Criminal Justice Drug Abuse Treatment Studies

American Society of CriminologyNovember 17, 2010

CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA.CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA. 2

To test the use of an organizational improvement strategy (i.e., Local Change Team and Facilitator) to bring about improvements in the quality of assessment and case planning procedures for offenders with substance abuse disorders transitioning to community supervision and treatment.

CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA.CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA. 3

1 - Assessment is made to identify treatment needs

2 - Case plan for treatment servicesis developed from assessment

3 - At discharge, client is referred to community treatment program

4 - Case plan is transmitted to community treatment program

5 - Client receives services for needs identified in case plan

6 - Client problems and progress are recorded and transmitted as needed

CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA.CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA. 4

Measurement & Instrumentation

Concerned with the breadth and quality of the screening and assessment processes that correctional agencies use to identify strengths, weaknesses, and service needs of offenders.

Integration with the Case Plan

Concerned with the extent to which the case plan developed by the correctional agency explicitly addresses the needs identified in the assessments by recommending treatment or services.

Conveyance & Utility

Concerned with the extent to which the correctional agency shares the assessment and the case plan with community-based treatment programs and the extent to which these programs find the case plan useful.

Service Activation & Provision

Concerned with the extent to which community-based treatment programs provide the services to offenders that were identified or recommended in the case plans.

CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA.CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA. 5

Local Change Team

Local Change Team Leader

Facilitator

Note taker

Research Staff

CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA.CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA. 6

Phase Primary Outcome(s) Duration

(in weeks)

1. Pre-PhaseLocal Change Team (LCT) is formed and the project is introduced to them at the Kick-Off Meeting.

4- 6

2. Needs Assessment

LCT completes a Needs Assessment that identifies the relative strengths & weaknesses in the agency’s current assessment and case planning processes.

8 – 12

3. Process Improvement Planning

LCT develops and adopts a Process Improvement Plan that identifies goals and objectives for improvements in one or more of the four core dimensions of the assessment continuum.

8 – 12

4. Implementation

LCT works in a collaborative manner to implement the goals and objectives identified in the Process Improvement Plan.

16 – 26

5. Follow-Up

LCT assesses the relative sustainability of the process improvement goals achieved and the LCT method for facilitating process improvements.

26

CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA.CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA. 7

Improvements in:

▪ congruence between assessments and case plans

▪ presence of accepted principles of case plan development

▪ conveyance of case plans from correctional agencies to community treatment programs

▪ the utility of case plans for community treatment programs

▪ staff perceptions of the assessment-case planning process

will occur after the introduction of the OPII.

CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA.CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA. 8

Success in achieving the goals of the Process Improvement Plan will be positively related to:▪ degree to which Local Change Teams are

faithful to the change model▪ degree of commitment by the Local Change

Team members to achieving the goals of the PIP▪ level of staff satisfaction with the

implementation strategy and the process improvements

▪ degree of management support▪ strength of the working alliance between the

Facilitator and the members of the Local Change Team

CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA.CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA. 9

A multi-site, randomized, delayed-onset design.

Each Research Center partners with two criminal justice agencies, and each agency partners with one or more community treatment programs to which they refer clients.

Within each Research Center, the agencies are randomly assigned to an early-start condition or a delayed-start condition. (Delay of 10-12 months.)

CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA.CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA. 10

Primary hypotheses are tested using data from the early-start sites and the delayed-start sites during the comparison period.

Delayed start site will benefit from any changes in the intervention.

Repeated organizational measures and interviews are used to examine how the assessment and case planning process changes in response to the intervention.

CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA.CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA. 11

Data Collection

CJDATS organizational surveys

Study-specific surveys

Assessment and Recommendations for Treatment Rating Form

Staff interviews

Cost data

CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA.CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA. 12CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA.CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA. 12

Research Center Study Sites

Arizona State University Yavapai County Adult Probation, Maricopa County Adult Probation, Pinal Juvenile Probation

Brown University & University of Rhode Island RI Adult Correctional Facility, RI Training School and Juvenile Probation

National Development and Research Institutes (Colorado)

Colorado Springs TASC, Westminster TASC

Temple University Progress Community Correctional Center, Wernersville Community Correctional Center

Texas Christian University (Virginia) Indian Creek Correctional Center, Virginia Correctional Center for Women

Texas Christian University (Illinois) Southwestern Illinois Correctional Center, Sheridan Correctional Center

University of California, Los Angeles (Washington) Coyote Ridge Corrections Center, Airway Heights Corrections Center

University of Connecticut South: York Correctional Institution and Gates Correctional Institution, North: Willard-Cybulski Correctional Institution and Carl Robinson Correctional Institution

University of Delaware (New Jersey) Northern State Prison/TC, Garden State Youth Correctional Facility/TC

University of Kentucky Kentucky Probation/Parole (Fayette Co), Kentucky Probation/Parole (Jefferson Co)

CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA.CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA. 13

Current Status

Study was in the field in July.

All but one of the Research Center have started the Needs Assessment Phase.

Process Improvement Planning Phase will likely begin in February.

CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA.CJ-DATS is funded by NIDA in collaboration with SAMHSA and BJA. 14

Thank You

Questions?