alcohol treatment services that are offered to clients. Many treatment programs, and the treatment philosophy that underlies their approach to solving substance abuse, offer vague and eclectic approaches that oftentimes do not meet the diverse needs of their clients related to gender, culture, and specific cognitive impacts on the brain caused by drug use. We argue that a move toward the use of evidence-based practice, coupled with quality assurance measures for treatment providers, will promote best practice and will ensure program integrity that leads to effective and long-lasting drug court programs.

Drug courts aim to significantly address drug abuse and drug-related criminality. However, the effectiveness of drug courts varies from court to court. The variation of success demands insights regarding what is going on inside the “black box” of drug court practices. Therefore, it is necessary to evaluate to what extent drug courts are operated in adherence with guiding principles and strategies. Using a national sample and validated measures, the current article examines the “black boxes” of adult and juvenile drug courts across the country. We found that, in general, adult drug courts face less model adherence challenges in comparison with juvenile courts, which may, in part, explain why adult drug courts perform better than juvenile drug courts overall.

Drug courts solve problems, namely, reducing drug use and recidivism. The current research attempts to answer the question of how to ensure program fidelity and therefore optimize the efficacy of drug courts. Justice professionals and scholars have recognized that there are multiple internal and external threats that could undermine the drug court operation. At this point, the mechanism(s) by which threaten factors affect drug court program fidelity has been neither theoretically modeled nor empirically tested. In the present study, using a national sample and the Structural Regression Analysis (SRA), we found collaboration and judicial decision making are the most important factors for maintaining drug court program fidelity. This is because collaboration and judicial decision making can mediate the threats and challenges from many quarters, including the lack of information sharing and evaluation, treatment, operational support, and community and political support.

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