Transcript Document

CDP
A comprehensive Substance
Abuse/Dependency Program for
Thurston County Correctional Facility
in Association with Alternatives
Professional Counseling, Inc.
Meth And More Conference
CDP TCCF/Alternatives Meth and More
April 28, 2011
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BEHIND THE GOOD NEWS:
Common Sense Strategy
TREATMENT
RECIDIVISM
Solve Underlying
Problems and Help
People Get Healthier
Prevent the Next
Offense
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Agenda / Introduction
Thurston County Correctional Facility has established a unique
set of pro-social programs available to inmates that are
proven to be effective in changing individuals lives. A holistic
approach and maintaining best practice programs are the
key in providing inmates avenues to change behavior and
thinking and thus, reducing the recidivistic spiral.
Participants getting healthier and gaining coping skills is
essential in developing healthy interpersonal relations,
gaining recovery skills and becoming individuals that are able
to contribute to the community.
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CDP
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Program Inception date, including MRT® as basic treatment modality,
July 1,1995.
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As of December 31, 2008; 918 participants were admitted to CDP
[Including 181 Drug Court participants]
382 of these participants completed the program.
There was a 178 percent reduction in the average rate of completed
clients incurring guilty charges. [Dugan, J. 2007]
For the funding year 2007 to 2008 the cost of treatment per inmate who
completed the program was $2,637.
For the funding year 2006 to 2007 participants had 0.9 percent positive
urinalysis for alcohol or illicit drug use. This is in comparison of the
average of 20 percent positive non-treated group.
For Thirteen Years (July 1,1995 through December 31,2008)
General Population Bed Days Saved: 76,036
Bed Day Cost Savings: $4,088,141
Revenue Generated (Work Release & EHM): $ 1,103,171
Inmate Labor Hours Provided in-house: 503,726
Inmate Labor Hours (Revenue Saved): $3,485,143
Community Betterment Labor Hours: 15,097
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CDP Program Introduction
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The inmate Chemical Dependency Program (CDP) is a state certified
outpatient program conducted in three phases with each phase
decreasing in intensity according to ASAM criteria and participant’s
progress. Both Alternatives Professional Counseling, Inc. certified CDP
counselors and specially trained Corrections staff facilitates and provide
oversight and facilitation of of the program.
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The CDP program is presented in three [3] phases. Phase I Provides
intensive alcohol and drug education, group therapy using Moral
Reconation Therapy (MRT®) and individual counseling sessions to
incarcerated adults within the Thurston County Corrections Facility.
participants will meet three times per week, two three hour sessions and
one 96-minute session, over a 10-week period. Each inmate in Phase I will
be seen for a total of 30 groups and 4 individual sessions. Group size will
be limited to 12 participants. Inmates live in a therapeutic community.
They work together In the Food Service Program as inmate workers.
Additional beds may be used for Drug Court client referrals. CDP is the
primary treatment program for Thurston County Drug Court for clients
initially unable to maintain structure or needing primary treatment.
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Phase II Features Work Release from the TCCF site. This
transitional phase will meet twice per week for two hours each
session for 10 weeks. Random, weekly or higher frequency drug
level testing for all participants in Phase II will be provided. There are
at least two individual sessions provided during this phase.
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Phase III Takes place with inmates on Electronic Home Monitoring
through TCCF. One weekly two- hour group session will be mandated.
Phase ID lasts for a minimum of 6 weeks and may be longer,
depending on sentence and individual needs. Participants will provide
random drug testing, upon completion of their sentence inmates may
be required (per ASAM criteria) to take part in follow-up treatment.
Additionally all inmates agree to take part in program tracking and
evaluation studies to assist in measuring the success of the program.
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**CDP Admission Criteria:
 Minimum/Medium Custody or Inmate Worker Classification.
 No Major Disciplinary action within 30 Days or Minor Disciplinary action
within 10 Days.
 Be Employable or able to do community service.
 Sentenced to at Least Seven Months and Agree to Complete the Seven
Month in-custody part of the Program.
 Inmates must be sentenced to the CDP and the order must read, "may
serve their time" on our program.
 Inmates with "holds" may be eligible if the "holds" can be cleared. Must
Sign Written Program Contract.
 Must Agree to Participate in Follow-up Treatment as Directed.
**It is important to note other factors maybe considered in admission criteria to the CDP program.
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CDP Clinical Overview
Treatment
modality at TCCF utilizing MRT® or
Moral Reconation Therapy.
What is MRT
Moral Reconation Therapy is a systematic, step-by step cognitive-behavioral treatment
system for offender populations. MRT™ is designed to alter how offenders think and how
they make decisions about right and wrong. MRT™:
 Addresses the unique needs of offender populations including criminological
factors, values, beliefs, behaviors and attitudes.
 MRT is listed National Registry of Evidence-based Programs and Practices
(NREPP).
 Enhances ego, social, and moral growth in a step-by-step fashion.
 Develops a strong sense of personal identity with behavior and relationships
based upon higher levels of moral judgment.
 Reeducates clients socially, morally, and behaviorally to instill appropriate
goals, motivation, and values.
 Easily implemented in ongoing, open-ended groups with staff trained in the
method.
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What is MRT
The 12 steps on the 'FREEDOM LADDER' are an expansion of Lawrence Kohberg's sixstages of
moral reasoning. The stages and steps in the workbook "How To Escape YourPrison" were
developed, in large part, from the published professional works of Ron Smothermon, Erik
Erikson, Jane Loevinger and Carl Jung, as well as the Authors' own writings and client
observations. The term "conation" was used in clinical psychology prior to the extensive use
of the term"ego". Conation relates to how one consciously makes decisions.
What Works!
In a report commissioned and sponsored by the Canadian Government to investigate the
effectiveness of drug and alcohol treatments that have been used (especially in the United
States),it was stated that behavioral and cognitive approaches are the treatment methods most
supported as effective by professional outcome evaluations (Eliany & Rush, 1992). Effective
therapeutic processes that systematically alter how inmates make decisions - how they think
show substantially beneficial changes seen in recidivism reduction and other behaviors
(Gendreau &Platt, 1993; Schrink & Hamm, 1989). From: An overview of treatment effectiveness:
Researchand clinical principles by D.A. Andrews (1994), in: What Works: Bridging the Gap
Between Research and Correctional Practice.
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What is MRT
The American Probation and Parole Association, reviewed results from thousands of
controlled outcome studies and that showed the following components necessary for
effective treatment:
• Cognitive-Behavioral Programs
• Printed Program Materials
•Addresses Criminal Thinking & Needs
•Empirically Validated on Criminals
•Staff Is Specifically Trained In the Approach
•Staff is Enthusiastic& Understand Antisocial Personality Characteristics
•Problem Solving & Skill Building
•Structured Follow-ups Provided
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What is MRT
Moral Reconation Therapy (MRT®) was one of the first comprehensive,
systematic attempts to treat substance-abusing offenders from a purely
cognitive behavioral perspective; In 1985 formal MRT® was developed by
Dr. Greg Little and Dr. Ken Robinson by combining Smothermon's
concepts with theories of moral development (Kohlberg), ego and identity
development (Erikson), behavioral conditioning, Maslow's needs
hierarchy, and Carl Jung's concepts.MRT® is an objective, systematic
treatment system designed to enhance ego, social, moral, and positive
behavioral growth in a progressive, step by step fashion. MRT® has 12 to
16 steps, depending on the treatment population. MRT® attempts to
change how drug abusers and alcoholics make decisions and judgments
by raising moral reasoning from Kohlberg's perspective.
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What is MRT
Briefly, MRT® seeks to move clients from hedonistic (pleasure vs. pain)
reasoning levels to levels where concern for social rules and others
becomes important. Research on MRT® has shown that as clients pass
steps, moral reasoning increases in adult drug and alcohol offenders and
juvenile offenders.
MRT® focuses systematically on seven basic treatment issues:
confrontation of beliefs, attitudes and behaviors, assessment of current
relationships, reinforcement of positive behavior and habits,positive
identity formation: enhancement of self-concept, decrease in hedonism
and development of frustration tolerance, and development of higher
stages of moral reasoning.
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• MRT® is easy to implement
• MRT® is designed and developed to target issues specific to anOffender population.
• MRT® is designed to address issues of a treatment resistant
population.
• MRT® has shown to reduce the recidivism rate of offenders from
30%-50% after .10 years of release.
• MRT® improves offender compliance to rules in an institution or
while under supervision in the community.
• MRT® is delivered in groups which are open ended which allows
for maximizing resources.
• MRT® easily meshes and blends with other types of programming
including self help groups, education, counseling and behaviorally
oriented programs.
• MRT® will increase offenders' moral reasoning, decrease dropout
rates, increase life purpose and reduce antisocial thinking and
behavior.
• When implemented in a variety of criminal justice settings in a
community, MRT® provides a continuum of care.
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Where to Get More Information
Power Point “Meth and More” power point
download :www.alternativesprocouns.com
 CCI, Correctional Counseling, Memphis
TN.
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