Getting Into Practice: Using Evidence Based Practices on the Job

1. Getting Into Practice:Using Evidence Based Practices on the Job

2. Goals for Today • Getting ready • Review Risk, Need, Responsivity Principles • Caseload Management Based on Risk Level • Caseload focus based on Needs and Responsivity • How to Use Motivational Interviewing Depending on Stage of Change • Cognitive Behavioral Interventions • Wording for Court Reports • Creating case plans

3. Are you Ready? • Enforcer or Social Worker? • Is the system broken? • Are offenders capable of change? • Compliance or Long-Term Change? • Should offenders know we’re trying to change them? • Do you dislike your clientele?

4. Are You Ready • Are you ready for Collaboration? • Are you ready for Creativity? • Are you here to Help People? • Are you here to Help Society? • Are you feeling Competent?

5. Social Worker or Enforcer

6. Broken System

7. Offender Change

8. Compliance and Long Term Change

9. Secret Strategies

10. Collaboration

11. Creativity

12. Helping Offenders

13. Improve Society

14. Confidence Level

15. The Principles That Came From the What Works Research RISK PRINCIPLE NEEDS PRINCIPLE RESPONSIVITY PRINCIPLE and “professional discretion”

16. A Definition ofMotivational Interviewing “A directive, client-centered counseling style for helping clients explore and resolve ambivalence about behavior change.” William R. Miller, 1991

17. RISK PRINCIPLE 1 Match level of services to level of risk Higher Risk Offenders need MORE Lower Risk Offenders need LESS

18. Measure with Assessment Tools

19. Diversion For lower risk offenders

20. Court Reports • New information for Judges

21. Resources in Institutions • Limited – but essential

22. Violations • Graduated Sanctions

23. Vary the Amount of Contact Depending on Risk Levels • Different Strokes for Different Folks

24. Excellence in Evaluations • The right assessment instruments • Good training for evaluators • Timely and on-going risk assessments

25. Manage Efficiently • Technology and Creativity • Para-professionals, Teams, Kiosks, Phone Reporting

26. NEEDS PRINCIPLE 2 Match Offenders to Services That address Criminogenic Needs

27. Stages of Change Model ENTER HERE Relapse PERMANENT EXIT Pre- contemplation Maintenance Contemplation Action Determination Prochaska & DiClemente (1986)

28. Major Motivational Interviewing Skills • Open-Ended Questions • Affirmations • Reflections • Summarizations Miller and Rollnick (1991), “Motivational Interviewing”, Guilford Press.

29. Pre-Contemplationno awareness of a problem • Listen to the offender’s thinking process • Notice discrepincies between what the offender wants in life and how he/she behaves • Develop discrepancies by using MI skills

30. Amber in Pre-Contemplation • Amber is 32 year old • Drug offender -On parole • Goal: Wants to stay out of prison • Risk Factors: School and Work Problems Unproductive Use of Leisure Time Substance Abuse, Anti-social Peers

31. Robbie in Pre-Contemplation • Robbie is 16 years old • Auto Theft -On Probation • Goal: Wants his mother to just “back-off” • Risks Factors: Dysfunctional family Anti-social values Low Self-Control

32. Kevin in Pre-Contemplation • Kevin is 45 years old • DV Offender - on Probation • Goal: To be a good father • Risk Factors: Anti-Social Values Just a little Psychopothy Low Self-Control Dysfunctional Family

33. Contemplationbeginning to see possibilities • Explore ambivalence with MI Skills • Identify Pros and Cons • Weigh Both Sides

34. Amber in Contemplation • Considering a life with not drugs • Says it would be too hard to stop

35. Robbie in Contemplation • Robbie sees a connection between his behavior and the family dynamics at home • He doesn’t know what to do about it though

36. Kevin in Contemplation • Kevin is concerned about how his behavior might be affecting his son • Kevin says he doesn’t want his son to follow in his footsteps and says he wants a better relationship with his family

37. Determinationdecided to try something new • Remove obstacles • Identify steps to Change • Make a Plan • Set Dates

38. Amber in Determination • Amber has decided she’ll do whatever it takes to try to remove drugs from her life

39. Robbie in Determination • Robbie has decided that there are things he can do to have a better relationship with his mother and wants to learn how he can change things at home.

40. Kevin in Determination • Kevin decides he’s ready to enroll in the DV program even though he doesn’t think he can really learn anything new

41. Actionmaking some changes • Acknowledge actions • Remove barriers • Provide Positive Reinforcement • Support Self-Efficacy

42. Amber in Action • Amber has been going to substance abuse treatment for a month • She has tested clean for a month

43. Robbie in Action • Robbie has attended an anti-theft class for two months • He has used his pro-social cousin Rick as a resource, and has avoided conflicts with his mother.

44. Kevin in Action • Kevin brings in a progress report from his DV treatment program which says he has good insight but monopolizes the group’s time.

45. Maintenancestability with behavior change • Develop skills to Maintain Behavior • Continue to Support Self-Efficacy • Continue to Remove Obstacles

46. Amber in Maintenance • Amber has been clean for nine months • She’s starting to think about some plans for her future

47. Robbie in Maintenance • Robbie is getting along with both his parents • He has started using some new skills to avoid arguments at home. • He has changed the peers he hangs out with

48. Kevin in Maintenance • Kevin has been in treatment for nine months • Kevin and his wife are getting along much better • Kevin thinks he’s learned a lot in treatment

49. Relapsereturning to old behavior • Learn from Mistakes • Figure Out What To Do Next • Determine which stage of change the offender is in after relapsing

50. Amber in Relapse • Amber spent some time with old friends and used again. • She’s very remorseful and disappointed in herself