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2. Why Incorporate EBPs Engagement
Clinical Improvement
Decrease Untoward Behavior
Improved quality of life
Decreased recidivism (re-arrest)
3. RNR and EBPs
Responsivity
Engagement
CBT intervention
Needs
The Central Eight
4. Risk
Match treatment intensity to level of risk
Needs
Treat the offender, not the offense
Responsivity
Modality must be one to which offender is responsive
CBT
Engagement
5. Responsivity Principle
6. Responsivity:Tailoring Treatment
General
Responsive to learning styles
e.g. CBT
Specific
Responsive to socio-biological personality factors
Engagement
7. Why focus on engagement? Treatment outcome and premature termination predicted by engagement
Treatment outcome related to patient effort
Manner of therapist related to engagement and effort
8. Engagement Challenges
Motivation
Motivational Interviewing
IMR Goal Setting
Focus on Recovery
CJ culture Adaptation
SPECTRM Intervention
9.
10. Trauma Consequences
Isolation
Hypervigilance
Emotional reactivity
Intervention principles
Safe environment
Processing of Trauma
Identification of coping strategies
11. Cultural Competence Cultural Proficiency
Meaning of symptoms, illness, stressors
Meaning of treatment
Relationship with professionals
Overcoming mistrust
Communication
Rapport
Disclosure
Using “natural” community support
12.
13.
14.
15. Promote Cultural Re-adaptation by
Connecting
Developing trust through shared experience
Exploring
Challenging prison and jail attitudes
Changing
Introducing new problem solving skills
16.
17. Needs PrincipleThe Central Eight History of antisocial behavior
Antisocial personality pattern
Pleasure seeking, restless, aggressive
Antisocial cognitions
Attitudes supportive of crime
Antisocial Associates
Family support
Leisure Activities
School/work
Substance Abuse
18. Needs - Interventions Substance Abuse
Integrated Treatment
People, places and things
Family support
Multi-family therapy
School/Work
Supported Employment
Homelessness
Housing first
Antisocial Cognitions/Associates/Character
Monitoring
Cognitive behavioral interventions
19. Cognitive-Behavioral InterventionsCJ-Involved Populations Introspection skills
Cognitive Restructuring
Problem Solving
Identification of cognitions
Cost-benefit analysis
Social Skills
Conflict Resolution
Moral Reasoning/Community Responsibility
20. Cognitive-Behavioral AdaptationsCJ-Involved Populations
Thinking for a Change
National Institute of Corrections
Lifestyle Change Journaling
The Change Companies
Reasoning and Rehabilitation
Moral Reconation Therapy
21. Cognitive-Behavioral InterventionsCJ-Involved PopulationsMH Program adaptations Target symptoms
Frustration intolerance
Social skills
Misperception of environment
Examples
Forensic DBT
Jail - decreased anger, aggression and incidents
Community - decreased re-arrests in stalker-focused program
22. RNR