Day3GeorgeBraucht

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans The Heart and Soul of Change Conference: Becoming Better At What We Do June 19, 2010 New Orleans What works with CJ clients: “What we’ve got here is a failure to communicate. Some people you just can’t reach.” George S. Braucht, MS, LPC Successful Discharge Brauchtworks Consultation & Training and g The Georgia State Board of Pardons & Paroles Law Offender brauchtworks@yahoo.com; 404-310-3941 404-310- Interaction &Counseling Enforcement Intervention The Endless Vine: Ancient symbol of life, Re-Arrest/ infinity, or the interweaving wisdom of the Revocation Spiritual Path, the flowing of Time and Movement within That Which is Eternal “I only had one drink!” Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 1

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans WOW - New O Orleans in the the spring! p g Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 2

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans Who can read this? I cnnaot blveiee taht I can aulaclty uesdnatnrd waht I am rdanieg. Thi swhos th ht d i This h the phaonmneal pweor of the hmuan mnid. It dneos't mttaer in waht oredr the ltteers in a wrod are, the olny iprmoatnt tihng is taht the frist and lsat ltteer be in the rghit pclae. The rset can be a taotl mses and you can sitll raed it wouthit a porbelm. Tihs is bcuseae the huamn mnid deos not raed ervey lteter by istlef, but isnetad raeds the wrod as a wlohe. A National Paradigm Shift To person-directed, outcome-informed, recovery services and systems of care “Recovery” occurs by many paths to an AOD and crime-free lifestyle Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 3

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans “I only had one drink!” More than 1 in every 100 adults in America is in jail or prison! Source: The Pew Charitable Trusts. (2008). One in 100: Behind bars in America 2008. Washington DC: Author. Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 4

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans National Outlook  More than 2.3 million offenders are incarcerated in the US  95% return to the community $50 Billion on State Corrections in  30% of state prison releases are FY2007 re-arrested within 6 months – 67.5% within 3 years 1 out of every 31 US adults is under some form of correctional supervision US Correctional Population Source: US Department of Justice, Bureau of Justice Statistics Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 5

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans US Correctional Population Source: US Department of Justice, Bureau of Justice Statistics 1930-2000 State and Federal Prisons Admission Rates 1990’s Methamphetamine production spreads in the US White rates increase! 1987 Federal Sentencing Guidelines: Cocaine vs crack Blacks pass whites! 1984 National Minimum Drinking Age Act 1971 Nixon’s War on Drugs 1937 Marijuana Tax Act Rates skyrocket! Rates drop! 1970 Comp. Drug Abuse Prev. & Control Act Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 6

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans US Correctional Population Source: The Pew Charitable Trusts. (2008). One in 100: Behind bars in America 2008. Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 7

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans What Works? Create a Culture of Feedback and Change Until lions have historians, tales of the hunt will always glorify the hunter. African Proverb Training Objective Upon completion of this workshop, Participants will understand the shift to “what works” principles & practices of recovery services & correctional interventions for improving community health & safety while reducing th chances th t d i the h that offenders commit new crimes. Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 8

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans Enabling Objectives 1. Describe the magnitude of the criminal justice population in the United States, 2. Explain eight Recovery Management Services principles and three National Institute of Corrections’ Offender Services principles, and 3. Use Person-Directed, Outcome Informed Service tools that engage p p who use alcohol and g g people other drugs in indigenous recovery services, motivate sustained behavior change, and promote mastery-level development of recovery service skills based on service effectiveness data. Recovery Management: Values and Practices White, W. L. (2008). Recovery management and recovery-oriented systems of care: Scientific rationale and promising practices. Fifth in a series available free at http://store.ireta.org/merchant2/mer http://store ireta org/merchant2/mer chant.mvc?Screen=PROD&Store_ Code=I&Product_Code=mng993- DLD1.pdf&Category_Code=mng Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 9

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans Recovery Management: Values and Practices The following is adapted from White, W. L., Boyle, M. G., Loveland, D. L. & Corrigan, P. W. (2004). What is behavioral health recovery management? A primer primer. Available online at http://www.bhrm.org/papers/r mpapers.htm. Recovery Management: Values and Practices 1.Empower and harness the p inherent power of persons/f and families in recovery – to assess, design, deliver, and evaluate services; and advocate for pro-recovery d t f 1) physical, h i l policies and programs in 2) psychological, the wider community that 3) relational, target five zones of 4) lifestyle, and personal experience: 5) spiritual. Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 10

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans Recovery Management: Values and Practices 2. Assess real needs – identify the strengths and needs of individuals and families while emphasizing the first-person voices of persons seeking or in recovery. Recovery Management: Values and Practices (cont.) 3. Recovery resource development in the community - create physical, psychological and social space wherein recovery can occur; consider the individual’s age, race/ethnicity, gender, social/family role, sexual orientation and spirituality; link personal, professional and indigenous community resources into recovery management teams; and guide individuals and family members into relationship with a larger community of shared experience. Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 11

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans Recovery Management: Values and Practices (cont.) 4. Recovery education and training – enhance the y g recovery-based knowledge and skills of individuals/family members in recovery, associated recovery allies and service providers, and the larger community – use peer leaders. Recovery Management: Values and Practices (cont.) 5.Monitor and support service continuity – sustained contact and support across all three recovery phases: a) engagement and recovery priming (pre- recovery/treatment), b) recovery initiation and stabilization (recovery activities/treatment), activities/treatment) and c) recovery maintenance (post-treatment). Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 12

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans Recovery Management: Values and Practices (cont.) 6. 6 Use practice-based evidence – implement and practice based evaluate scientifically supported approaches, eliminate barriers and deliver community in- reach components. Recovery Management: Values and Practices (cont.) 7.Recovery 7 Recovery advocacy - for institutional and social policies that counter stigma and replace discrimination with resources for building recovery capital. Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 13

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans Recovery Management: Values and Practices (cont.) 8. 8 Hope for recovery – instill the vision of a research-grounded hope for recovery based on the real lives of the many people in long- term recovery = people can and do achieve full and partial recoveries from severe behavioral health problems. Many Pathways to Recovery  Mutual support groups  Professional treatment  Faith-based groups  Medication-assisted treatment  “Natural” or on your own  And more indigenous routes Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 14

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans Supervision Outcomes and Roles Every Successful Discharge interaction is an opportunity Offender to model Law Interaction & Counseling Enforcement Intervention prosocial or antisocial behavior. You Re-Arrest/ Revocation choose! Criminal Justice Outcomes Fundamental fact: Success is mostly due to S i tl d t maintaining a working alliance among each person under CJ p supervision, their significant others, and supervision & service providers. Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 15

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans Cherokee Tribal Wisdom says that when you discover you are riding a dead horse (DH), the best strategy is to DISMOUNT. Today however, in corrections and other human service fields, we often will:  Buy a new whip because the government says it’s an EBP, and they ill i th will give us $$$$!!  Arrange visits to far away places to see how they ride DHs.  Declare that, “No horse is too dead to beat.”  Appoint a study committee to find “green” uses for the horse.  Declare that, “This is the way we have always ridden horses” or “This is how I learned to ride so just do like I tell you.”  Attend training sessions to improve our DH riding skills.  Harness several DHs together for increased speed.  Provide additional funding/enhanced hay to increase the horse’s performance.  Write an organizational strategic plan on “the horse is better, faster, and cheaper dead.”  Promote the DH to a supervisory position! Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 16

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans National Institute of Corrections. (2004). Implementing evidence-based practice in community corrections: The principles of effective intervention. Three Key “What What Works” Principles I. Risk II. Need III Responsivity III. Responsivity Available online: http://nicic.gov/Library/019342 Research-Based Principles of Effective Interventions for Offenders I. Risk principle: Risk level identifies who p p is targeted for intervention  Assess & target research-based recidivism risk factors & interventions  Match intervention intensity with risk level Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 17

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans Research-Based Principles of Effective Interventions for Offenders Recidivism Risk Principle Risk Risk Risk Risk What are the recidivism risk factors? Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 18

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans General Correlates of Criminal Conduct Mean r # of studies Lower class origins 0.06 97 Personal distress/psychopathology 0.08 226 Educational/Vocational achievement 0.12 129 Parental/Family Factors 0.18 334 Temperament/misconduct/personality 0.21 621 Antisocial attitudes/associates 0.22 168 Andrews & Bonta (1994). A re-analysis of Gendreau, Andrews, Goggin & Chanteloupe (1992) Criminal Conduct Risk Assessment Instruments Correctional Offender Management Profiling for Alternative Sanctions (COMPAS) Positive Achievement Change Tool (PACT) Level of Service Inventory/Case Management Inventory ( (LSI-R/CMI) ) Youth Assessment and Screening Instrument (YASI) Baird, C. (2009). A question of evidence: A critique of risk assessment models used in the criminal justice system. Madison, WI: National Council on Crime and Delinquency. Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 19

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans Georgia Parole Board Risk Classification Factors 2003 study of all parole completions (N = 6,327): 67% of cases correctly classified as arrested vs. not arrested y Factor (B) Odds Ratio 1. Age at sentencing (-) .96 2. History of mental health treatment 1.24 3. Most serious offense = property 1.26 4. # of prior juvenile & adult incarcerations 1.27 5. Most serious offense = drug sales 1.60 6. Prior parole or probation revocations 1.67 7. # of months attending programs (-) .98 8. # of days employed (-) .99 9. # of residences 1.25 10. Proportion of positive drug tests 1.60 Georgia Parole Board Risk Classification Factors  Age at Sentencing (-).96 Odds Ratio Each additional year of age = a 4% decrease in the likelihood of arrest therefore A 30 year old at the time of sentencing is 40% less likely to be arrested than a parolee who was 20 at sentencing Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 20

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans Georgia Parole Board Risk Classification Factors 2003 study of all parole completions (N = 6,327): 67% of cases correctly classified as arrested vs. not arrested y Factor (B) Odds Ratio 1. Age at sentencing (-) .96 2. History of mental health treatment 1.24 3. Most serious offense = property 1.26 4. # of prior juvenile & adult incarcerations 1.27 5. Most serious offense = drug sales 1.60 6. Prior parole or probation revocations 1.67 7. # of months attending programs (-) .98 8. # of days employed (-) .99 9. # of residences 1.25 10. Proportion of positive drug tests 1.60 Specific Re-Arrest Risk Targets # of Months Attending Programs (-) .98 # of Days Employed (-) .99 # of Residences 1.25 Proportion of Positive Drug Tests 1.60 Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 21

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans Research-Based Principles of Effective Interventions for Offenders II. Need principle: Target criminogenic needs = a dynamic subset of risk factors  Needs = What is targeted for intervention  Housing  Substance abuse/mental health  Employment/Education  Cognitive skills: antisocial behavior/attitudes/values & beliefs; problem solving/decision-making, relapse prevention and early intervention  Prosocial supports & community activities THE GEORGIA STATE BOARD OF PARDONS AND PAROLES Field Operations Division Substance Abuse Program Referral Form Revised 090116 Contact your Parole Officer before the scheduled appointment if you cannot attend. Appointment Day, Date & Time: Wednesday, July 29th; 10:30am – 12:00pm Location: Warner Robins Parole Office Counselor: Greata Listner Parole Officer: Bestin D. State District: Warner Robins Office Phone: 478-329-4730 Other Phone: None Fax: 1-800-819-1534 Email: bestin_state@pap.state.ga.us PO Comments: Tested positive for THC, cocaine and alcohol on January 30, 2008. Previously p y y completed Spectrum outpatient program. The risk scores and associated factors are research-based predictors of the likelihood of future arrest: Risk Score: 0-5 = Standard Risk for Re-Arrest and 6-10 = High Risk for Re-Arrest YOU control these numbers Super Level = Supervision Level Status: If blank, Active on Parole MH = Last Mental Health Level in Prison: 00 = No MH history 01= Prior MH history but no services now 02 = Outpatient 03 = Supportive living (moderate) 04 = Supportive living (intensive) 06 = Binion Building PC = Property Crime DC = Drug Sale Crime PF = Probation or Parole Failure PI = Prior Prison Incarcerations AS = Age at Sentencing DE = Days Employed NR = Number of Residences PT = Positives/Total Drug Tests MP = Months Attending a Program Initial Current Release Risk EF Name Risk Super Risk Factors Last, Date D Score N b S Number Score L l S S Level Status MH PC DC PF PI AS DE NR PT MP First Good, 09-JUN-09 9 123456 7 Standard 2 Y Y 0 27 0 1 0 1 Johnny Initial Risk Factors: Leave blank if above table is used. AB = Assaultive Behavior AD = Alcohol/Drug Abuse PC = Property Crime DS = Drug Sales Crime PD = Prior Drug Sales or Possession PF = Probation/Parole Failure PI = Prior Prison Incarceration AS = Age at Sentencing Release EF Parolee Initial Current Initial Risk Factors Officer Date Number Name Risk Sup. Level AB AD MH PC DS PD PF PI AS State, Bestin D 09-JUN-09 123456 Good, Johnny B 9 Standard Y 2 Y 0 Y 0 27 Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 22

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans Activity Details For Parolee EF#123456 – Good, Johnny B. Date of Report 27-JUL-09 Special Conditions Details Substance Abuse Mental Health Alcohol Sex Offender Homerville Yes Yes Residential Details Begin Dt Address_1 Address_2 City County State ZipCode 09-JUN-09 626 Miller St Warner Robins 076 Ga 31093 Employment Details Begin Date End Date Employer Exempt Hours Days Program Details Begin Dt End Dt Trac Obj Program Type Status Vendor Attendance 09-JUL-09 SA a Treatment-Group Counselling Active Spectrum Health Svcs 2 Drug Test Details Since 27-JAN-2009 Drug Test Date Positive Amphet Alcohol Barbit Benz Cocaine Methamphet Opiates PCP THC 06-JUL-09 No N N 10-JUN-09 No N N Arrest Details Arrest Dt Offense Disposition Jail Rel Dt Jail Site Violation Details Violation Date Description Interaction Type Location p yp Sanction Details Sanction Date Description Interaction Type Location Interactions Details Interaction Date Description Interaction Type Location Success 16-JUL-09 Program Attend Yes Administrative Y 09-JUL-09 Program Attend Yes Administrative Y 09-JUL-09 Assessment Attended Administrative Y 09-JUL-09 Program Admitted Yes Administrative Y 06-JUL-09 Drug Screen Face To Face - Office Y 10-JUN-09 Assessment Refered to Face To Face - Office Y 10-JUN-09 Drug Screen Face To Face - Office Y Research-Based Principles of Effective Interventions for Offenders III. Responsivity principle: deliver interventions th t match i di id l i t ti that t h individual characteristics, situations & beliefs  Motivation  Sexual orientation  Race/Ethnicity  Culture  Gender  Age  Learning style  Faith = Person-directed, outcome informed (PDOI) Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 23

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans PDOI: Culture of Feedback & Change  Convey a commitment to: 1. Hope for the person improving her/his i i h /hi situation 2. Delivering the highest quality of care  Lay a foundation for a culture of feedback and a collaborative change partnership  Model change, in your behavior & words PDOI: PDOI: Elicit Heroic Stories It is easier to discover disco er a deficiency in individuals, in states, and in Providence, than to see their real import and value. Hegel Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 24

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans PDOI: Be Change Focused Listen for change! Ask about and be curious about c a ge o did change: How d d you do that? Where did that idea come from? Validate the person’s contribution to change. How is treatment helping access strengths and resources that have always been there but were just beyond your grasp? The Alliance: Research Findings  Quality of the alliance more potent predictor of outcome than orientation, experience, or professional discipline.  Client perception of the alliance a better predictor of outcome than therapist’s.  No correlation between the length of time in treatment and strength of the alliance. g  Clients rarely report negative reactions before deciding to terminate.  Same holds true for youth, couple and family therapy Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 25

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans The Alliance Is The Ticket! Research on the Client’s Theory of Change alliance reflected in over 1000 Goals, research findings. Meaning or Means or Methods Purpose P Bachelor, A., & Horvath, A. (1999). The Therapeutic Client’s View of the Relationship. In M. Hubble, B. Duncan, & S. Miller (eds.). The Heart and Soul of Change. Washington, Change. Therapeutic Relationship D.C.: APA Press. PDOI: The Basics  Solicit feedback, model, reward, solicit feedback, model, reward, solicit…  Validate the individual’s theory and history of change  Help the person acknowledge her/his role in the changes/progress Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 26

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans THE GEORGIA STATE BOARD OF PARDONS AND PAROLES Field Operations Division Personal Recovery and Offender Discharge Services (PRODS) Personal recovery and offender discharge are the program objectives. PRODS aligns with the Parole Board’s mission of transitioning offenders to the community and contributes to successful supervision for completing sentences without new crimes or returning to prison. Webster’s Dictionary defines prod as, “to urge or stir into action.” Participants learn to manage their recovery from lifestyles of both crime and alcohol or other drug abuse using personal and social resources to overcome recovery barriers and change behaviors. Progress in PRODS i i l d i l t b i d h b h i P i is measured by changes in each participant’s recidivism risk level. For the first time, PRODS directly links the work of the parolee, group facilitator and parole officer to reducing recidivism. PRODS/Supervision Operations Four Key Tasks: SA assessment special Motivation, Assessment & Recovery Action and condition, a positive drug Planning (MAP) Group Progress (RAP) Group Sustain Motivation, test, or increase in risk Reinforce Accountability, Supervision: Field Interactions, Drug Testing, Moral Reconation Therapy, Electronic Monitoring, Outpatient & Residential Programs, ST Incarceration Cognitive Skill Training, Social Support Networks: Alcoholics/Narcotics/Cocaine Anonymous, Celebrate Recovery, Reformers Unanimous, Faith Mentors, Recovery Coaches, etc. Social Networking PRODS Overview; November 6,, 2008; Page 1 of 1 Personal Recovery and Offender Discharge Service Recovery (from AOD abuse and crime) MAP & RAP groups = strengths-based, person-directed, & outcome informed p , Motivation, Assessment & Planning (MAP) Group  Risk-Based Referral form from PO is required for admission  90 minutes, attend only once  Complete a Self Completed Overview of Recovery Experience (SCORE)  AAssess personal risk/need f t l i k/ d factors from the Automated Risk Report f th A t t d Ri k R t (Risk-Based Referral form) then  Set goals and tasks for the next 6 days to reduce her/his risk score and progress toward discharge from parole without re-arrest using available, indigenous recovery resources Most start a Recovery Action and Progress (RAP) Group the following week Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 27

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans Personal Recovery and Offender Discharge Service  Recovery Action & Progress (RAP) Group  Maximum of 10 participants per counselor  Initial successful transfer (completion) criteria: six consecutive attendances and a minimum of two consecutive drug tests  Begin by completing an Outcome Rating Scale, discuss progress & barriers since last group, and end by completing a Group Session Rating y p g p g Scale  Last group of each month: celebrate successful transfers and complete a Recovery Progress Report PDOI Recovery Services Feedback Tools: Collected at every group THE GEORGIA STATE BOARD OF PARDONS AND PAROLES Group Session Rating Scale (GSRS) Personal Recovery and Offender Discharge Service Name: ______________________________________ Date: ___________________________ Name ______________________________ Date: ______________________________ ****************************************************************************** Please rate today’s group by placing a mark on the line nearest to the description that best Outcome Rating Scale (ORS) fits your experience. Looking back over the last week, including today, help us understand how you have been feeling by rating how well you have been doing in the following areas of your life, where marks to the left represent low levels and marks to the right indicate high levels. If you are Relationship I did not feel understood, I felt understood, filling out this form for another person, please fill out according to how you think he or she respected, and/or respected, and is doing. I----------------------------------------------------------------------I accepted by the leader accepted by the leader and/or the group. and the group. Individually Goals and Topics (Personal well-being) We did not work on or We worked on and I----------------------------------------------------------------------I talk about what I talked about what I I----------------------------------------------------------------------I wanted to work on and wanted to work on and talk about. talk about. Interpersonally (Family, close relationships) I----------------------------------------------------------------------I Approach or Method The leader and/or the The leader and group’s approach is a I----------------------------------------------------------------------I group’s approach is a not a good fit for me. good fit for me. Socially (Work, school, friendships) I----------------------------------------------------------------------I Overall There was something missing in group Overall, today’s group I----------------------------------------------------------------------I was right for me—I felt Overall today—I did not feel like a part of the group. like a part of the group. (General sense of well-being) I----------------------------------------------------------------------I The Heart and Soul of Change Project _______________________________________ www.heartandsoulofchange.com Institute for the Study of Therapeutic Change ____________________________________ www.talkingcure.com © 2007, Barry L. Duncan and Scott D. Miller © 2000, Scott D. Miller and Barry L. Duncan Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 28

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans Outcome Rating Scale Looking back over the last week, including today, help us understand how you have been doing in the following areas of your life, where marks to the left represent low life levels and marks to the right indicate high levels. Individually (Personal well-being) Not so good Doing OK Doing well I----------------------------------------------------I THE GEORGIA STATE BOARD OF PARDONS AND PAROLES Personal Recovery and Offender Discharge Service Motivation, Assessment and Planning (MAP) Group Self Completed Offender Recovery Evaluation (SCORE) Name: _________________________________ Date: _______________________________ Emergency contact: ____________________________ Phone: _________________________ ****************************************************************************** Outcome Rating Scale (ORS) Looking back over the last week, including today, help us understand how you have been feeling by rating how well you have been doing in the following areas of your life, where marks to the left represent low levels and marks to the right indicate high levels. Individually 0-10 (Personal well-being) I----------------------------------------------------------------------I ___ 0 1 2 3 4 5 6 7 8 9 10 Interpersonally (Family, close relationships) I----------------------------------------------------------------------I I I ___ Socially (Work, school, friendships) I----------------------------------------------------------------------I ___ Overall (General sense of well-being) I----------------------------------------------------------------------I ___ Total: ___ Institute for the Study of Therapeutic Change ____________________________________ 58 www.talkingcure.com © 2000, Scott D. Miller and Barry L. Duncan Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 29

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans The ORS Clinical Cutoff Outcome Rating Scale: Adult = 25  Divides “clinical” and “non-clinical” populations  People who initially score above 25 tend to g get worse with treatment  Non-CJ clients 25-33% = “non-clinical”  CJ clients 80-90% = “non-clinical ORS: An Example Clinically, what can 7 we glean from this g 8 client’s scores? How could we use 5 this information to begin or focus the 8 Total = 28 session? i ?  Explore why the client decided to enter therapy.  Use the referral source’s rating as the outcome score.  Avoid exploratory or “depth-oriented” techniques. “depth-  Use strength-based or focus on circumscribed problems strength- in a problem-solving manner problem- Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 30

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans Self-Completed Overview of Recovery Experience (SCORE) Board: Name: ___________________ #1 Goal: Session 1 2 3 4 5 6 7 8 9 10 11 12 13 Date 15 Task(s): ORS Score 1. 2. SRS Score 40 3. Write an “O” in the column below to show your ORS Score. At the end of the session, write an “S” to show your SRS Score. 4. 5. 40 S Adult SRS 35 Clinical Cutoff = 34 30 Adult ORS 25 Clinical Cutoff = 25 20 Examination copy for training only #2 Goal: 15 10 Task(s): 1. 5 2. 3. 0 #1 Goal 4. 5. Task # #2 Goal Task # On the right, write a brief description of your needs/goals and task(s). Then, enter task # as they are completed and  when the goal is accomplished Session Rating Scale (SRS V.3.0) Name ________________________Age (Yrs):____ ID# _________________________ Sex: M / F Session # ____ Date: ________________________  Give at the end Please rate today’s session by placing a mark on the line nearest to the description that best fits your experience. of session; Relationship  Each line 10 cm in I did not feel heard, I felt heard, understood, and respected. I-------------------------------------------------------------------------I understood, and respected. length; Goals and Topics We did not work on or talk about what I wanted to work on and I------------------------------------------------------------------------I We worked on and talked about what I  Score in cm to wanted to work on and talk about. Approach or Method talk about. the nearest mm; The therapist’s The therapist’s approach is not a good I-------------------------------------------------------------------------I approach is a good fit  Di fit for me. for me. Overall Discuss with client ith li t There was something missing in the session Overall, today’s session was right for anytime total I------------------------------------------------------------------------I today. me. score falls Institute for the Study of Therapeutic Change _______________________________________ www.talkingcure.com below 36 © 2002, Scott D. Miller, Barry L. Duncan, & Lynn Johnson Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 31

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans How to Improve Outcome by Interpreting Alliance Feedback What does this score 10.0 mean?  Because most people score high on alliance 10.0 measures, you can’t interpret high 10.0 ratings (trying to please, etc.). etc.). ) 10.0 Always: Thank the person for Total = 40 completing the measure; Maintain an openness to feedback. feedback. How to Improve Outcome Developing a “Culture of Feedback” SRS Scores are especially important to Session Rating Scale (SRS V.3.0) Name ________________________Age (Yrs):____ consider at the first session: session: ID# _________________________ Sex: M / F Modal number of sessions that people Session # ____ Date: ________________________ Please rate today’s session by placing a mark on the line nearest to the description that best fits your experience. attend is 1! Relationship I did not feel heard, understood, and respected. I-------------------------------------------------------------------------I I felt heard, understood, and respected.  Therapists who opted out of assessing We did not work on or talk about what I Goals and Topics I------------------------------------------------------------------------I We worked on and talked about what I alliance: alliance:  Two times more likely to drop out; wanted to work on and wanted to work on and talk about. talk about. Approach or Method  Three to four times more likely to The therapist’s The therapist’s approach is not a good I-------------------------------------------------------------------------I approach is a good fit fit for me. for me. Overall There was something missing in the session today. I------------------------------------------------------------------------I Overall, today’s session was right for me. have a negative or null outcome.  After the first session, the importance and Institute for the Study of Therapeutic Change _______________________________________ www.talkingcure.com © 2002, Scott D. Miller, Barry L. Duncan, & Lynn Johnson interpretation of SRS scores depends on ORS scores. Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 32

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans How to Improve Outcome: Linking Treatment to Outcome After the first session:  Beware of “condemnation with faint praise.” Even a one-point one- decrease can signal a change in the alliance that can impact the outcome;  Be cautious about making changes to the alliance when ORS scores indicate that the client is improving;  If ORS scores are unchanged or decreasing, and the SRS falls even a single point (whether below 36 or not), address the problems in the alliance before ending the session.  If ORS scores remain unchanged or continue to decrease in the third or subsequent visits, inquire about the alliance regardless of SRS scores. scores. Date Completed & Program Location: Person-Directed, Monthly Recovery Progress Report: Outpatient Program 091016 Monthly Recovery Progress Report: Residential Program 100312 Date Completed, Program Name & Location: Name: Resident Name: Phone Number and/or Email: Counselor & Phone Number and/or Email: Outcome-Informed Residence Phone  Cell  and/or Email : Counselor & Phone Number and/or Email: Supervising Officer Name: Probation  Parole  Supervising Officer Name: Probation  Parole  Supervising Officer Fax # and/or Email: Recovery Services Supervising Officer Fax and/or Email: I. Completed by Resident: Completed by Client: Recovery Plan. I want my SO to know that I am doing the following during the next 30 days to reduce my risk of re-arrest and promote my recovery. A. Expected residential program transfer (discharge) date: _______________________________ Attend this program. Check all that apply: Mon  Tue  Wed  Thu  Fri  Sat  Sun  B. Anticipated transfer residence plan: address, head of household phone # and name: Start time: _________ am  pm  End Time: _________ am  pm  ____________________________________________________________________________ Other Recovery Activity Location Day(s) Start Time End Time C. Recovery activities and progress since the last progress report: _______________________________________________________________________________ ____________________________________________________________________________ _______________________________________________________________________________ D. My recovery activities for the next 30 days: _______________________________________________________________________________ Recovery Activity Specific Location Day(s) Start Time End Time __________________________________________________________________________ Drug Use/Tests Since Last Progress Report. Completed by: Client  or Supervising Officer  __________________________________________________________________________ Enter result: N = Negative; P = Positive; V = Verbal Date THC Cocaine Alcohol or Other Drug (List) E. I request a recovery pass for the following date(s) next month. For each date list: start and end times; overnight residence plan address, head of household phone #; and recovery activities location(s), start & end times: __________________________________________________________________________ __________________________________________________________________________ II. Drug Tests/Use Since Last Progress Report: None  (Check box or complete the below) Completed by: Resident  or Supervising Officer  Other Information. Completed by: Client  Counselor  Supervising Officer  Enter result: N = Negative; P = Positive; V = Verbal Contact me at your earliest convenience to discuss the below: No  Yes  Date (s) THC Cocaine C i Alcohol Al h l or Oth D Other Drugs (Li t) (List): For each checked box, provide details in the Comment section below. Residence change  An incident with the law  Employment or school change  A change in program participation  Alcohol or other drug use  Other  III. Other Information. Completed by : Resident  Counselor  Supervising Officer  Paid this month. Check all that apply: Supervision Fee  Restitution/Fines  Child Support  Please contact me at your earliest convenience to discuss the below: Yes  No  Risk Score Changed to: ________________ Increased  or Decreased  A residence change  An incident with the law  Positive/Total Drug Tests Factor: ________________ Increased  or Decreased  Employment or school  Program participation  Number of Residences Factor: ________________ Increased  or Decreased  Alcohol or other drug use  Other: See below.  Days Employed Factor: ________________ Increased  or Decreased  Months Attending a Program Factor: ________________ Increased  or Decreased  Risk Score Changed to: ________________ Increased  or Decreased  Positive/Total Drug Tests: ________________ Increased  or Decreased  Comments/Other:_______________________________________________________________ Number of Residences: ________________ Increased  or Decreased  Days Employed: ________________ Increased  or Decreased  _____________________________________________________________________________ Months Attending a Program: ________________ Increased  or Decreased  Comments/Other:_______________________________________________________________ ___________________________________ _________________________________________ ___________________________________ _________________________________________ Client Signature Date Counselor  Supervising Officer  Date Resident Signature Date Counselor  Supervising Officer  Date Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 33

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans Georgia Parole Outcomes 6 of 10 parolees - 64% - get off parole without being re-arrested vs 44% nationally. 8 of 10 - 84% - do not return to prison within 3 years of discharge from parole vs 23% nationally From: State Board of Pardons and Paroles, (2009). Annual Report FY 2009 Personal Recovery and Offender Discharge Services 83% of Referrals were Enrolled in FY09’s 4th Quarter! 17% 23% Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 34

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans FY 2009 Personal Recovery and Offender Discharge Services A First: More Successful than Unsuccessful Transfers! 58% Program Transfers So, What Works with Offenders? PDOI Recovery Services!  Risk Principle = WHO!  Need Principle = WHAT!  Responsivity Principle = HOW!  Collaboration Principle = WHEN? Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 35

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans What Works to Initiate and Sustain Recovery with Offenders? PDOI Recovery Services!  Promoting self-directed, strength-based skill development and progress ( t perfection) d l t d (not f ti ) toward everyone’s objective of recovery and successful discharge without re-arrest  Consistently providing pertinent, individualized, feedback about: 1) progress toward self- selected goals (ORS) and 2) the quality/strength of the alliance (SRS)  POs and counselors recognizing recovery from alcohol and other drug abuse and crime Enabling Objectives 1. Describe the magnitude of the criminal justice population in the United States, 2. Explain eight Recovery Management Services principles and three National Institute of Corrections’ Offender Services principles, and 3. Use Person-Directed, Outcome Informed Service tools that engage p p who use alcohol and g g people other drugs in indigenous recovery services, motivate sustained behavior change, and promote mastery-level development of recovery service skills based on service effectiveness data. Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 36

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans Training Objective Upon completion of this workshop, Participants will understand the shift to “what works” principles & practices of recovery services & correctional interventions for improving community health & safety while reducing th chances th t d i the h that offenders commit new crimes. The What Works PDOI Recovery Services Counselor/Therapist/Helper F. Think of a country that starts E. Identify the letter from 1-10. A. Think of a number associated with that letter letter. with your number: G. Remember the last letter in B. Multiply that number by 9. the name of that = F 1=A 6 country. C. If the result is two-digits, H. Think B an animal that starts 2 = of 7=G add the digits together. withC letter. = H 3 = that 8 I. Remember the and remember D. Now=subtract 5 last=letter in 4 D 9 I theresult. of that animal. the name 5=E J. Finally, think of a fruit that starts with that letter. Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 37

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans www.heartandsoulofchange.com Recommended Materials www.heartandsoulofchange.com Electronic tools for O/SRS administering, scoring & interpretation 1) (ASIST) Automated Scoring, Interpretation and Storage Tool: clientvoiceinnovations.com = for professionals or agencies – David Elliott 2) MyOutcomes: myoutcomes.com = web-based application Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 38

What Works with CJ Clients 2010 Heart & Soul of Change Conference New Orleans To Motivate Change, Do What Works! Start by doing what’s necessary, then do what’s possible, and suddenly y y you are doing g the impossible. St. Francis of Assisi Brauchtworks Consultation & Training Applying Science to Practice brauchtworks@yahoo.com 39

Brauchtworks Applying science to practice. What Works Consultation & Training Person-Directed, Outcome Informed Recovery Services: Evidence-Based Practice Tools for Practice-Based Evidence of Effectiveness The enclosed samples of forms are for training purposes only and may not be reproduced or duplicated without the permission of: George S. Braucht, LPC Heart and Soul of Change Project Certified CDOI Trainer Email: brauchtworks@yahoo.com; Phone: 404-310-3941 The free Outcome Rating Scale and Session Rating Scale are available for downloading by completing a simple licensing agreement at the website of the Heart and Soul of Change Project. www.heartandsoulofchange.com/resources Also available at the website are: 1) the O/SRS user manual, 2) associated research including reliability and validity studies, 3) other reference material including books, training resources, and 4) a list of HSCP Certified CDOI Trainers. George S. Braucht, LPC The Endless Vine: Ancient symbol of life, 101 Donald Drive, Warner Robins GA 31093-3247 infinity or the interweaving wisdom of the Spiritual Path, 404-310-3941; brauchtworks@yahoo.com the flowing of Time and Movement within That Which Is Eternal

2 Outcome Rating Scale (ORS) Name ____________________________ Age (Yrs):____ Check one: Male  Female  Session # ________ Date: ___________________________________________________ Who is filling out this form? Please check one: Self  Other  If other, what is your relationship to this person? ___________________________________ Looking back over the last week, including today, help us understand how you have been feeling by rating how well you have been doing in the following areas of your life, where marks to the left represent low levels and marks to the right indicate high levels. If you are filling out this form for another person, please fill out according to how you think he or she is doing. Examination copy only, see www.heartandsoulofchange.com Individually (Personal well-being) I----------------------------------------------------------------------I Interpersonally (Family, close relationships) I----------------------------------------------------------------------I Socially (Work, school, friendships) I----------------------------------------------------------------------I Overall (General sense of well-being) I----------------------------------------------------------------------I Heart and Soul of Change Project ____________________________________ www.heartandsoulofchange.com © 2000, Scott D. Miller and Barry L. Duncan Brauchtworks Applying Science to Practice What Works Consultation & Training Email: brauchtworks@yahoo.com

3 Session Rating Scale (SRS V.3.0) Name ___________________________________ Age (Yrs):__________ ID# __________________________________ Check one: Male  Female  Session # __________ Date: _____________________________________ Please rate today’s session by placing a mark on the line nearest to the description that best fits your experience. Examination copy only, see www.heartandsoulofchange.com Relationship I did not feel heard, I felt heard, understood, and I-------------------------------------------------------------------------I understood, and respected. respected. Goals and Topics We did not work on or We worked on and talk about what I I------------------------------------------------------------------------I talked about what I wanted to work on and wanted to work on and talk about. talk about. Approach or Method The therapist’s The therapist’s approach is not a good I-------------------------------------------------------------------------I approach is a good fit fit for me. for me. Overall There was something Overall, today’s missing in the session I------------------------------------------------------------------------I session was right for today. me. Heart and Soul of Change Project _______________________________________ www.heartandsoulofchange.com © 2002, Scott D. Miller, Barry L. Duncan, & Lynn Johnson Brauchtworks Applying Science to Practice What Works Consultation & Training Email: brauchtworks@yahoo.com

4 Group Session Rating Scale (GSRS) Name _____________________________________________ Age (Yrs):____________ ID# _______________________________________________ Sex: M  F  Session # __________ Date: _________________________________________________ Please rate today’s group by placing a mark on the line nearest to the description that best fits your experience. Examination copy only, see www.heartandsoulofchange.com Relationship I did not feel understood, I felt understood, respected, and/or I----------------------------------------------------------------------I respected, and accepted by the leader accepted by the leader and/or the group. and the group. Goals and Topics We did not work on or We worked on and talk about what I I----------------------------------------------------------------------I talked about what I wanted to work on and wanted to work on and talk about. talk about. Approach or Method The leader and/or the The leader and group’s approach is a I----------------------------------------------------------------------I group’s approach is a not a good fit for me. good fit for me. Overall There was something missing in group Overall, today’s group I----------------------------------------------------------------------I was right for me—I felt today—I did not feel like a part of the group. like a part of the group. The Heart and Soul of Change Project _______________________________________ www.heartandsoulofchange.com © 2007, Barry L. Duncan and Scott D. Miller Brauchtworks Applying Science to Practice What Works Consultation & Training Email: brauchtworks@yahoo.com

5 Child Outcome Rating Scale (CORS) Name _________________________________________________Age (Yrs):_______ Check one: Male  Female  Session # _____ Date: ________________________ Who is filling out this form? Please check one: Child  Caretaker  If caretaker, what is your relationship to this child? ____________________________ How are you doing? How are things going in your life? Please make a mark on the scale to let us know. The closer to the smiley face, the better things are. The closer to the frowny face, things are not so good. If you are a caretaker filling out this form, please fill out according to how you think the child is doing. Examination copy only, see www.heartandsoulofchange.com Me (How am I doing?) I------------------------------------------------------------------------------------I Family (How are things in my family?) I------------------------------------------------------------------------------------I School (How am I doing at school?) I------------------------------------------------------------------------------------I Everything (How is everything going?) I------------------------------------------------------------------------------------I Heart and Soul of Change Project _______________________________________ www.heartandsoulofchange.com © 2003, Barry L. Duncan, Scott D. Miller, & Jacqueline A. Sparks Brauchtworks Applying Science to Practice What Works Consultation & Training Email: brauchtworks@yahoo.com

6 Child Session Rating Scale (CSRS) Name _______________________________ Age (Yrs):________ Check one: Male  Female  Session # ________ Date: _________________________________ How was our time together today? Please put a mark on the lines below to let us know how you feel. Examination copy only, see www.heartandsoulofchange.com Listening ______________ ___________ I-----------------------------------------------------------------------------------I did not always listened to me. listen to me. What we did and How Important What we did and talked about was not I-----------------------------------------------------------------------------------I talked about were really that important important to me. to me. I did not like What We Did I liked what what we did I-----------------------------------------------------------------------------------I we did today. today. Overall I hope we do the I wish we could do I-----------------------------------------------------------------------------------I same kind of something different. things next time. Heart and Soul of Change Project _______________________________________ www.heartandsoulofchange.com © 2003, Barry L. Duncan, Scott D. Miller, Jacqueline A. Sparks Brauchtworks Applying Science to Practice What Works Consultation & Training Email: brauchtworks@yahoo.com

7 Young Child Outcome Rating Scale (YCORS) Name _____________________________ Age (Yrs):___________________ Check one: Male  Female  Session # _____________ Date: ____________________________________ Choose one of the faces that shows how things are going for you. Or, you can draw one below that is just right for you. Examination copy only, see www.heartandsoulofchange.com Heart and Soul of Change Project _______________________________________ www.heartandsoulofchange.com © 2003, Barry L. Duncan, Scott D. Miller, Andy Huggins, and Jacqueline A. Sparks Brauchtworks Applying Science to Practice What Works Consultation & Training Email: brauchtworks@yahoo.com

8 Young Child Session Rating Scale (YCSRS) Name ____________________________ Age (Yrs):________________ Check one: Male  Female  Session # _____________ Date:__________________________________ Choose one of the faces that shows how it was for you to be here today. Or, you can draw one below that is just right for you. Examination copy only, see www.heartandsoulofchange.com Heart and Soul of Change Project ________________________________________ www.heartandsoulofchange.com © 2003, Barry L. Duncan, Scott D. Miller, Andy Huggins, & Jacqueline Sparks Brauchtworks Applying Science to Practice What Works Consultation & Training Email: brauchtworks@yahoo.com

9 Outcome Rating Scale Phone Script Examination copy only, see www.heartandsoulofchange.com Instructions: If the person gives you two numbers in response to one item, ask, “is it closer to X or Y? or “which number would you like me to put?” Introduction: To get our conversation started, please answer four questions about different areas of your life. I will ask you these same four questions each time we talk. This is very important information. Each of your answers should be a number from 1 to 10, with 10 being very good and 1 being very bad. Thinking back over the last week (or since our last conversation): 1. On the scale from 1 to 10, how do you rate your personal well-being? a. If the person asks for clarification, you should say, “how have you been doing personally,” “you as an individual,” “your personal functioning.” b. If the person gives one number for one area of personal functioning and offers another number for another area of functioning, then ask for an average. 2. How have things been going in your relationships? (On the scale from 1 to 10) a. If the person asks for clarification, you should say “in your family,” “in your close personal relationships.” b. If the person gives one number for one family member or relationship type and offers another number for another family member or relationship type, then ask the for an average. 3. How have things been going for you socially? (on the scale from 1 to 10) a. If the person asks for clarification say, “your life outside of your home” or “at school, work, and in your community.” b. If the person gives one number for one aspect of his/her social functioning and then offers another number for another aspect, then ask for an average. 4. So, rate how things are in your life overall from 1 to 10? Use the person’s responses to the specific outcome questions to transition into the conversation. For example, identify the lowest score given and then inquire about that specific area of functioning, e.g., if the items are 7, 7, 2, 5, the helper could say, “from your responses, it appears that you are most concerned about your relationships. Is that right?” Brauchtworks Applying Science to Practice What Works Consultation & Training Email: brauchtworks@yahoo.com

10 Session Rating Scale Phone Script Examination copy only, see www.heartandsoulofchange.com Instructions: If the person answers by giving two numbers ask, “is it closer to X or Y” or “which number would you like me to put?” Introduction: Before we end today, I need your feedback so that I can provide you with the best possible assistance. I will ask you these four questions at the end of each of our talks. Please answer each question by saying a number from 1 to 10, with 10 being completely or very good, and 1 being not at all or needs improvement. Your feedback is very important to me, and to the success of our conversations. Now, thinking back over our conversation today: 1. To what degree did you feel heard and understood today, 10 being completely and 1 being not at all? 2. To what degree did we talk about the concerns that you wanted to talk about today, 10 being completely and 1 being not at all? a. If the person asks for clarification say, “did we talk about what you wanted to talk about? How well on a scale from 1 – 10?” 3. On a scale of 1-10, how well did my approach, or the way I conducted today’s phone conversation, make sense and work for you, with 10 being completely and 1 being not at all? 4. So, overall how would you rate today’s conversation, with 10 meaning that the session was right for you and 1 meaning that something important was missed or could have been better? Express a genuine interest in any scale rated <10, especially if the SRS total is below the clinical cutoff, and invite the person to share all ideas that might make the next conversation better or more useful to her/him. Brauchtworks Applying Science to Practice What Works Consultation & Training Email: brauchtworks@yahoo.com

11 Self-Completed Overview of Recovery Experience (SCORE) Board: Name: ___________________ #1 Goal: Session 1 2 3 4 5 6 7 8 9 10 11 12 13 Date Task(s): ORS Score 1. 2. SRS Score 3. Write an “O” in the column below to show your ORS Score. At the end of the session, write an “S” to show your SRS Score. 4. 5. 40 Adult SRS 35 Clinical Cutoff = 34 30 Adult ORS 25 Clinical Cutoff = 25 20 Examination copy for training only #2 Goal: 15 10 Task(s): 1. 5 2. 3. 0 #1 Goal 4. 5. Task # #2 Goal Task # On the right, write a brief description of your needs/goals and task(s). Then, enter task # as they are completed and  when the goal is accomplished. Brauchtworks Applying Science to Practice What Works Consultation & Training Email: brauchtworks@yahoo.com

12 Monthly Recovery Progress Report: Outpatient Program 091016 Date Completed & Program Location: Name: Phone Number and/or Email: Counselor & Phone Number and/or Email: Supervising Officer Name: Probation  Parole  Supervising Officer Fax # and/or Email: I. Completed by Client: Recovery Plan. I want my SO to know that I am doing the following during the next 30 days to reduce my risk of re-arrest and promote my recovery. Attend this program. Check all that apply: Mon  Tue  Wed  Thu  Fri  Sat  Sun  Start time: _________ am  pm  End Time: _________ am  pm  Other Recovery Activity Location Day(s) Start Time End Time _________________________________________________________________________ _________________________________________________________________________ Examination copy for training only _________________________________________________________________________ II. Drug Use/Tests Since Last Progress Report. Completed by: Client  or Supervising Officer Enter result: N = Negative; P = Positive; V = Verbal Date THC Cocaine Alcohol or Other Drug (List) III. Other Information. Completed by: Client  Counselor  Supervising Officer  Contact me at your earliest convenience to discuss the below: No  Yes  For each checked box, provide details in the Comment section below. Residence change  An incident with the law  Employment or school change  A change in program participation  Alcohol or other drug use  Other  Paid this month. Check all that apply: Supervision Fee  Restitution/Fines  Child Support  Risk Score Changed to: ________________ Increased  or Decreased  Positive/Total Drug Tests Factor: ________________ Increased  or Decreased  Number of Residences Factor: ________________ Increased  or Decreased  Days Employed Factor: ________________ Increased  or Decreased  Months Attending a Program Factor: ________________ Increased  or Decreased  Comments/Other:_______________________________________________________________ _____________________________________________________________________________ ___________________________________ ________________________________________ Client Signature Date Counselor  Supervising Officer  Date Brauchtworks Applying Science to Practice What Works Consultation & Training Email: brauchtworks@yahoo.com

13 Monthly Recovery Progress Report: Residential Program 100312 Date Completed, Program Name & Location: Name: Residence Phone  Cell  and/or Email : Counselor & Phone Number and/or Email: Supervising Officer Name: Probation  Parole  Supervising Officer Fax and/or Email: I. Completed by Resident: A. Expected residential program transfer (discharge) date: ______________________________ B. Anticipated transfer residence plan: address, head of household phone # and name: ___________________________________________________________________________ C. Recovery activities and progress since the last progress report: ___________________________________________________________________________ D. My recovery activities for the next 30 days: Recovery Activity Specific Location Day(s) Start Time End Time _________________________________________________________________________ Examination copy for training only _________________________________________________________________________ E. I request a recovery pass for the following date(s) next month. For each date list: start and end times; overnight residence plan address, head of household phone #; and recovery activities location(s), start & end times: _________________________________________________________________________ _________________________________________________________________________ II. Drug Tests/Use Since Last Progress Report: None  (Check box or complete the below) Completed by: Resident  or Supervising Officer  Enter result: N = Negative; P = Positive; V = Verbal Date (s) THC Cocaine Alcohol or Other Drugs (List): III. Other Information. Completed by : Resident  Counselor  Supervising Officer  Please contact me at your earliest convenience to discuss the below: Yes  No  A residence change  An incident with the law  Employment or school  Program participation  Alcohol or other drug use  Other: See below.  Risk Score Changed to: ________________ Increased  or Decreased  Positive/Total Drug Tests: ________________ Increased  or Decreased  Number of Residences: ________________ Increased  or Decreased  Days Employed: ________________ Increased  or Decreased  Months Attending a Program: ________________ Increased  or Decreased  Comments/Other:_______________________________________________________________ _________________________________ _______________________________________ Resident Signature Date Counselor  Supervising Officer  Date Brauchtworks Applying Science to Practice What Works Consultation & Training Email: brauchtworks@yahoo.com

14 Person Directed, Outcome Informed Provider Monthly Report Provider: Listena, Greta Year/Month (YY/MM): 0909 Initial Date: 0909 Date: 0916 Date: 0923 Date: 0930 Change Lowest Highest Name ORS SRS ORS SRS ORS SRS ORS SRS ORS SRS ORS SRS ORS SRS ORS SRS Yavis, Trulie 090902 18 39 20 40 20 40 25 39 26 40 +8 +1 18 39 26 40 Goode, Johny B 090901 18 38 14 40 14 40 13 34 12 40 -6 +2 12 34 18 40 Later, May B 090901 40 40 40 40 40 40 40 40 40 40 0 0 40 40 40 40 Right, Al 090903 22 40 23 39 23 40 24 40 27 40 +4 0 22 39 27 40 Elpme, Canue 090903 30 37 23 40 26 40 20 39 25 37 -5 0 23 37 30 40 Total +1 +3 Examination copy for training only Average +.2 +.6 Yavis, Trulie Goode, Johny B Elpme, Canue 45 45 45 40 40 40 40 40 40 40 39 40 39 40 40 39 40 38 37 37 35 35 35 34 30 30 30 30 28 25 25 26 25 25 26 23 20 20 20 20 20 20 18 18 15 15 15 14 14 13 10 12 10 10 5 5 5 0 0 0 902 909 916 923 930 902 909 916 923 930 902 909 916 923 930 ORS SRS Brauchtworks Applying Science to Practice What Works Consultation & Training Email: brauchtworks@yahoo.com

15 Person Directed, Outcome Informed Supervisor Monthly Report: 0909 (YY/MM) Inactive ORS SRS  Active Initial Avg *TAC Average Initial Avg *TAC Average Timer, Ole 4/143 37.6 +5 +.125 39.73 +2.25 +.53 Listna, Greta 38 24.8 +1 +.2 39.6 +3 +.6 Tueshues, Gudy 38 35.1 -1 -.2 39.6 0 0 Nott, Errin 36 36.2 +2 +.1 39.8 +1 +.7 Debis, Bestin 31 29.4 +3 +.4 39.9 +5 +.8 Duncan, Barry 3/111 34.9 +3.3 +.77 39.0 +5 +.53 Bach, Feed 39 32.7 +3.5 +.8 38.1 +6 0 Edate, Val 35 37.1 +5.1 +.6 39.2 +4 +.9 Change, See 37 35.0 +1.2 +.9 39.6 +5 +.7 *TAC = Total Average Change Examination copy for training only Initial SRS Averages ORS: Total Average Change 40 6 39.73 39 30 4 5 20 3.3 2 10 0 0 Timer Duncan Timer Duncan Brauchtworks Applying Science to Practice What Works Consultation & Training Email: brauchtworks@yahoo.com

16 Master Recovery Center Outpatient Program Person Directed Outcome Informed Report March 2009 Referral Sources Services Jail Probation Parole DCourt Other Total Initial Calls Received ORS SRS Initial Recovery Check-In & Total Appointment Reminders ORS (before 1st appointment) SRS Total Initial Appointments ORS SRS Total Examination copy for training only Individual Sessions ORS SRS Total Groups ORS SRS Total Recovery Support Check-Ins ORS SRS Last Month’s Ending Census Intakes + Planed Transfers - Average Length of Stay Unplanned Transfers - Average Length of Stay This Month’s Ending Census Quality Improvement Targets I. Initial Recovery Check-Ins = 100% O/SRSs: Actual _________% ......DNM  Met  II. Planned Transfer = 95% of all transfers: Actual _________% .....DNM  Met  III. Recovery Support Check-Ins = 100% 1X week 1st 2 months Actual _________% .....DNM  Met  Brauchtworks Applying Science to Practice What Works Consultation & Training Email: brauchtworks@yahoo.com

17 Master Recovery Center Outpatient Program Dashboard: March 2009 Initial Recovery O/SRSs: Goal 100% 95% 94% 90% 85% 86% 87% 80% 81% 75% 70% Jan Feb Mar Average Examination copy for training only Planned Transfers: Goal 95% 62% 62% 60% 61% 60% 58% 56% 57% 54% Jan Feb Mar Average Recovery Support Check‐Ins: Goal 100% 88% 88% 87% 86% 86% 86% 85% 85% 84% 83% Jan Feb Mar Average Brauchtworks Applying Science to Practice What Works Consultation & Training Email: brauchtworks@yahoo.com

Day3GeorgeBraucht

by Barry Duncan on Jun 05, 2010

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Day3GeorgeBraucht — Document Transcript