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e<br />

Counselor ratings of client attributes and counseling foci also showed several significant<br />

improvements over time, but not across the board (see Table 12). Most importantly, counselors<br />

agreed with inmates’ perceptions that treatment engagement increased over time. One might<br />

suggest that treatment engagement is a necessary (but not sufficient) condition for positive<br />

treatment outcomes to occur. Unfortunately, counselors also perceived a slight, but significant<br />

increase in inmatepsychoZogicaZprobZems over time. It is possible that such problems manifested<br />

/<br />

I<br />

themselves more fiequently or intensely as inmates were exposed to greater group codiontation<br />

and pressure over time. Alternatively, it is also possible that the perception of psychological<br />

problems by counselors is part and parcel of the treatment process: if an inmate is actively<br />

participating in treatment, and is doing so with genuine and sincere intentions, he ought to open<br />

a<br />

up and reveal psychological difliculties over time. However, CRC scores showed no significant<br />

decrease in denial and no significant increase in rapport with others. The four counselor foci dealt<br />

more with treatment content than process. Issues of self-conflontation, life skills development,<br />

family, and financial management received significantly increased attention over time.<br />

Next, we examined changes in inmate ratings on psychosocial and motivational scales<br />

from time 1 to time 2 (six months post-admission), broken down by institution (Table 13).<br />

Overall, Huntingdon inmates showed the greatest improvement in psychosocial hctioning over<br />

time, Houtzdale and Waymart inmates showed the least improvement, Graterford and Cresson<br />

were in between.<br />

The five TC programs did not differ significantly on changes in sey-esteem over time,<br />

although Houtzdale and Waymart inmates evidenced less improvement than inmates in the other 3<br />

TC programs. Huntingdon inmates showed greater decreases in depression than Houtzdale and<br />

Waymart inmates; Cresson and Graterford inmates were in between. Similar results were found<br />

83<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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