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Michael Dennis, Ph.D. and Vinetha Belur, Ph.D. Chestnut Health Systems, Normal, IL - PowerPoint PPT Presentation


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Client Profiles in the Offender Re-entry Program (ORP) and the Need to Address the Twin Issues of Trauma and Crime. Michael Dennis, Ph.D. and Vinetha Belur, Ph.D. Chestnut Health Systems, Normal, IL.

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slide1

Client Profiles in the Offender Re-entry Program (ORP) and the Need to Address the Twin Issues of Trauma and Crime

Michael Dennis, Ph.D. and Vinetha Belur, Ph.D.

Chestnut Health Systems, Normal, IL

Presentation at the Community Corrections and Offender Reentry Program Grantee Meeting, May 3, 2011, Denver Colorado

acknowledgement and contact information
Acknowledgement and Contact Information
  • Data from SAMHSA/CSAT 2004-2009 Young Offender Re-entry Program (TI16904, TI16915, TI16928, TI16939, TI16961, TI16984, TI16992, TI17046, TI17070, TI17071) and 2009-2013Offender Re-entry Program (TI21580, TI21585, TI21595, TI21597, TI21624, TI21632, TI21639, TI21682, TI21688, TI21705, TI21714, TI21748, TI21774, TI21788, TI21815, TI21948)
  • Opinions are those of the author and not official positions of the government
  • Available from www.chestnut.org/li/posters
  • Please direct comments to Michael Dennis, Chestnut Health Systems, 448 Wylie Drive, Normal, IL 61761, 309-451-7801, mdennis@chestnut.org .
goals
Goals
  • To give a profile of the clients seen in SAMHSA/CSAT’s Offender Re-entry Program (ORP) and how needs, treatment and outcomes vary by age
  • Examine the high rate of victimization and demonstrate how it is related to co-occurring mental health issues, criminal activity and other presenting problems
slide4

Demographics

Adults more likely than other ages to be female and White

Adolescents & Young Adults more likely to be Hispanic and Mixed

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

years of use
Years of Use

Adults (OR=132.5) and young adults (OR=9.1) more likely than youth to have 5 or more years of use

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

weekly pre controlled environment alcohol drug use by age
Weekly Pre-Controlled Environment Alcohol/Drug Use By Age

71%

Adolescents and Young adults more likely to use marijuana

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

substance use severity
Substance Use Severity

Adults (OR=9.7) and young adults (OR=1.9) more likely than adolescents to have dependence

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

past year violence crime
Past-Year Violence & Crime

*Dealing, manufacturing, prostitution, gambling (does not include simple possession or use)

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

9

type of crime by severity group
Type of Crime by Severity Group

Odds ratio (OR) for Youth (15.6) and young adults (3.0) higher than adults

*Other crime includes vandalism, possession of stolen goods, forgery, and theft.

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

10

intensity of justice system involvement
Intensity of Justice System Involvement

Past Arrest/JJ/CJ Status 2%

Past-Year Illegal Activity/SA Use .1%

Other JJ/CJ Status 2.8%

Other Probation, Parole, or Detention 16.3%

On Probation/ Parole 14+ Days w/1+Drug Screens 20%

In Detention/Jail 30+ Days 51.9%

In Detention/ Jail 14-29 Days 6.6%

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

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intensity of justice system involvement by severity group
Intensity of Justice System Involvement by Severity Group

Adults (OR=1.6) and young adults (OR=1.5) more likely than adolescents to be coming from long term detention

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

12

co occurring psychiatric problems
Co-Occurring Psychiatric Problems

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

pattern of co morbidity
Pattern of Co-morbidity

Adolescents more likely than adults to have only Externalizing

Disorders (OR=8.4)

Adults more likely than adolescents to have only Internalizing

Disorders (OR=4.4)

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

other psychiatric issues
Other Psychiatric Issues

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

gain i main scale problem profile
GAIN-I Main Scale Problem Profile

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

count of gain i main scales problems by age group
Count of GAIN-I Main Scales Problems By Age Group

Vast majority endorse 3 or more problems

Vast majority endorse one or more problems

Adults more likely than adolescents to report 7 or more problems (OR=3.7)

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

initial level of care
Initial Level of Care

Adults more likely than youth to start in IOP

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

treatment system involvement
TreatmentSystem Involvement

Adults more likely than youth to be in phased program and to have positive 6 month outcome (retention/ completion)

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

amount of substance abuse treatment intake to 3 months
Amount of Substance Abuse Treatment (intake to 3 months)

Adolescents received more “days” of treatment

Young Adults received more Residential Tx

*At 3m follow-up

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

range of substance abuse treatment content intake to 3 months
Range of Substance Abuse Treatment Content (Intake to 3 months)

Adolescents received a broader range of Tx Services

*At 3m follow-up

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

mental health treatment received intake to 3 months
Mental Health Treatment Received(intake to 3 months)

Adults received more mental health services

*At 3m follow-up

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

other environmental interventions across systems intake to 3 months
Other Environmental Interventions Across Systems (intake to 3 months)

Adults more

likely to be reincarcerated and to get self help

*At 3m follow-up

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

percent of days abstinent from aod
Percent of Days Abstinent from AOD

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

past month abstinence
Past Month Abstinence

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

no past month substance problems
No Past Month Substance Problems

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

no days in a controlled environment
No Days in a Controlled Environment

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

in recovery no use abuse or dependence in the past month while living in the community
In Recovery (no use, abuse or dependence in the past month while living in the community)

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

no illegal activity
No Illegal Activity

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

slide30

General Victimization Scale

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

severity of victimization by gender
Severity of Victimization by Gender

Odds ratio (OR) of Females 2.1 times greater than Males

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

severity of victimization by race
Severity of Victimization by Race

OR of other races 2.2 to 2.8 times greater than African Am.

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

severity of victimization by age group
Severity of Victimization by Age Group

OR higher for 18-25 (1.4) and adults (3.2) than youth

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

type of crime by severity of victimization
Type of Crime By Severity of Victimization

High victimization group more likely (OR=1.9) to report violent crime than low group

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

intensity of justice system involvement by severity of victimization
Intensity of Justice System Involvement By Severity of Victimization

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

psychiatric disorders by severity of victimization
Psychiatric Disorders by Severity of Victimization

Source: CSAT 2010 SA Horizontal, YORP and ORP studies only (N = 2,966)

gain i main scales problem count by severity of victimization
GAIN-I Main Scales Problem Count By Severity of Victimization

High victimization group more likely (OR=6.6) to have 7 to 13 problems than low group

Source: CSAT 2010 YORP and ORP studies only (N = 2,966)

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