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Moving EBPs Into Practice. Danielle S. Rudes Center for Advancing Correctional Excellence (ACE!) George Mason University Department of Criminology, Law and Society. Presented at OAR of Fairfax, 13 February 2013. What are EBPs ? . Evidence-based practices are…

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Moving ebps into practice

Moving EBPs Into Practice

Danielle S. Rudes

Center for Advancing Correctional Excellence (ACE!)

George Mason University

Department of Criminology, Law and Society

Presented at OAR of Fairfax, 13 February 2013


What are ebps
What are EBPs?

  • Evidence-based practices are…

    • Scientifically studied workplace practices that have been shown effective through rigorous research. Started in the early 1990s with the term “evidence-based medicine.”

    • The contemporary definition of EBP is “The integration of the best research evidence with clinical expertise and patient [client] values" (Sackett, et al. 2000, p. x).  

Slide courtesy of Dr. Faye S. Taxman


Understanding the science
Understanding the Science

  • Evidence:How is it obtained?

  • Translation:From another discipline (law enforcement, psychology, business, etc.) to corrections and crime prevention

  • Decision Making:Move away from sensationalized politics (reactionary) and gut-level decisions

Try www.crimesolutions.gov

Slide courtesy of Dr. Faye S. Taxman


Ways to Create Science

  • #1: Examine only research studies that use randomized field experiments as the “Gold Standard”

  • #2: Examine ALL available research (regardless of design) on a particular topic

  • #3: Conduct a nonscientific review, simply say“evidence based” & then offer your own listing of best practices or use a subset of all available research based on liberal or conservative ideology.

Slide courtesy of Dr. Faye S. Taxman


Implementation is a process not an event
Implementation is a Process, not an Event

  • It is not just about an idea (EBP)

  • It is more about:

    • How you take an idea and make it work (DRIVE)

    • The people that you involve in making it work (RELATIONSHIPS)

    • The willingness to learn together (LEARN)

    • The ability to set criteria to judge “impact” (FIT)

    • The coming together to create the values and norms within a community (GOAL SETTING)


Common ebps in corrections
Common EBPs in Corrections

  • Risk/Needs Assessment Instruments

  • Motivational Interviewing

  • Some cognitive behavioral programming/treatment


What works ebps vs what we do
What Works (EBPs) vs. What We Do?

The majority of correctional programs fall into these areas.

  • Intensive Supervision

  • Boot Camp

  • Case Management

  • Incarceration

  • Non-Directive Counseling

  • Directive Counseling

  • TASC

  • Diversion to Treatment (DTAP)

  • Treatment with Sanctions

  • Outpatient Treatment in Supervision

  • Emotional Skills

  • Moral Reasoning

  • 12-Step with Curriculum

  • In-Prison Treatment & Aftercare

  • Cognitive-Behavioral Interventions

  • Drug Treatment Courts

  • Contingency Management

  • Therapeutic Communities (in prison)

  • Focus on High Risk Offenders or Offenders with High Needs

Slide courtesy of Dr. Faye S. Taxman

Source: Taxman, 2009. Evidence-Based Practices in the United States.


The current evidence
The Current Evidence

  • Risk & Needs Assessment Should Drive Program Participation: High risk (not need) offenders should receive more rehabilitative programs

  • Sentencing & Program Placement Should Address Criminogenic Needs: Not all needs are criminogenic

  • Treatment Quality: Treatment and programs should be of sufficient duration and certain content to change behavior.

  • Procedural Justice: Clarifying expectations with clear and precise rules of program participation and rules for program completion are likely to lead to improved outcomes. Also creates trust and rapport for building commitment to change.

Slide courtesy of Dr. Faye S. Taxman


Aligning ebps with existing system s
Aligning EBPs with existing system(s)

  • Every system has its own processes

  • Align, refine and fit but make sure to

    • Keep the core principles

    • Know when “it” is no longer “it”

  • Ensure support from sister/collaborating agencies and other stakeholders


An example of ebp implementation contingency management in a criminal justice setting
An example of EBP implementation: Contingency Management in a criminal justice setting

  • Evidence-based treatment

  • Shape behaviors through rewards

  • Focus on a social contract for behavior

  • Technique to replace immediate “drug using”; structured rewards

    Adaptation

  • Fit to Environment

  • Include Sanctions


8 main cm principles
8 Main CM Principles a criminal justice setting

  • Positive incentives w/ point system

  • Clear guidelines about earning points

  • Emphasize abstinence

  • Early incentives

  • Point escalation

  • Integrating point system into existing system

  • Bonuses

  • Focus on no more than 3 behaviors at a time


Site overview
Site Overview a criminal justice setting

Site Initial Added

One Drug Court --

Two Drug Court Reentry Court

Three Drug Court Reentry Court

Four Regular Caseload --

Five Undetermined Halfway House & Drug Court*

*Started with one ideas regarding implementing in one location/program but realized program not far enough along for CM. When program was ready they added it back into JSTEPS.


Year 1 a criminal justice setting: MOU, software design, baseline site visits, org survey

Year 2:Adoption & implementation processes moving toward sustainability

Study Design with Continual Feedback Loops


Research development phases
Research development phases a criminal justice setting

Phase 1 Phase 2 Phase 3

0 6 12 18 24

Months

Wrap up site visits & phone calls

Site visits at S1, 2a, 2b, 3a, 4, Learning Meeting & Org survey

2nd learning meeting

Follow up phone calls & feedback reports

Site visit at S5, follow-up TA, feedback reports & telephone calls

Follow up site visits at S1, 2a/b, 3a, 4 &5; site visit S3b, TA, feedback reports & follow up phone calls


Site development phases
Site development phases a criminal justice setting

Months

0 6 12 18 24

S1A

S2aA

S2bA

S3aA

S3bA

S4A

S5a A

S5bA


What we learned from adoption phase
What we learned from Adoption Phase… a criminal justice setting

  • Acceptability (unobjectionable) & Feasibility (suitable)

    • Yes, acceptable/feasible but some challenges include: 1) too many behaviors in CM model; 2) intra-org challenges, and 3) balancing sanctions with rewards

    • (Rudes et al. (2011) Journal of Substance Abuse Treatment)

  • Adaptability (understandable)

    • Mostly acceptable with little difference between social & material rewards. Female and non-PO more accepting.

    • (Murphy, Rhodes & Taxman (2011) Journal of Substance Abuse Treatment)


Site development phases1
Site development phases a criminal justice setting

0 6 12 18 24

Months

S1 I

S2a I

S2b I

S3a I

S3b I

S4 I

S5a I

S5b I


What we learned from implementation phase
What we learned from implementation phase… a criminal justice setting

  • Probation Officer Roles

    • PO roles matter greatly for court and adoption/implementation processes. POs use three types of power 1) informational; 2) technical, and 3) relational to sway decisions to a certain end.

    • (Rudes & Portillo, 2012)

  • Transportability of EBPs

    • EBP transportability is processual with front-line CJ workers adapting EBPs by first adopting EBP language (loose coupling) with few adjustments to work activities. These processes have both positive and negative potential/implications.

    • (Portillo, Rudes & Taxman, in progress)


More learning from implementation phase
More learning from implementation phase… a criminal justice setting

  • Judicial Roles & Decision Making in PS Courts

    • Role judges take affect collaboration and decision making regarding court and adoption/implementation processes.

    • Portillo, Rudes, Viglione, Nelson & Taxman, Victims & Offenders 2013)

  • Redefining the Win

    • Problem-solving court attorneys often work to achieve the courts’ collaborative goal using covertly adversarial processes in a therapeutic jurisprudence environment including: 1) battling; 2) insider trading; 3) silent treatment, and 4) evidence as a weapon. This action affects court and adoption/implementation processes.

    • (Rudes & Portillo, under review at Law & Social Inquiry)


Site development phases2
Site development phases a criminal justice setting

0 6 12 18 24

Months

S1S

S2a

S2b

S3aS

S3b

S4S

S5a

S5bS


What does this all mean
What does this all mean? a criminal justice setting

  • Stay true to core principles of EBPs

  • Do not use a one-size-fits-all approach, individual organizational context matters

  • Use mixed method design to study both process & outcome simultaneously and long-term

  • Follow implementation from adoption to implementation to sustainability

  • Account for fidelity

  • What else?


Questions
Questions? a criminal justice setting

Dr. Danielle S. Rudes [email protected]

Thank You!


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