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Carey guides KARI BERG

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Page 1: Using Carey guides to facilitate case planning Carey guides to... · 2019-04-03 · Carey Guides-Where to begin? Blue to Red, or Red to Blue, although, there is no order or sequence

Carey guidesKARI BERG

Page 2: Using Carey guides to facilitate case planning Carey guides to... · 2019-04-03 · Carey Guides-Where to begin? Blue to Red, or Red to Blue, although, there is no order or sequence

“OK, OK, I GET IT! I UNDERSTAND THAT I HAVE TO TARGET CRIMINOGENIC NEEDS. BUT…”

“HOW DO I DO THIS WHEN I ONLY HAVE 15 MINUTES WITH A CLIENT. HOW CAN I CHANGE THEIR BEHAVIOR DURING THAT TIME?”

“HOW AM I SUPPOSED TO DO THIS WHEN I DON’T HAVE RESOURCES TO SEND THEM TO?”

“HOW REALISTIC IS THIS? THEY AREN’T MOTIVATED.”

WHY USE CAREY GUIDES?

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Challenges to

get started…

Limited resources.

Limited time to engage client.

Client won’t engage with me during

meetings.

Lack of Motivation.

Not knowing where to start?

Feeling comfortable with the tool.

We are often dealing with…..

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Interventions are more effective if they are

strengths-based……

Focus on abilities, not deficits.

Needs and goal influenced by the client.

Risk Assessment

Motivational Interviewing

PO model and assist.

Affirmation and reinforcements.

Helps to establish the relationship between PO and client.

Effective Alliance

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The Bad News

Historically, probation and parole as

behavior change interventions have not

produced significant reductions

in recidivism as generally probation

historically utilizes punishment and

sanctions in attempt to management

client’s behavior.

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Social Learning Theory

Learning through observation, imitation and modeling.

Attention (notice)

Retention (remember)

Reproduction (copy)

Motivation

Opportunities for professionals to demonstrate pro-social behaviors such as problem solving.

Reinforcement if you want to keep a behavior going reward it.

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Carey Guides-Where to begin?

Blue to Red, or Red to Blue, although, there is no order or sequence when chooses what guide to use, it is recommended that you begin with Your Guide to Success.

Addressing criminogenic needs should be of highest priority in the case management process, but it may be necessary to first address issues that would otherwise serve as barriers to success (e.g., mental health, reentry).

For those clients who are exhibiting high levels of resistance, you might choose to use the Maximizing Strengths Guide and/or Motivating Offenders to Change (both Red Guides)

Rewards and Sanctions identify rewards and linking behaviors with rewards

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Blue vs. Red Guides

Blue Guides-Criminogenic

Address Criminogenic

Needs; Particularly those

most directly related to re-

offense.

Red Guides-Case Management

Provide Tools for Case Management;

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Carey Guides and Bits

Carey Guides Blue Guides = Criminogenic Needs

Antisocial Peers

Emotional Regulation

Problem Solving

Etc.

Red Guides = Effective Case Management

Case Planning

Engaging Prosocial Others

Motivating Offenders to Change

Responsivity

Etc.

BITs Brief Intervention Tools

Thinking Traps

Overcoming Thinking Traps

Overcoming Automatic Responses

Problem Solving

Who I Spend Time With

Decision Making

Copyright © Carey Publishing Group

12

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ALL LEARNING STYLES ARE USED…Enhancing the Learner's Experience

Lecture

Reading

Audiovisual

Demonstration

Discussion Groups

Practicing by Doing

Teaching Others

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Multiple

Tools Per Guide

Tool # Designed To…

Initial tools (1st–2nd)•Assess thoughts, beliefs,

choices, andactions

•Raise awareness and

increase motivation

Middle tools (2nd–3rd)•Help Clients

-Consider options

-Make different choices

-Develop action plans

-Learn and practice new skills

Late tools (4th–5th)

(if included) •Prevent relapse

•Reassess strategies that

aren’t working

Risk of recidivism is greatly reduced (30% on average) when effective interventions are applied

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Why the Carey Guides?

They help structure your one-on-one appointments and assist you in accomplishing a clear purpose/objective

They are NOT an ADD-ON; they are WHAT YOU DO during your appointments

This requires that you have, and spend, sufficient time with offenders

They prevent you from wandering from subject to subject during appointments

They aid in your case planning and management

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Tips for best results:

1. Be Prepared

2. Prepare Clients (know

how to engage them)

3. Integrate the Guides

into the Case Plan

4. Focus on What Matters Most

5. Engage Supportive

Others

6. Adapt the Guide Tools as needed to particular Client

7. Limit Crisis Management if Possible

8. Establish Ownership-When possible have clients complete

9. Manage your Expectations

10. Incorporate rewards system

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Carey Guides Sequencing Chart1,2

DuringthisTime

Period…

WhentheGoalisto… UseOneorMoreofThese

BlueGuides:

UseOneorMoreofTheseRed

Guides:

ConsiderUsingTheseRed

GuidesforSpecialFocus

Areas:

Thefirst60–90days · Buildrapport· Establishexpectations

· Createaroadmapfor

casemanagement· Preventviolation

behavior

· YourGuidetoSuccess3

· CasePlanning· MaximizingStrengths

· MotivatingOffenderstoChange

· Responsivity· RespondingtoViolations

· RewardsandSanctions

· BehavioralTechniques4

· FemaleOffenders

· Reentry*

· ViolenceandLethality

Months3–6 · Useskillpracticeto

addresscorecriminogenicneeds

· Anger

· AntisocialAssociates

· AntisocialThinking

· EngagingProsocialOthers· OvercomingFamilyChallenges

· SubstanceAbuse

· DosageandIntensity

· Co-occurringDisorders

· DrugDealers

· ImpairedDriving

· IntimatePartnerViolence· ManagingSexOffenders

· MentalHealth

· MethUsers

Months7–12 · Expandskillpracticetootherareas

· EmotionalRegulation· Empathy

· InterpersonalSkills

· MoralReasoning

· ProblemSolving· ProsocialLeisureActivities

· InvolvingFamilies

Months13–18

(transitiontorelease)

· Buildfamilysupport,

stabilizelivingenvironment,prepareforindependence

· Reentry*

© 2017 The Carey Group

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I WANT TO TRY SOMETHING NEW AND LEARNING ALONG WITH YOU.

-Use Motivational Interviewing techniques whenever possible to engage the client in change talk.

-Seek agreement to at least try tool

-Should not be used as punishment

-Talk how they can reach goals and be successful

Learn along side with client

Work together

Be open and honest

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EFFECTIVE

ALLIANCE

TRAITS

• Articulate • Empathetic • Respectful

• Empowering • Attentive

• Flexible • Authentic • Confident

• Listens actively • People-oriented

• Purposeful • Reinforcing

• Sense of humor • Strength-based

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Consider This Perspective…

If the target is to reduce recidivism by 25%, what does that mean?

Caseload: 50

Current recidivism: 32%

Current number on caseload who will reoffend: 16

If you reduce recidivism by 25% (one quarter of the 16), your caseload recidivism rate would drop to 24%

That means only 12 persons on the caseload will recidivate (4 fewer than normal)

It does not mean 100% will succeed, but….

If 20 of us in this room had caseloads of 50 and we all achieved a 25% reduction in recidivism, there would be at least 80 fewer victims

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REWARDS AND SANCTIONS

IDENTIFYING MEANINGFUL REWARDS- Everyone appreciates being

rewarded for their hard work. Using this tool, you’ll learn about the kinds of

rewards that are available on supervision and the positive steps to receive

them.

LINKING BEHAVIORS WITH REWARDS- Making sure to affirm efforts as clients

make progress meeting the goals. Using this tool to plan steps to identify

the rewards you feel would be appropriate to their accomplishment

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Why Antisocial Thinking?

As such, it is a key change target among offenders

• Just the act of examining antisocial thoughts, values, and beliefs may be difficult for offenders; changing them is even more difficult

• The Antisocial Thinking Guide helps offenders

recognize, understand, and assess their thinking patterns, feelings, and values and beliefs

understand the connection between their thoughts, feelings, and actions

shift their antisocial thinking patterns to prosocial ones

Antisocial thinking is the most influential criminogenic need

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MOTIVATING OFFENDERS TO CHANGE

MAKING YOUR DECISION- This tool is designed to help determine how involvement with the legal system has impacted your life and what choices or actions led to your problems with the law.

MAKING YOUR COMMITMENT-This tool helps figure out why you might want to change your behavior, what could be difficult about changing, and how motivated you are to change.

MAKING YOUR CHANGE PLAN- Now that your have decided to change, it’s time to plan how to make that change.

RENEWING YOUR COMMITMENT- Sometimes it takes more than one try to get it right. This tool will help examine why you struggled with your change and how to overcome that struggle.

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ANGER

RECOGNIZING PHYSICAL SIGNS OF ANGER

MAKING CONNECTIONS-Anger is an emotion that

often covers up other ,deeper emotions.

EMOTIONAL TRIGGERS

CHANGING BELIEFS, CHANGING

CONSEQUENCES-Examine how your thoughts and

beliefs can lead to different outcomes in a

particular situation

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BEHAVIORAL TECHNIQUES

CONDUCTING A PRACTICE SESSION

APPLYING NEW SKILLS

This Photo by Unknown Author is licensed under CC BY-SA-NC

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MORAL REASONING

ASSESS YOUR MORAL REASONING

MORAL DILEMMAS-Sometimes we are faced with a moral dilemma which requires us to sort out our thinking about the choices we have. The purpose of this tool is to help you consider the benefits and downsides of the options you might consider. (Cost-Benefit Analysis) This Photo by Unknown Author is licensed under CC BY-SA-NC

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EMOTIONAL REGULATION

HOW DO I RESPOND-Identify the way you respond to your feelings.

IDENTIFYING FEELINGS

DECREASING EMOTIONAL STRENGTH-Help find alternative, less emotionally charged ways to deal with negative emotions.

STOP AND THINK

FEELING GOOD WITHOUT THE THRILLHHHHHH

This Photo by Unknown Author is licensed under CC BY-NC

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INTERPERSONAL SKILLS

YOUR SOCIAL NETWORK

GETTING ALONG WITH OTHERS

EXPANDING YOUR SOCIAL NETWORK

USING THE STOP METHOD TO RESOLVE CONFLICTS.

S:Stop in the moment; don’t get hijacked by your emotions.

T: Think about what your reaction has been in the past.

O: Options: Review better ways to respond.

P: Pick: Choose the best response for the situation.

This Photo by Unknown Author is licensed under CC BY-NC-ND

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Demonstration

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PRACTICE

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Part 2 Demonstration

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LAST THOUGHTS…

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