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The first drug court (originally called expedited drug case management), was created in 1989 in Miami-Dade County, Florida, at the behest of legal professionals and politicians, including Janet Reno, who were intent on developing a rehabilitation-oriented substitute to imprisonment for drug offenders. The escalation of the “War on Drugs” and “Tough on Crime” movements during the 1980s had overwhelmed court dockets and prisons with steadily growing numbers of drug cases, most of the nonviolent. The traditional punitive justice model was ineffective at dealing with drug-addicted offenders, who commonly re-offended after release, siphoning resources. Determined to apply evidence-based practices, the treatment and behavior modification approaches employed in this alternative sentencing setting showed widespread success from the start, improving outcomes for offenders (who were now called “clients”) and reducing societal costs.

Thereafter, the model was institutionalized via the Office of Justice Policy's report on the key components of drug courts, spreading quickly across and beyond the United States and graduating over one million clients by 2010. However, more recent studies have raised some concerns about possible inequities and inconsistencies in the evaluation methods, practices, and outcomes of today's drug courts, contributing to a denouncement of drug courts by the National Association of Criminal Defense Lawyers (NACDL) in 2009. Still, the majority of studies continue to suggest that they are a highly successful alternative to imprisonment, and the model is still widely supported by social scientists.

The Drug Court Model

The primary goal of drug courts is to stop substance abuse and related social problems. Additionally, they are focused on rehabilitating drug offenders socially and reducing criminal justice costs. These goals are the foundation for the model that has developed, representing a paradigm shift away from the punitive focus of traditional courts.

This shift was inspired by the many failures of the existing criminal justice system in dealing with drug offenses. During the escalation of the War on Drugs in the 1980s, a high proportion of criminal cases became nonviolent, drug-related offenses, which the existing system responded to with mass incarceration. Those prison terms were followed by relapses into abuse and rearrest for the many drug offenders, and treatment programs alone were seen as an insufficient solution because of their lack of coercive force and limited availability. Therefore, by the end of the 1980s, social scientists, some criminal justice system officials, and activists were calling for changes to a broken and costly system.

In that context, drug courts first developed as a practical solution, aimed at balancing individual, community, and fiduciary goals; helping drug abusers while holding them accountable. Principles from three emerging criminal justice paradigms were adopted in those first courts: therapeutic jurisprudence, which considers the therapeutic impacts of the legal process; re-integrative shaming, aimed at reintegration through social ceremonies discouraging illegal behavior without labeling the actor as evil; and restorative justice, which focuses on repairing harm and rebuilding social relationships.

Applying these perspectives, the early drug courts model emerged as client-and rehabilitation-focused, aimed primarily at helping to improve the lives of substance abusers. In that model, drug abuse is treated as medical problem, treatment is seen as the only solution, and success is measured on human terms. Rehabilitation is treated as a social process, and successful reintegration is encouraged via a cognitive-behavioral relapse prevention model that teaches coping and recognizes the social pressures that discourage sobriety. Both progress and setbacks are expected, so noncompliance is responded to with assistance and graduated sanctions, not prosecution.

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