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Center for Advancing Correctional Excellence, ACE! Department of Criminology, Law & Society George Mason University Amy Murphy, MPP Faye Taxman, Ph.D. 2 Systemic Responsivity Refers to having an array of programming available in a given jurisdiction that matches the risk-need profile of the individual offenders (Taxman, 2014) Are the programs and services suitable given the probationer profiles? Does the programming include services to stabilize the person in the community (e.g. mental health, housing, food, employment, etc.) 33 http://www.gmuace.org/tools/ 4 Responding to Risk and Needs 5 Clarifying the “Silver Bullet” Myth • Substance dependence is equivalent to criminal lifestyle/thinking errors in terms of affecting recidivism ▫ Effective programs for substance dependence exist ▫ Co-morbid criminal thinking may be addressed through positive reinforcers to shape decisions • Risk level and unmet criminogenic needs should drive who receives programming ▫ Prioritize high-need (both criminogenic and noncriminogenic) people for programming to improve supervision performance ▫ Risk level can drive supervision level, but type/severity of criminogenic need(s) should drive programming 6 Challenges to Prioritizing Needs • Many APD clients present with multiple dynamic needs--substance abuse, criminal peers, lack of employment. • Temptation is to address the “easier” issues, such as completing GED, or place clients in places with available slots. • Programming for life skills is much less expensive than drug treatment. • Client preference may be to focus on jobseeking, etc. 7 What’s Wrong with that Approach? • It is critical to determine what is driving the individual’s criminal behavior and address those drivers • Employment and education are not directly tied to repeated criminal behavior • Clients who have more serious needs like substance dependence and homelessness may not be ready to engage in vocational classes or hold a job, so addressing SUD and criminal thinking must come first 8 Hierarchy of Dynamic Needs Criminogenic Needs Destabilizers/Stabilizers • Criminal Thinking • Substance Dependence • Mental Health • Substance Abuse • Antisocial Peers/Family • Low Self-Control • Antisocial Values • • • • Employment Education Housing Family Dysfunction Together these dynamic factors influence the ideal level of care under the RNR model 9 Substance Abuse vs. Dependence • Drug use is prevalent among criminal justiceinvolved individuals everywhere…but does everyone need treatment? ▫ Substance Dependence: A pattern of harmful use of any substance for mood-altering purposes. Prevalence in APD clients: 20% ▫ Substance Abuse: Use of mood-altering substances often tied to lifestyle/peer issues. Prevalence in APD clients: 53% • With limited resources, dependent individuals should be the priority. 10 Criminal Thinking/Antisocial Cognitions • Criminal thinking is an important dynamic risk factor that is often overlooked ▫ A pattern of thinking that rationalizes and supports criminal behavior ▫ Should be assessed using a validated instrument ▫ Can be treated with cognitive-behavior interventions ▫ Prevalence among APD clients: 56% 11 Other Needs Clinical Factors Criminogenic Needs Snapshot of Probationers’ Major Needs Crim. Thinking 56% Drug Dep. 20% Mental Health 36% Drug Abuse 53% Housing 57% Crim. Peers 54% 0% 20% 40% 60% (source: COMPAS Overall Sample, n=4,474) 80% 100% 12 Comparison of Needs Employment Domestic Violence MH Homelessness Youthful Female AB109 Crml Thinking Drug Abuse Red Bar=Average for that Need Drug Dependence 0 20 40 60 80 100 13 APD Estimated Responsivity Gap • Greatest unfulfilled needs are cognitive restructuring programs, mental health, cooccurring disorders, and substance abuse 14 Responsivity Gap in Cognitive Restructuring Programming (Criminal Thinking) Domestic Violence Green Bar= Available Programming for General Population 39 Mental Health 66 Homelessness 55 Young Adults 61 Female Red Bar=Need for Programming among General Population 19 AB109 65 0 10 20 30 40 50 60 70 15 Responsivity Gaps in Substance Dependence Programming AB109 21 Female Green Bar= Available Programming for General Population 23 Young Adults 10 Homeless 29 Mental Health 29 Domestic Violence Red Bar=Need for Programming among General Population 11 0 5 10 15 20 25 30 35 16 Responsivity Gap in Self-Management Programming (Drug Abuse, CoOccurring Disorder) Domestic Violence 31 Mental Health 5 Homelessness Green Bar= Available Programming for General Population Red Bar=Need for Programming among General Population 10 Young Adults 17 Female 19 AB109 8 0 5 10 15 20 25 30 35 17 Multiple Programming Needs among those with Criminal Thinking/Restructuring Need • 56% have criminal thinking plus: ▫ ▫ ▫ ▫ 41% are high risk; 22% are moderate risk 53% are substance abusers too 36% have mental health needs 37% have few (0-2) stabilizing factors Stabilizing factors can include 30+ hours employment, high school diploma, supportive family, housing stability • Greatest unmet programming need 18 Multiple Programming Needs among those with Substance Dependence • 20% of General Population has Dependence plus: ▫ 42% are high-risk; 32% are moderate-risk ▫ 37% have mental health disorder ▫ 38% have few (0-2) stabilizing factors ▫ About 40% of those in need of SUD programming need other services and high dosage programming 19 Multiple Programming Needs among those with Substance Abuse • 53% abuse drugs (do not meet criteria for dependence) plus: ▫ ▫ ▫ ▫ 42% are high risk; 22% are moderate risk 37% have a mental health diagnosis 56% exhibit criminal thinking 38% have few (0-2) stabilizing factors • Nearly 50% need programming for other criminogenic needs 20 Conclusions and Recommendations • High-need clients need greater intensity of treatment. Front-load services to target clients during the first 3060 days post-release. • Integrate “criminal thinking” programming and ensure that TAY services are responsive to youth needs. • Ensure that probation officer and treatment providers understand common goals and reinforce each other. • Provide female-only substance abuse programming that incorporates trauma-informed curriculum. • Provide additional training to CASC and DPOs on reward-sanctions grid and track whether it is being followed. 21 Questions and Next Steps [email protected] [email protected] www.gmuace.org/tools