FY14 Second Chance Act Reentry Program for Adult Offenders with Co-‐occurring Substance Abuse and Mental Disorders
Sarah Wurzburg, Policy Analyst, Behavioral Health – Substance Abuse Council of State Governments Jus4ce Center Faye Taxman, Ph.D., University Professor, Criminology, Law and Society Program & Director, Center for Advancing CorrecHonal Excellence (ACE!) George Mason University
Wednesday, December 10, 2014 Council of State Governments Jus4ce Center | 1
Na4onal nonprofit, nonparHsan membership associa4on of state government officials Represents all three branches of state government Provides pracHcal advice informed by the best available evidence
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The CSG Jus4ce Center
CSG Jus4ce Center
Staff provides prac4cal, nonpar4san advice and evidence-‐based, consensus-‐ driven strategies to increase public safety and strengthen communi4es.
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CSG Jus4ce Center
• Authorized by the passage of the Second Chance Act in April 2008 • Launched by the Council of State Governments in October 2009 • Administered in partnership with the Bureau of Jus4ce Assistance, U.S. Department of Jus4ce • The NRRC has provided technical assistance to over 600 juvenile and adult reentry grantees since incep4on
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Overview IntroducHon to FY14 Co-‐occurring Disorders Grantees COD Planning & ImplementaHon Guide RNR SimulaHon Tool Pilot Sites QuesHons and Answers
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IntroducHon to FY14 Co-‐occurring Disorders Grantees COD Planning & ImplementaHon Guide RNR SimulaHon Tool Pilot Sites QuesHons and Answers
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FY14 Co-‐occurring Disorders Grantees Local • Los Angeles County Department of Mental Health, CA • City of Wilmington, NC • Montgomery County, MD • Jackson County, OR • Douglas County, NE • Jefferson County Commission, AL • County of Cumberland, ME • Pima County Office of Medical Services, AZ • Rockdale County, GA State • Essex County Sheriff's Department • Louisiana DPS&C • Iowa Department of Correc4ons Council of State Governments Jus4ce Center | 7
FY14 Co-‐occurring Disorders Grantees
Local Grantees State Grantees
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Grantee Orienta4on Process • Bureau of Jus4ce Assistance (BJA) Second Chance Act (SCA) orienta4on webinar – Monday, December 8th
• FY14 Second Chance Act Reentry Program for Adult Offenders with Co-‐occurring Substance Abuse and Mental Disorders Grantee Webinar – Today (Wednesday, December 10th)
• Orienta4on Call
– Scheduled with your CSG Jus4ce Center TA provider
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Grantee Contacts • Na4onal Reentry Resource Center – Training and Technical Assistance • TA Provider • Monthly Calls • Site Visits
• Bureau of Jus4ce Assistance – Funder – State Policy Advisor – Budget and Grant Adjustment No4ces
• CSR, Inc. – Performance Measurement Tool (PMT) Council of State Governments Jus4ce Center | 10
IntroducHon to FY14 Co-‐occurring Disorders Grantees COD Planning & ImplementaHon Guide RNR SimulaHon Tool Pilot Sites QuesHons and Answers
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COD Planning & Implementa4on Guide • Two year grants • First year is the Planning Phase, Second year is the Implementa4on Phase – Exercises associated with each phase – There is the suggested 4meline – Grantee can work with TA provider to alter 4meline
• Grantee will fill out sec4ons of the COD Guide • Work with TA provider to discuss exercises on monthly calls – Review and work with grantee on responses Council of State Governments Jus4ce Center | 12
How Is the COD Guide Used? • • • • •
Iden4fica4on of things grantee is doing well Challenges or areas the grantee is working on Helps the TA provider target assistance Aids the grantee in focusing on areas of need Creates opportuni4es for discussion with other COD grantees – Peer to peer learning
• Enables ideas and best prac4ces to be exchanged Council of State Governments Jus4ce Center | 13
The Planning Phase
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Uses of Funds for Planning Phase • Con4nue or commence a strategic plan for the implementa4on of the Affordable Care Act into program design. • Con4nue establishment of program design elements, including integra4on of an Integrated Care Model. • Con4nue development on Con4nuum of Care model, examining the jurisdic4on’s current provision of screening and assessment, pre-‐release treatment services and post-‐ release programming to ensure that all gaps within the remaining system are filled by strategically targe4ng grant funds for maximum efficacy. • Improve and enhance use of screening and assessment to ensure that the proper individuals are selected for par4cipa4on in the most appropriate programming to ensure the best outcomes for program par4cipants. • Engage in strategic planning to ensure long-‐term systems change and sustainability for maximum program efficacy. Council of State Governments Jus4ce Center | 15
Basic Informa4on • The Planning Phase is outlined for a year – Grantees can work with TA provider to alter this 4meframe
• Capacity building for implemen4ng the grant program • Iden4fy strengths and areas that need improvement • Target TA and iden4fy themes across grantees • Increase the exchange of ideas Council of State Governments Jus4ce Center | 16
The Process • Work with team of stakeholders to complete the COD P&I Guide in phases – Be honest and accurate – Brief answers
• Fill out exercises prior to NRRC monthly calls with your TA provider – Send to TA provider exercises prior to calls – Discuss exercises on calls – Update the exercises as changes occur
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Planning Sec4ons • Sec4on One: Developing your collabora4ve strategies and establishing your jus4ce and treatment program team • Sec4on Two: Incorpora4ng evidence-‐ based principles for reducing recidivism and promo4ng recovery into your program • Sec4on Three: Data collec4on, evalua4on, and sustainability Council of State Governments Jus4ce Center | 18
Sec4on One • Background – Reason for seeking grant – Rela4onship with other agencies and grants
• Collabora4ve work group – Team members and support for program – Vision, mission
• Engaging Addi4onal Partners – Engagement strategies – Opportuni4es for sharing successes Council of State Governments Jus4ce Center | 19
Sec4on Two • Analyzing Drivers of Recidivism – Recidivism rates defini4on and tracking
• Target popula4on – Iden4fica4on of target popula4on – Program eligibility criteria
• Screening and Assessment Prac4ces – Tools used – Sharing results of screening and assessments
• Pre and Post-‐Release Services – Services provided, who provides them, length of service Council of State Governments Jus4ce Center | 20
Sec4on Two Con4nued • Staff Qualifica4ons – Training and creden4als
• Assessing the Transi4on Process – Case plans and case management – Connec4on to community-‐based providers
• Connec4ons to Healthcare Coverage and Other Benefits – Medicaid, SSI/SSDI, food stamps, etc.
• Community Supervision Strategies – Par4cipa4on, training, best prac4ces Council of State Governments Jus4ce Center | 21
Sec4on Three • Data Collec4on and Evalua4on – Measurement, sharing data
• Measuring Capacity for Process Review – Iden4fica4on of which partner has what informa4on
• Assessing and Planning for Sustainability – Stakeholder engagement, sustainable components
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The ImplementaHon Phase
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Uses of Funds for Implementa4on • Use an Actuarial-‐Based Assessment Instruments for Treatment and Reentry Planning • Target Higher-‐Risk Offenders • Establish Baseline Recidivism Rate and Collect and Report Recidivism Indicator Data • Enhance Intrinsic Mo4va4on • Target Criminogenic Needs that Affect Recidivism • Determine Dosage and Intensity of Services • Provide Evidence-‐Based Substance Abuse and Mental Health Treatment Services • Provide Pharmacological Drug Treatment Services (when possible) • Use Cogni4ve-‐Behavioral Interven4ons • Implement Transi4on Planning Procedures • Support a Comprehensive Range of Recovery Support Services • Provide Sustained Amercare, Case Planning/Management in the Community • Provide Community Supervision Services which Follow Evidence-‐Based Prac4ces • Provide Integrated Care Council of State Governments Jus4ce Center | 24
Implementa4on Sec4on • Sec4on Four: Ongoing Monitoring and Revision – Planning=PL – Par4ally Implemented=P – Fully Implemented=F
• • • •
Topics can be updated with progress Iden4fies areas you are working on Ac4on items with 4meframes, staff, and notes Tracks progress on items from the Planning Sec4on Council of State Governments Jus4ce Center | 25
Appendices: Addi4onal Resources • Appendix I: Understanding the Components of Providing Integrated Treatment and Determining Your Organiza4on’s Capacity to Provide Integrated Treatment – Resources and research on the provision of Integrated Treatment for co-‐occurring substance use and mental disorders
• Appendix II: Op4onal Data Measures
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IntroducHon to FY14 Co-‐occurring Disorders Grantees COD Planning & ImplementaHon Guide RNR SimulaHon Tool Pilot Sites QuesHons and Answers
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The Partnership • The CSG Jus4ce Center • Center for Advancing Correc4onal Excellence! (ACE!) at George Mason University – Creator of the RNR Simula4on Tool • A decision support tool for reducing recidivism and improving program outcomes • RNR Program Tool for Adults and Assess an Individual
– Conducted an overview for the CSG Jus4ce Center – Trained two CSG Jus4ce Center staff members for cer4fica4on – Works with CSG Jus4ce Center to on the pilot sites Council of State Governments Jus4ce Center | 28
Pilot Site Informa4on • Four pilot sites will be selected – Two sites will have three site visits each – Two sites will be distance-‐learning sites (e.g., remotely managed: webinars and calls)
• • • •
No addi4onal funds will be provided Opportunity for intensive technical assistance Free access to the RNR Simula4on Tool Adapted P&I Guide for pilot site grantees
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Addi4onal Pilot Site Informa4on • Increased 4me expecta4ons for pilot sites – Intensive training on the RNR Simula4on Tool – Grantee must be willing to par4cipate
• Applica4ons for the four pilot sites – Compe44ve applica4on process – Criteria laid out in applica4on • Why do you want to be a pilot site?
– Specify preference for distance-‐learning or site visit training – Due Tuesday, January 13th Council of State Governments Jus4ce Center | 30
Center for Advancing CorrecHonal Excellence! Faye S. Taxman, Ph.D. University Professor Amy Murphy, M.P.P. Project Director
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Center for Advancing Correc4onal Excellence, ACE! Department of Criminology, Law & Society George Mason University
BJA: 2009-‐DG-‐BX-‐K026; BJA 2010-‐BX-‐K026; SAMHSA: 202171
Council of State Government
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Common Challenges Using EBPs • Heavy focus on risk-‐related supervision techniques – Drug tes4ng, monitoring, sanc4ons
• Litle to no focus on iden4fying criminogenic needs • Case plan does not contain components to address criminogenic needs • Programs need to adapt to offender needs • Organiza4on wants EBPs but does not support it Viglione, J., Rudes, D.S., and Taxman, F.S. (2014) Misalignment in Supervision: Implemen4ng Risk/Needs Assessment Instruments in Proba4on, Criminal 33 Jus,ce and Behavior.
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h]p://www.gmuace.org/tools/
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Responding to Risk and Needs Assess an Individual
QuesHons to Answer Minutes to Complete
Program RecommendaHons
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Reentry Case Management Output-‐ AAI
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Responding to Risk and Needs
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QuesHons to Answer Hour to Complete Feedback Domains
QuesHons to Answer Minutes to Complete
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How to assist your agency to use EBPs daily Beyond Comple4ng the Assessment • Iden4fy Criminogenic Needs
Treatment Matching Build Engagement − Move focus away from sta4c risk
•
Use RNR Skills (RNA Integra4on)
Case • Discuss Assessment with Proba4oners Planning − Purpose − Results − What it means for current term of supervision
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Reviewing the Results
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Talking points:
• The program says that you have a 64% chance of being rearrested within 3 years, but that we can reduce that risk by providing you with programming that addresses your “target needs” • In your case, your target needs are drug dependence, criminal thinking, criminal peers, employment, and family support. • The results page also shows that you need a moderate dosage, which means that you should atend programming for 8 hours a week. Council of State Governments Jus4ce Center | 41
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Reviewing the Results Talking points:
• The program shows that the primary need that we should work to address is your dependence on heroin. I want to get you into either an inpa4ent treatment program or an intensive outpa4ent program. What do you think about these op4ons? • Because you also show signs of criminal thinking, you would benefit from behavioral therapy as well, but our first priority is to treat your drug dependence.
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How to assist your agency to use EBPs daily Case Plan is the Backbone of Supervision • Drives each supervision contact
Treatment Developed with tMatching he Proba4oner
− Discussed and updated each contact
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Use RNR Skills (RNA Integra4on)
Case − Increase buy-‐in and accountability Help proba4oners accept responsibility Planning − for their ac4ons and their future • Focused on Criminogenic Needs
− Treatment/Services, condi4ons, goals, short-‐term accomplishments, and target behaviors
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Program Tool Factors • • • •
Target Popula4on Program Goals Program Theory Client Level Factors
– Spectrum of Needs/Severity of Program Needs – Developmental Factors (e.g., age, gender, cogni4ve, physical)
• Program Structure • Program Dosage (a lot unknown, clinical literature) • Implementa4on Issues – Staffing – Fidelity Monitoring, Training – Quality Assurance
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Findings: Distribu4on of Programs from one Jurisdic4on Current DistribuHon 12
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Number of Programs
10 8 6
6 4
4
5
5
Life Skills Development -‐ E
Punishment Only -‐ F
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2 0 Interven4ons Targe4ng Severe Substance Use Disorders -‐ A
Criminal Thinking Interven4ons -‐ B
Self-‐Improvement Social and and Management -‐ C Interpersonal Skill Development -‐ D
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70 60
R N R S c o r e
Average Program Scores For Santa Cruz Programs Based on the RNR Simula4on Tool 63
60 56
55
50 45
40 30
39
41
40
28
28
25
24
20 10 0
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How to assist your agency to use EBPs daily The Right Person in the Best Program • Primary Criminogenic Need
− AAI output priori4zes needs for Treatment treatment and offers 3 suggested Matching op4ons Case treatment Planning
Learning (Tr (Maintenance)
Use RNR Skills (RNA Integra4on)
• Quality Needs-‐Based Programming
− Not all programs are equally effec4ve
• Availability within Jurisdic4on
− Is enough slots available for everyone who needs certain types of programming?
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Findings: Systemic Responsivity Gap
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Group A
Group B
Group C
Group D
Group E
Group F
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How to assist your agency to use EBPs daily SOARING 2 Training System • Web-‐based training program Treatment Matching
Learning (Training)
Prac4ce (Coaching)
Competency (Maintenance)
• 5 core areas oCase f EBPs Planning − RNR Use RNR Skills (RNA − Engagement/Mo4va4on Integra4on) − Case Planning − Problem Solving − Desistance
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SOARING 2 Model • SOARING 2 ü Provides in-‐office skill development ü Improves sustainability of evidence-‐based prac4ces (EBPs) ü Improves applica,on of skills
• Curriculum backed by research on offender change – Uses technological innova4on to translate research into prac4ce – Uses enhancement strategies to help learn how to apply the skills 56 Council of State Governments Jus4ce Center | 56
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Changes in Officers’ Use of Skills 15% 10% 5% 0% Decreased Skills 23.6%
-‐5%
No Change 34.4%
Increased Skills 42.0%
-‐10% -‐15% RNR
Engagement/ Mo4va4on
Problem Solving
Working Alliance
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Thank you!! www.gmuace.org/tools amurph10@gmu.edu
This project received funding from Bureau of Justice Assistance, Center for Substance Abuse Treatment, and Public Welfare Foundation. Views expressed here are ours and not the positions or policies of the funders. 59 Council of State Governments Jus4ce Center | 59
IntroducHon to FY14 Co-‐occurring Disorders Grantees COD Planning & ImplementaHon Guide RNR SimulaHon Tool Pilot Sites QuesHons and Answers
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QuesHons?
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Overview IntroducHon to FY14 Co-‐occurring Disorders Grantees COD Planning & ImplementaHon Guide RNR SimulaHon Tool Pilot Sites QuesHons and Answers
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Thank You Join our distribu4on list to receive CSG Jus4ce Center project updates!
www.csgjus4cecenter.org/subscribe For more informa4on, contact Sarah Wurzburg, (swurzburg@csg.org) or Mark Stovell, (mstovell@csg.org)
The presentation was developed by members of the Council of State Governments Justice Center staff. The statements made reflect the views of the authors, and should not be considered the official position of the Justice Center, the members of the Council of State Governments, or the funding agency supporting the work. Citations available for statistics presented in preceding slides available on CSG Justice Center web site. Council of State Governments Jus4ce Center | 63