Research-based Offender Treatment – Part VI

1. Research-based Offender Treatment – Part VI Service Quality and Monitoring • Program Management • Considerations for successful implementation • Staff Training and Quality Assurance • Research and Evaluation • Accreditation of Programs

2. Program Management Considerations for successful program implementation • Sincere motivation • Support at the top • Staff competence • Cost-benefit surplus • Clarity of goals and procedures • Clear lines of authority • Implementation evaluation • Program evaluation framework

3. Program Management • What to evaluate • Direction. Requires strategic planning, mission statement with corresponding policy, clear goals and objectives • Existing conditions • Application of the principles of matching • Implementation of appropriate intervention • Therapeutic integrity • Evaluation of staff

4. Program Management Staff Training and Quality Assurance • Staff selection is critical • Well trained, supervised and supported staff are necessary • CSC’s infrastructure includes National, Regional, and local management • Program manual and staff training manual for consistency • Program deliverers are monitored for compliance and efficacy, when warranted they are certified, and have ongoing follow-up

5. Program Management Research and Evaluation • Program evaluation is necessary to assess efficacy, cost-effectiveness and inform ongoing program development • Evaluation commenced immediately upon implementation

6. Outcome Data CSC’s original programs • Offenders who completed high intensity program demonstrated a 19% reduction in readmission and a 50% reduction in new convictions • High intensity program participants were less likely to be readmitted (37% vs. 45%) to custody and were slightly less likely to have their conditional release revoked as a result of a new offence (4% vs. 8%).

7. Outcome data • Offenders completed the moderate intensity intervention and showed a 14% reduction in re-admission (from 49% to 42%) and 31% reduction in new convictions (from 21.9% to 15.2%) • Offenders, who completed the low intensity, plus maintenance, had a 29% reduction in readmission. • There was a 56% reduction in re-convictions for those who completed maintenance.

8. Program Management • Unit costs for high, moderate, low and maintenance intervention • High - $6,758 • Moderate – $1,100 • Low (+ 3 months maintenance) – $900 • Maintenance - $364 • Unit costs of in-patient treatment • $12, 079 • Preliminary data support cost effectiveness of intervention

9. Program Management Accreditation of Programs • International panel reviews to ensure programs meet highest standards • 8 criteria: explicit, empirically-based model of change, targets criminogenic needs, uses effective methods, is skills oriented, addresses responsivity factors, intensity related to severity of problem, offers continuity of care, and has ongoing monitoring and evaluation

10. Program Management Accreditation of Programs: • NSAP accredited in December 2003 • Afterinitial accreditation, programs are on a 5 year cycle