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@ INDIVIDUAL PROGRAM REPORTS: DOC-TEMPLE RESEARCH PARTNERSHIP Institution: Hou tzdale AOD Program: Courage to Change Therapeutic Community 1. What are the general goals or mission of this program? What does it try to do? Length: 2-3 paragraphs. [Source: program documents, staff interviews]. The Drug and Alcohol Department Procedures Manual describes the CCTC as follows: The CCTC addresses the physical, mental spiritual, emotional and social problems associated with drug and alcohol abuse. If you decide to enroll in the CCTC, you Wiu be entering an atmosphere that fosters motivation, self-help and learning. The CCTC is not just a housing area, but also a community that strives to help each other and provide constructive feedback. / I It fbrther states that the goal of SCI - Houtzdale’s Drug and Alcohol Treatment Department is to provide quality drug and alcohol treatment and education to inmates whose lives have been affected by chemical substance abuse. 2. What is the main treatment approach or philosophy used in this program? (e.g., see survey Q#12). Could you give one or two examples of how this approach is used? [Source: staff interviews, program documents]. The Drug and Alcohol Department Procedures Manual states that a multimodal approach to treatment is used at SCI - Houtzdale. The CCTC is a treatment intensity level 111 program whose specific treatment approach is non-hospital, residential treatment - total immersion. A variety of levels of treatment and therapeutic approaches are used. According to Policy Statement 7.4. IHOU2 “General Description of Institutional Drug and Alcohol Treatment Package,” the TC program adheres to the Bio-Psychosocial model of addiction, and utilizes a total immersion treatment approach. The specific treatment approach is non-hospital, residential treatment in which the cognitive, spiritual, social, physical and emotional aspects of the person will be addressed. The Survey of Prison Based Drug and Alcohol Treatment Programs indicated that other treatment approaches used by the CCTC include cognitive therapy, behavior modification, psychotherapy, RET, and reality therapy. Target Population and Target Selection 3. For this program, describe inmate recruiting, outreach, or referral procedures (e.g., How do inmates hear about this program? Who makes referrals? What are the reasons for referral)? [Source: program documents]. Both the Drug and Alcohol Department Procedures Manual and Policy Statement 7.4. I HOU8 “Weekly General Population Inmate Drug and Alcohol Orientation” indicate that new arrivals to SCI - Houtzdale will attend an orientation in which verbal and written information is 1 This document is a research report submitted to the U.S. Department of Justice. This report has not been published by the Department. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice.
@ provided describing drug and alcohol programming. Inmates or DOC staff can generate referrals. Each referral is tracked according to an automated system that lists inmates according to their minimum and referral dates. According to the Inmate Handbook, referrals fiom DOC staff could include the Corrections Counselor, Unit Manager, or DATS. A vote sheet system k then initiated with the Deputy Superintendent having the final decision. As per Policy Statement 7.4.1 HOU4, inmates self-referring should complete form DC-l35A, and staff-generated referrals should use a DC- 134 form. 4. What are the specific eligibility requirements for this program (e.g., type and seriousness of D & A problem, the remaining in sentence)? Are exceptions made? [Source: program documents]. The Procedures Manual for the Drug and Alcohol Department articulates the eligibility for the CCTC. Inmates must be six months misconduct fiee; must voluntarily enter the program; and must have one or more of the following: a Psychoactive Dependence Scale Score reflecting a need for intensive treatment, a documented drug and alcohol history, drug and alcohol related charges, drug and alcohol related misconducts, admits to a drug and alcohol problem, previous drug and alcohol placements, admit to being under the influence at the time of the offense, or commission of a crime for monetary support for his addiction. Each of these criteria are also listed in Policy Statement 7.4.1 HOU6 “Referral Process for CCTC.” The Inmate Handbook outlines some additional entrance criteria. One criteria is that there be no psychosis or intellectual hctioning that precludes comprehension of objectives or participation in activities. Another is that he may not be using illicit drugs, which will be assessed through urinalysis. Also, a “Z” code, according to page 4 of the Inmate Handbook may preclude consideration of a candidate. 5. Decision to admit (or not): Who makes the decision? What are the most important criteria? About what percentage of referrals are rejected? [Source: program documents]. According to Policy Statement 7.4.1 HOU6, “Referral Process for CCTC,” the Corrections Counselor circulates a vote sheet (form DC-46) to the Unit Manager, DATS Supervisor, Inmate Program Manager, and the Deputy of Centralized Services, who makes the final decision. In response to question #27 of the Survey of Prison-Based Drug and Alcohol Treatment Programs, the most important screening criteria of all those listed previously are level of drug involvement, and institutional record of drug use and misconducts. In addition to all of the eligibility requirements outlined above, the Drug and Alcohol Department Procedures Manual states that other important individual qualities include genuine heart, courage, and determination. 2 This document is a research report submitted to the U.S. Department of Justice. This report has not been published by the Department. Opinions or points of view expressed are those of the author(s) and do not necessarily reflect the official position or policies of the U.S. Department of Justice.
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The author(s) shown below used Fede
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Table of Contents Executive Summary
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EXECUTIVE SUMMARY Evaluation of Pri
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e the same five institutions were c
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0 0 Treatment staff showed a high l
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Policy Issues and Recommendations R
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1. Overview In fro duction Like oth
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a years old. Offenders were serving
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integrated into the other activitie
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e repeatedly incarcerated, but untr
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0 According to a recent report by t
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e and Camacho, 1997), and the Feder
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8% lower reincarceration rate compa
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e reincarcerated, compared to only
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e of less violence and greater drug
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included those clients who graduate
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e conjunction with the National Ins
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@ drug use than untreated women (35
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9 serve, then they were removed fio
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programming per week (mean = 30 hr/
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participation in treatment) and pos
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1990; Bonta, 1996; Jones, 1996). Th
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Admission and Classification. 1 I I
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e or both’*. TC clients were aske
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e Post-release indicators focused u
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a Independent Variables One excelle
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state prison system. The test-retes
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e high correlation with the Beck De
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The social conformity scale has dis
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e (Simpson, 1997). Items assess the
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@ Sample Characteristics For each i
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~~ 0 inmates participated in AOD pr
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~ ~~ a Table 5 Treatment Exposure:
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Inmates in the four program types d
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dichotomous outcomes such as reinca
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We also observed statkg ratios (inm
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e until they are mandated to go, so
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a Table 8 Inmate Characteristics bv
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more counselors and that the progra
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Waymart. Inmates attend a morning m
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current TC inmates (REST and CRC fo
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~ ~~~~ e However, a number of inmat
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e Counselor ratings of client attri
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@ process across the five programs,
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Table 10 Mean CRC Scores: Time 1, T
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Table 12 Mean CRC Scores: Paired Sa
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Table 14 ChanPes in Ratings of Trea
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DOC custody for a parole violation,
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0 Table 15 Number and Type of Relea
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Because few inmates had been releas
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0 Table 16 Reincarceration SamDle C
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0 Table 18 Lopistic Repression of R
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Table 19 Survival Analvsis: Life Ta
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Rearrests Rearrest analyses were ba
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Table20 ~~~ Rearrest Sample Charact
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Table 22 LoPistic Repression of Rea
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Table 23 Survival Analvsis: Life Ta
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e Drug Relapse and Other Parole Dat
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successfill discharges only), the e
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treatment, psychological hctioning)
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Table 25 Logistic Repression of Dru
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i Comparison Group TC Group Note. E
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c 0 E 40% icr E Cresson Graterford
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Hazard Function V C comparison grou
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For each of the three dependent var
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V. CONCLUSIONS AND RECOMMENDATIONS
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Employment may help prevent drug re
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group did get some treatment help
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Recommendations: 2. Correctional ad
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an inmate gets closer to hisher min
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Findings suggested that certain inm
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e Finding: TC programs varied littl
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an evaluation study can be linked w
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and Ryder, 2001; Travis and Petersi
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References Andrews, Donald A. (1995
Page 151 and 152: Derogatis, L.R., H. Yevzeroff, and
Page 153 and 154: Hiller, Matthew L.; Knight, Kevin,
Page 155 and 156: the Physician Leadership on Nationa
Page 157 and 158: Palmer, Ted. (1995) "Programmatic a
Page 159 and 160: Simpson, D. Dwayne (1994) TCUPTA Fo
Page 161 and 162: U.S. Department of Justice (1998) S
Page 163 and 164: Criminal Justice. U.S. GPO. No. 198
Page 165 and 166: Appendix I. Overview of DOC Databas
Page 167 and 168: INMATE RECORDS SYSTEM This database
Page 169 and 170: Inmate (Program Participant) Interv
Page 171 and 172: ' Appendix 3. Subject Consent Form
Page 173 and 174: Confidentiali@/Anonymitv I understa
Page 175 and 176: DRUG SCREEN PLEASE COMPLETE ALL INF
Page 177 and 178: @ Appendix 5. TCU Resident Evaluati
Page 179 and 180: EVALUATION OF SELF AND TIiEATMENT (
Page 181 and 182: EVALUATION OF SELF AND TREATMENT (C
Page 183 and 184: EVALUATION OF SELF AND TREATMENT (C
Page 185 and 186: Appendix 6. TCU Counselor Rating of
Page 187 and 188: COUNSELOR RATING OF CLIENT (CONTINU
Page 189 and 190: @ INDIVIDUAL PROGRAM REPORTS: DOC-T
Page 191 and 192: pattern, chemical abuse and health
Page 193 and 194: ~ on the inmate with respect to pre
Page 195 and 196: 1. Presence of AOD problem that has
Page 197 and 198: @ and consists of suggestions on ho
Page 199 and 200: 0 tasks, the inmate must receive a
Page 201: StaffDemographics (fidl time AOD st
Page 205 and 206: The Inmate Handbook also lists reas
Page 207 and 208: Examples of Phase I1 problem areas
Page 209 and 210: counselor and through institutional
Page 211 and 212: 9. What are the criteria for succes
Page 213 and 214: and then listing an alternative ass
Page 215 and 216: Finally, in Phase IV the inmate is
Page 217 and 218: INDIVIDUAL PROGRAM REPORTS: DOC-TEM
Page 219 and 220: Specific Program Content and Struct
Page 221: Name of Staff Member: Job Title: Hi
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