Criminal Justice Drug Abuse Treatment Studies

1. Criminal Justice Drug Abuse Treatment Studies Improving Best Practices in Assessment and Service Planning:Organizational Process Improvement Intervention American Society of Criminology November 17, 2010

2. Research Goal To test the use of an organizational improvement strategy (i.e., Local Change Team and Facilitator) to bring about improvements in the quality of assessment and case planning procedures for offenders with substance abuse disorders transitioning to community supervision and treatment.

3. 1 - Assessment is made to identify treatment needs 2 - Case plan for treatment servicesis developed from assessment 3 - At discharge, client is referred to community treatment program 4 - Case plan is transmitted to community treatment program 5 - Client receives services for needs identified in case plan 6 - Client problems and progress are recorded and transmitted as needed The Role of Assessment in Treating Substance Use Disorders Among Offenders

4. Four Core Dimensions of the Assessment Continuum

5. Roles and Responsibilities in the Change Process • Local Change Team • Local Change Team Leader • Facilitator • Note taker • Research Staff

6. Five-Phased Organizational Process Improvement Intervention

7. Primary Hypothesis Improvements in: • congruence between assessments and case plans • presence of accepted principles of case plan development • conveyance of case plans from correctional agencies to community treatment programs • the utility of case plans for community treatment programs • staff perceptions of the assessment-case planning process will occur after the introduction of the OPII.

8. Secondary Hypothesis Success in achieving the goals of the Process Improvement Plan will be positively related to: • degree to which Local Change Teams are faithful to the change model • degree of commitment by the Local Change Team members to achieving the goals of the PIP • level of staff satisfaction with the implementation strategy and the process improvements • degree of management support • strength of the working alliance between the Facilitator and the members of the Local Change Team

9. Research Design • A multi-site, randomized, delayed-onset design. • Each Research Center partners with two criminal justice agencies, and each agency partners with one or more community treatment programs to which they refer clients. • Within each Research Center, the agencies are randomly assigned to an early-start condition or a delayed-start condition. (Delay of 10-12 months.)

10. Research Design (con’d) • Primary hypotheses are tested using data from the early-start sites and the delayed-start sites during the comparison period. • Delayed start site will benefit from any changes in the intervention. • Repeated organizational measures and interviews are used to examine how the assessment and case planning process changes in response to the intervention.

11. Research Design (con’d) • Data Collection • CJDATS organizational surveys • Study-specific surveys • Assessment and Recommendations for Treatment Rating Form • Staff interviews • Cost data

12. Who is involved in CJDATS2? CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA. 12

13. Current Status • Study was in the field in July. • All but one of the Research Center have started the Needs Assessment Phase. • Process Improvement Planning Phase will likely begin in February.

14. Thank You Questions?