Transcript here

Women
Recovering with
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Purpose
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• In March of 2011, the WRAP Program began as a partnership between
Bartholomew County Court Services and Centerstone of Indiana.
• When looking at the average daily jail population in the Bartholomew County Jail,
the need for intensive Residential Substance abuse Treatment was identified as a
problem in our community.
• On Average, 20 to 25 percent of the daily jail population were female
• Of these females, the majority were in jail on substance related offenses, or
they had committed offenses to purchase drugs
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Adult female non-violent offenders may be placed into the WRAP Program if:
1. So ordered to the WRAP Program as part of the original sentence or revocation
proceeding by a Bartholomew County Court, or an approved referral from another
Indiana County.
2. There is sufficient space, and;
3. The offender is being placed as a result of a criminal conviction, and;
4. The offender is determined to be moderate to high risk to recidivate as
determined by the Indiana Risk Assessment System (IRAS) and;
5. The offender is moderate to high risk in Substance Use and has been clinically
assessed and diagnosed to have an addictive disorder, and;
6. It is determined that there is no other Community Corrections Program that is able
to meet the risks and needs of the offender in a lesser restrictive environment,
and;
7. The offender is accepted into the WRAP Program.
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The WRAP Program partnership with Bartholomew County
Community Corrections and Centerstone. The WRAP Program is
a year long Substance Abuse Program which consists of four to
six months of intensive residential treatment in the
Bartholomew County Community Corrections Center and the
balance of the year on aftercare on Day Reporting with an
electronic monitor.
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• The Residential Portion of the WRAP Program will utilize staff
from Community Corrections and Centerstone to deliver the
program components; Seeking Safety, Residential Drug Abuse
Program (RDAP), and Texas Christian University’s Mapping
Enhanced Counseling.
• A Treatment Plan will be developed based on the Indiana Risk
Assessment System (IRAS) and treatment will be individualized
as needed.
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• RDAP is a female specific Interactive journaling program Developed by the Change
Company (http://www.changecompanies.net/series.php?id=4) that is tailored to
help participants face criminal justice and drug use issues that are specific to them.
• Emphasis is placed on learning the necessary skills and accepting responsibility for
making positive life changes.
• Participants complete homework individually in their journals outside of class and
meet as a group four (4) times weekly for two (2) hours to process their answers
with staff and other members of their group.
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• Topics covered in the RDAP Interactive Journals are:
• Orientation
• Rational Thinking
• Criminal Lifestyles
• Living with Others
• Lifestyle Balance
• Transition
• Recovery Maintenance
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• Seeking Safety is a present-focused therapy to help clients attain safety from Post
Traumatic Stress Disorder (PTSD) and substance abuse. Seeking Safety consists of
25 topics that can be conducted in any order, Topics included in Seeking Safety
include:
• Introduction/Case Management, Safety, PTSD: Taking Back Your Power, When
Substances Control You, Honesty, Asking for Help, Setting Boundaries in
Relationships, Getting Others to Support Your Recovery, Healthy Relationships,
Community Resources, Compassion, Creating Meaning, Discovery, Integrating
the Split Self, Recovery Thinking, Taking Good Care of Yourself, Commitment,
Respecting Your Time, Coping with Triggers, Self-Nurturing, Red and Green
Flags, Detaching from Emotional Pain (Grounding), Life Choices and
Termination.
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• Seeking Safety is taught 3 times weekly for 1.5 hours per session.
• Seeking Safety consists of 25 sessions and participants continuously are in Seeking
Safety.
• Seeking Safety is facilitated by the Program Coordinator
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• Mapping-enhanced counseling is a cognitive strategy shown to be effective in
increasing client motivation, engagement, participation, and retention in
treatment. It also promotes more positive interactions with other clients and
treatment staff, both in community-based and correctional settings.
• TCU manuals provide guidance on the use of mapping techniques, using a variety
of structured and free-flow formats, as well as a related series of motivational
readiness interventions.
• Manuals are based on improving psychosocial and related decision-making skills.
• TCU Mapping Enhanced Counseling is facilitated by program staff six (6) times
weekly for an hour and a half (1 ½) per session.
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Topics covered in the TCU Mapping Enhanced Counseling are:
• Mapping Your 12 Steps
• Getting Motivated to Change
• Preparation for Change
• Understanding and Reducing Angry Feelings
• Unlock Your Thinking-Open Your Mind
• Ideas for Better Communication
• Building Social Networks
• Time Out for Me
• Partners in Parenting
• Straight Ahead-Transition Skills
• Mapping Your Reentry Plan
• Common Sense Ideas on HIV Prevention, and HIV/AIDS Education.
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• The primary goal of Moving On is to provide opportunities for women to mobilize
and enhance existing strengths and to access personal and community resources.
• This is achieved by:
• Treating women with respect and dignity,
• Providing an environment that is supportive, empathic, accepting,
collaborative, and challenging,
• Assisting women to build a healthy and mutually supportive network,
• Introducing an array of personal strategies, including decision-making,
problem-solving, assertiveness skills, emotional regulation, and,
• Assisting women with the challenges of reintegration.
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• Moving On is a 26-session, curriculum-based program. The program consists of six
modules:
• Orientation
• Listening and Being Heard
• Building Healthy Relationships
• Expressing Emotions
• Making Connections and Staying Healthy
• Transitions
• Moving On is facilitated 1 time weekly during aftercare by Court Services’ Case
Managers.
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Women
Recovering with
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Purpose
Rob Gaskill, MBA
Director of Residential Services
812-418-3137
[email protected]
Bethany Peetz, LCAC, LMHC
WRAP Coordinator
812-418-3132
[email protected]
RSAT Programs: Utah
Department of Corrections
Division of Programming
• Established in 2007
• Separated from other Correctional Divisions (Adult
Probation and Parole, Division of Institutional Operations)
• Dedicated to providing treatment services for sex offenders
and substance use disorders for both male and female
offenders
• Oversees volunteer services
• Collaboration with local school district and vocational
colleges for educational services
Services Provided:
•Transitional Services
•RSAT programs for both male and female offenders
•Sex Offender Treatment Programs for both male and female
•Employment Agents & Drug Offender Reform Act
•Community Treatment Resource Centers for Parolees
•Fortitude Treatment Center (Parole Violation Center)
Transitional Services
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Begins at the point of interface with criminal justice system
Use of Level of Service Inventory-Revised (LSI-R)
Case Action Plans (CAP)
Your Parole Requires Extensive Preparation (YPREP) collaboration with
community agencies
• Parole Access to Treatment (PATR)
– Utah Department of Corrections Funding
– Case Manager Assigned
– Up to $2500 worth of services per parolee
– Parolee chooses service provider
RSAT Programs
• Urban and rural correctional settings
• Therapeutic Community based
• Three male programs (Con-Quest, HOPE, CARE) One female program
(Excell)
• Outcome measures completed
– 41.3% recidivism rate for Con-Quest
– 39.7% recidivism rate for HOPE
– 30% recidivism rate for Excell (Female)
Con-Quest RSAT TC Program
•400 inmates in a standalone facility
•10 Clinical therapists
•3 Advanced Substance Use Disorder Counselors
•1 Correctional Specialist 1 (corrections officer)
•12 to 18 months to complete
•Monthly UA for all participants including graduates
Con-Quest RSAT TC Program
• Three phase program
– First 90 days Residential Drug Abuse
Program Series (The Change Companies)
– Nine months “Clinical Phase”
– Continuing Care
• Life Skill Classes
• Seminars and Personal Growth Classes
• Why Try Curriculum
Con-Quest RSAT TC Program
• Trauma informed treatment (Trauma Recovery Empowerment
Model, Helping Men Recover, Mind Body Bridging, Eye Movement
Desensitization and Reprocessing (EMDR)
• Paid leadership
• Peer Leader mentors
• Peer Support Groups to address LSI-R
– Addict to Athlete
• Collaboration with Canyons School District
Con-Quest RSAT TC Program
• Davis Applied Technology College (Culinary Arts)
•13 month program
•Graduates receive a certificate and are certified to work
in restaurants
•Graduates of Con-Quest receive priority
•Other programs offered:
•Office Management
•Welding
•Graphic Arts
Con-Quest RSAT TC Program
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Collaboration with Canyons School Districts
TABE Testing
Life Skill Classes
Offer High School Diplomas
Fully staffed on-site with Principal, Vice-Principal,
and teachers
Treatment Resource Centers
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Assessment
Substance Abuse Continuing Care
Mental Health Therapy
Life Skills Classes
Located at Parole Offices
CUCF’s
HOPE-CARE RSAT
Helping Offenders Parole Effectively;
Community-Assisted Recovery Experience
- A proven, recidivism-reducing Therapeutic Community RSAT with
salient rewards and strong, therapeutic sanctions
- Daily collaboration with Security Partners
- A 332-bed, seven dorm, RSAT, spanning two housing units at Central
Utah Correctional Facility in Gunnison, Utah
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HOPE-CARE RSAT
 HOPE began in 1998 with a Federal Grant
 Fir Housing Unit 288-bed dorm
 CARE – a two section-expansion opened January
2013 (40% increase in program capacity)
 Offender Management Review (OMR)
 Daily Morning Collaboration Meetings
 Use of Motivational Interviewing skills
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HOPE-CARE RSAT “Throughput”
Statistics
 74% program completion rate.
 The Utah High School Graduation Rate for all students
is 78% for 2012. The rate for minority students is about
66%.
 High School participation and graduation.
 Vocational Ed./Jobs
◦ Culinary Arts
◦ Building Trades
◦ Horse Gentling Program
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Mental Health and
Literacy “Time-outs”
 Mental Health stabilizations:
 Temporary removal or delay in RSAT admission;
 Initial Screenings
 Mental Health evaluations
 Dual diagnosis admitted if stable
 Many Dual-Diagnosis go on to graduate within 1418 months.
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TC Aspects Unique to HOPECARE
 Remedial Reform Group (RRG) (30/45/60 days)
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30-day change of status
3 hours daily community service (cleaning the section)
Daily Therapeutic Journal
Daily “Learning Experience” in Therapeutic Community
meeting
– Skits
– Loss of privileges
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HOPE-CARE RSAT
30-Day E-Level
 Consequence of “Cardinal Rule” violation
 Loss of visiting, phone, commissary
 Separate housing unit
 Three hours per week out for section recreation,
shower, etc.
 Interviewed monthly and invited back to RSAT
 Eligible for level advancement 90 days
 Many return to RSAT after 30-days
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Experiential LeadershipChanging through Service
Senior Mentor
Junior Mentor
Historian
Crew Boss
Board of Pardon Special Attention
Submissions
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Semi-Annual
HOPE Graduation Ceremony
• Celebrations of Achievement and
Accomplishment
• Graduation special visits
• Drill Crew Presentation
• Hilarious Skits by the Skits Crew
• Various Musical Numbers or Native
American Drum Circle
• High-Impact Graduation Speakers
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Trauma & Substance Use Disorders
•85% to 90% of women in prison
have experienced some type of
trauma
• Women typically use substances
to mask trauma
•Need for trauma informed
services
•Gender responsive
•Community collaboration
Why Utah?
• Fry Sauce
Addressing Father Absence in Substance Abuse
Treatment
March 19, 2014
2:00 – 3:00 p.m. EDT
Among today’s prominent health concerns, father absence underscores a
number of child risk and endangerment factors and is identified as a primary
feature among many recovering persons, including criminal justice
populations. This workshop explores some of the reasons for father absence,
the WAR (World of Abnormal Rearing) Cycle of Addiction, and what can
be done to address this issue in treatment for offender populations and for
those in community settings.
Presenter:
Kenneth Osborne