Transcript Title

MN Department of Corrections
RSAT RV Project: How to stop the revolving door?
Dianne Seger, MS, LPC, LADC
Associate Director of Behavioral Health
Minnesota Department of Corrections
[email protected]
Minnesota Department of Corrections
Prison Facilities
Classification Levels
Minnesota Prison Factors
• Low rate of incarceration (49th per capita)
• Prison used for serious, high-risk offenders
• Low rate of recidivism (three years after
release):
 36% new felony conviction
 25% reincarcerated for a new felony
Community “Philosophy”
Source: www.nicic.org/Features/StateStats
Wisconsin
Minnesota
State population
5.6M
5.0M
Probation population
53K
130K
23-24K
9.5K
43%
7%
Prison population
% incarcerated
Offenses
•
•
•
•
•
•
Drugs
Crim Sex Cond
Homicide
Assault
Traffic/Accidents
Burglary
As of 1/1/10
1844
1623
1346
1122
796
624
19.2%
16.9%
14%
11.7%
8.3%
6.5%
Type of Offenses (top six-7355)
•
•
•
•
•
•
•
Person
Drug
Property
DWI
Other
Weapons
PSI Holds
As of 1/1/10
4791
1844
1101
686
662
503
32
49.8%
19.2%
11.5%
71%
6.9%
5.2%
.3%
CD Programs Mission Statement
The mission of the MN DOC chemical
dependency programs is to provide a
therapeutic treatment environment that
promotes abstinence from alcohol and
other mood-altering chemicals and
promotes personal responsibility for
criminal conduct and thinking.
Did You Know?
• Minnesota DOC is one of the state’s largest providers of
CD treatment (over 800 treatment beds)
• Available to adult and juvenile offenders at every state
prison custody level except maximum (Oak Park Heights)
• Continuum of CD services, including treatment
readiness, primary long-term treatment, and
aftercare/mentors, and release planning
• Residential CD programs are specifically designed for
offenders and address criminogenic and addiction issues
CD Treatment “Fast Facts”
• 3,800 newly-committed offenders and release violators
assessed for CD abuse or dependency in FY08
• 90% diagnosed as chemically abusive or dependent
• 80% were directed to treatment
• 34% of offenders directed to treatment enter a program prior
to release:

1,309 offenders entered treatment programs in FY08

89 treatment refusals
• Those who do not complete treatment are referred to
programs in the community
Correctional CD treatment
• Long-term treatment is more effective, up to a
year (mean LOS is 8 months in our primary
treatment programs)
• TC separated from general population
• CBT approach with motivational enhancement
strategies (Motivational interviewing)
• Criminogenic Risk/Criminal thinking component
• Recovery-oriented release/transitions planning
• Hazelden/MN DOC Curriculum A New Direction
• MN DOC RV’s are not generally given treatment
opportunities—sentences are too short
Residential Treatment Parameters
• 25 hours of programming per week:

12 hours “core” services (professional services, group +
individual therapy, psycho-education, etc.)

13 hours additional programming (education, support
groups, homework, healthy physical activity, etc.)
• Staffing ratio of 12:1 (females 8:1) CIP 15:1 and 10:1
• Treatment addresses both addiction and criminogenic factors
• Routinely audited against Certification Standards by Dept. of
Human Services, Department of Public Safety, and DOC
auditors
CD Program Outcome Evaluation
2,260 offenders who were directed to treatment were released to the
community in 2005:
 Approximately half participated in treatment
o 72% treatment completion rate for all participants
o
61% completion rate for DWI offenders

Completion of treatment reduced risk of recidivism
o 22% for rearrest
o 20% for reconviction
o 27% for reincarceration w/new offense

Some program durational effects
 Greatest in primary programs of 180 days
Source: DOC Chemical Dependency Program Evaluation, March 2008
www.doc.state.mn.us/publications/documents/03-08CDRecidivismEvaluation.pdf
Challenge
• Many/most RV’s come back to DOC directly or
indirectly due to drug/alcohol abuse
• 2011: 2200 release returns (without new sentence)
• Efforts to identify the target population started in
2009 with reviewing 2008 data
• Hypothesized that a short-term intervention may
reduce recidivism with this subgroup with a much
smaller expenditure of resources
An Examination of Chemical Dependency Treatment
Needs of RV’s who Previously Completed Treatment
• Research survey conducted in 2010: N= 50 RV’s
• Survey was anonymous
• Goal was to develop a treatment intervention
targeted specifically for RV’s who had previously
completed DOC treatment
• Hypothesized that a short-term relapse prevention
intervention may reduce recidivism with a subgroup
of offenders, with a much smaller expenditure of
resources
Survey Results
• Well over half (61%) of respondents indicated their release
revocation was related to the use of alcohol or other drugs
• Twenty-six percent of respondents said they did not use after
their release
• Almost ¾ (73.5%) rated their CD Treatment experience as
“Positive” or “Very Positive.” 14.3% rated their Treatment
experience as “Negative” or “Very Negative”
• Nearly three-quarters (71%) acknowledged returning to
criminal thinking patterns after release
• 83.7% felt they were prepared to maintain sobriety after their
treatment and previous release.
Use of community resources
• Seventy-five percent reported attending self-help
meetings
• About half (55%) said they obtained a sponsor
• About one third (35%) reported participating in
outpatient CD counseling or CD Halfway House
• Eighty-eight percent said they felt there were people
in the community who supported them
Relapse and Recidivism
How long were you out?
How long after release did
you start using?
• One or more years
38.7%
• 6-12 months 24.5%
• Less than 6 months
35.7%
• Less than 30 days 8.4%
• 30-90 days 16.32%
(first 90 days 24.7%)
• 3-6 months 10.2%
• 6-9 months 18.4%
• 9-12 months 8.2%
• More than 2 years 2%
Did not use 26.5%
Offenders reported the following issues led to
their use of alcohol or drugs after their release:
• Stress
• Relationship issues with family and/or
significant others
• Boredom
• Depression
• Difficulty finding housing
• Difficulty finding employment
• Challenges of supervision
Respondents reported the following components to be
essential to a relapse prevention program
• The opportunity to meet individually with a
release planner prior to release
• More thorough information on resources
available to them upon release, such as housing
lists, employment availability, support group
connections, and access to health care
• Instruction in how to manage personal finances
• Stress management and coping skills
• Motivation to maintain sustainability of recovery
process
Program Participants
•
•
•
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RV @ MCF-LL
Identified through HRU
Must have completed DOC CD treatment
Return to prison directly or indirectly related to
substance abuse
• Prefer to have at least some period of sobriety
• Motivation for treatment (interview process)
Program Parameters
• 90-120 days
• 2 therapists Caseload: 10
• Staff:
– LADC’s (Licensed Alcohol and Drug
Counselors)
– Combination therapist/release planner
Program (cont)
• Follows current certification standards
– Hours of treatment (residential)
– Staffing
• Curriculum
– Gorski’s RP with Chemically Dependent
Criminal Offenders, and A New Direction
– Emphasis on transitions
– Restorative Justice elements
– Individualized treatment
To date (12/12)
• 84 served
• 52 Graduated
• 50 Released to Community
• 12 Terminated by program
• 8 Admin Term
• 1 Quit
Interviews with ex-offenders and supervising
agents underway
Questions?
Dianne Seger- Associate Director of Behavioral Health
Minnesota Department of Corrections
1450 Energy Park Drive, St. Paul, MN 55108
[email protected]
651.361.7283
STS Overview
Male adjudicated delinquent population, ages 13-18, youth offender waiver
Accredited by the American Correctional Association
Three years of downsizing, still provides relevant, cutting edge programs
Basis for STS programs
Motivational Interviewing
Engages students, helps solve problems, annual staff training
Cognitive Behavioral Techniques
Assists students by helping them understand concerns and to develop a
different set of motivators
Addiction Management Systems (AMS)
Three year license from the State of Iowa, Level I, extended outpatient
Integrated contracted program for 21 years
Same level of priority as education/clinical programs
STS expectation – student applies himself
Public Order, 2, 1%
Sex Crimes, 21, 12%
Weapons, 4, 2%
Crime Breakdown
By Admission – 2011
Drugs, 11, 6%
Property
Property, 83, 48%
Persons
Drugs
Weapons
Persons, 54, 31%
Sex Crimes
Public Order
The student must be at least and must have
committed a
(murder, sexual
assault, first degree arson or burglary)
Be at least AND any of the following:
•
against a
person (carrying a weapon)
• A previous delinquent act
• Prior out-of-home placement
Character Counts
Cognitive Life Skills
Violence Intervention Program
Suicide Prevention Program
Honor Corps
Health Curriculum
Gang Resistance and
Intervention Program
Transitional Living Skills
Residential Substance Abuse
Treatment
Challenge Course
Sexual Abuse Program
Suicide Prevention Group
7-12 Educational Program
Vocational Programs
Basic Auto Technology
Basic Welding Technology
Bakery Careers
Computer Applications
Air Cooled Engines
Residential Construction
Building Trades
GED Prep and Testing
Drama
Art
PE
Unmotivated population
Identified through assessment, juvenile
court, or parental concern
Goals
Help students explore how mood-altering chemicals
have affected them
Work to identify specific concerns about use
Develop life alternatives
Develop actions plans
Assessment
Program Qualifiers
17.5 years or younger
Between 6 months and 1 year stay
Supervising county must be willing
to provide aftercare support
Prior history of treatment
Manufacturing or distribution charges
need documented history of
problematic use
If not appropriate for an ongoing
group, reassessment will occur if
openings are available
Testing/Information
Standardized testing by Iowa Dept
of Public Health
AMS adds questions which are
adolescent-specific
CAST and SAIS evaluation
Access to all social history via
Qualified Service Organization
Agreement
Planning
Initial assessment within first 7 days at facility
Initial Treatment Plan within 7 days in living
unit
Master Treatment Plan implemented within 30
days
Interdisciplinary Care Plan (ICP) which includes
consultation with Juvenile Court Officer
Access to STS main file
Student input on
Initial Treatment Plan
Master Treatment Plan
Treatment
•Individual Counseling/Life Space Support
•Bi-monthly
•Monthly goals
•Focus on Master Treatment Plan
•Group Counseling
•Phase 1 - “Bullets and Bomb Stage”
• What has created difficulty?
• Counselors help clarify
•Phase 2 – “Passive Resistance Stage”
• Change from working on surface issues to working
on personal concerns
• Willing to take personal issues to group therapy
•Phase 3 – “Walk the Walk”
• Quality of treatment work improves
• Student develops “direction” for aftercare
•AA/NA meetings
• Sponsored by community at STS
• Required attendance during stay
• Required attendance on Trial Home Visits
• STS clinical input
• Ongoing Support
• Personal monthly behavioral goal reviews
• Focus on Master Treatment Plan
• Discharge planning
• Community based program reviews
• E-Therapy
• Perfect meeting/Skype
• IM
• Hard line phone conversations
1. Students completing the RSAT program are near or at the end of their
involvement in the Juvenile Justice System. There is little support/force
to encourage their continued involvement in community based
programs.
2. The State Training School provides services to students from the entire
State of Iowa and it is difficult to have community based programs
from the students’ home community take part in planning before the
student returns to the community.
3. Many public community based programs are the same programs
where the student failed prior to placement at STS. Students are
reluctant to trust community based programs. Many of the programs
are reluctant to accept appointments from these students in the
referral process. Students don’t “play well with others.”
60 students successfully complete the program a year
Students spend less time in the Special Treatment Unit for discipline
Average length of stay 6.5 months
95% referred 12 Step programming and community based counseling services
Average student received 158 hours of counseling service
FY 2011 cost: $3,299.45 or $20.81 per hour
Bob McCartney
Addiction Management Systems
State Training School
3211 Edgington Avenue
Eldora, IA 50627
mailto:[email protected]
641-858-5402, Ext. 402
Prevention and Treatment Needs of RSAT
Clients at Risk for or Living with HIV/AIDS
January 16, 2012
2:00 – 3:00 p.m. EST
Each year, an estimated one in five individuals with HIV passes through a
correctional facility. HIV prevention and screening of the offender population
represents an opportunity to reduce the spread of HIV/AIDS, decrease related
healthcare costs, and alleviate a great deal of human suffering. However, a lack of
information and training, specifically within the correctional workforce, has been
identified as a barrier to reducing the spread of HIV. This workshop is based on a
new BJA- approved manual, vetted through the CDC, and available through the
RSAT Training and Technical Assistance Center.
Presenter: Niki Miller