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Rehabilitation

Rehabilitation: The Ideal vs. The C ontext Faye S. Taxman, Danielle S. Rudes, Catherine Salzinger, Michael Caudy, & Amy Murphy George Mason University www.gmuace.org. Rehabilitation. E ducate in basic or vocational skills;

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Rehabilitation

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  1. Rehabilitation: The Ideal vs. The ContextFaye S. Taxman, Danielle S. Rudes, Catherine Salzinger, Michael Caudy, & Amy MurphyGeorge Mason Universitywww.gmuace.org

  2. Rehabilitation • Educate in basic or vocational skills; • Involve in therapeutic activities to facilitate changes in attitudes, behaviors, or values; or, • Alter through punishment. The rehabilitation ideal provides a punitive experience with opportunities to learn to become a contributing member of society.

  3. Challenges: Providing rehabilitative services within correctional settings. • Correctional settings do not allow for autonomy, they focus on control. (Toch, 1987; Goffman, 1961; Dahlen & Johnson, 2010) • Correctional settings replaceclient-centered efforts with programming suitable for a punitive setting. (Dahlen & Johnson, 2010) • Correctional settings affect staff actions and behaviors by emphasizing control. (Rudes, Lerch, & Taxman, 2011) • Can “what works” (evidence-based practices) thrive within a correctional culture?

  4. Study—Mixed Methods • Used RNR Program Tool for Adults to assess use of evidence-based practices and quality programming in one community (N=38) • Content analysis of 4 common curriculums: Seeking Safety (SS), A Cognitive Behavioral Approach: Treating Cocaine Addiction (CBT), Thinking for a Change (T4C), & Strategies for Self-Improvement and Change (SSC)

  5. RNR Program Tool for Adults Ranks Programs Based on EBPs and “What Works”

  6. Curriculum Review: Positive & Forward vs. Negative & Backward Criminal Justice Curricula Non-Criminal Justice Curricula T4C SSC SS CBT Present/Fwd Looking 38% 11% 26% 25% Positive/Supportive 31% 28% 18% 23% Backward Looking 48% 29% 16% 6% Negative Lang/Dir --- 17% 45% 38% Present/Positive 54% 46% Backwd/Negative 47% 52%

  7. Curriculum Review: Therapeutic Direction • “Show them how to do this” (T4C). • “If the patient becomes upset, emphasize the emotional pain and then redirect the conversation to a neutral, present topic” (SS). • Minimal use in CJ curricula (just 13 times total, <1%) • More common in non-CJ curricula (59 occurrences; about 3% of codes).

  8. Implications of the Culture of Control • Affects treatment programs in untold ways • Structurally, programs reinforce the notion of control • Difficult to build programs that focus on motivation and client-centered care • Emphasis on risk management is directed at staff; privileging controls over incentives • Curriculums reinforce the notion that individuals must change regardless of content

  9. Thank you! Questions & Comments Catherine Salzinger ssalzing@masonlive.gmu.edu

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