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Findings suggested that certain inmate needs might not be hlly addressed by different TC<br />

programs. Inmates may need more specialized treatment for psychological problems than what<br />

they currently receive. For example, high, untreated anxiety or depression may weaken inmate<br />

engagement in treatment and responses to treatment (Chien, 1980; Powell and Taylor, 1992;<br />

Simpson and Joe, 1993a). Similarly, many inmates may require much more systematic, intensive<br />

induction strategies to help prepare them for the emotional challenges and interpersonal rigors of<br />

TC. Induction techniques help inmates identi@ resources, both internal and external, that can be<br />

used to maximize treatment participation and improve treatment outcomes. All TC programs<br />

have orientation procedures (Appendix 7), but more intensive strategies such as cognitive<br />

enhancement and motivational interviewing should be considered (Blankenship et al., 1999;<br />

Farabee, Simpson, Dansereau and Knight, 1995).<br />

Finding: TC inmates may in some cases have psychological needs that are not being hlly<br />

addressed, as indicated by REST (inmate self-report survey) and CRC (counselor ratings) change<br />

scores.<br />

Recommendation:<br />

6. Correctional administrators, working with researchers, drug treatment specialists,<br />

treatment supervisors and program managers, should identifl clear and consistent<br />

standards for assessment of inmate psychological needs at each institution, as well as<br />

procedures for ensuring that such needs are adequately addressed during the course of an<br />

inmate’s treatment.<br />

140<br />

This document is a research report submitted to the U.S. Department of <strong>Justice</strong>. This report has not<br />

been published by the Department. Opinions or points of view expressed are those of the author(s)<br />

and do not necessarily reflect the official position or policies of the U.S. Department of <strong>Justice</strong>.

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