Transcript PROJECT SUCCESS - JBS International, Inc.

The Project Recovery Enhancement
Program (PREP) Preliminary
Observations
Pinellas County Sheriff’s Office
Detention and Corrections Bureau
JIM COATS, Sheriff
Community Corrections/ORP SAMHSA Grantee
Meeting May 3, 2011
PREP Project Team
Manuel Wolfe, Project Director Pinellas County
Sheriff’s Office
Jewel Murphy, Project Supervisor
Pinellas County Sheriff’s Office
Mark Vargo, Project Evaluator, Operation PAR
Renee Carter-Gura, Clinical Supervisor, Operation
PAR
What is PREP?
PREP is an innovative community based
program administered by the Pinellas County
Sheriff’s Office in partnership with Operation
PAR to provide one year of outpatient treatment
and recovery support services to female
offenders in need of substance abuse treatment
services.
Who is served by PREP?
The Target Population—

240 females in Pinellas County, Florida over
a three year period. 80 per year. (Florida’s
central Gulf Coast, St. Petersburg area.)

Clients are either on probation, furlough from
the Pinellas County jail, or some form of court
supervision.
Snapshot of the PREP Population
Demographics for Clients Assessed (GAIN/GPRA) as of March 31, 2011
Age
18–24
58 (29.1%) Male
25–34
69 (34.7%) Female
35–44
49 (24.6%)
45–54
Gender
Race
20 (10.1%) Black/African American
0 (0.0%)
199 (100%)
35(17.6%)
55–64
3 (1.5%) Asian
2 (1.0%)
>64
0 (0.0%) Native Hawaiian/Pacific Islander
3 (1.5%)
White
Ethnicity
Hispanic/Latino
Non-Hispanic
American Indian
8 (4.0%) None of the above
191 (96.0%) Multi-racial
141 (70.9%)
6 (3.0%)
11 (5.5%)
1 (0.5%)
Area of Evaluation Interest
Instead of the vast majority of PREP participants coming
from an MTC background over the life of the project, a
majority of the participants can now be expected to be
“street” referrals.
The analysis of the interplay between MTC and nonMTC clients in the final evaluation as it relates to such
things as recidivism, program completion, and
treatment engagement was always an area of interest
for evaluation; however, it will be more interesting
following the reversal of the population proportions.
Preliminary Review of Engagement and Completion
Numbers for Population from February 2009 through
April 2010 MTC vs. Street Referrals
Area of Evaluation Interest
The unique relationship between PREP and the
Judicial System will be of special interest during the
final evaluation of the program. The interplay
between program completion rates, recidivism
rates, and judicial intervention/advocacy strategies
is potentially intriguing.
Preliminary Review of Recidivism Percentages
Based on Treatment Participation
One year or longer from Graduation N = 6
No re-arrests
Six Months from Graduation N = 17
One (1) re-arrest
Less than Six Months from Graduation N = 10
No re-arrests to date
Area of Evaluation Interest
Performance Assessment Factors through
March 31, 2011
GPRA Intake, Follow-Up and Discharges
# Expected
# Received to
Date
Percentage
National
Average
Intake (Baseline)
193
199
103.1%
102.7%
6-Month Follow-up
152
126
82.9%
85.6%
GPRA Discharged
NA
22
NA
NA
Number of Clients Assessed and Who became
Engaged in Treatment through March 31, 2011
Cumulative Percentage of Clients
Successfully Completing Clinical
Treatment per Quarter
# Enrolled
199
# Active
45
# Discharged # Assessed
but Never
Enrolled
105
30
# Assessed
awaiting
enrollment
19
# Clients
Discharged who
Successfully
completed 80% of
outpatient Session
and proceeded to
Phase II RSS Stage
58
Area of Evaluation Interest
Clinical Team Observations and Trends
(related statistical findings in final report)



Clients that are court
ordered tend to be more
successful
Clients who enter PREP on
a multitude of pain
medication or other
commonly abused meds
tend to decompensate more
quickly
Clients who utilize all offered
services and follow through
on referrals appear to be
more successful


Clients with severe mental
health issues tend to be less
successful and have a more
difficult time stabilizing
Since the introduction of the
10-panel drug screens,
PREP has had less false
positives and less positive
drug screenings over all.
PREP has seen an increase
in verbal disclosures of
substance use
Clinical Team Observations and Trends (cont’d)



Clients who reside in
transitional housing tend to
be more successful
Clients that attend all groups
without absences tend to be
more successful
Clients who complete 90 in
90 12-step fellowship
meetings within their first 90
days tend to fare better in
treatment.



Clients that are referred from
probation officers appear to
be more resistant to
treatment (especially
misdemeanor probation
clients)
Clients who are in school or
working (or a combination of
both) appear to do better
overall
Clients who overwork or
work long and late hours
tend to relapse more often
For More Information
Please contact:
Manuel Wolfe, Pinellas County Sheriff’s Office
Bureau of Detention and Corrections
Project Recovery Enhancement Program Director
Phone: (727) 464-6398
Email: [email protected]