Evidence Based Practices Lars Olsen, Director of Treatment and Intervention Programs Maine Department of Corrections September 4, 2008.

Evidence BasedEvidence Based PracticesPractices

Lars Olsen, Director of Treatment and Intervention ProgramsLars Olsen, Director of Treatment and Intervention ProgramsMaine Department of CorrectionsMaine Department of Corrections

September 4, 2008September 4, 2008

Evidence Based PracticesEvidence Based Practices

Assess Actuarial Risk/Needs – LSI-R, Static 99Assess Actuarial Risk/Needs – LSI-R, Static 99 Enhance Intrinsic Motivation – Motivational InterviewingEnhance Intrinsic Motivation – Motivational Interviewing Target InterventionsTarget Interventions

– Risk PrincipleRisk Principle – Prioritize supervision and treatment – Prioritize supervision and treatment for high risk offendersfor high risk offenders

– Need PrincipleNeed Principle – Target interventions to criminogenic – Target interventions to criminogenic needs such as substance abuse; attitudes, values and needs such as substance abuse; attitudes, values and beliefs; education; companions; and family/marital beliefs; education; companions; and family/marital relationshipsrelationships

Evidence Based PracticesEvidence Based Practices

– Responsivity PrincipleResponsivity Principle – Be responsive to – Be responsive to temperament, learning style, motivation, culture temperament, learning style, motivation, culture and gender when assigning programsand gender when assigning programs

– DosageDosage – Provide interventions at an – Provide interventions at an appropriate level of intensity and timing appropriate level of intensity and timing

– Treatment Treatment – Integrate treatment into full – Integrate treatment into full sentence/sanction through assertive case sentence/sanction through assertive case managementmanagement

Evidence Based PracticesEvidence Based Practices

Skill Train with Directed PracticeSkill Train with Directed Practice – Use Cognitive – Use Cognitive Behavioral treatment methodsBehavioral treatment methods

Increase Positive Reinforcement Increase Positive Reinforcement – Four positives – Four positives for every negativefor every negative

Engage Ongoing Support in Natural Engage Ongoing Support in Natural CommunitiesCommunities – Actively engage pro-social – Actively engage pro-social supports in their communities including families, supports in their communities including families, friends and organizationsfriends and organizations

Evidence Based PracticesEvidence Based Practices

Measure Relevant Processes/PracticesMeasure Relevant Processes/Practices – Measure – Measure and document offender change and evaluate staff and document offender change and evaluate staff performanceperformance

Provide Measurement FeedbackProvide Measurement Feedback – Provide – Provide feedback to offenders regarding their progress and feedback to offenders regarding their progress and monitor delivery of services and fidelity to monitor delivery of services and fidelity to proceduresprocedures

Gender Responsive ProgramGender Responsive Program

Women’s Center in Windham opened in Women’s Center in Windham opened in 20022002

Women’s Reentry Center in Bangor opened Women’s Reentry Center in Bangor opened in 2007in 2007

Gender Responsive ProgramGender Responsive Program

Guiding Principles:Guiding Principles:

1.1. Acknowledge that gender makes a difference;Acknowledge that gender makes a difference;

2.2. Create an environment based on safety, respect, Create an environment based on safety, respect, and dignity;and dignity;

3.3. Develop policies, practices, and programs that Develop policies, practices, and programs that are relational and promote healthy connections are relational and promote healthy connections to children, family, significant others and the to children, family, significant others and the community;community;

Gender Responsive ProgramGender Responsive Program

4.4. Address substance abuse, trauma, and mental Address substance abuse, trauma, and mental health issues through comprehensive, integrated, health issues through comprehensive, integrated, and culturally relevant services and appropriate and culturally relevant services and appropriate supervision;supervision;

5.5. Provide women with opportunities to improve Provide women with opportunities to improve their socioeconomic conditions;their socioeconomic conditions;

6.6. Establish a system of community supervision and Establish a system of community supervision and reentry with comprehensive, collaborative reentry with comprehensive, collaborative services.services.

Implementation StrategiesImplementation Strategies

1.1. The correctional environment or setting is The correctional environment or setting is modified to enhance supervision and treatment;modified to enhance supervision and treatment;

2.2. Classification and assessment instruments are Classification and assessment instruments are validated on samples of women offenders;validated on samples of women offenders;

3.3. Policies, practices, and programs take into Policies, practices, and programs take into consideration the significance of women’s consideration the significance of women’s relationships with their children, families, and relationships with their children, families, and significant others;significant others;

Implementation StrategiesImplementation Strategies

4.4. Policies, practices, and programs promote Policies, practices, and programs promote services and supervision that address substance services and supervision that address substance abuse, trauma, and mental health and provide abuse, trauma, and mental health and provide culturally relevant treatment to women;culturally relevant treatment to women;

5.5. The socioeconomic status of women offenders is The socioeconomic status of women offenders is addressed by services that focus on their addressed by services that focus on their economic and social needs; andeconomic and social needs; and

6.6. Partnerships are promoted among a range of Partnerships are promoted among a range of organizations located within the community.organizations located within the community.

Implementation StrategiesImplementation Strategies

MDOC is currently a national pilot site for MDOC is currently a national pilot site for the implementation of the Women Offender the implementation of the Women Offender Case Management ModelCase Management Model

Correctional Program Assessment InventoryCorrectional Program Assessment Inventory

The Correctional Program Assessment Inventory The Correctional Program Assessment Inventory is a research based objective instrument to assess is a research based objective instrument to assess program effectiveness. It is used to determine how program effectiveness. It is used to determine how closely a correctional treatment program meets closely a correctional treatment program meets known principles of effective correctional treatment known principles of effective correctional treatment and rates the integrity of correctional programs and rates the integrity of correctional programs according to the following areas:according to the following areas:

Correctional Program Assessment InventoryCorrectional Program Assessment Inventory

Program DemographicsProgram Demographics Organizational CultureOrganizational Culture Program Implementation/MaintenanceProgram Implementation/Maintenance Management/Staff CharacteristicsManagement/Staff Characteristics Client Risk/Need PracticesClient Risk/Need Practices Program CharacteristicsProgram Characteristics Core Correctional PracticeCore Correctional Practice Inter-agency CommunicationsInter-agency Communications EvaluationEvaluation

Correctional Program Assessment InventoryCorrectional Program Assessment Inventory

The advantages to utilizing the CPAI are:The advantages to utilizing the CPAI are:

1.1. The criteria are based on empirically derived The criteria are based on empirically derived principles of effective programs.principles of effective programs.

2.2. The process provides a measure of program The process provides a measure of program integrity and quality.integrity and quality.

3.3. It provides insight into the inner workings of a It provides insight into the inner workings of a program, something that an outcome study alone program, something that an outcome study alone does not provide.does not provide.

4.4. The results can be obtained relatively quickly.The results can be obtained relatively quickly.

Correctional Program Assessment InventoryCorrectional Program Assessment Inventory

5.5. It identifies both the strengths and weaknesses of It identifies both the strengths and weaknesses of a program. a program.

6.6. It provides the program with an idea of what it is It provides the program with an idea of what it is doing that is consistent with the research on doing that is consistent with the research on effective interventions, as well as those areas that effective interventions, as well as those areas that need improvement.need improvement.

7.7. It provides some recommendations for program It provides some recommendations for program improvement.improvement.

Correctional Program Assessment InventoryCorrectional Program Assessment Inventory

7.7. It allows for benchmarking or comparisons with It allows for benchmarking or comparisons with other programs that have been assessed using other programs that have been assessed using the same criteria, and the same criteria, and

8.8. It allows a program to reassess its progress over It allows a program to reassess its progress over time since program integrity and quality can time since program integrity and quality can change.change.

Correctional Program Assessment InventoryCorrectional Program Assessment Inventory

The following adult programs have been assessed The following adult programs have been assessed using the CPAI:using the CPAI:

Correctional Recovery Academy/Transitional Correctional Recovery Academy/Transitional Recovery Academy at MCC and CMPRC (Very Recovery Academy at MCC and CMPRC (Very Satisfactory)Satisfactory)

RULE (Sex Offender Treatment) Program at MCC RULE (Sex Offender Treatment) Program at MCC (Very Satisfactory)(Very Satisfactory)

Women’s Center (Very Satisfactory)Women’s Center (Very Satisfactory)

Correctional Program Assessment InventoryCorrectional Program Assessment Inventory

Violence No More (Batterers Intervention Violence No More (Batterers Intervention Program)Program)

Men's work (Batterers Intervention Program)Men's work (Batterers Intervention Program) Opportunity for Change (Batterers Intervention Opportunity for Change (Batterers Intervention

Program)Program) Only 7% of programs assessed worldwide score in Only 7% of programs assessed worldwide score in

the Very Satisfactory range. the Very Satisfactory range.

Recidivism ResearchRecidivism Research

Consistent with evidence based practices related Consistent with evidence based practices related to measuring relevant processes/practices and to measuring relevant processes/practices and providing measurement feedback, the Department providing measurement feedback, the Department maintains an ongoing relationship with the Muskie maintains an ongoing relationship with the Muskie School at the University of Southern Maine to School at the University of Southern Maine to track recidivism. The primary focus has been on track recidivism. The primary focus has been on juvenile and adult community corrections. A juvenile and adult community corrections. A contract to develop more robust recidivism contract to develop more robust recidivism research to include the adult and juvenile facilities research to include the adult and juvenile facilities is underway. The results of the research are is underway. The results of the research are available on the Muskie and MDOC web sites.available on the Muskie and MDOC web sites.

Single Case PlanningSingle Case Planning

MDOC is currently developing and implementing a Single MDOC is currently developing and implementing a Single Case Planning process that ensures continuity of care as Case Planning process that ensures continuity of care as offenders move from community corrections through offenders move from community corrections through various facilities and back to the community. All elements various facilities and back to the community. All elements of evidence based practice are incorporated into this of evidence based practice are incorporated into this process and it provides direction, structure and process and it provides direction, structure and documentation of correctional interventions. CORIS, the documentation of correctional interventions. CORIS, the Department’s Offender Information Management System is Department’s Offender Information Management System is a key component of single case planning. It has been a key component of single case planning. It has been developed and modified to ensure best practice in case developed and modified to ensure best practice in case management.management.

Reentry ServicesReentry Services

Continuity of care and comprehensive transitional services Continuity of care and comprehensive transitional services are critical to good outcomes for offenders.  Starting in are critical to good outcomes for offenders.  Starting in 2003 the MDOC has administered a Serious and Violent 2003 the MDOC has administered a Serious and Violent Offender Reentry Initiative (SVORI) grant and is now Offender Reentry Initiative (SVORI) grant and is now administering a Prisoner Reentry Initiative (PRI) grant to administering a Prisoner Reentry Initiative (PRI) grant to ensure appropriate reentry services for designated ensure appropriate reentry services for designated offenders in the system.  Lessons learned from these offenders in the system.  Lessons learned from these initiatives are helping inform practice for the transition of all initiatives are helping inform practice for the transition of all offenders in the system.  The Department also maintains offenders in the system.  The Department also maintains contracts with Volunteers of America Northern New contracts with Volunteers of America Northern New England to provide reentry services for women at the England to provide reentry services for women at the Women’s Center and the Women’s Reentry Center.Women’s Center and the Women’s Reentry Center.