BEHIND THE GOOD NEWS: Common Sense Strategy

1. CDPA comprehensive Substance Abuse/Dependency Program for Thurston County Correctional Facility in Association with Alternatives Professional Counseling, Inc.Meth And More Conference April 28, 2011 CDP TCCF/Alternatives Meth and More

2. BEHIND THE GOOD NEWS: Common Sense Strategy TREATMENT Solve Underlying Problems and Help People Get Healthier RECIDIVISM Prevent the Next Offense CDP TCCF/Alternatives Meth and More

3. Agenda / Introduction Thurston County Correctional Facility has established a unique set of pro-social programs available to inmates that are proven to be effective in changing individuals lives. A holistic approach and maintaining best practice programs are the key in providing inmates avenues to change behavior and thinking and thus, reducing the recidivistic spiral. Participants getting healthier and gaining coping skills is essential in developing healthy interpersonal relations, gaining recovery skills and becoming individuals that are able to contribute to the community. CDP TCCF/Alternatives Meth and More

4. CDP • Program Inception date, including MRT® as basic treatment modality, July 1,1995. • As of December 31, 2008; 918 participants were admitted to CDP [Including 181 Drug Court participants] • 382 of these participants completed the program. • There was a 178 percent reduction in the average rate of completed clients incurring guilty charges. [Dugan, J. 2007] • For the funding year 2007 to 2008 the cost of treatment per inmate who completed the program was $2,637. • For the funding year 2006 to 2007 participants had 0.9 percent positive urinalysis for alcohol or illicit drug use. This is in comparison of the average of 20 percent positive non-treated group. • For Thirteen Years (July 1,1995 through December 31,2008) • General Population Bed Days Saved: 76,036 • Bed Day Cost Savings: $4,088,141 • Revenue Generated (Work Release & EHM): $ 1,103,171 • Inmate Labor Hours Provided in-house: 503,726 • Inmate Labor Hours (Revenue Saved): $3,485,143 • Community Betterment Labor Hours: 15,097 CDP TCCF/Alternatives Meth and More

5. CDP Program Introduction • The inmate Chemical Dependency Program (CDP) is a state certified outpatient program conducted in three phases with each phase decreasing in intensity according to ASAM criteria and participant’s progress. Both Alternatives Professional Counseling, Inc. certified CDP counselors and specially trained Corrections staff facilitates and provide oversight and facilitation of of the program. • The CDP program is presented in three [3] phases. Phase I Provides intensive alcohol and drug education, group therapy using Moral Reconation Therapy (MRT®) and individual counseling sessions to incarcerated adults within the Thurston County Corrections Facility. participants will meet three times per week, two three hour sessions and one 96-minute session, over a 10-week period. Each inmate in Phase I will be seen for a total of 30 groups and 4 individual sessions. Group size will be limited to 12 participants. Inmates live in a therapeutic community. They work together In the Food Service Program as inmate workers. Additional beds may be used for Drug Court client referrals. CDP is the primary treatment program for Thurston County Drug Court for clients initially unable to maintain structure or needing primary treatment. CDP TCCF/Alternatives Meth and More

6. Phase II Features Work Release from the TCCF site. This transitional phase will meet twice per week for two hours each session for 10 weeks. Random, weekly or higher frequency drug level testing for all participants in Phase II will be provided. There are at least two individual sessions provided during this phase. • Phase III Takes place with inmates on Electronic Home Monitoring through TCCF. One weekly two- hour group session will be mandated. Phase ID lasts for a minimum of 6 weeks and may be longer, depending on sentence and individual needs. Participants will provide random drug testing, upon completion of their sentence inmates may be required (per ASAM criteria) to take part in follow-up treatment. Additionally all inmates agree to take part in program tracking and evaluation studies to assist in measuring the success of the program. CDP TCCF/Alternatives Meth and More

7. **CDP Admission Criteria: ·Minimum/Medium Custody or Inmate Worker Classification. ·No Major Disciplinary action within 30 Days or Minor Disciplinary action within 10 Days. ·Be Employable or able to do community service. ·Sentenced to at Least Seven Months and Agree to Complete the Seven Month in-custody part of the Program. ·Inmates must be sentenced to the CDP and the order must read, "may serve their time" on our program. ·Inmates with "holds" may be eligible if the "holds" can be cleared. Must Sign Written Program Contract. ·Must Agreeto Participate in Follow-up Treatment as Directed. **It is important to note other factors maybe considered in admission criteria to the CDP program. CDP TCCF/Alternatives Meth and More

8. CDP Clinical Overview • Treatment modality at TCCF utilizing MRT® or Moral Reconation Therapy. • What is MRT Moral Reconation Therapy is a systematic, step-by step cognitive-behavioral treatment system for offender populations. MRT™ is designed to alter how offenders think and how they make decisions about right and wrong. MRT™: • Addresses the unique needs of offender populations including criminological factors, values, beliefs, behaviors and attitudes. • MRT is listed National Registry of Evidence-based Programs and Practices (NREPP). • Enhances ego, social, and moral growth in a step-by-step fashion. • Develops a strong sense of personal identity with behavior and relationships based upon higher levels of moral judgment. • Reeducates clients socially, morally, and behaviorally to instill appropriate goals, motivation, and values. • Easily implemented in ongoing, open-ended groups with staff trained in the method. CDP TCCF/Alternatives Meth and More

9. What is MRT The 12 steps on the 'FREEDOM LADDER' are an expansion of Lawrence Kohberg's sixstages of moral reasoning. The stages and steps in the workbook "How To Escape YourPrison" were developed, in large part, from the published professional works of Ron Smothermon, Erik Erikson, Jane Loevinger and Carl Jung, as well as the Authors' own writings and client observations. The term "conation" was used in clinical psychology prior to the extensive use of the term"ego". Conation relates to how one consciously makes decisions. What Works! In a report commissioned and sponsored by the Canadian Government to investigate the effectiveness of drug and alcohol treatments that have been used (especially in the United States),it was stated that behavioral and cognitive approaches are the treatment methods most supported as effective by professional outcome evaluations (Eliany & Rush, 1992). Effective therapeutic processes that systematically alter how inmates make decisions - how they think show substantially beneficial changes seen in recidivism reduction and other behaviors (Gendreau &Platt, 1993; Schrink & Hamm, 1989). From: An overview of treatment effectiveness: Researchand clinical principles by D.A. Andrews (1994), in: What Works: Bridging the Gap Between Research and Correctional Practice. CDP TCCF/Alternatives Meth and More

10. What is MRT • The American Probation and Parole Association, reviewed results from thousands of controlled outcome studies and that showed the following components necessary for effective treatment: • Cognitive-Behavioral Programs • Printed Program Materials • Addresses Criminal Thinking & Needs • Empirically Validated on Criminals • Staff Is Specifically Trained In the Approach • Staff is Enthusiastic& Understand Antisocial Personality Characteristics • Problem Solving & Skill Building • Structured Follow-ups Provided CDP TCCF/Alternatives Meth and More

11. What is MRT Moral Reconation Therapy (MRT®) was one of the first comprehensive, systematic attempts to treat substance-abusing offenders from a purely cognitive behavioral perspective; In 1985 formal MRT® was developed by Dr. Greg Little and Dr. Ken Robinson by combining Smothermon's concepts with theories of moral development (Kohlberg), ego and identity development (Erikson), behavioral conditioning, Maslow's needs hierarchy, and Carl Jung's concepts.MRT® is an objective, systematic treatment system designed to enhance ego, social, moral, and positive behavioral growth in a progressive, step by step fashion. MRT® has 12 to 16 steps, depending on the treatment population. MRT® attempts to change how drug abusers and alcoholics make decisions and judgments by raising moral reasoning from Kohlberg's perspective. CDP TCCF/Alternatives Meth and More

12. What is MRT Briefly, MRT® seeks to move clients from hedonistic (pleasure vs. pain) reasoning levels to levels where concern for social rules and others becomes important. Research on MRT® has shown that as clients pass steps, moral reasoning increases in adult drug and alcohol offenders and juvenile offenders. MRT® focuses systematically on seven basic treatment issues: confrontation of beliefs, attitudes and behaviors, assessment of current relationships, reinforcement of positive behavior and habits,positive identity formation: enhancement of self-concept, decrease in hedonism and development of frustration tolerance, and development of higher stages of moral reasoning. CDP TCCF/Alternatives Meth and More

13. • MRT® is easy to implement • MRT® is designed and developed to target issues specific to an- Offender population. • MRT® is designed to address issues of a treatment resistant population. • MRT® has shown to reduce the recidivism rate of offenders from 30%-50% after .10years of release. • MRT® improves offender compliance to rules in an institution or while undersupervision in the community. • MRT® is delivered in groups which are open ended which allows for maximizingresources. • MRT® easily meshes and blends with other types of programming including selfhelp groups, education, counseling and behaviorally oriented programs. • MRT® will increase offenders' moral reasoning, decrease dropout rates, increase life purpose and reduce antisocial thinking and behavior. • When implemented in a variety of criminal justice settings in a community, MRT® provides a continuum of care. CDP TCCF/Alternatives Meth and More

14. Where to Get More Information • Power Point “Meth and More” power point download :www.alternativesprocouns.com • CCI, Correctional Counseling, Memphis TN. CDP TCCF/Alternatives Meth and More