CDCI DCPDataForm v1

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CDCI DCPDataForm v1 Powered By Docstoc
					                                      CALIFORNIA DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS
                                                              Adult Drug Courts Serving Felons
                             Drug Court Partnership Program Act of 2002 (DCP) and Comprehensive Drug Court Implementation (CDCI)
                                                                    Quarterly Data Collection Form
            County:                                                                 Reporting Period:                                            Page    1 of
        County Code:                                                                                        Quarter             Year

        Prepared by:
                                          (Name)                                (Phone #)                                 (e-mail)

                           Complete all fields                             New Participants                                 Change in Status
                       P                    TYPE OF    DATE OF                                           DATE OF      C   REASON FOR                       SENTENCE
                       3        PROGRAM                                                  Sentence                                              Days of
                            E                PLEA       ENTRY                                            CHANGE       H   TERMINATION                       IMPOSED
        UNIQUE         6                                             Leading Felony
                            N                                                         Suspended or                    A                     Incarceration
      PARTICIPANT                                                   Charge (designate
                       R
                            T               Pre- Post-                                 Indicated (in                  N    Designate charge  Avoided by Jail or Proba
           ID                   DCP CDCI               MM/DD/YYYY   by Code Section)                    MM/DD/YYYY
                       E    R               Plea Plea                                      days)                      G    by Code Section    Completer Prison: tion:
                       F    Y                                                                                         E                                   Days  Years
1
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       Footnotes:


     CONFIDENTIAL INFORMATION: Unauthorized Use Subject to Criminal Penalties; see 42 U.S.C. 290dd-2 and 42 C.F.R. Part 2
                                         CALIFORNIA DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS
                                                              Adult Drug Courts Serving Felons
                             Drug Court Partnership Program Act of 2002 (DCP) and Comprehensive Drug Court Implementation (CDCI)
                                                                    Quarterly Data Collection Form
            County:                  0                                              Reporting Period:         0                      0           Page    2 of
        County Code:                                                                                        Quarter             Year

        Prepared by:                         0                                     0                                         0
                                           (Name)                               (Phone #)                                 (e-mail)

                           Complete all fields                             New Participants                                 Change in Status
                       P                    TYPE OF    DATE OF                                           DATE OF      C   REASON FOR                       SENTENCE
                       3        PROGRAM                                                  Sentence                                              Days of
                            E                PLEA       ENTRY                                            CHANGE       H   TERMINATION                       IMPOSED
        UNIQUE         6                                             Leading Felony
                            N                                                         Suspended or                    A                     Incarceration
      PARTICIPANT                                                   Charge (designate
                       R
                            T               Pre- Post-                                 Indicated (in                  N    Designate charge  Avoided by Jail or Proba
           ID                   DCP CDCI               MM/DD/YYYY   by Code Section)                    MM/DD/YYYY
                       E    R               Plea Plea                                      days)                      G    by Code Section    Completer Prison: tion:
                       F    Y                                                                                         E                                   Days  Years
1
2
3
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5
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13
14
15
16
17
18
19
20
21



       Footnotes:


     CONFIDENTIAL INFORMATION: Unauthorized Use Subject to Criminal Penalties; see 42 U.S.C. 290dd-2 and 42 C.F.R. Part 2
                                         CALIFORNIA DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS
                                                              Adult Drug Courts Serving Felons
                             Drug Court Partnership Program Act of 2002 (DCP) and Comprehensive Drug Court Implementation (CDCI)
                                                                    Quarterly Data Collection Form
            County:                  0                                              Reporting Period:         0                      0           Page    3 of
        County Code:                                                                                        Quarter             Year

        Prepared by:                         0                                     0                                         0
                                           (Name)                               (Phone #)                                 (e-mail)

                           Complete all fields                             New Participants                                 Change in Status
                       P                    TYPE OF    DATE OF                                           DATE OF      C   REASON FOR                       SENTENCE
                       3        PROGRAM                                                  Sentence                                              Days of
                            E                PLEA       ENTRY                                            CHANGE       H   TERMINATION                       IMPOSED
        UNIQUE         6                                             Leading Felony
                            N                                                         Suspended or                    A                     Incarceration
      PARTICIPANT                                                   Charge (designate
                       R
                            T               Pre- Post-                                 Indicated (in                  N    Designate charge  Avoided by Jail or Proba
           ID                   DCP CDCI               MM/DD/YYYY   by Code Section)                    MM/DD/YYYY
                       E    R               Plea Plea                                      days)                      G    by Code Section    Completer Prison: tion:
                       F    Y                                                                                         E                                   Days  Years
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21



       Footnotes:


     CONFIDENTIAL INFORMATION: Unauthorized Use Subject to Criminal Penalties; see 42 U.S.C. 290dd-2 and 42 C.F.R. Part 2
                                                             CALIFORNIA DEPARTMENT OF ALCOHOL AND DRUG PROGRAMS
                                                               Adult Felon Drug Court Quarterly Data Collection Instructions
                                                    Drug Court Partnership Program Act of 2002 (DCP) and Comprehensive Drug Court Implementation (CDCI)

The amendments that authorize the extension and funding for the Drug Court Partnership (DCP) and the Comprehensive Drug Court Implementation (CDCI) programs require that existing grantees identify the
specific means by which they verify, through data reports, the cost savings in terms of prison-bed days saved and that they provide additional data as required.

INSTRUCTIONS FOR COMPLETING THE REPORT
The purpose of the report is to collect data on each new participant and note changes in status of current participants in drug courts funded by the DCP and CDCI during the quarter. Please submit a separate
report form for each quarter. Do not report continuing participants unless there is a change in status. If there are no new participants or changes in participant status to report for the quarter, please complete
"county", "quarter", and "prepared by"; and enter "NO CHANGES" in the "Footnote" area and email the form to DrugCourtData@adp.ca.gov . Reports must be submitted by email.
All fields require completion. Any incomplete forms without proper footnote explanation, will be returned for completion and/or correction.
County - Select the name of your county using the drop down list.
Quarter - Select the reporting quarter and the year using the drop down lists.
Prepared by - Enter the name, phone number, and e-mail address of the person preparing the report.
Page - Enter the total number of pages in the report.

Complete for every participant listed on this form:
        Unique Participant ID - This ID contains 9 characters:
         Character 1        Last name initial (Maiden name initial for female participants).
         Character 2        First initial.
         Character 3        Participant's gender, "1" for male, and "2" for female participant.
         Characters 4-9 Participant's date of birth (MMDDYY).
        P36 Referral - If participant was a previous Proposition 36 (SACPA) participant, place an "X" in this field. If not, leave blank.
        Entry - If this is the participant's first entry into Drug Courts, enter "1"; if there have been a previous Drug Court enrollments, enter "2" or "3" depending on the number of prior enrollments. If the
        participant is re-entering without having been reported as terminated, (i.e. inactive, absconded, bench warrant) enter "R" with the new entry/return date.
        Program - Indicate the drug court program (DCP or CDCI) by entering an "X" in the proper column.
        Type of Plea - Indicate the type of plea (pre or post-plea) by entering an "X" in the proper column.
        Date of Entry - Enter participant's date of entry, (or re-entry) into the program - the date they are in court and sign the agreement (MM/DD/YYYY).

New Participants - Report the following data on new participants who entered a program during the reporting quarter:
        Leading Felony Charge - Enter the Penal Code section for the charge for which the participant was referred to the drug court.
        Sentence Suspended or Indicated - Enter the suspended or indicated sentence in days (e.g. 487).

Change in Status - Report the following data on participants who had a change in status during the reporting quarter:
        Date of Change - Enter date of status change by completion, termination, transfer, etc. (MM/DD/YYYY). If exiting by termination, enter date of sentencing.
        Change - Enter "C" if the participant completed the program; "T" if the participant was terminated and will not be re-entering the program; "A" if the participant absconded, had a bench warrant issued,
        or became inactive because of failure to adhere to the program but has not yet been terminated, or is expected to re-enter within 90 days; "O" if the participant opted out or changed mind about
        participating; "X" if the participant transferred to another program or jurisdiction; or "D" if the participant died. Please note: The designation "T - Terminated" should be reserved for those that have failed
        and are not expected to re-enter the program again.
        Reason for Termination - List the new charge causing termination, or choose the reason for termination from one of the following acceptable explanations: "V" for Violation Of Probation/Parole, "U" for
        Unamenable, "O" for other. If the actual charge is known please list it, not "VOP".
        Days of Incarceration Avoided by Completer - Enter the number of days of incarceration the participant avoided by successfully completing the program (total days sentenced minus statutory credits
        and any time incarcerated). If terminated, leave blank.
        Sentence Imposed - Enter the actual sentence in jail or prison days (without credits) that was imposed on the terminated participant. If placed on probation, enter duration in years. If no sentence
        is imposed, add an explanation to the footnotes at the bottom of the page. ADP must be able to report the final outcome of all cases.

                              Save all work and submit the report as an email attachment with your county's name in the subject line to the link below:
                                                                                             DrugCourtData                                                                                             Rev: March 2011

                                                                                          DrugCourtData@adp.ca.gov

				
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