Transcript Slide 1
The Impact of Intensive Day Treatment in Reducing Relapse & Recidivism Victor Perales, Social Work Dr. Tracy Dietz, Associate Professor of Social Work Carol Beyer, IDT Program Texas Christian University Background • • Cognitive Behavioral Therapy (CBT) is directed towards changing distorted or dysfunctional cognitions, teaching new skills, and using therapeutic techniques (Landenberger & Lipsey, 2005). Purpose The purpose of this study is to determine how effective the Intensive Day Treatment (IDT) Program is in preventing relapse and recidivism among probationers who have completed the treatment program at Green Bay County Jail. Findings The IDT program curriculum includes but is not limited to: Cognitive- based Criminal Conduct, Substance Abuse, AIDS/STDS Awareness, & Gender Issues. • With offenders, relapse and recidivism has been shown to be reduced when used with CBT. Objectives •To examine the effectiveness of the curriculum used by IDT in preventing relapse & recidivism. • To add to the understanding of working with substance abusing persons in mandated treatment programs and improving their outcomes. Sample •31 Male probationers • Ages 18-57, Average age 26 years old •Drug of choice: 4 Alcohol, 15 Marijuana, 5 Methamphetamine, 4 Opiates, 2 Heroine, 1 poly substance use, & 7 Cocaine PowerPoint Template ©2009 Texas Christian University, Center for Instructional Services. For Educational Use Only. Content is the property of the presenter and their resources. • Lack of efficient aftercare Discussion •Employment has substantial impact on recidivism and relapse because those unemployed are at higher risk for relapse and recidivism. •Age was found to be a less significant variable to what causes probationers to relapse or recidivate. Methods •Curriculum appears to be more successful in preventing recidivism and less so for relapse. •Data were collected from June 2009 - January 2010. •Background information (drug of choice, race, age, education, charges, marital status, times in treatment, times in jail, and dual diagnosis) was collected by one of the Tarrant County Community Correctional Facility IDT program staff. •The curriculum used by the IDT program is based on Cognitive Behavioral Therapy and was used during this entire study. • After successfully transitioning out of the IDT program, probationers were tracked using the Tarrant County criminal justice database to determine if the probationers relapsed or recidivated. Employment Status As Factor in Recidivism & Relapse Employed (n=9) Unemployed or Unknown (n =22) Recidivism 0% 14% Relapse 11% 36% Age As A Factor in Recidivism & Relapse 18-21years (n=15) • 7 African Americans, 19 Caucasians, 5 Hispanics •Charged with: 12 convicted of possession, 1 aggravated assault, 5 burglary, 2 thefts, 1 criminal misconduct, 1 unlicensed weapon, 2 evading arrest, 1 bodily harm of a family member, 2 DWI’s, & 4 robbery • Limited time constraints • Dual diagnosis of participants IDT follows CBT as the primary group counseling perspective. • Limitations Recidivism Relapse 0% 27% 22 and up (n =16) 19% 31% •IDT programs utilizing CBT have positive impacts in preventative efforts and outcomes. Further Research •More research on the impact of race and its correlation to relapse and recidivism rates is necessary. • Seriousness of criminal charges in relation to drug of choice needs to be examined in more depth. References Landenberger, N. A., & Lipsey, M. W. (2005). The positive effects of cognitivebehavioral programs for offenders: a meta-analysis of factors associated with effective treatment. Journal of Experimental Criminology, 1, 451-476. Linhorst, D.M., Dirks-Linhorst, P.A., Bernsen, H.L., & Childrey, J. (2009). The development and implementation of a jail-based substance abuse treatment program. Journal of Social Work Practice in the Addictions, 9(1), 91-112. Wanberg, K. W., & Milkman, H. B. (2006). Criminal conduct and substance abuse treatment strategies for self-improvement and change. Thousand Oaks, California: Sage Publications.