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Veterans Treatment Court (VTC)

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Last Updated - 06/22/2024

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Key Takeaways

  • The first Veterans Treatment Court (VTC) was established in Buffalo, New York, in 2008 to address the unique needs of US Military Veterans within the justice system.
  • VTCs integrate evidence-based treatment, mandatory drug testing, and recovery support services in a judicially supervised setting.
  • The success of the Buffalo VTC inspired the creation of similar courts across the United States, with over 600 VTCs currently operating.
  • VTCs aim to reduce recidivism and assist veterans in reintegration into society by treating underlying issues that contribute to criminal behavior.
  • Judges and Veterans Justice Outreach (VJO) specialists play crucial roles in VTCs, providing guidance and connecting veterans to necessary services.
  • Eligibility for VTCs typically involves a history of military service, facing charges within the court’s jurisdiction, and a need for treatment-related services.
  • VTCs have shown positive impacts on housing, employment, income, and criminal justice outcomes for participating veterans.
  • Critiques of VTCs include concerns about restrictive eligibility criteria, capacity to provide necessary services, and potential disparities in treatment among veterans.

What is the Veterans Treatment Court?

The Veterans Treatment Court (VTC) is an innovative judicial approach designed specifically to address the unique needs of US Military Veterans within the justice system. The VTC integrates evidence-based substance use disorder treatment, mandatory drug testing, incentives and sanctions, and recovery support services within a judicially supervised court setting. It aims to prevent the punishment of veterans for crimes that may be linked to service-related mental health issues.

These courts are characterized by a combination of rigorous monitoring and personal accountability, with a focus on treating the underlying issues that contribute to veterans’ involvement in the justice system. By addressing these root causes, VTCs are set to assist veterans in reintegration into society, reduce recidivism, and honor veterans’ service to the nation.

The Establishment of Veterans Treatment Courts

The inception of the first VTC can be traced back to January 4, 2008, when Judge Robert Russell established the court in Buffalo, New York. This initiative arose in response to the growing recognition of the challenges faced by veterans, particularly those with substance use disorders, mental health conditions like Post-Traumatic Stress Disorder (PTSD) and Traumatic Brain Injury (TBI), which may lead to criminal behavior as a direct result of service-related issues.

The History of Veterans Treatment Courts

The success of the Buffalo VTC inspired the establishment of similar courts across the United States. In 2013, the Department of Justice began receiving separate appropriations for VTCs, further solidifying their importance and acknowledging their effectiveness. The Veterans Treatment Court Coordination Act of 2019, passed by Congress, directed the Attorney General to carry out the Veterans Treatment Court Grant Program, managed by the Bureau of Justice Assistance (BJA), to support the planning, implementation, and enhancement of VTC operations.

Exploring the Buffalo Veterans Treatment Court: Structure and Impact

The Buffalo Veterans Treatment Court, established in 2008 as part of the Erie County court system, represents a pioneering approach to addressing veterans’ legal challenges. It was the nation’s first judicial court tailored specifically for veterans, acknowledging the unique circumstances and needs of those who have served in the military. This court hears non-violent felony or misdemeanor charges, with violent offenses considered on a case-by-case basis in collaboration with the District Attorney’s office.

Founded by Judge Robert Russell, the court emerged from a need to support veterans who were increasingly appearing in drug and mental health courts. The court’s structure integrates volunteer veteran mentors and emphasizes a combination of court-ordered counseling, substance use disorder treatment, mandatory drug testing, and recovery support services. It operates under the principle that veterans deserve access to treatment and benefits due to their service rather than punitive measures.

The Veterans Treatment Court model has proven so successful that it has been replicated across the United States. Its effectiveness is attributed to the camaraderie and community sense within the court. The court not only diverts veterans from the traditional criminal justice system but also equips them with tools for a productive, law-abiding lifestyle. The Buffalo Veterans Treatment Court’s impact extends beyond individual rehabilitation; it serves as an exemplar for establishing similar courts nationwide, broadening its influence and setting a precedent for veteran-focused justice.

Operational Structure of Veterans Treatment Courts

Veterans Treatment Courts (VTCs) are specialized court programs that integrate services and support for justice-involved veterans, particularly those with substance use disorders, mental health conditions, and PTSD as a result of their military service. These courts provide a coordinated response involving the US Department of Veterans Affairs (VA), local treatment providers, and the judicial system.

The operational structure of VTCs is built upon the ten key components adapted from the US Department of Justice’s “Defining Drug Courts: The Key Components.” These components ensure the successful operation of VTCs by establishing a framework that includes:

  • evidence-based substance use disorder treatment,
  • mandatory drug testing, 
  • incentives and sanctions, and 
  • recovery support services. 

The courts are judicially supervised and collaborate with various personnel to serve veterans who have become involved in the justice system.

With over 600 VTCs currently operating in the United States, these courts have become an essential part of the criminal justice system’s response to the specific needs of veterans.

The Role of Judges in Veterans Treatment Courts

The success of Veterans Treatment Courts (VTCs) relies heavily on the pivotal role played by judges, who oversee the court’s proceedings and significantly influence the outcomes for participating veterans. Judges in VTCs are responsible for guiding justice-involved veterans through a structured legal process that aims to address underlying issues such as substance misuse, mental health concerns, and trauma related to military service. 

Judges achieve this guidance via the following methods:

  • working closely with Veterans Justice Outreach (VJO) specialists and other court personnel to ensure veterans receive comprehensive support and services tailored to their unique needs
  • exercising a balance of authority and empathy, often making decisions that can profoundly impact a veteran’s path to recovery.
  • imposing sanctions or incentives based on compliance with the court’s mandates
  • playing a crucial role in fostering a rehabilitative environment rather than one solely focused on punishment

By understanding veterans’ specific challenges, judges in VTCs contribute to reducing recidivism rates and facilitating successful reintegration into society.

The establishment of the first VTC in Buffalo, New York, by Judge Robert Russell, set a precedent for the compassionate and specialized treatment of veterans within the judicial system. Judges in these courts are not only enforcers of the law but also champions of veteran welfare, often witnessing firsthand the transformative effect of the VTC on veterans’ lives.

The Role of Veterans Justice Outreach Specialists in Veterans Treatment Courts

What are Justice Outreach Specialists?

Veterans Justice Outreach (VJO) Specialists are pivotal figures within the Veterans Treatment Court (VTC) framework, providing essential support and resources to justice-involved veterans (JIVs). 

What is the role of Justice Outreach Specialists?

Their primary role is to bridge the gap between the veterans and the services offered by the Department of Veterans Affairs (VA), ensuring that those who have served their country receive the care and support they need within the criminal justice system. According to the VA, VJO Specialists are tasked with early identification of veterans in the justice system and facilitating their access to VA services at the earliest point possible.

What are the Responsibilities of Justice Outreach Specialists?

These specialists work across various criminal justice settings, including jails and courts, and are instrumental in aiding veterans with clinical needs that may be related to their service. Their responsibilities extend to 

  • navigating the complexities of the VA system, 
  • helping veterans utilize employment resources, 
  • helping veterans obtain necessary medical care, and 
  • helping veterans address ancillary needs such as non-criminal legal issues.

Research highlights that VJO Specialists often have repeated contact with veterans, emphasizing the ongoing support provided throughout a veteran’s legal and treatment trajectory.

The impact of VJO Specialists is significant, with outcomes such as improved housing stability, employment rates, and access to VA benefits at the program’s exit. They also play a role in documenting compliance with the treatment program, reporting noncompliance to the judge who may impose sanctions to hold veterans accountable while addressing the underlying causes of their criminal behavior. The success of VTCs, as evidenced by reduced recidivism and enhanced well-being among veterans, is partly attributable to the dedicated work of VJO Specialists.

Eligibility Criteria for Veterans Treatment Court

To be eligible for the VTC, veterans must meet specific criteria, which may vary by jurisdiction but generally include service-related conditions and legal circumstances. Studies indicate that while some courts restrict eligibility to veterans with service-related mental health conditions, others may accept those with broader service-related issues.

Some of the criteria include the following:

  • Veterans must have a diagnosis of substance use disorder, post-traumatic stress disorder (PTSD), or other mental health conditions that are a result of their military service.
  • Eligibility often extends to veterans who have committed non-violent offenses, although this can depend on the specific court’s policy.
  • Regular court appearances, mandatory treatment sessions, and random drug and alcohol testing are required as part of the program.
  • Some VTCs may prioritize service members who have experienced combat, whereas others may include veterans from all military operations.

It is imperative for veterans to understand that participation in the VTC program is not a right but an opportunity for rehabilitation and readjustment offered by the justice system. Sanctions for non-compliance with the court’s program may include community service, fines, or jail time. 

The Admission Process for Veterans Treatment Court

The Veterans Treatment Court (VTC) offers a specialized admission process tailored for eligible veterans. The admission process ensures that veterans receive the comprehensive care and legal assistance they need. While specific procedures can vary by jurisdiction, the following steps generally outline the VTC admission process:

  • Identification of Eligibility: Veterans are assessed for eligibility based on criteria such as service history, nature of the offense, and the connection between military service and the legal issues faced.
  • Application Submission: Eligible veterans or their legal representatives submit a formal application to the VTC. This may include detailed personal and service-related information, as well as documentation of the offense.
  • Review by VTC Personnel: The application is reviewed by VTC personnel, including the Veterans Justice Outreach Specialist, who plays a key role in connecting veterans with the court.
  • Assessment and Interviews: Applicants may undergo assessments and interviews to determine their specific needs and suitability for the program. This often involves collaboration between legal and healthcare professionals.
  • Acceptance and Enrollment: Once accepted, veterans are enrolled in the VTC program, which includes a tailored treatment plan and ongoing legal oversight.
  • Ongoing Monitoring and Support: Veterans are closely monitored and supported throughout their participation to ensure compliance with the court’s requirements and facilitate successful rehabilitation.

It is important for veterans and their advocates to stay informed about the latest VA policies and benefits, as these can impact eligibility and access to programs like the VTC. Recent initiatives, such as the VA’s Equity Action Plan, aim to improve outcomes and eliminate disparities, enhancing access to services like the VTC for all veterans, including historically underserved communities.

The Impact and Effectiveness of Veterans Treatment Courts

Despite the challenges and varying program models, the effectiveness of VTCs is underscored by their focus on rehabilitation over punishment, especially for crimes that may stem from service-related mental health conditions such as PTSD or TBI. The National Institute of Justice is committed to disseminating research findings and promoting the capacity for data and rigorous applied research to inform policy innovations and alternatives to incarceration.

The VTC Impact on Recidivism

The impact of VTCs on recidivism rates is a critical measure of their effectiveness. A national study of 7,931 veterans participating in the Veterans Affairs (VA) Veterans Justice Outreach program from 2011 to 2015 revealed promising outcomes. At program exit, 58% of participants had their own housing (up from 48% at admission), 28% were employed (slightly up from 27% at admission), and 50% were receiving VA benefits (a significant increase from 38% at admission).

Another study analyzing recidivism among 14 VTCs reported a 1-year criminal recidivism rate of less than 2%, indicating a substantial reduction in repeat offenses. Furthermore, the length of participation in a VTC program was inversely related to the likelihood of arrest post-program, emphasizing the benefits of sustained engagement in these specialized courts.

These findings underscore the potential of VTCs to significantly reduce recidivism among justice-involved veterans, offering them a chance for rehabilitation and reintegration into society.

Critiques and Controversies of Veterans Treatment Courts

Despite the intended benefits of Veterans Treatment Courts (VTCs), they have not been without criticism and controversy. 

Criticism 1: Inconsistency in eligibility criteria and services

A systematic literature review has identified key areas of concern among scholars and policy analysts. One such critique is the inconsistency in eligibility criteria and services provided across different VTCs, which raises questions about fairness and equality in treating veteran defendants. This variability can lead to a lack of uniform standards in the treatment court model, potentially affecting the outcomes for veterans in different jurisdictions.

Criticism 2: Potential for unequal treatment of minority veterans

Another significant critique revolves around the potential for unequal treatment of minority veterans within the VTC system. Reports suggest that Black and other minority veterans may face disparities in accessing the benefits and services offered by the VTCs, which could undermine the courts’ objective of equitable treatment. This concern is amplified by findings from internal reviews that indicate a critical period for transitioning service members to access VA benefits, with higher approval ratings for claims filed during this window, especially among Black veterans.

Criticism 3: Inability to address underlying mental health conditions

Furthermore, there is an ongoing discussion regarding the extent to which VTCs can address the underlying mental health conditions, such as PTSD and TBI, that may contribute to veterans’ involvement in the criminal justice system. While VTCs aim to provide comprehensive support, the effectiveness of these courts in facilitating long-term reintegration and reducing recidivism among veterans remains a subject of study and debate.

These critiques underscore the need for ongoing research, standardized practices, and targeted strategies to ensure that VTCs operate effectively and equitably for all veterans.

Veteran Recovery Is Our Mission

Our facilities have helped thousands of veterans overcome a drug or alcohol addiction. At Orlando Recovery Center, our treatment programs offer veterans:


  • Veteran Advocates who can navigate the VA on your behalf to enter treatment faster
  • Experienced clinicians trained in military culture and trauma-informed care
  • Dual diagnosis to treat addiction and mental health disorders together  
  • EMDR, a revolutionary treatment that alleviates trauma symptoms

Dual-Diagnosis Treatment for Veterans Struggling with SUD and Mental Health Disorders

For veterans grappling with addiction and co-occurring mental health disorders, the VA’s services stand ready to assist. The first step towards recovery is reaching out for help today.

Orlando Recovery Center is a proud member of the VA Community Care Network and are equipped to accept VA health benefits. Our Veteran Advocates are poised to assist you or a cherished veteran in navigating the VA approval process, ensuring you receive the vital help you deserve. Call us today and ask for a dedicated Veteran Advocate to assist you.

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