Criminal Justice Drug Abuse Treatment Studies Improving Best Practices in Assessment and Service Planning:Organizational Process Improvement Intervention American Society of Criminology November 16, 2011
Research Goal • Test an organizational improvement strategy (i.e., Local Change Team and Facilitator) to bring about improvements in the quality of assessment and case planning procedures. • Target population: Offenders with substance-use disorders transitioning to community supervision and treatment.
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 The Role of Assessment in Treating Substance Use Disorders Among Offenders
Roles and Responsibilities in the Change Process • Local Change Team (LCT) • Local Change Team Leader • Facilitator • Note taker • Research staff
Primary Hypothesis 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 • Utility of case plans for community treatment programs • Staff perceptions of the assessment-case planning process . . .will occur after the introduction of the OPII.
Research Design • 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.)
Randomization Assessment & Case Planning Implementation Study Research Design July 2011-July 2012 Aug 2010-July 2011 Aug 2011-Jan 2012 July 2010 June 2010 Early StartSites No Intervention 5. Follow-up Facilitator Training(Initial 2-day face-to-face meeting& regular conf calls) Follow-upData Collection:Early Start Study-specific surveys Staff Interviews Case PlanRatings Early StartSites OPIIIntervention activities BaselineData Collection:Early &Delayed-Start BSOCSurveys Study-specific surveys Case PlanRatings Delay StartSites OPIIIntervention activities Delay StartSites
Research Design (con’d) • Primary hypotheses will be 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 will examine how the assessment and case planning process changes in response to the intervention.
Research Design (con’d) • Data Collection • CJDATS organizational surveys • Study-specific surveys • Assessment and Recommendations for Treatment Rating Form • Staff interviews • Cost data
Project Status • Study was in the field July 2010. • Currently: Early-Start Sites Needs Assessment Phase: 2 Planning Phase: 5 Implementation Phase: 2 Delayed-Start Sites Needs Assessment Phase: 3
Examples of Goals Measurement and Instrumentation Use an evidenced-based assessment of offender motivation and readiness for treatment to prioritize treatment admissions to community treatment. Integration With Case Plan Develop an electronic offender case plan to link data from substance abuse assessment and treatment needs with other offender needs (e.g., education, mental health, HIV services).
Examples of Goals Conveyance and Utility Develop an electronic data sharing system for case plan information that can be accessed by community correctional and treatment agencies immediately upon release of the offender from prison. Service Activation and Provision Adopt an evidenced-based curriculum for HIV education and prevention for use in the existing in-prison and community-based substance abuse treatment programs.
Challenges •Timeline • Staff turnover • Comparability across sites
Thank You Questions?