Criminogenic Risk and Mental Health: What Works and What Doesnt in - - PowerPoint PPT Presentation

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Criminogenic Risk and Mental Health: What Works and What Doesnt in - - PowerPoint PPT Presentation

Criminogenic Risk and Mental Health: What Works and What Doesnt in Reducing Recidivism Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati www.uc.edu/criminaljustice Edward.Latessa@uc.edu Evidence


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SLIDE 1

Criminogenic Risk and Mental Health: What Works and What Doesn’t in Reducing Recidivism

Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati www.uc.edu/criminaljustice Edward.Latessa@uc.edu

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SLIDE 2

Evidence Based – What does it mean?

There are different forms of evidence:

– The lowest form is anecdotal evidence; stories, opinions, testimonials, case studies, etc - but it often makes us feel good – The highest form is empirical evidence – research, data, results from controlled studies, etc. - but sometimes it doesn’t make us feel good

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SLIDE 3

Evidence Based Practice is:

1.Easier to think of as Evidence Based Decision Making

  • 2. Involves several steps and encourages the use
  • f validated tools and treatments.
  • 3. Not just about the tools you have but also how

you use them

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SLIDE 4

Evidence Based Decision Making Requires

1.Assessment information 2.Relevant research 3.Available programming 4.Evaluation 5.Professionalism and knowledge from staff

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SLIDE 5

What does the Research tell us?

There is often a Misapplication of Research: “XXX Study Says”

  • the problem is if you believe every study we

wouldn’t eat anything (but we would drink a lot of red wine!)

  • Looking at one study can be a mistake
  • Need to examine a body of research
  • So, what does the body of knowledge about

correctional interventions tell us?

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SLIDE 6

First, it is important to understand the body

  • f knowledge on risk factors

What are the risk factors correlated with criminal conduct?

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SLIDE 7

Major Set of Risk/Need Factors

  • 1. Antisocial/procriminal attitudes,

values, beliefs and cognitive- emotional states

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SLIDE 8

Cognitive Emotional States

  • Rage
  • Anger
  • Defiance
  • Criminal Identity
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SLIDE 9

Identifying Procriminal Attitudes, Values & Beliefs What to listen for:

  • Negative expression about the law
  • Negative expression about conventional institutions, values,

rules, & procedures; including authority

  • Negative expressions about self-management of behavior;

including problem solving ability

  • Negative attitudes toward self and one’s ability to achieve

through conventional means

  • Lack of empathy and sensitivity toward others

Procriminal sentiments are what people think, not how people think; they comprise the content of thought, not the skills of thinking.

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SLIDE 10

Neutralization & Minimizations

Neutralization Techniques include:

  • Denial of Responsibility: Criminal acts are due to factors beyond

the control of the individual, thus, the individual is guilt free to act.

  • Denial of Injury: Admits responsibility for the act, but minimizes

the extent of harm or denies any harm

  • Denial of the Victim: Reverses the role of offender & victim &

blames the victim

  • “System Bashing”: Those who disapprove of the offender’s acts

are defined as immoral, hypocritical, or criminal themselves.

  • Appeal to Higher Loyalties: “Live by a different code” – the

demands of larger society are sacrificed for the demands of more immediate loyalties.

(Sykes and Maltz, 1957)

Offenders often neutralize their behavior. Neutralizations are a set of verbalizations which function to say that in particular situations, it is “OK” to violate the law

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SLIDE 11

Major set Risk/needs continued:

  • 2. Procriminal associates and

isolation from prosocial others

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SLIDE 12

Major set Risk/Needs continued:

  • 3. Temperamental & anti social

personality pattern conducive to criminal activity including:

– Weak Socialization – Impulsivity – Adventurous – Pleasure seeking – Restless Aggressive – Egocentrism – Below Average Verbal intelligence – A Taste For Risk – Weak Problem-Solving/lack of Coping & Self-Regulation Skills

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Major set of Risk/Need factors continued:

  • 4. A history of antisocial behavior:

– Evident from a young age – In a variety of settings – Involving a number and variety of different acts

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SLIDE 14

Major set of Risk/Needs Continued:

  • 5. Family factors that include criminality

and a variety of psychological problems in the family of origin including:

– Low levels of affection, caring and cohesiveness – Poor parental supervision and discipline practices – Out right neglect and abuse

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SLIDE 15

Major set of Risk/Needs continued:

  • 6. Low levels of personal

educational, vocational or financial achievement

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SLIDE 16

Leisure and/or recreation

  • 7. Low levels of involvement in

prosocial leisure activities

–Allows for interaction with antisocial peers –Allows for offenders to have idle time –Offenders replace prosocial behavior with antisocial behavior

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Substance Abuse

  • 8. Abuse of alcohol and/or drugs

–It is illegal itself (drugs) –Engages with antisocial others –Impacts social skills

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Recent study by Bucklen and Zajac

  • f parole violators in Pennsylvania

found a number of criminogenic factors related to failure*

*Conducted by Pennsylvania Dept. of Corrections

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Pennsylvania Parole Study Social Network and Living Arrangements Violators Were:

  • More likely to hang around with individuals

with criminal backgrounds

  • Less likely to live with a spouse
  • Less likely to be in a stable supportive

relationship

  • Less likely to identify someone in their life

who served in a mentoring capacity

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SLIDE 20

Pennsylvania Parole Study Employment & Financial Situation Violators were:

  • Only slightly more likely to report having difficulty getting a

job

  • Less likely to have job stability
  • Less likely to be satisfied with employment
  • Less likely to take low end jobs and work up
  • More likely to have negative attitudes toward employment

& unrealistic job expectations

  • Less likely to have a bank account
  • More likely to report that they were “barely making it” (yet

success group reported over double median debt)

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SLIDE 21

Pennsylvania Parole Study Alcohol or Drug Use Violators were:

  • More likely to report use of alcohol or

drugs while on parole (but no difference in prior assessment of dependency problem)

  • Poor management of stress was a primary

contributing factor to relapse

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Pennsylvania Parole Study Life on Parole - Violators were:

  • Had poor problem solving or coping skills
  • Did not anticipate long term consequences of behavior
  • Failed to utilize resources to help themselves
  • Acted impulsively to immediate situations
  • Felt they were not in control
  • More likely to maintain anti-social attitudes
  • Viewed violations as an acceptable option to situation
  • Maintained general lack of empathy
  • Shifted blame or denied responsibility
  • Had unrealistic expectations about what life would be like
  • utside of prison
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SLIDE 23

Pennsylvania Parole Violator Study:

  • Successes and failures did not differ in

difficulty in finding a place to live after release

  • Successes & failures equally likely to

report eventually obtaining a job

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So what about Mental Health?

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Mentally Disordered Offenders (MDOs)

Conventional Clinical Wisdom:

  • Criminal activities of MDOs best explained by

psychopathological models

  • Assessments typically focus on psychiatric

diagnoses, psychiatric symptomatology, and personal distress (i.e. anxiety, depression)

  • Assessments are often costly and time consuming
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MDOs Continued

Review of the Empirical Research:

  • The Psychopathological model has little relevance regarding the

prediction of MDO criminal behavior

  • Gendreau conducted meta-analysis on studies of psychiatric

symptomatology and general recidivism: Correlation=ZERO

  • Bonta’s meta analysis found correlation between having a

diagnosed mental disorder, mood disorder, or psychosis and general/violent recidivism ranged from r = .01 to -.17.

  • Criminogenic risk factors were the strongest predictors (r=.23)
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SLIDE 27

Major Set of Risk/Need Factors

1. Antisocial/procriminal attitudes, values, beliefs & cognitive emotional states 2. Procriminal associates & isolation from anti-criminal

  • thers

3. Temperamental & anti-social personality patterns conducive to criminal activity:

  • 4. A history of antisocial behavior
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SLIDE 28

Major Set of Risk/Need Factors Cont.

5. Familial factors that include criminality and a variety of psychological problems in the family of

  • rigin

6. Low levels of personal, educational, vocational,

  • r financial achievement

7. Low levels of involvement in prosocial leisure activities 8. Substance Abuse

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SLIDE 29

A Large Body of Research Has Indicated….

….that correctional services and interventions can be effective in reducing recidivism for offenders, however, not all programs are equally effective

  • The most effective programs are based on some principles of

effective interventions

  • Risk (Who)
  • Need (What)
  • Treatment (How)
  • Program Integrity (How Well)
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Let’s Look at the Risk Principle Risk refers to risk of reoffending and not the seriousness of the offense.

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Risk Principle

As a general rule treatment effects are stronger if we target higher risk offenders, and harm can be done to low risk offenders

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Risk Level by Recidivism for the Community Supervision Sample

9.1 34.3 58.9 69.2 10 20 30 40 50 60 70 80

Low Risk Medium Risk High Risk Very High Risk

Percent with New Arrest Low 0-14 Medium = 15-23 High = 24-33 Very High 34+

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There are Three Elements to the Risk Principle

  • 1. Target those offenders with higher

probability of recidivism

  • 2. Provide most intensive treatment to

higher risk offenders

  • 3. Intensive treatment for lower risk offender

can increase recidivism

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SLIDE 34

#1: Targeting Higher Risk Offenders

  • It is important to understand that even with

EBP there will be failures.

  • Even if you reduce recidivism rates you

will still have high percentage of failures

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SLIDE 35

Example of Targeting Higher Risk Offenders

  • If you have 100 High risk offenders

about 60% will fail

  • If you put them in well designed EBP for

sufficient duration you may reduce failure rate to 40%

  • If you have 100 low risk offenders about

10% will fail

  • If you put them in same program failure

rate will be 20%

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SLIDE 36

Targeting Higher Risk Offenders continued:

  • In the end, who had the lower recidivism

rate?

  • Mistake we make is comparing high risk

to low risk rather than look for treatment effects

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SLIDE 37

The question is: What does more “intensive” treatment mean in practice?

  • Most studies show that the longer

someone is in treatment the great the effects, however:

  • Effects tend to diminish if treatment goes

too long

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SLIDE 38

The question is: What does more “intensive” treatment mean in practice?

  • Most studies show that the longer

someone is in treatment the great the effects, however:

  • Effects tend to diminish if treatment goes

too long

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SLIDE 39

Provide Most Intensive Interventions to Higher Risk Offenders

  • Higher risk offenders will require much

higher dosage of treatment

– Rule of thumb: 100 hours for moderate risk – 200+ hours for high risk – 100 hours for high risk will have little effect – Does not include work/school and other activities that are not directly addressing criminogenic risk factors

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Results from a 2010 Study (Latessa, Sperber, and Makarios) of 689 offenders

  • 100-bed secure residential facility for adult male felons
  • Cognitive-behavioral treatment modality
  • Average age 33
  • 60% single, never married
  • 43% less than high school education
  • 80% moderate risk or higher
  • 88% have probability of substance abuse per SASSI
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SLIDE 41
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SLIDE 42

Findings & Conclusions

  • We saw large decreases in recidivism when dosage

levels go from 100 to 200 hours for high risk offenders--- 81% to 57%.

  • The results are not as strong for moderate risk
  • ffenders
  • Supports previous research including the risk principle
  • Indicates that we cannot have “one size” fits all

programs

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SLIDE 43

Placing lower risk offenders in intensive programs can increase recidivism

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SLIDE 44

Recent Study of Intensive Rehabilitation Supervision in Canada 10 20 30 40 50 60 High Risk 31.6 51.1 Low Risk 32.3 14.5 Treatment Non-Treatment

Bonta, J et al., 2000. A Quasi-Experimental Evaluation of an Intensive Rehabilitation Supervision Program.,

  • Vol. 27 No 3:312-329. Criminal Justice and Behavior

Recidivism Rates

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SLIDE 45

2002 STUDY OF COMMUNITY CORRECTIONAL PROGRAMS IN OHIO

  • Largest study of community based correctional

treatment facilities ever done up to that time.

  • Total of 13,221 offenders – 37 Halfway Houses and 15

Community Based Correctional Facilities (CBCFs) were included in the study.

  • Two-year follow-up conducted on all offenders
  • Recidivism measures included new arrests &

incarceration in a state penal institution

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SLIDE 46

Increased Recidivism

Reduced Recidivism

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Treatment Effects For High Risk Offenders

  • 34
  • 18
  • 15 -14
  • 6
  • 5
  • 2
  • 2

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2010 STUDY OF COMMUNITY CORRECTIONAL PROGRAMS IN OHIO

  • Over 20,000 offenders – 44 Halfway Houses and 20

Community Based Correctional Facilities (CBCFs) were included in the study.

  • Two-year follow-up conducted on all offenders
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SLIDE 49

Treatment Effects for Low Risk

  • 60
  • 50
  • 40
  • 30
  • 20
  • 10

10 20 30 40 50 60

Harbor Light--D/A CompDrug MONDAY Oriana RIP Oriana CCTC West Central CATS male RTP TH Turtle Creek Cinti VOA SOT AH Alum Creek Harbor Light--Corr Alternatives Franklin STARK WORTH CTCC Canton NEOCAP Oriana TMRC TH Springrove Oriana Summit Pathfinder Oriana Cliff Skeen ALL CBCF FACILITIES EOCC Female ALL HWH FACILITIES Lorain-Medina Mahoning Oriana Crossweah River City STAR Talbert House CCC Booth H/Salv A CCA RTC I CCA RTC II Cinti VOA D/A Comm Trans Ctr Crossroads Diversified Fresh Start SOS TH Pathways AH Dunning ARCA Oriana RCC Licking-Muskingum CATS female RTP Mansfield VOA SEPTA TH Cornerstone EOCC Male Lucas AH Price AH Veterans Dayton VOA Small Programs Toledo VOA Northwest CCC TH Beekman CATS male TC

% Difference in Rate of New Felony Conviction

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SLIDE 50

Treatment Effects for High Risk

  • 60
  • 50
  • 40
  • 30
  • 20
  • 10

10 20 30 40 50 60

AH Veterans TH Beekman MONDAY CTCC Canton TH Springrove Northwest CCC WORTH Diversified Oriana CCTC Oriana Summit Oriana Crossweah ARCA Booth H/Salv A CATS male RTP Crossroads Franklin Comm Trans Ctr STARK River City Talbert House CCC West Central EOCC Male ALL CBCF FACILITIES CompDrug AH Dunning Alternatives CCA RTC II Small Programs Harbor Light--D/A ALL HWH FACILITIES Oriana TMRC CATS male TC Fresh Start Dayton VOA NEOCAP Harbor Light--Corr Oriana RIP Licking-Muskingum Mahoning Cinti VOA D/A Oriana RCC STAR SOS Lucas CATS female RTP AH Price TH Turtle Creek Lorain-Medina Pathfinder Toledo VOA EOCC Female Oriana Cliff Skeen SEPTA AH Alum Creek Mansfield VOA TH Cornerstone CCA RTC I

% Difference in Rate of New Felony Conviction

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SLIDE 51

Need Principle

By assessing and targeting criminogenic needs for change, agencies can reduce the probability of recidivism

Criminogenic

  • Anti social attitudes
  • Anti social friends
  • Substance abuse
  • Lack of empathy
  • Impulsive behavior

Non-Criminogenic

  • Anxiety
  • Low self esteem
  • Creative abilities
  • Medical needs
  • Physical conditioning
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SLIDE 52

Targeting Criminogenic Need: Results from Meta- Analyses

  • 0.05

0.05 0.1 0.15 0.2 0.25 0.3 0.35 Target 1-3 more non- criminogenic needs Target at least 4-6 more criminogenic needs

Reduction in Recidivism Increase in Recidivism

Source: Gendreau, P., French, S.A., and A.Taylor (2002). What Works (What Doesn’t Work) Revised 2002. Invited Submission to the International Community Corrections Association Monograph Series Project

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SLIDE 53

Criminal Thinking and Mental Illness*

Morgan, Fisher and Wolff (2010) studied 414 adult offenders with mental illness (265 males, 149 females) and found:

  • 66% had belief systems supportive of criminal life style (based on

Psychological Inventory of Criminal Thinking Scale (PICTS)

  • When compare to other offender samples, male offenders with MI

scored similar or higher than non-mentally disordered offenders.

  • On Criminal Sentiments Scale-Revised, 85 % of men and 72 % of

women with MI had antisocial attitudes, values and beliefs – which was higher than incarcerated sample without MI.

Center for Behavioral Health Services Criminal Justice Research Policy Brief, April 2010. Rutgers University.

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SLIDE 54

Conclusion

  • Criminal Thinking styles differentiate people who

commit crimes from those who do not independent of mental illness

  • Incarcerated persons with mental illness are
  • ften mentally ill and criminal
  • Needs to be treated as co-occurring problems
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SLIDE 55

The Christopher Columbus Style

  • f Program Design

WHEN HE SET OUT… He didn’t know where he was going. WHEN HE GOT THERE… He didn’t know where he was. WHEN HE GOT BACK… He didn’t know where he had been.

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SLIDE 56

Definitely NOT Criminogenic Needs

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SLIDE 57
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SLIDE 61
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SLIDE 62

DOGSLEDDING AS RESTORATIVE JUSTICE METHOD –

London Free Press – 07/03/11 The Hollow Water First Nation, who live 200 km northeast of Winnipeg, have used dogsledding as a restorative justice program, which tries to restore relationships between victims and perpetrators in criminal cases. Exercising wilderness skills was seen as a way of rebuilding the perpetrator’s self-esteem, explained Marcel HARDESTY, restorative justice program director.

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SLIDE 63

Assessment is the engine that drives effective correctional programs

  • Need to meet the risk and need principle
  • Reduces bias
  • Aids decision making
  • Allows you to target dynamic risk factors

and measure change

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SLIDE 64

To understand assessment

  • ne needs to consider types of risk

factors

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SLIDE 65

Dynamic and Static Factors

  • Static Factors are those factors that are

related to risk and do not change. Some examples might be number of prior

  • ffenses, whether an offender has ever

had a drug/alcohol problem.

  • Dynamic factors relate to risk and can
  • change. Some examples are whether an
  • ffender is currently unemployed or

currently has a drug/alcohol problem.

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SLIDE 66

According to the American Heart Association, there are a number of risk factors that increase your chances of a first heart attack

 Family history of heart attacks  Gender (males)  Age (over 50)  Inactive lifestyle  Over weight  High blood pressure  Smoking  High Cholesterol level

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SLIDE 67

There are two types of dynamic risk factors

  • Acute – Can change quickly
  • Stable – Take longer to change
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SLIDE 68

In addition to Risk factor it is important to Assess Responsivity Factors

  • Often neglected
  • Can be useful in assigning offenders to

programs and groups

  • Addressing responsivity factors can

improve treatment effectiveness

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SLIDE 69

The Responsivity Principle

  • General

– Most offenders respond to programs that are based on cognitive behavioral/social learning theories

  • Specific

– Offenders learn differently and have certain barriers that should be addressed so that they are more likely to succeed in programs

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SLIDE 70

Specific Responsivity

What gets in the way of offenders benefiting from treatment?

– Must take individual learning styles into account – Must consider possible barriers to interventions – Assessment of responsivity is important to maximize benefits of treatment

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SLIDE 71

Responsivity areas to assess can include

  • Motivation to change
  • Anxiety/psychopathy
  • Levels of psychological development
  • Maturity
  • Cognitive functioning
  • Mental disorders
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SLIDE 72

Prioritizing Interventions: What to Change and Why

  • Criminogenic targets – reduce risk for

recidivism

  • Non-criminogenic targets – may reduce

barriers but NOT risk

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SLIDE 73
  • List three speeches that have changed

your life

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SLIDE 74
  • List three people who have changed your

life

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SLIDE 75

Treatment Principle

The most effective interventions are behavioral:

  • Focus on current factors that influence

behavior

  • Action oriented
  • Staff follow “core correctional practices”
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SLIDE 76

Results from Meta Analysis: Behavioral vs. NonBehavioral

0.07 0.29 0.05 0.1 0.15 0.2 0.25 0.3 0.35 Nonbehavioral (N=83) Behavioral (N=41)

Reduced Recidivism Andrews, D.A. 1994. An Overview of Treatment Effectiveness. Research and Clinical Principles, Department of Psychology, Carleton University. The N refers to the number of studies.

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SLIDE 77

Most Effective Behavioral Models

  • Structured social learning where new skills

and behaviors are modeled

  • Family based approaches that train family
  • n appropriate techniques
  • Cognitive behavioral approaches that

target criminogenic risk factors

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SLIDE 78

Social Learning Refers to several processes through which individuals acquire attitudes, behavior, or knowledge from the persons around them. Both modeling and instrumental conditioning appear to play a role in such learning

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SLIDE 79

Family Based Interventions

  • Designed to train family on behavioral

approaches

– Functional Family Therapy – Multi-Systemic Therapy – Teaching Family Model – Common Sense Parenting – Strengthening Families Program (Office of Juvenile Justice and Delinquency Prevention)

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SLIDE 80

Effectiveness of Family Based Intervention: Results from Meta Analysis

  • 38 primary studies with 53 effect tests
  • Average reduction in recidivism= 21%

However, much variability was present (-0.17 - +0.83)

Dowden & Andrews, 2003

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SLIDE 81

Mean Effect Sizes: Whether or not the family intervention adheres to the principles

0.05 0.1 0.15 0.2 0.25 0.3 0.35 Risk Need Treatment Yes No

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SLIDE 82

The Four Principles of Cognitive Intervention

1. Thinking affects behavior 2. Antisocial, distorted, unproductive irrational thinking can lead to antisocial and unproductive behavior 3. Thinking can be influenced 4. We can change how we feel and behave by changing what we think

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SLIDE 83

Recent Meta-Analysis of Cognitive Behavioral Treatment for Offenders by Landenberger & Lipsey (2005)*

  • Reviewed 58 studies:

19 random samples 23 matched samples 16 convenience samples

  • Found that on average CBT reduced recidivism by 25%,

but the most effective configurations found more than 50% reductions

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SLIDE 84

Significant Findings (effects were stronger if):

  • Sessions per week (2 or more) - RISK
  • Implementation monitored - FIDELITY
  • Staff trained on CBT - FIDELITY
  • Higher proportion of treatment completers -

RESPONSIVITY

  • Higher risk offenders - RISK
  • Higher if CBT is combined with other services -

NEED

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SLIDE 85

Reducing Prison & Jail Misconducts

  • Findings from a 2006 meta analysis of 68

studies involving 21,467 offenders

  • Outcomes included violent misconduct,

nonviolent misconduct, and institutional adjustment

  • Sample included 73% male, 8% female &

19% coed.

  • Included both adult and juvenile samples
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SLIDE 86

Average Effect Size for Misconducts by Treatment Type

From: French, S, & Gendreau P.. (2006). Reducing Prison Misconducts What Work!. Criminal Justice and Behavior. 33 (2); 185-218.

0.26 0.1 0.02 0.02

Behavioral Non-behavioral Educational/Vocational Unspecified

0.05 0.1 0.15 0.2 0.25 0.3

Average Effect Size Type of Treatment

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SLIDE 87

Average Effect Size for Misconducts by Number of Criminogenic Needs Targeted

From: French, S, & Gendreau P.. (2006). Reducing Prison Misconducts What Work!. Criminal Justice and Behavior. 33 (2); 185-218.

0.29 0.16 0.06

3 to 8 1-2

0.05 0.1 0.15 0.2 0.25 0.3

A v e r a g e E f f e c t S i z e

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SLIDE 88

Average Effect Size for Misconducts by Program Quality

From: French, S, & Gendreau P.. (2006). Reducing Prison Misconducts What Work!. Criminal Justice and Behavior. 33 (2); 185-218.

0.38 0.2 0.13

HIgh Moderate Low

0.1 0.2 0.3 0.4 0.5

Average Effect Size Program Qualtiy

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SLIDE 89

Average Effect Size for Misconduct Reductions and Recidivism

From: French, S, & Gendreau P.. (2006). Reducing Prison Misconducts What Work!. Criminal Justice and Behavior. 33 (2); 185-218.

0.13

  • 0.05

High Misconduct Reductions Low Misconduct Reductions

0.05 0.1 0.15

  • 0.05

R e d u c e d R e c i d i v i s m Increased R ecidivism

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SLIDE 90

Cognitive-Behavioral

Cognitive Theories Social Learning Theory WHAT to change HOW to change it What

  • ffenders

think How

  • ffenders

think Model Practice Reward

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SLIDE 91

These approaches help us….

  • Structure our interventions
  • Teach and model new skills
  • Allow offender to practice with graduated

difficulty

  • Reinforce the behavior
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SLIDE 92

What Doesn’t Work with Offenders?

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SLIDE 93

Lakota tribal wisdom says that when you discover you are riding a dead horse, the best strategy is to dismount. However, in corrections, we

  • ften try other strategies, including the following:
  • Buy a stronger whip
  • Change riders
  • Say things like “This is the way we always have ridden this horse.”
  • Appoint a committee to study the horse.
  • Arrange to visit other sites to see how they ride dead horses.
  • Create a training session to increase our riding ability.
  • Harness several dead horses together for increased speed.
  • Declare that “No horse is too dead to beat.”
  • Provide additional funding to increase the horse’s performance.
  • Declare the horse is “better, faster, and cheaper” dead.
  • Study alternative uses for dead horses.
  • Promote the dead horse to a supervisory position.
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SLIDE 94

Ineffective Approaches with Offenders

  • Programs that cannot maintain fidelity
  • Programs that target non-criminogenic needs
  • Drug prevention classes focused on fear and other emotional appeals
  • Shaming offenders
  • Drug education programs
  • Non-directive, client centered approaches
  • Bibliotherapy
  • Freudian approaches
  • Talking cures
  • Self-Help programs
  • Vague unstructured rehabilitation programs
  • Medical model
  • Fostering self-regard (self-esteem)
  • “Punishing smarter” (boot camps, scared straight, etc.)
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SLIDE 95

Fidelity Principle

Making sure the program is delivered as designed and with integrity:

  • Ensure staff are modeling appropriate behavior, are qualified, well

trained, well supervision, etc.

  • Make sure barriers are addressed but target criminogenic needs
  • Make sure appropriate dosage of treatment is provided
  • Monitor delivery of programs & activities, etc.
  • Reassess offenders in meeting target behaviors
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SLIDE 96

Some Lessons Learned from the Research

  • Who you put in a program is important – pay

attention to risk

  • What you target is important – pay attention to

criminogenic needs

  • How you target offender for change is important –

use behavioral approaches

  • Program Integrity makes a difference - Service

delivery, training/supervision of staff, support for program, QA, evaluation, etc.