Tip 30

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NBCC, NAADAC, CAADAC, and California Board of Behavioral Sciences approved Mental Health continuing education and addictions counselor training series. Narrated versions and CEUs available at http://www.allceus.com CJJP, Criminal Justice Series

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Tip 30

  1. 1. Based on TIP 30 Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  2. 2. <ul><li>Assessments </li></ul><ul><li>Transition Plans </li></ul><ul><li>Transition Plan Checklist </li></ul><ul><li>Important Services </li></ul><ul><li>Special Populations </li></ul><ul><li>Confidentiality Issues </li></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  3. 3. <ul><li>1 in 144 crimes is related to substance use, abuse or sale </li></ul><ul><li>Less than 13 percent of offenders identified as needing treatment receives it </li></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  4. 4. <ul><li>Assessments for offenders should be conducted within the institution as early and often as possible </li></ul><ul><ul><li>Every 90 days is a good guide </li></ul></ul><ul><ul><li>At least 3–6 months before the offender's release. </li></ul></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  5. 5. <ul><li>Should Assess </li></ul><ul><ul><li>Needs </li></ul></ul><ul><ul><li>Treatment Readiness </li></ul></ul><ul><ul><li>Treatment Progress </li></ul></ul><ul><li>Should produce </li></ul><ul><ul><li>Appropriate treatment plan </li></ul></ul><ul><ul><li>Feasible outcome measures </li></ul></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  6. 6. <ul><li>Activities of Daily Living </li></ul><ul><ul><li>Housing </li></ul></ul><ul><ul><li>Hygiene </li></ul></ul><ul><ul><li>Nutrition </li></ul></ul><ul><ul><li>Transportation </li></ul></ul><ul><li>Social Abilities </li></ul><ul><ul><li>Empathy/Respect for others </li></ul></ul><ul><ul><li>Ability to form and maintain relationships </li></ul></ul><ul><ul><li>Anger/Impulse management </li></ul></ul><ul><ul><li>Addicted/Criminal Thinking </li></ul></ul><ul><li>Ability to access needed services </li></ul><ul><ul><li>Medical </li></ul></ul><ul><ul><li>Vocational </li></ul></ul><ul><ul><li>Social service </li></ul></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  7. 7. <ul><li>Vocational Skills and Abilities </li></ul><ul><ul><li>Knowledge/Academic skills </li></ul></ul><ul><ul><li>Physical Skills </li></ul></ul><ul><ul><li>Responding to authority </li></ul></ul><ul><ul><li>Transportation </li></ul></ul><ul><ul><li>Timeliness/reliability </li></ul></ul><ul><li>Family Issues </li></ul><ul><ul><li>Interpersonal relationships </li></ul></ul><ul><ul><li>Current family substance abuse </li></ul></ul><ul><ul><li>Child care and custody issues </li></ul></ul><ul><ul><li>Level of family support </li></ul></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  8. 8. <ul><li>24 Hour Principle </li></ul><ul><ul><li>Success depends on continuity of care and gradual step-down </li></ul></ul><ul><li>Placement in appropriate treatment setting </li></ul><ul><ul><li>Residential </li></ul></ul><ul><ul><li>IOP/OP </li></ul></ul><ul><ul><ul><li>Treatment times supportive of job or vice versa </li></ul></ul></ul><ul><ul><ul><li>Accessibility </li></ul></ul></ul><ul><ul><ul><li>Linkages with self-help groups and sponsors </li></ul></ul></ul><ul><ul><ul><li>Linkages with prosocial activities </li></ul></ul></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  9. 9. <ul><li>Relapse Prevention Plan </li></ul><ul><ul><li>Multidisciplinary team: probation officer, counselor, case manager, sponsor/peer support </li></ul></ul><ul><ul><li>All basic needs must be addressed </li></ul></ul><ul><ul><ul><li>Safety and Security </li></ul></ul></ul><ul><ul><ul><li>Food and Health Care </li></ul></ul></ul><ul><ul><ul><li>Social and Emotional </li></ul></ul></ul><ul><ul><ul><li>Self Esteem </li></ul></ul></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  10. 10. <ul><li>Accountability, Incentives and Sanctions </li></ul><ul><ul><li>Accountability builds self esteem only if there is respect for the person to whom he or she is accountable </li></ul></ul><ul><ul><li>Behaviors are chosen based on what provides the greatest perceived reward or the lease perceived punishment </li></ul></ul><ul><ul><li>Rewards are more effective than sanctions </li></ul></ul><ul><ul><li>You cannot replace chocolate with celery </li></ul></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  11. 11. <ul><li>Increased number of urinalyses </li></ul><ul><li>Breathalyzer™ </li></ul><ul><li>More frequent contacts/Day reporting </li></ul><ul><li>Curfew </li></ul><ul><li>Extension of term or time </li></ul><ul><li>Community service </li></ul><ul><li>Increased AA and/or NA meetings </li></ul><ul><li>Withholding of privileges and personal freedoms </li></ul><ul><li>Electronic monitoring </li></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  12. 12. <ul><li>Facility transfer </li></ul><ul><li>Increased intensity of treatment </li></ul><ul><li>Additional reporting with additional charges or costs assessed </li></ul><ul><li>Return to incarceration, i.e., supervision violation </li></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  13. 13. <ul><li>Minimize/Rationalize </li></ul><ul><li>Blame problems on external circumstances </li></ul><ul><li>Lack of empathy </li></ul><ul><li>Entitlement </li></ul><ul><li>Power and Control </li></ul><ul><li>Overconfidence </li></ul><ul><li>Lack of ability to delay gratification/Need for frequent rewards </li></ul><ul><li>Pleasure/excitement first </li></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  14. 14. <ul><li>Lack of safety/security, physical or emotional </li></ul><ul><li>Lack of a sense of love and belonging </li></ul><ul><ul><li>Emotionally or physically absent parents </li></ul></ul><ul><ul><li>Foster system </li></ul></ul><ul><li>Lack of community and/or family organization </li></ul><ul><li>Lack of prosocial role models </li></ul><ul><li>Positive attitudes towards drugs and criminal behavior </li></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  15. 15. <ul><li>The strength of a reward or sanction is dependent on the preferences of the offender </li></ul><ul><ul><li>Miracle question </li></ul></ul><ul><ul><li>Motivational Interviewing strategies </li></ul></ul><ul><li>Rewards in criminal behavior </li></ul><ul><ul><li>Power </li></ul></ul><ul><ul><li>Sense of Belonging </li></ul></ul><ul><ul><li>Recognition/Loyalty </li></ul></ul><ul><ul><li>Money/Sex </li></ul></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  16. 16. <ul><li>Contact numbers for </li></ul><ul><ul><li>Peer support group </li></ul></ul><ul><ul><li>Probation officer </li></ul></ul><ul><ul><li>Counselor/Case Manager </li></ul></ul><ul><li>Warning Sign Identification Card </li></ul><ul><li>Relapse Prevention/Continuing Care Plan </li></ul><ul><li>Final Assessment and Placement Sheet </li></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  17. 17. <ul><li>Reductions in substance use, extended periods of abstinence, substance-free days, crime-free days, reductions in the number of arrests </li></ul><ul><li>Restoration or establishment of ongoing and recovery-supporting social network </li></ul><ul><li>Substance-free and crime-free for at least a year </li></ul><ul><li>Consistent employment </li></ul><ul><li>Stable housing </li></ul><ul><li>Bank account with savings </li></ul><ul><li>Agreed-upon treatment goals met </li></ul><ul><li>Consistent participation in support groups </li></ul><ul><li>Correctional obligations (terms and conditions) met </li></ul><ul><li>Restitution (fines and fees) paid </li></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  18. 18. <ul><li>Transitional Housing </li></ul><ul><li>Mentors and Role Models </li></ul><ul><li>Self Help Groups </li></ul><ul><li>Prosocial Activities </li></ul><ul><li>“ Family” Involvement </li></ul><ul><li>Employment </li></ul><ul><li>Financial Planning/Banking </li></ul><ul><li>Prosocial Peers </li></ul><ul><li>Transportation </li></ul><ul><li>Education/Vocational Training as needed </li></ul><ul><li>Health Care </li></ul><ul><li>Child Care </li></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  19. 19. <ul><li>Domestic Violence </li></ul><ul><li>Drug-Involved Significant Others </li></ul><ul><li>Economic Self-Sufficiency </li></ul><ul><li>Department of Children and Families Case Plans </li></ul><ul><li>HIV/AIDS </li></ul><ul><li>Mental Illness </li></ul><ul><li>Physical Disabilities </li></ul><ul><li>Cognitive Disabilities </li></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  20. 20. <ul><li>Must be in a “safe” environment </li></ul><ul><li>Must provide sufficient income to feed/clothe/house </li></ul><ul><li>Consistent, daytime or early evening schedules (day labor not ideal) </li></ul><ul><li>Regular drug testing </li></ul><ul><li>Initial high supervision </li></ul><ul><li>Low to medium stress environment initially </li></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  21. 21. <ul><li>Respect federal guidelines for confidentiality </li></ul><ul><li>Recognize differences in confidentiality regulations between voluntary and involuntary clients </li></ul><ul><li>Ensure client provides full informed consent </li></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  22. 22. <ul><li>Criminal behavior and drug use have been the mainstay </li></ul><ul><li>They numb pain, protect from vulnerability, provide social contacts </li></ul><ul><li>Transition needs to be gradual </li></ul><ul><li>Strife and stress need to be avoided as much as possible initially (H.A.L.T.) </li></ul><ul><li>Ensure the person has safe housing, sufficient food, medical care and social supports </li></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  23. 23. <ul><li>Discharge plan needs to </li></ul><ul><ul><li>Identify relapse warning signs </li></ul></ul><ul><ul><li>Outline a relapse prevention plan </li></ul></ul><ul><ul><li>Provide a timeline and measurable, meaningful goals </li></ul></ul><ul><li>As desirable behaviors are rewarded and increase, undesirable behaviors will subside </li></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC
  24. 24. <ul><li>The criminal/addicted mentality developed as a method of survival over time, so recovery will not happen over night. </li></ul>Copyright ALLCEUS.com A subsidiary of CDS Ventures, LLC

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