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What Works and What Doesn’t in Reducing Recidivism: Understanding the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati www.uc.edu/criminaljustice [email protected]

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Page 1: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

What Works and What Doesn’t in

Reducing Recidivism: Understanding

the Principle of Effective Interventions

Presented by:

Edward J. Latessa, Ph.D.

School of Criminal Justice

University of Cincinnati

www.uc.edu/criminaljustice

[email protected]

Page 2: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Evidence Based – What does it mean?

There are different forms of evidence:

– The lowest form is anecdotal evidence;

stories, opinions, testimonials, case studies,

etc - but it often makes us feel good

– The highest form is empirical evidence –

research, data, results from controlled

studies, etc. - but sometimes it doesn’t make

us feel good

Page 3: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Evidence Based Practice is:

1.Easier to think of as Evidence Based Decision

Making

2. Involves several steps and encourages the use

of validated tools and treatments.

3. Not just about the tools you have but also how

you use them

Page 4: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Evidence-Based Decision Making Requires

1.Assessment information - Valid and reliable offenders assessment process

- Assessment of programs and practices

2.Relevant research - Consult research

- Design and fund programs that are based on empirical

evidence

- Use existing resources (i.e., Crimesolutions.gov)

3.Available programming - To reduce risk

- Improve existing programs

- Develop new programs

Page 5: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Evidence-Based Decision Making Requires:

4. Evaluation

- Offenders

- Quality assurance processes

- Performance measures

- Data

5. Professionalism and knowledge from staff

- Understand EBP

- Trained, coached, and skilled

- Commitment

Page 6: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

What does the Research tell us?

There is often a Misapplication of Research: “XXX

Study Says”

- the problem is if you believe every study we wouldn’t eat anything (but we would drink a lot of red wine!)

• Looking at one study can be a mistake

• Need to examine a body of research

• So, what does the body of knowledge about correctional interventions tell us?

Page 7: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

FROM THE EARLIEST

REVIEWS: • Not a single reviewer of studies of the effects of

official punishment alone (custody, mandatory arrests, increased surveillance, etc.) has found consistent evidence of reduced recidivism.

• At least 40% and up to 60% of the studies of correctional treatment services reported reduced recidivism rates relative to various comparison conditions, in every published review.

Page 8: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Results from Meta Analysis: Criminal

Sanctions versus Treatment

-0.1

-0.05

0

0.05

0.1

0.15

0.2

-0.07

0.15

Reduced

Recidivism

Increased

Recidivism

CS -.07 (Number of Studies=30) Treatment .15 (Number of Studies=124)

Mean Phi

Page 9: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Criminal Sanctions vs. Treatment for Youthful Offenders

Source: Dowden and Andrews (1999), What Works in Young Offender Treatment: A Meta

Analysis. Forum on Correctional Research.

Criminal Sanctions Treatment

0

0.02

0.04

0.06

0.08

0.1

0.12

0.14

-0.02

-0.04

Yes -0.02 0.13

Number of studies=54 Number of studies=175

Page 10: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

People Who Appear to be

Resistant to Punishment

• Psychopathic risk takers

• Those under the influence of a substance

• Those with a history of being punished

Page 11: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

A Large Body of Research Has

Indicated…. ….that correctional services and interventions can be

effective in reducing recidivism for offenders, however, not all programs are equally effective

• The most effective programs are based on some principles of effective interventions

• Risk (Who)

• Need (What)

• Treatment (How)

• Program Integrity (How Well)

Page 12: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Let’s Start with the Risk Principle

Risk refers to risk of reoffending and

not the seriousness of the offense.

Page 13: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Risk Principle

As a general rule treatment effects are stronger if

we target higher risk offenders, and harm can be

done to low risk offenders

Page 14: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Risk Level by Recidivism for the Community

Supervision Sample

9.1

34.3

58.9

69.2

0

10

20

30

40

50

60

70

80Low Risk Medium Risk High Risk Very High Risk

Pe

rce

nt

wit

h N

ew A

rre

st

Low 0-14 Medium = 15-23 High = 24-33 Very High 34+

Page 15: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

There are Three Elements to the

Risk Principle

1. Target those offenders with higher probability of recidivism

2. Provide most intensive treatment to higher risk offenders

3. Intensive treatment for lower risk offender can increase recidivism

Page 16: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

#1: Targeting Higher Risk Offenders

• It is important to understand that even with

EBP there will be failures.

• Even if you reduce recidivism rates you

will still have high percentage of failures

Page 17: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Example of Targeting Higher Risk

Offenders

• If you have 100 High risk offenders

about 60% will fail

• If you put them in well designed EBP for

sufficient duration you may reduce

failure rate to 40%

• If you have 100 low risk offenders about

10% will fail

• If you put them in same program failure

rate will be 20%

Page 18: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Targeting Higher Risk Offenders

continued:

• In the end, who had the lower recidivism

rate?

• Mistake we make is comparing high risk

to low risk rather than look for treatment

effects

Page 19: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

#2: Provide Most Intensive

Interventions to Higher Risk Offenders

Page 20: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

The question is: What does more

“intensive” treatment mean in practice?

• Most studies show that the longer

someone is in treatment the great the

effects, however:

• Effects tend to diminish if treatment goes

too long

Page 21: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Results from a 2010 Study (Latessa,

Sperber, and Makarios) of 689 offenders

• 100-bed secure residential facility for adult male offenders

• Cognitive-behavioral treatment modality

• Average age 33

• 60% single, never married

• 43% less than high school education

• 80% moderate risk or higher

• 88% have probability of substance abuse per SASSI

Page 22: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

2010 Dosage Study of 689 Offenders

Sperber,, Latessa & Makarios (2013). Examining the Interaction between Level of Risk and Dosage of

Treatment. Criminal Justice and Behavior, 40(3).

Page 23: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Results from 2014 Study

• We expanded sample

• Hours examined by increments of 50

• Looked at low/moderate, moderate, and

high

Page 24: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

2014 Dosage Study involving 903 offenders

Makarios, Sperber, & Latessa (2014). Treatment Dosage and the Risk Principle: A Refinement and Extension. Journal

of Offender Rehabilitation. 53:334-350.

Page 25: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Provide Most Intensive Interventions to

Higher Risk Offenders

• Higher risk offenders will require much

higher dosage of treatment

– Rule of thumb: 100-150 hours for moderate risk

– 200+ hours for high risk

– 100 hours for high risk will have little effect

– Does not include work/school and other

activities that are not directly addressing

criminogenic risk factors

Page 26: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

#3: Intensive Treatment for Low Risk

Offenders will Often Increase Failure Rates

• Low risk offenders will learn anti social

behavior from higher risk

• Disrupts pro-social networks

• Increased reporting/surveillance leads to

more violations/revocations

Page 27: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

The Risk Principle & Correctional

Intervention Results from Meta Analysis

-4

19

-5

0

5

10

15

20

25

High Risk Low Risk

Ch

an

ge I

n R

ecid

ivis

m R

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s

Dowden & Andrews, 1999

Reduced

Recidivism

Increased Recidivism

Page 28: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Study of Intensive Rehabilitation Supervision in Canada

0

10

20

30

40

50

60

High Risk 31.6 51.1

Low Risk 32.3 14.5

Treatment Non-Treatment

Bonta, J et al., 2000. A Quasi-Experimental Evaluation of an Intensive Rehabilitation Supervision Program., Vol. 27 No 3:312-329. Criminal Justice and

Behavior

Recidivism

Rates

Page 29: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

2002 STUDY OF COMMUNITY

CORRECTIONAL PROGRAMS IN OHIO

• Largest study of community based correctional treatment facilities ever done up to that time.

• Total of 13,221 offenders – 37 Halfway Houses and 15 Community Based Correctional Facilities (CBCFs) were included in the study.

• Two-year follow-up conducted on all offenders

• Recidivism measures included new arrests & incarceration in a state penal institution

Page 30: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Increased

Recidivism

Reduced

Recidivism

Page 31: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Treatment Effects For High Risk Offenders

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Page 32: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

2010 STUDY OF COMMUNITY

CORRECTIONAL PROGRAMS IN OHIO

• Over 20,000 offenders – 44 Halfway Houses and 20 Community Based Correctional Facilities (CBCFs) were included in the study.

• Two-year follow-up conducted on all offenders

Page 33: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Treatment Effects for Low Risk

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Page 34: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Treatment Effects for High Risk

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Page 35: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Risk Level by New Commitment or New

Adjudication: Results from 20013 Ohio Study of

over 10,000 Youth

7

14

37

20

37

57

24

43

59

0

10

20

30

40

50

60

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Community Residential Institution

Page 36: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Recidivism Rates by Total Months in Programs

5.1

10.3

42.2

8.6

12.5

37.6

12.5

19

34.5

0

5

10

15

20

25

30

35

40

45

Low Moderate High

0-3 months 4-12 months 13+ months

Page 37: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Findings from Ohio Study

• Recidivism rates for low risk youth served in the

community were 2 to 4 times lower than those served

in Residential or Institutional facilities

• We also found that placing low risk youth in

Substance Abuse programs significantly increased

their recidivism rates.

• High risk youth were more successful when they

received a higher dosage of treatment (programming

for 13 months or more).

• Lower and moderate risk youth did better with lower

dosage programs.

Page 38: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

To understand the Need Principle we need

to review the body of knowledge related to

risk factors

What are the risk factors correlated with

criminal conduct?

Page 39: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Major Set of Risk/Need

Factors

1. Antisocial/procriminal attitudes, values, beliefs and cognitive-emotional states

Page 40: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Cognitive Emotional States

• Rage

• Anger

• Defiance

• Criminal Identity

Page 41: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Identifying Procriminal Attitudes, Values & Beliefs

What to listen for:

• Negative expression about the law

• Negative expression about conventional institutions, values, rules, & procedures; including authority

• Negative expressions about self-management of behavior; including problem solving ability

• Negative attitudes toward self and one’s ability to achieve through conventional means

• Lack of empathy and sensitivity toward others

Procriminal sentiments are what people think, not how people think; they

comprise the content of thought, not the skills of thinking.

Page 42: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Neutralization & Minimizations

Neutralization Techniques include:

• Denial of Responsibility: Criminal acts are due to factors beyond the control of the individual, thus, the individual is guilt free to act.

• Denial of Injury: Admits responsibility for the act, but minimizes the extent of harm or denies any harm

• Denial of the Victim: Reverses the role of offender & victim & blames the victim

• “System Bashing”: Those who disapprove of the offender’s acts are defined as immoral, hypocritical, or criminal themselves.

• Appeal to Higher Loyalties: “Live by a different code” – the demands of larger society are sacrificed for the demands of more immediate loyalties.

(Sykes and Maltz, 1957)

Offenders often neutralize their behavior. Neutralizations are a set of verbalizations

which function to say that in particular situations, it is “OK” to violate the law

Page 43: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Major set Risk/needs continued:

2. Procriminal associates and

isolation from prosocial others

Page 44: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Reducing Negative Peer Associations

Restrict associates

Set and enforce curfews

Ban hangouts, etc.

Teach offender to recognize & avoid negative influences (people, places, things)

Practice new skills (like being assertive instead of passive)

Teach how to maintain relationships w/o getting into trouble

Identify or develop positive associations: mentors, family, friends, teachers, employer, etc.

Train family and friends to assist offender

Set goal of one new friend (positive association) per month

Develop sober/prosocial leisure activities

Page 45: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Major set Risk/Needs continued:

3. Temperamental & anti social personality pattern conducive to criminal activity including:

– Weak Socialization

– Impulsivity

– Adventurous

– Pleasure seeking

– Restless Aggressive

– Egocentrism

– Below Average Verbal intelligence

– A Taste For Risk

– Weak Problem-Solving/lack of Coping & Self-Regulation Skills

Page 46: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Major set of Risk/Need factors continued:

4. A history of antisocial behavior: – Evident from a young age

– In a variety of settings

– Involving a number and variety of different

acts

Page 47: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Major set of Risk/Needs Continued:

5. Family factors that include criminality and a

variety of psychological problems in the

family of origin including:

– Low levels of affection, caring and

cohesiveness

– Poor parental supervision and discipline

practices

– Out right neglect and abuse

Page 48: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Major set of Risk/Needs continued:

6. Low levels of personal educational,

vocational or financial achievement

Page 49: What Works and What Doesn’t in...the Principle of Effective Interventions Presented by: Edward J. Latessa, Ph.D. School of Criminal Justice University of Cincinnati ... t y e V y

Leisure and/or recreation

7. Low levels of involvement in

prosocial leisure activities

–Allows for interaction with antisocial

peers

–Allows for offenders to have idle time

–Offenders replace prosocial behavior

with antisocial behavior

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Substance Abuse

8. Abuse of alcohol and/or drugs

–It is illegal itself (drugs)

–Engages with antisocial others

–Impacts social skills

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Major Risk and/or Need Factor and Promising

Intermediate Targets for Reduced Recidivism Factor Risk Dynamic Need

History of Antisocial Early & continued Build noncriminal

Behavior involvement in a number alternative behaviors

antisocial acts in risky situations

Antisocial personality Adventurous, pleasure Build problem-solving, self-

seeking, weak self management, anger mgt &

control, restlessly aggressive coping skills

Antisocial cognition Attitudes, values, beliefs Reduce antisocial cognition,

& rationalizations recognize risky thinking &

supportive of crime, feelings, build up alternative

cognitive emotional states less risky thinking & feelings

of anger, resentment, & Adopt a reform and/or

defiance anticriminal identity

Antisocial associates Close association with Reduce association w/

criminals & relative isolation criminals, enhance

from prosocial people association w/ prosocial people

Adopted from Andrews, D.A. et al, (2006). The Recent Past and Near Future of Risk and/or Need Assessment. Crime and Delinquency, 52 (1).

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Major Risk and/or Need Factor and Promising

Intermediate Targets for Reduced Recidivism

Factor Risk Dynamic Need

Family and/or marital Two key elements are Reduce conflict, build

nurturance and/or caring positive relationships, better monitoring and/or communication, enhance

supervision monitoring & supervision

School and/or work Low levels of performance Enhance performance,

& satisfaction rewards, & satisfaction

Leisure and/or recreation Low levels of involvement Enhance involvement

& satisfaction in anti- & satisfaction in prosocial

criminal leisure activities activities

Substance Abuse Abuse of alcohol and/or Reduce SA, reduce the

drugs personal & interpersonal

supports for SA behavior,

enhance alternatives to SA

Adopted from Andrews, D.A. et al, (2006). The Recent Past and Near Future of Risk and/or Need Assessment. Crime and Delinquency, 52 (1).

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Study by Bucklen and Zajac of parole

violators in Pennsylvania found a

number of criminogenic factors

related to failure*

Bucklen, B., & Zajac, G. (2009). But some of them don’t come back (to prison!): Resource deprivation and thinking errors as determinants of parole success and failure. The Prison Journal. 89: 239–264.

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Pennsylvania Parole Study

Social Network and Living Arrangements

Violators Were:

• More likely to hang around with individuals

with criminal backgrounds

• Less likely to live with a spouse

• Less likely to be in a stable supportive

relationship

• Less likely to identify someone in their life

who served in a mentoring capacity

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Pennsylvania Parole Study

Employment & Financial Situation

Violators were:

• Less likely to have job stability

• Less likely to be satisfied with employment

• Less likely to take low end jobs and work up

• More likely to have negative attitudes toward employment

& unrealistic job expectations

• Less likely to have a bank account

• More likely to report that they were “barely making it” (yet

success group reported over double median debt)

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Pennsylvania Parole Study

Alcohol or Drug Use

Violators were:

• More likely to report use of alcohol or

drugs while on parole (but no difference in

prior assessment of dependency problem)

• Poor management of stress was a primary

contributing factor to relapse

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Pennsylvania Parole Study

Life on Parole - Violators were:

• Had poor problem solving or coping skills

• Did not anticipate long term consequences of behavior

• Failed to utilize resources to help themselves

• Acted impulsively to immediate situations

• Felt they were not in control

• More likely to maintain anti-social attitudes

• Viewed violations as an acceptable option to situation

• Maintained general lack of empathy

• Shifted blame or denied responsibility

• Had unrealistic expectations about what life would be like

outside of prison

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Pennsylvania Parole Violator

Study:

• Successes and failures did not differ in

difficulty in finding a place to live after

release

• Successes & failures equally likely to

report eventually obtaining a job

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Need Principle By assessing and targeting criminogenic needs for change,

agencies can reduce the probability of recidivism

Criminogenic

• Anti social attitudes

• Anti social friends

• Substance abuse

• Lack of empathy

• Impulsive behavior

Non-Criminogenic

• Anxiety

• Low self esteem

• Creative abilities

• Medical needs

• Physical conditioning

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Needs Targeted & Correlation w ith Effect Size for Youthful Offenders

Source: Dowden and Andrews, (1999). What Works in Young Offender Treatment: A Meta Analysis. Forum on Correctional Research. Correctional Services of Canada

Fe

ar o

f Pu

nis

hm

ent

Bo

nd

An

ti So

cia

l Pe

ers

Ta

rget S

elf-E

ste

em

Va

gu

e E

motio

na

l Pro

ble

ms

Re

sp

ect A

nti S

ocia

l Th

inkin

g

Ph

ysic

al A

ctiv

ity

Crim

inog

en

ic N

eed

s

0

0.1

0.2

0.3

0.4

-0.1

-0.2

Effect Size -0.18 -0.12 -0.09 -0.06 -0.05 -0.03 0.36

Reduced Recidivism

Increased Recidivism

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Targeting Criminogenic Need: Results from Meta-

Analyses

-0.05

0

0.05

0.1

0.15

0.2

0.25

0.3

0.35

Target 1-3 more non-

criminogenic needs

Target at least 4-6 more

criminogenic needs

Reduction

in

Recidivism

Increase in

Recidivism

Source: Gendreau, P., French, S.A., and A.Taylor (2002). What Works (What Doesn’t Work) Revised 2002. Invited Submission to the International Community

Corrections Association Monograph Series Project

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Criminal Thinking and Mental Illness*

Morgan, Fisher, Duan, Mandracchia, and Murray (2010) studied 414 adult

offenders with mental illness (265 males, 149 females) and found:

• 66% had belief systems supportive of criminal life style (based on

Psychological Inventory of Criminal Thinking Scale (PICTS)

• When compare to other offender samples, male offenders with MI

scored similar or higher than non-mentally disordered offenders.

• On Criminal Sentiments Scale-Revised, 85% of men and 72% of

women with MI had antisocial attitudes, values and beliefs – which was

higher than incarcerated sample without MI.

See: Prevalence of Criminal Thinking among State Prison Inmates with Serious Mental Illness. Law and Human Behavior

34:324-336, and Center for Behavioral Health Services Criminal Justice Research Policy Brief, April 2010. Rutgers University.

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Conclusion

• Criminal Thinking styles differentiate people who

commit crimes from those who do not

independent of mental illness

• Incarcerated persons with mental illness are

often mentally ill and criminal

• Needs to be treated as co-occurring problems

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Assessment is the engine that drives

effective correctional programs

• Need to meet the risk and need principle

• Reduces bias

• Aids decision making

• Allows you to target dynamic risk factors

and measure change

• Best risk assessment method is the

actuarial (statistical) approach

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To Understand Assessment it is

Important to Understand Types of Risk

Factors

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Dynamic and Static Factors

• Static Factors are those factors that are related to risk and do not change. Some examples might be number of prior offenses, whether an offender has ever had a drug/alcohol problem.

• Dynamic factors relate to risk and can change. Some examples are whether an offender is currently unemployed or currently has a drug/alcohol problem.

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According to the American Heart Association, there are a

number of risk factors that increase your chances of a first

heart attack

Family history of heart attacks

Gender (males)

Age (over 50)

Inactive lifestyle

Over weight

High blood pressure

Smoking

High Cholesterol level

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There are two types of dynamic

risk factors • Acute – Can change quickly

• Stable – Take longer to change

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The Treatment (Responsivity)

Principle • General

– Most offenders respond to programs that are

based on cognitive behavioral/social learning

theories

• Specific

– Offenders learn differently and have certain

barriers that should be addressed so that they

are more likely to succeed in programs

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Specific Responsivity

What gets in the way of offenders

benefiting from treatment?

– Must take individual learning styles into

account

– Must consider possible barriers to

interventions

– Assessment and addressing responsivity

factors can be important to maximize

benefits of treatment

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Responsivity areas to assess can

include:

• Motivation to change

• Anxiety/psychopathy

• Levels of psychological development

• Maturity

• Cognitive functioning

• Mental disorders

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Prioritizing Interventions: What to

Change and Why

• Criminogenic targets – reduce risk for

recidivism

• Non-criminogenic targets (such as

responsivity) – may reduce barriers but

NOT risk

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Treatment Principle

(General Responsivity) The most effective interventions are behavioral:

• Focus on current factors that influence

behavior

• Action oriented

• Staff follow “core correctional practices”

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Results from Meta Analysis:

Behavioral vs. NonBehavioral

0.07

0.29

0

0.05

0.1

0.15

0.2

0.25

0.3

0.35

Nonbehavioral (N=83) Behavioral (N=41)

Reduced

Recidivism

Andrews, D.A. 1994. An Overview of Treatment Effectiveness. Research and Clinical Principles,

Department of Psychology, Carleton University. The N refers to the number of studies.

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Type of Treatment and Effect Sizes for Youthful Offenders

Source: Dowden and Andrews (1999), What Works in Young Offender Treatment: A Meta Analysis. Forum on Correctional

Research.

Non-Behavioral Behavioral

0

0.05

0.1

0.15

0.2

0.25

Effect Size 0.04 0.24

Reductions in

Recidivism

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Core Correctional Practices

1. Effective Reinforcement

2. Effective Disapproval

3. Effective Use of Authority

4. Quality Interpersonal Relationships

5. Cognitive Restructuring

6. Anti-criminal Modeling

7. Structured Learning/Skill Building

8. Problem Solving Techniques

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Core Correctional Practices and Recidivism

Effect

Size

Gendreau (2003). Invited Address. APA Annual Conference. Toronto.

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0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

1:10 1:08 1:06 1:04 1:02 2:01 4:01 6:01 8:01 10:01

Pro

bab

ilit

y o

f IS

P S

ucc

ess

Ratio of Rewards to Punishments

Ratio of Rewards to Punishments and Probability of

Success on Intensive Supervision

Widahl, E. J., Garland, B. Culhane, S. E., and McCarty, W.P. (2011). Utilizing Behavioral Interventions to Improve Supervision

Outcomes in Community-Based Corrections. Criminal Justice and Behavior, 38 (4).

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List of Rewards and Sanctions Sanctions

• Verbal reprimand

• Written assignment

• Modify curfew hours

• Community service hours

• Restrict visitation

• Program extension or

regression

• Electronic Monitoring

• Inpatient or outpatient txt

• Detention time

Rewards

• Verbal praise and

reinforcement

• Remove from EM

• Level advancement

• Increased personal time

• Approved special activity

• Fees reduced

• Approve of extend special

visitation

Widahl, E. J., Garland, B. Culhane, S. E., and McCarty, W.P. (2011). Utilizing Behavioral Interventions to Improve Supervision

Outcomes in Community-Based Corrections. Criminal Justice and Behavior, 38 (4).

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Sanction Type by Offender Compliance

Wadahl, Boman and Garland (2015) examined 283

offenders on ISP and looked at the effectiveness of

jail time versus community-based sanctions.

Widahl, E. J.,Boman, J. H. and Garland, B. E.. (2015). Responding to Probation and Parole Violations: Are Jail Sanctions

more Effective than Community-based Graduated Sanctions? Journal of Criminal Justice,43:243-250.

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List of Sanctions

Verbal reprimand

Written assignment

Modify curfew hours

Community service hours

Restrict visitation

Program extension or regression

Electronic Monitoring

Inpatient or outpatient txt

County jail time

Widahl, E. J.,Boman, J. H. and Garland, B. E.. (2015). Responding to Probation and Parole Violations: Are Jail Sanctions more

Effective than Community-based Graduated Sanctions? Journal of Criminal Justice,43:243-250.

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They found Jail Time:

• Was not related to number of days until the

next violation

• Did not increase or decrease the number of

subsequent violations

• Receiving jail time as a sanction as opposed to

a community-based sanction did not influence

successful completion of supervision

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Most Effective Behavioral

Models • Structured social learning where new skills

and behaviors are modeled

• Family based approaches that train family

on appropriate techniques

• Cognitive behavioral approaches that

target criminogenic risk factors

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Social Learning

Refers to several processes through which individuals

acquire attitudes, behavior, or knowledge from the persons

around them. Both modeling and instrumental conditioning

appear to play a role in such learning

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Some Family Based

Interventions • Designed to train family on behavioral

approaches

– Functional Family Therapy

– Multi-Systemic Therapy

– Teaching Family Model

– Strengthening Families Program

– Common Sense Parenting

– Parenting Wisely

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Effectiveness of Family Based Intervention:

Results from Meta Analysis

• 38 primary studies with 53 effect tests

• Average reduction in recidivism= 21%

However, much variability was present

(-0.17 - +0.83) Dowden & Andrews, 2003

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Mean Effect Sizes: Whether or not the

family intervention adheres to the

principles

0

0.05

0.1

0.15

0.2

0.25

0.3

0.35

Risk Need Treatment

Yes

No

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The Four Principles of Cognitive

Intervention

1. Thinking affects behavior

2. Antisocial, distorted, unproductive irrational thinking can lead to antisocial and unproductive behavior

3. Thinking can be influenced

4. We can change how we feel and behave by changing what we think

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Recent Meta-Analysis of Cognitive Behavioral Treatment

for Offenders by Landenberger & Lipsey (2005)*

• Reviewed 58 studies:

19 random samples

23 matched samples

16 convenience samples

• Found that on average CBT reduced recidivism by 25%,

but the most effective configurations found more than

50% reductions

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Significant Findings (effects were stronger if):

• Sessions per week (2 or more) - RISK

• Implementation monitored - FIDELITY

• Staff trained on CBT - FIDELITY

• Higher proportion of treatment completers -

RESPONSIVITY

• Higher risk offenders - RISK

• Higher if CBT is combined with other services -

NEED

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Some Examples of Cognitive Behavioral

Correctional Curriculums

• Aggression Replacement Training (ART)

• Criminal Conduct and Substance Abuse Treatment

• Thinking for a Change (non-proprietary)

• UC's Cognitive Behavioral Interventions for Offenders Seeking Employment (non-proprietary – pilot underway)

• Changing Offender Lives (Specifically for MDOs – Non-proprietary)

• UC’s Cognitive Behavioral Interventions for Substance Abuse (non-proprietary)

• Moving On (Female Offenders)

• UC’s Cognitive Behavioral Treatment for Sex Offenders (non-proprietary)

• UC's Cognitive Behavioral Interventions for Offenders - A comprehensive curriculum (non-proprietary – pilot underway). Also adaptable for MDOs.

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Applying Core Correctional Practices

and Cognitive Behavioral

Interventions in Supervision

Effective Practices in

Correctional Supervision

(EPICS)

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93

Traditional Officer-Offender Interactions are

often not Effective because:

They are too brief to have an impact

Conversations focus almost exclusively on monitoring

compliance conditions (and therefore emphasize external

controls on behavior rather than developing an internal rationale

for pro-social behavior)

Relationship is often more confrontational and authoritarian in

nature than helpful

What is targeted is not always based on assessment

More areas discussed=less effective

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94

Structure of EPICS Meeting

SESSION OVERVIEW

• Each session should be structured in the following way:

1. Check-In

2. Review

3. Intervention

4. Homework

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95

Rationale for EPICS

Preliminary Data from Canada:

Trained officers had 12% higher retention rates

in comparison with untrained officers at six

months.

Also found reductions in recidivism

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Two year Recidivism Results from Canadian Study

0

5

10

15

20

25

30

35

40

45

Reconviction

Treatment

Control

Bont, et al, (2010) The Strategic Training Initiative in Community Suopervision: Risk-Need-Responsivity in the Real World.

Public Safety Canada.

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Findings from Federal Probation Sample

Robinson, Vanbenschoten, Alexander, and Lowenkamp, Federal Probation, Sept. 2011.

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Recidivism Results from Ohio Study looking at Fidelity

and High Risk Offenders (both Adult and Juveniles)

Latessa, E., Smith, P., Schweitzer, m., and Labrecque, R. (2013). Evaluation of the Effective Practices in Community

Supervision Model (EPICS) in Ohio. School of Criminal Justice, University of Cincinnati.

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Meta Analysis: POs Trained in Core Correctional

Practices (i.e. EPICS): Effects on Recidivism

Chadwick, DeWolf and Serin (2015). Effectively Training Community Supervision Officers, Criminal Justice and Behavior, 20: 1-13

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EPICS

• Helps bring together all of your EBP efforts:

– Risk assessment and priority on higher risk offenders

– Focus on criminogenic needs

– Takes motivational interviewing to the next level

– Supports programs and services

– Helps PO become a more effective agent of change

– Increases compliance

– Reduces recidivism

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We are Currently Piloting a New Version:

Effective Practices for Community Support

(EPICS for Influencers)

• Designed to identify those people in the

offender’s life that want to help them stay out of

trouble and train them on some of the core skills

taught in EPICS.

• Includes training of coaches to provide on-going

support

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Why EPICS for Influencers?

• Build a pro-social network with some actual skills to help

offenders avoid risky situations

• Increase “dosage”

• Research shows that relapse prevention programs that

trained significant others and family members in

cognitive-behavioral approaches were three times as

effective as programs that did not.

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EPICS for Influencers is Designed for:

• Mentors

• Coaches

• Family Members

• Friends

• Faith Based Organizations

• Reentry Coalitions

• Law Enforcement

• School Officials

• Significant others

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EPICS-I

• Pilot Sites include:

– LA County Jail Reentry Program

– Hamilton County (Cincinnati) Reentry

Coalition

– Portsmouth, OH Juvenile Truancy and

Mentoring Program

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These approaches help us….

• Structure our interventions

• Teach and model new skills

• Allow offender to practice with graduated

difficulty

• Reinforce the behavior

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What Doesn’t Work with

Offenders?

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Lakota tribal wisdom says that when you discover you are riding a dead

horse, the best strategy is to dismount. However, in corrections, and in

other affairs, we often try other strategies, including the following:

• Buy a stronger whip.

• Change riders

• Say things like “This is the way we always have ridden this horse.”

• Appoint a committee to study the horse.

• Arrange to visit other sites to see how they ride dead horses.

• Create a training session to increase our riding ability.

• Harness several dead horses together for increased speed.

• Declare that “No horse is too dead to beat.”

• Provide additional funding to increase the horse’s performance.

• Declare the horse is “better, faster, and cheaper” dead.

• Study alternative uses for dead horses.

• Promote the dead horse to a supervisory position.

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Ineffective Approaches with Offenders

• Programs that cannot maintain fidelity

• Programs that target non-criminogenic needs

• Drug prevention classes focused on fear and other emotional appeals

• Shaming offenders

• Drug education programs

• Non-directive, client centered approaches

• Bibliotherapy

• Talking cures

• Self-Help programs

• Vague unstructured rehabilitation programs

• “Punishing smarter” (boot camps, scared straight, etc.)

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Fidelity Principle

Making sure the program is delivered as designed and with integrity:

• Ensure staff are modeling appropriate behavior, are qualified, well trained, well supervision, etc.

• Make sure barriers are addressed but target criminogenic needs

• Make sure appropriate dosage of treatment is provided

• Monitor delivery of programs & activities, etc.

• Reassess offenders in meeting target behaviors

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Effects of Quality Programs Delivery for Evidenced Based Programs for Youth Offenders

Source: Outcome Evaluation of Washington State's Research-Based Programs for Juvenile Offenders. January 2004. Washington State Institute for Public Policy.

Functional Family Therapy Aggression Replacement Therapy

0

10

20

30

40

-10

-20

Competently Delivered 38 24

Not Competent -16.7 -10.4

Reduced Recidivism

Increased Recidivism

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Some Lessons Learned from the

Research

Who you put in a program is important – pay attention to risk

What you target is important – pay attention to criminogenic needs

How you target offender for change is important – use behavioral approaches

Program Integrity makes a difference - Service

delivery, training/supervision of staff, support for

program, QA, evaluation, etc.