Transcript Psycological Services for Inmates in Drug Addiction & Treatment

Joint Conference of SRACP
&
China Prison Association
Psychological Services for Inmates
in
Drug Addiction and Treatment Centres, CSD
by
Nancy Chan
Clinical Psychologist, CSD
Psychological Services for Inmates
in
Drug Addiction and Treatment Centres (DATCs)
Risk/Needs &
Rehabilitative Programme
Matching
Initial Evaluation Findings
Psychological Programme
Content & Structure
Risk/Needs &
Rehabilitative Programme
Matching
Risk
• Historical Factors
• Actuarial based
• “Static” Risk
Needs
•
•
•
•
Personal / interpersonal Factors
Personal Deficits
Theory based
“Dynamic” Risk
Overall Re-offending Risk = Risk + Needs
Risk/Needs &
Rehabilitative Programme
Matching
Risk Factors, e.g.:
• No. of previous convictions
• Age of first conviction
• Present Age
Needs Factors, e.g.:
• Employment
• Criminal Attitude
• Drug Abuse
Risk/Needs &
Rehabilitative Programme
Matching
Programme Priority:
• Level of Risk
• Level of Need in Need Domains
Programme Intensity:
• Level of Risk
• Level of Need
• Number of Need Domains
Programme Content:
• Specific Need Domains
• Level of Need
Psychological Programme
Content & Structure
Concepts
• Motivational Interviewing
• Relapse Prevention
• Cognitive Behavioural Model
Gaols
• Drug Free and non-criminal Life
• Cognitive Changes
• Behavioural Changes
Psychological Programme
Content & Structure
Psychological Programme
Content & Structure
Responsivity Enhancement
Programme (REP)
Myths
Motivate
Fear
Hope
Psychological Programme
Content & Structure
Responsivity Enhancement
Programme (REP)
DVDs
Briefing
Discussions
Assessment
Psychological Programme
Content & Structure
Intensive Treatment
Programme (ITP)
Abstinence Maintenance
Programme (AMP)
Cravings
Motivation
Peers
Lapse &
Relapse
Lifestyle
Emotion
Psychological Programme
Content & Structure
Intensive Treatment
Programme (ITP)
Abstinence Maintenance Programme (AMP)
Structured
Activities
Structured
Procedures
Risk/
Needs
Structured
Procedures
Structured
Materials
Treatment
Length
Structured
Materials
Treatment
Length
Structured
Activities
Risk/
Needs
Initial Evaluation
Findings
165
subjects
Sample Data
01.01.2007
To
31.03.2008
16-66 years
Ave. 31
1-33 years
of Abuse
Ave. 7.58
Initial Evaluation
Findings
Measurement
ITCQ-8
T2
T1
Waiting Control
(Comparison Group)
T3
Treatment Group
(Experimental Group)
Initial Evaluation
Findings
Results
T2
T1
Waiting Control
(Comparison Group)
T3
Treatment Group
(Experimental Group)
Pre-Post Treatment Comparison : significant result
Controlled comparison :
insignificant
but change was in right direction
Staff dedication & Involvement
Collaboration with different parties
Implementation of Programme with Integrity
Comprehensive Programme Content & Coverage
Conceptually Consistent and Sound Programme
Risk and Needs as Framework for Rehabilitative Services