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The Project Recovery Enhancement Program (PREP) Preliminary Observations. Pinellas County Sheriff’s Office Detention and Corrections Bureau JIM COATS, Sheriff Community Corrections/ORP SAMHSA Grantee Meeting May 3, 2011. PREP Project Team.
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The Project Recovery Enhancement Program (PREP) Preliminary Observations Pinellas County Sheriff’s OfficeDetention and Corrections BureauJIM COATS, Sheriff Community Corrections/ORP SAMHSA GranteeMeeting May 3, 2011
PREP Project Team Manuel Wolfe, Project Director Pinellas County Sheriff’s Office Jewel Murphy, Project Supervisor Pinellas County Sheriff’s Office Mark Vargo, Project Evaluator, Operation PAR Renee Carter-Gura, Clinical Supervisor, Operation PAR
What is PREP? PREP is an innovative community based program administered by the Pinellas County Sheriff’s Office in partnership with Operation PAR to provide one year of outpatient treatment and recovery support services to female offenders in need of substance abuse treatment services.
Who is served by PREP? The Target Population— • 240 females in Pinellas County, Florida over a three year period. 80 per year. (Florida’s central Gulf Coast, St. Petersburg area.) • Clients are either on probation, furlough from the Pinellas County jail, or some form of court supervision.
Area of Evaluation Interest Instead of the vast majority of PREP participants coming from an MTC background over the life of the project, a majority of the participants can now be expected to be “street” referrals. The analysis of the interplay between MTC and non-MTC clients in the final evaluation as it relates to such things as recidivism, program completion, and treatment engagement was always an area of interest for evaluation; however, it will be more interesting following the reversal of the population proportions.
Preliminary Review of Engagement and Completion Numbers for Population from February 2009 through April 2010 MTC vs. Street Referrals
Area of Evaluation Interest The unique relationship between PREP and the Judicial System will be of special interest during the final evaluation of the program. The interplay between program completion rates, recidivism rates, and judicial intervention/advocacy strategies is potentially intriguing.
Preliminary Review of Recidivism Percentages Based on Treatment Participation
One year or longer from Graduation N = 6 No re-arrests Six Months from Graduation N = 17 One (1) re-arrest Less than Six Months from Graduation N = 10 No re-arrests to date
Area of Evaluation InterestPerformance Assessment Factors through March 31, 2011
Number of Clients Assessed and Who became Engaged in Treatment through March 31, 2011
Cumulative Percentage of Clients Successfully Completing Clinical Treatment per Quarter
Area of Evaluation InterestClinical Team Observations and Trends (related statistical findings in final report) • Clients that are court ordered tend to be more successful • Clients who enter PREP on a multitude of pain medication or other commonly abused meds tend to decompensate more quickly • Clients who utilize all offered services and follow through on referrals appear to be more successful • Clients with severe mental health issues tend to be less successful and have a more difficult time stabilizing • Since the introduction of the 10-panel drug screens, PREP has had less false positives and less positive drug screenings over all. PREP has seen an increase in verbal disclosures of substance use
Clinical Team Observations and Trends (cont’d) • Clients who reside in transitional housing tend to be more successful • Clients that attend all groups without absences tend to be more successful • Clients who complete 90 in 90 12-step fellowship meetings within their first 90 days tend to fare better in treatment. • Clients that are referred from probation officers appear to be more resistant to treatment (especially misdemeanor probation clients) • Clients who are in school or working (or a combination of both) appear to do better overall • Clients who overwork or work long and late hours tend to relapse more often
For More Information Please contact: Manuel Wolfe, Pinellas County Sheriff’s Office Bureau of Detention and Corrections Project Recovery Enhancement Program Director Phone: (727) 464-6398 Email: mwolfe@pcsonet.com